Many patients who seek treatment for large breasts require breast reduction surgery not only for aesthetic concerns but also due to health-related problems.

Large breasts, especially in young patients, can cause psychological issues. They also affect the skeletal system. The weight of the breasts can pull the body forward, contributing to neck hernias, hunching in the back, and nerve compression in the arms leading to weakness. This pressure on the skeletal system increases with osteoporosis. The solution to these issues is usually surgical, making breast reduction necessary.

How is the surgery performed?

The goal is to achieve maximum shaping with minimal surgical scarring. Therefore, careful preoperative breast measurements and markings are essential, as this stage is as important as the surgery itself for the final outcome.

Breast reduction surgery, also called reduction mammaplasty, reduces breast size, reshapes the breast, and provides a firmer, lifted appearance. Excess skin, subcutaneous fat, breast tissue, and sometimes glandular tissue are removed during the procedure.

In addition to reduction, the surgery also lifts and reshapes the breasts. If the areola (nipple area) is large, it can also be reduced and reshaped.

Scars vary by patient but typically remain in the bra or bikini line area. Depending on the surgical technique and the amount of reduction, scars can appear around the areola and along the inframammary fold in shapes such as inverted T, J, or L. These scars are initially red and noticeable but fade over time to become less visible.

The surgery usually lasts 2–4 hours, depending on breast size and technique.

Postoperative care and considerations:

The surgery is performed under general anesthesia. Patients are usually discharged after one night in the hospital.

Drains are placed in both breasts and typically removed within 1–4 days. Pain is expected for the first 2 days but can be managed with painkillers. Swelling and bruising around the breasts are common and usually resolve within two weeks.

A special sports bra is worn to reduce postoperative swelling. Patients can usually return to desk work after 4–5 days. Heavy exercise and lifting should be avoided for 3–4 weeks.

Complete resolution of swelling and final breast shape may take 6–12 months.

Can patients breastfeed after breast reduction?

Since some milk ducts may be removed, breastfeeding after pregnancy can be affected in certain cases. Studies suggest that this occurs in approximately 10–20% of patients.

Who is at higher risk?

Patients with diabetes, systemic illnesses, vitamin or mineral deficiencies, and smokers may experience delayed wound healing or more noticeable scars. These potential risks should be discussed with these patient groups.