Breast reductions: why so expensive, any non-surgical alternatives? (photos)

Thank you for the question. 

Besides significant weight loss (if relevant), there is no nonsurgical method to reduce breast size. I would not recommend the use of any medications, herbs, creams, "miracle technology"… that you may find heavily marketed. Ultimately, breast reduction surgery may be your best option if your breast size remains a concern. 
If you choose to proceed with breast reduction surgery, keys will be: very careful selection of plastic surgeon and careful communication of goals.  Avoid the use of cup sizes as a reference point.
 
What patients may not realize is how much “overhead” is associated with performing good quality and safe elective plastic surgery. In other words, there are significant expenses, outside of surgeons fees, associated with these types of operations.  

Plastic surgeons offices can point you in the right correction when it comes to “credit” companies that work with patients seeking surgery.  It is always in patients' best interest to achieve a certain degree of financial stability prior to undergoing elective surgery of any type. Patients should also keep in mind that additional surgery may be necessary in the short or long term, following the primary procedure that is being performed; this additional surgery may be associated out-of-pocket expenses. Again, best to achieve a physical, emotional and financial “stable state” prior to considering elective plastic surgery. 

Best wishes.

A breast reduction performed by liposuction can reduce the size of the breast a moderate amount, but the procedure will not lift the breasts.   If you want a substantial reduction or desire a lift as well, then the excisional procedures should be performed. Kenneth Hughes, MD, ABPS, Board Certified Plastic SurgeonLos Angeles, CA

Your photos suggest that to achieve your goals will require a breast reduction and lift. The costs are typically dictated by the difficulty and time required to perform the procedures. Thus the costs by board certified plastic surgeons are generally consistent in a specific geographic area. You can generally obtain ballpark estimates by calling surgeons offices.