Breast Reduction

If you have disproportionately large breasts that are causing neck pain, back pain or other physical symptoms, you may want to consider breast reduction surgery.

Breast Reduction is a procedure aiming to improve the appearance of large breasts by reducing their volume and reshaping them. The procedure also alleviates the discomfort associated with overly large breasts, such as to the breast itself, the shoulders, the neck and the upper part of the spine.

Overly large breasts can cause both physical and psychological problems, including:

· Back and neck pain

· Inflammation beneath the breast folds

· Soreness from bra straps digging into the skin

· Limitations on physical activities

· Increased self-consciousness

· Emotional discomfort resulting from unwanted attention

· Decreased self-esteem

Ideal Candidates :

· Breasts that are too large in proportion to your body frame · Heavy, pendulous breasts with nipples and areolas that point downward · One breast is much larger than the other · Back, neck or shoulder pain caused by the weight of your breasts · Skin irritation beneath your breasts · Indentations in your shoulders from tight bra straps · Restriction of physical activity due to the size and weight of your breasts · Dissatisfaction or self-consciousness about the largeness of your breasts Teenagers who have excessively large breasts also may be candidates for breast reduction. However, surgery can only be performed after the breasts have finished developing

Procedure :

Measurements and drawings are done in the sitting position. These drawings will be a guideline for the incisions during surgery. Under general anaesthesia the procedure consists of removing both some of the breast skin and the underlying tissue, moving the areola to a higher position and tightening the surrounding tissue to reshape and support the new breast contour, smaller and in a higher position. Drains are normally applied during surgery to avoid serous fluid and blood collections inside the breast.

If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction

At First Consultation :

During the consultation, the surgeon will find out how you feel about your breasts and how you want them to look after surgery. He will examine your breasts and carefully evaluate the quality of the skin, fatty tissue, breast glands and pectoral’s muscle. Measurements for the volume, width, shape and projection of the breasts are taken and special note is made of the nipple position, the height of the mammary fold and of breast asymmetries and chest deformities. These details will enable to advise you about the different surgical options for your breast reduction and to explain which one is the best for your particular needs. In most cases, a breast lift will be performed in conjunction with the reduction to both reshape and reposition the breasts.

The results of breast reduction surgery are considered permanent. But the breasts may become larger or their shape may change as a result of pregnancy, weight gain or weight loss.It is an excellent option for patients with other medical conditions (diabetes, asthma) who cannot tolerate a larger, traditional, operation.

Complications :

Complications are normally rare : Bleeding : If bleeding occurs after surgery, the blood can accumulate inside the breast and, as a consequence, it can be necessary to re-open one of the wounds in order to remove it and prevent any further bleeding.

Infections. They are very rare and, when occurring, they respond to antibiotic therapy very quickly.

Loss of sensitivity in the nipple. This is a rare complication and anyhow temporary, and, therefore, sensitivity will be completely resumed with time. Only in rare cases it can be permanent.

Nipple loss. The partial or total loss of one nipple is extremely rare, but some cases have been reported in the medical literature. In the unlikely event that it occurs, a further reconstructive surgery can be performed to get the best result.

Asymmetry. It might occur in the shape, size or position of the areola. When it occurs, it is limited and, anyhow, it can be corrected with a minor outpatient surgery, which can be performed under local anaesthesia at least six months after the breast reduction procedure.


Stop taking oral contraceptives one month before surgery.

Mammography test is required before the surgery to make sure that there are no disease in the breast.


It is recommended to rest as much as possible during the first week and then increase the physical activity gradually during the second and third week after surgery.

The patient can have a bath or a shower after the dressing has been removed, thus normally about one week after surgery. It is anyhow not recommended to stay too long in the bath tub.

A support bra should be worn, to support the breasts as they heal, for about 3 months.