Exceptionally large, pendulous breasts require a more nuanced approach to breast reduction. If you have very large breasts and nipples that are downturned, misshapen, or stretched, you may be a candidate for a specialized technique called free nipple graft (FNG) breast reduction. Like traditional breast reduction, the procedure aims to reduce the size of the breasts for a more aesthetically pleasing, functionally comfortable result. This technique differs in the treatment of the nipple-areolar complex, where a free skin graft technique is used to resize and reshape the nipples for a more pleasing result.

Dr. Prem Patel at WOW Cosmetic Surgery in Dallas-Fort Worth, Texas, offers FNG breast reduction to help women achieve their desired aesthetic and improve physical function and quality of life.

With your free nipple graft breast reduction, we want you to Look WOW, Feel WOW, and Be WOW!

See the Difference: Free Nipple Graft Breast Reduction Before & After Photos

Breast Reduction Gallery

Real Stories: Free Nipple Graft Breast Reduction Patient Reviews

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Wow has been amazing!! Doctor Patel did amazing and made this whole experience wonderful. I shopped around before I found him, and he has been amazing. The ladies, Kendall and Allie that work with him are just as incredible. They communicate with everything that is going on and if there are any concerns, they answer all questions at all times. This has been the best experience I have ever had. Doctor Patel is there through every appointment with Kendall and Allie assisting. I’m so grateful for them.

A.J., Google Review

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I had my surgery with Dr. Perm [sic] Patel at WOW Cosmetic Surgery in Dallas, Texas, and I couldn’t be happier with my results and overall experience. From the very first consultation, Dr. Patel made me feel comfortable, informed, and confident in my decision. He took the time to explain every step of the procedure, what to expect during recovery, and answered all my questions with patience and care.

The day of surgery, the staff was extremely professional and attentive — they made sure I was calm and well-taken care of. Dr. Patel’s precision and artistry truly show in my results; my body looks natural, balanced, and exactly how I hoped it would.

Post-op care was also excellent. The clinic followed up to make sure I was healing properly, and I felt genuinely supported through the process. I appreciate how Dr. Patel combines skill with compassion — it’s rare to find a surgeon who truly cares about both aesthetics and patient well-being.

If you’re looking for a surgeon who listens, delivers beautiful results, and provides a smooth recovery experience, I highly recommend Dr. Perm [sic] Patel and his team at WOW Cosmetic Surgery.

J.M., Google Review

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There are so many reasons why this is the best to have your surgery done, if you are thinking of having surgery, from the front door they greet you with a welcome.. love that! Everyone that works there is so very nice. The doctor is wonderful, he has great bedside manner. That check in you all the way through your procedure, you can text them with any questions that you have so you don’t have to worry. I love this place!

M.M., Google Review

Free Nipple Graft Breast Reduction Cost in Dallas, TX, & Flexible Financing Options

The cost of your free nipple graft breast reduction in Dallas, TX, will largely depend on the details of your surgical plan, including the level of necessary revision, the technique used, and whether you have combined procedures or not.

Breast reduction is a unique procedure in that it can be considered medically necessary, especially if the patient has debilitating neck or back pain. In these instances, medical insurance may cover all or part of the procedure. If not, WOW Cosmetic Surgery offers flexible financing options for all procedures, allowing patients to receive the care they deserve at a price they can afford.

Why Choose WOW Cosmetic Surgery for Your Free Nipple Graft Breast Reduction?

Dr. Prem Patel is the founder and medical director of WOW Cosmetic Surgery, a triple board-certified cosmetic surgeon who provides exceptional care and expertise in complex breast reduction procedures, including free nipple graft techniques. He prioritizes patient education, comfort, and safety above all else, and works tirelessly to ensure natural-looking, comfortable, and aesthetically pleasing results.

Book Your Free Nipple Graft Breast Reduction Consultation Today

If you’re tired of neck and back pain, bra straps that dig into your shoulders, and hanging, pendulous breasts, you may be a candidate for breast reduction with free nipple graft techniques. Call WOW Cosmetic Surgery today at (833) DR WOW MD or complete the contact form to request a consultation with Dr. Patel and learn more about your options.

What Is a Free Nipple Graft Breast Reduction?

During many breast reductions, the nipple-areolar complex is moved to a higher, more central position on the breasts while remaining attached to the breast tissue and blood supply. During a free nipple graft breast reduction, the nipple-areolar complex is removed from the breast and reattached as a skin graft. This technique is most commonly used for women with very large or pendulous breasts who undergo significant reductions.

What Are the Benefits of Free Nipple Graft Breast Reduction?

Free nipple graft breast reduction is a specialized procedure that carries the same benefits of a traditional breast reduction, including:

Smaller, more aesthetically pleasing breasts
Lighter breasts
Improved physical comfort
More clothing and bra options
Reshaped and centered nipples

Because free nipple graft breast reduction is used for specific cases, it carries an additional, unique benefit:

A higher success rate of nipple-areolar complex survival after relocation

Who Is an Ideal Candidate for Free Nipple Graft Breast Reduction?

Candidates for free nipple graft breast reduction are typically ineligible for a traditional breast reduction technique, called a pedicle reduction. Those who are ideal candidates for a free nipple graft breast reduction likely have decreased blood flow to the nipple and are therefore ineligible, or less eligible, for methods that require strong blood flow. In addition to the typical plastic surgery candidacy, including:

Be a nonsmoker or willing to quit
Be in good health
Have reasonable expectations for results

Candidates for free nipple graft breast reduction may also:

Have diabetes
Have a heavy smoking history
Have extremely large breasts, so the blood must travel a longer distance to the nipple

FNG breast reduction is typically only indicated for patients who are not candidates for traditional methods of nipple relocation, due to the above issues of blood circulation. To learn if you are a candidate, it’s best to call Dr. Patel at WOW Cosmetic Surgery at (833) DR WOW MD or complete the contact form to request a consultation.

How Free Nipple Graft Breast Reduction Is Performed

The Free Nipple Graft Breast Reduction Procedure Steps

Each procedure is tailored specifically to the patient’s needs and goals. However, a general free nipple graft breast reduction procedure is as follows:

General anesthesia is administered for your comfort.
Dr. Patel will make careful incisions as appropriate for your case. Usually, one long horizontal incision is made under the breast (inframammary incision), along with a secondary incision around the nipple-areolar complex, completely removing it from the breast.
Once the nipple-areolar complex is removed, it is thinned of underlying fat, making it a “free” skin graft.
Dr. Patel will remove excess fat and breast tissue from the breasts, using excision techniques and sometimes liposuction for patients who have a large amount of excess fat.
The breasts are then reshaped and lifted higher onto the chest.
The breast skin is trimmed of any redundant skin and draped in a more pleasing, natural-looking position.
The nipple-areola free graft is then trimmed and resized to better fit the newly shaped breasts.
The breasts are prepared for the new graft by removing the top layer of skin from the recipient site.
The graft is stitched into place with sutures and specialized techniques to ensure blood supply and tissue viability.
All other incisions are neatly closed with sutures, and the breasts are bandaged and protected with a soft, supportive surgical dressing.

Free Nipple Graft Breast Reduction Recovery & Aftercare

Other than caring for your free graft, free nipple graft breast reduction recovery is similar to that of traditional breast reduction recovery. Immediately following your procedure, you will be monitored as you wake from anesthesia. Depending on the details and complexity of your procedure, you may be required to stay overnight in the recovery room. Otherwise, you will be cleared to go home with a responsible driver and caregiver.

Your breasts will be securely bandaged with gauze and protective surgical dressings. You will also have a special dressing over the nipple, secured with sutures, that holds the nipple flat against the underlying tissues, allowing nutrients and blood vessels to reach the graft and ensuring ideal healing. You will have check-in appointments with Dr. Patel in the coming weeks so he can assess your healing and the graft’s progress.

Everyone experiences healing and recovery in different ways; no two patients are the same. Our team will provide you with specific recovery instructions, which may include the following:

Avoid strenuous exercise for at least six weeks or until cleared by Dr. Patel.
Wear your surgical bra and/or compression bra as directed.
Get plenty of rest for at least two weeks after surgery; most patients can return to work after those first two weeks of downtime, depending on the nature of their job.

As you heal, you’ll gradually be able to see the beautiful results of the procedure: your breasts will be smaller, but also more compact, with a rounded, perkier shape than before. Your nipples will be centered on the breasts, facing outward rather than downturned or stretched. You will also feel relief from prior back and neck pain, and your breasts will feel lighter and less burdensome.

Are You Interested in Plastic Surgery in Dallas, TX?

Overall, it is apparent that if you are looking for a dependable facial surgeon in Dallas-Fort Worth, Texas, Dr. Prem Patel of WOW Cosmetic Surgery is an excellent choice. Feel free to get in touch with us today to learn more about the procedure. Call us at (833) DR WOW MD or fill out our online contact form.