Breast Reduction

Breast reduction, or reduction mammaplasty, is a cosmetic procedure designed to reduce the size and weight of overly large breasts in order to create a more proportional, comfortable, and youthful breast appearance. Many women with large breasts experience physical discomfort, limitations in activity, and difficulty finding clothing that fits properly. Breast reduction can help relieve these concerns while refining body shape and boosting confidence.

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About the Procedure

Breast reduction is a highly individualized procedure that can be tailored to your specific needs and goals.

Incision Patterns

Different incision patterns may be used based on your breast size, shape, skin quality, and the amount of tissue to be removed. The most common incisions are periareolar (around the areola), lollipop (periareolar with vertical incision from the areola to the crease under the breast), or anchor (lollipop with horizontal incision along the breast crease). Through the incision, the surgeon will remove excess breast tissue, fat, and skin while reshaping the breasts and repositioning the nipple and areola to a higher, more proportional position.

Reshaping the Breasts

During the procedure, excess breast tissue, fat, and skin are removed to reduce breast size and weight. The remaining breast tissue is then reshaped to create a more lifted, balanced contour. The nipple and areola are repositioned and lifted, and in some cases, enlarged areolas are reduced.

Combining with Other Procedures

If desired, breast reduction can be combined with other procedures. Usually, breast lift techniques are incorporated to address sagging. Other procedures such as tummy tuck surgery or liposuction may also be performed along with breast reduction, and breast reduction can be performed as part of a more comprehensive surgical plan (such as a Mommy Makeover).

We will discuss the details of your procedure during your consultation to ensure the surgical plan aligns with your goals and desired outcome.

Candidates

You may be a candidate for breast reduction surgery if:

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Your breasts feel too large or heavy for your frame
You experience neck, back, or shoulder discomfort related to breast size
You have shoulder grooving from bra straps
You experience skin irritation beneath the breasts
You have difficulty exercising or participating in certain activities comfortably due to the size and weight of your breasts
You feel self-conscious about the size or shape of your breasts
You are in good overall health, with realistic expectations for the outcome
You are a non-smoker (or you are willing to quit prior to surgery)

Candidates should also not be currently pregnant or breastfeeding.

Recovery

Recovery from breast reduction surgery varies from patient to patient. In general, here’s what you can expect:

After surgery, you’ll be monitored in a recovery room before being discharged. You’ll need someone to drive you home and stay with you for the first 24 to 48 hours.

Most of this week will be resting and healing. Swelling, bruising, and discomfort are common; these symptoms can be managed with prescribed medications. You’ll be advised to wear a special support bra to minimize swelling and support your new breast shape. Many patients can return to work after about a week, depending on their job. If breast reduction surgery is combined with other techniques, it may be a few more days before you’re ready to return to work.

Light activities can generally be resumed within a week. Strenuous activities, especially those involving the upper body, should continue to be avoided for at least 4 to 6 weeks.

As your body continues to heal, you may notice gradual changes in breast shape and position over the next few months. Most swelling subsides within a few weeks, but the final results may take several months to fully develop. Regular follow-up appointments will help monitor your progress.

Frequently Asked Questions

Will breast reduction lift the breasts, too?

In addition to reducing breast size, breast reduction surgery reshapes and lifts the breasts. Because excess skin is removed and the breast tissue is repositioned, the breasts typically appear firmer, more youthful, and better supported after surgery.

How much smaller will my breasts be after breast reduction surgery?

The amount of reduction depends on your anatomy, symptoms, and goals. During your consultation, we will discuss the size and proportion you hope to achieve, and your surgical plan will be tailored accordingly.

Are there risks associated with breast reduction surgery?

As with any surgery, there are risks, including infection, changes in nipple or breast sensation, and undesirable scarring. However, these risks are minimized when the procedure is performed by a qualified and experienced plastic surgeon. The specific risks will be discussed with you in detail before surgery.

How visible are the scars after a breast reduction?

Scars from breast reduction are permanent, but they typically fade over time. The extent of scarring depends on the incision pattern used. Incisions are strategically placed to be as discreet as possible. Following proper aftercare instructions can help your scars heal well and reduce their visibility over time.

How long do the results of breast reduction last?

The results of breast reduction are long-lasting, but they are not permanent. Factors such as aging, gravity, pregnancy, and weight fluctuations can affect your results over time. Maintaining a stable weight and a healthy lifestyle can help prolong your results.

Can I combine a breast reduction with other procedures?

Yes, breast reduction can be combined with procedures like liposuction and tummy tuck surgery (or body contouring procedures). Combining procedures may enhance your overall results, and it reduces the recovery time associated with having multiple surgeries on separate occasions.

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