Breast Reduction

Contrary to a popular belief, large breasts are not always favorable for women. Women with large, heavy breasts can suffer from back, neck, and breast pain, indents on the shoulders from bra straps, irritation of the skin underneath the breasts, or breast asymmetry. Often women experience not only physical discomfort but also severe psychological distress. In such cases, breast reduction surgery is recommended.

A breast reduction procedure is not recommended for women who intend to breast-feed. It is difficult to predict if a woman after surgery is able to breast-feed because during breast reduction surgery, the milk ducts leading to the nipple might be severed.


How Is the Surgery Performed?

The surgery is performed under general anesthesia and takes about 3 hours on the average.

Breast reduction is a surgical procedure that helps reduce large breasts and improve their shape by removing the excess skin and tissue underlying under it. During this surgery, the areola (dark brownish area around the nipple) can be reduced in size, which becomes enlarged over time as the breasts develop.

Incisions are usually placed around the areola, downward in a vertical line, and in the crease under the breast. During the surgery, the surgeon removes excess skin and breast tissue, repositions the nipple and the areola to their anatomical location on the breast, and reshapes the breasts into a more esthetic shape. The surgery is completed by placing the drains, which are removed the next day after the surgery.

Then, the plastic surgeon removes excess fat, skin, and tissue and repositions the remaining skin and areola.

Postoperative period:

  • The first postoperative day should be spent in the clinic;
  • The stitches are removed after 10–14 days;
  • Most patients resume their daily routines within 1–2 weeks;
  • Strenuous physical activities and sports are recommended not earlier than 3 months after the surgery;
  • After 7–10 days, it is possible to return to wok and resume routine activities
  • A special surgical bra should be worn for 4–6 weeks after the surgery (22–23 hours per day);
  • Since the nipple is partially separated from the surrounding breast tissue and innervation is slightly altered during the surgery, nipple sensation is reduced, which improves over time.
  • The final outcome is seen after 4 months when the breasts settle in.
  • The postoperative scars should be protected from direct sunlight for a period not shorter than 1 year to make them less noticeable. The scars usually fade within 2 years.