Breast reduction is a common surgical procedure. It is done to decrease the size of one or both breasts. While more common in women, this procedure can also be done in men.
The procedure may be done to correct:
Overly large breasts, resulting in any of the following symptoms:
Poor self imageBack, neck, or shoulder painPosture problemsGrooving and/or abrasions from bra strapsRash under the lower portion of the breasts
Breast asymmetry—may be due to previous surgery to one breast, such as in the case of
Large male breasts, known as
gynecomastia—can be related to hormonal changes, medications, or other health conditions
After the surgery, your breasts will be smaller and more symmetrical in appearance. They should reflect the size, shape, and symmetry you desired.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like: InfectionBleeding and bruisingPossible loss of sensation to the breast, nipple, and/or areolaPossible loss of ability to breastfeedAsymmetry between breastsLimited arm and/or shoulder movementDelayed wound healingScarringFluid or blood-filled cysts in the healing breast tissueLoss of nipple, areola, skin, or breast tissue due to change in blood supply
Some factors that may increase the risk of complications include: Obesity
Smoking, alcohol use disorder
, or illegal drug use
to the breast area
You may be asked to look through an album of breast sizes and shapes. This will help the doctor understand the outcome you desire. Computer software may also be used to help you determine your desired result.
Your doctor will likely do the following: Physical exam, including a breast examBlood testsMammogramPhotos for comparison after surgery
In the days leading up to your procedure: Talk to your doctor about your medications. You may be asked to stop taking some medications or herbal supplements up to one week before the procedure.Arrange for a ride to and from the procedure. Also arrange for help at home after the procedure.The night before, eat a light meal. Do not eat or drink anything after midnight.You may be asked to shower before your procedure. You may be given special antibacterial soap to use.
You may be given: General anesthesia
—You will be asleep during the procedure.
Local anesthesia—The area will be numbed.
The area around the nipple and areola will be cut. Skin, fat, and breast tissue will be removed in a specific pattern. Depending on how much breast tissue is removed, the nipple and areola may need to be repositioned higher up on the breast tissue.
Liposuction, a vacuum procedure used to remove excess fat, may also be used.
The amount of scarring will depend on the amount that the breast is reduced and the amount of repositioning needed to reposition the nipple and areola. The scarring can occur around the areola, down to the breast crease, and along the breast crease.
Depending on the extent of operating required, a small flexible tube may be placed in one or both breasts to drain any fluid from the early phases of healing. These drains may need to stay in place for several days. They can be removed in the doctor's office. You will not need a second surgery to remove them.
The cuts in the breast skin will be closed with tiny stitches.
Breast Reduction Procedure
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You will be tightly bandaged around your chest, or you will have a special surgical bra. These will provide pressure and support.
Anesthesia prevents pain during the surgery. You will have tenderness, swelling, and bruising of the breasts for several weeks after surgery. The pain can be controlled with medications.
The hospital stay may be up to 4 days. It may be possible to leave the hospital or surgery center on the same day of the procedure. Talk to your doctor to see if this is an option for you.
Right after the procedure, you will be in a recovery room where your blood pressure, pulse, and breathing will be monitored. Recovery may also include: Medication to control nausea Gradually returning to your normal dietUsing an
incentive spirometer to help you breathe deeply
During your stay the hospital staff will take steps to reduce your chance of infection, such as: Washing their handsWearing gloves or masksKeeping your incisions covered
There are also steps you can take to reduce your chances of infection, such as: Washing your hands often and reminding visitors and healthcare providers to do the sameReminding your healthcare providers to wear gloves or masksNot allowing others to touch your incisions
When you return home, follow these steps: You will gradually return to your normal activities.Your doctor may advise you to avoid heavy lifting, straining, or difficult exercise for the first week or two after surgery.Wear a special surgical bra that applies pressure. This will properly shape your breast(s) after the operation.
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor: Signs of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or any discharge from the incision sitePain that you cannot control with the medications you were givenPersistent nausea or vomitingCough, shortness of breath, or chest painPain or swelling in your calves, legs, or feetYou have concerns about the size and/or shape of your breastsFluid or blood collecting in either breastAny pain or stiffness when moving your arm
If you think you have an emergency, call for emergency medical services right away.
Breast reduction. The American Society for Aesthetic Plastic Surgery Smart Beauty Guide website. Available at:
http://www.smartbeautyguide.com/procedures/breast/breast-reduction. Accessed September 8, 2014.
Breast reduction. American Society of Plastic Surgeons website. Available at:
http://www.plasticsurgery.org/reconstructive-procedures/breast-reduction.html. Accessed September 8, 2014.
Breast reduction. Brigham and Women's Hospital website. Available at:
http://www.brighamandwomens.org/Departments_and_Services/surgery/services/PlasticSurg/cosmetic-procedures/breast/breast-reduction.aspx. Updated July 24, 2014. Accessed September 8, 2014.
Last reviewed September 2015 by Donald Buck, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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