In a r/Reduction thread titled “Best country to get a breast reduction,” user MandyK1179 left two replies. In one, she shares that her husband had a positive experience getting upper blepharoplasty (eyelid surgery) from Dr. Terlouw, praising both the doctor and nurse practitioner. In the other, she mentions being quoted about $7,500 for a breast reduction at Muskegon Surgical Associates in West Michigan, and notes she held off due to wanting to lose weight first and lacking funds — but suggests that traveling within the US (rather than overseas) makes more financial sense given the price difference.

“I’m in West Michigan, and last year was quoted ~$7500 at Muskegon Surgical Associates for a reduction. I didn’t do it yet as I worked to lose some weight first, and I don’t have the extra income yet, but for the price difference, it would be a lot easier to travel to Michigan (or another state) than over seas :)”

“Yes! My husband had his upper blephs done a couple months ago there with Dr Terlouw and had a great experience. I met with both him and the Nurse Practitioner for consultation and they were wonderful.”