What is a Breast Reduction | SurgiSculpt | Cosmetic Plastic Surgery

What is a Breast Reduction?

What is a Breast Reduction?
What is a Breast Reduction?
What is a Breast Reduction?
What is a Breast Reduction?
What is a Breast Reduction?
What is a Breast Reduction?
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A 43-year-old female patient demonstrated bilateral breast hypertrophic with grade III ptosis who initially consulted me to find out what is a breast reduction.

Introduction: What is a Breast Reduction

Women desiring breast reduction want to reduce the size of their breast mounds. Oversized breasts often cause additional problems such as chronic pain in the neck, shoulders, and back, skin irritation, and in some cases nerve damage.

To ease the discomfort or achieve a more proportional aesthetic, women seek breast reduction. This surgery involves removing excess fat, skin, and tissue in the breasts. The most important step in getting your breast reduction surgery is finding an experienced plastic surgeon. Together with your specialist, you will develop a comprehensive plan that is tailored to you. Since every patient is different the procedure and the cost of the treatment often vary.

Traditionally, breast reduction surgery required specialized incisions and strategic excisions of excess glandular and fatty tissues of the breast to eliminate excess soft tissues but also to accommodate preservation and translocation of the nipple-areola complex to a higher, more desirable position. Although a circumferential incision is made around the nipple and areola, the nipple and areola vascularity are preserved.

Following the repositioning of the breast tissues and completion of the invasive part of the procedure, delicate suturing techniques are used to minimize scarring and ensure an optimal recovery.

At the SurgiSculpt, our surgeons use PDS sutures, which are much more effective than their alternative sutures, Monocryl or Vicryl. This is because PDS sutures are preserved for 3 months following surgery ensuring optimal healing before resorption. Furthermore, PDS sutures are considered internal absorbable sutures thereby meaning no sutures are placed on the outside of the incision thus avoiding hash marks. Instead, specialized glue and tape are used to seal the outside of the incision; as a result, there are no visual signs of suture tracks. Superior suture materials and techniques are critical to promoting a smooth recovery and minimal scarring during breast reduction procedures.

More recently, liposuction has been employed to remove excess fat thereby reducing breast volume. Although liposuction is not the mainstay for breast reduction, it can often be used to fine-tune your breast size following a primary breast reduction. it is important to appreciate that liposuction can not lift your nipple and areolas nor tighten the breast skin envelope.

Now, let us discuss breast reduction in more detail.

What is breast reduction surgery?

Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure aimed at reducing the size of the breasts. This procedure is often recommended for women who experience physical discomfort, such as back or neck pain, as a result of having overly large breasts. In addition to alleviating physical discomfort, breast reduction surgery can also improve the overall appearance and symmetry of the breasts. This procedure involves the removal of excess breast tissue, skin, and fat, and may also include repositioning of the nipples and areolas to create a more proportionate and aesthetically pleasing result.

Additionally, breast reduction surgery can also have a positive impact on a woman’s self-esteem and body image, as it can help to alleviate the emotional and psychological strain that may result from having disproportionately large breasts. Overall, breast reduction surgery offers a solution for women who are seeking relief from the physical and emotional burden of excessively large breasts.

Why the Procedure Is Performed

Breast reduction surgery is commonly performed for a variety of reasons. One of the main reasons is to alleviate chronic pain and discomfort caused by the excessive weight and size of the breasts. Women with large breasts often experience back, neck, and shoulder pain due to the strain on their muscles and spine. Additionally, nerve problems, such as tingling and numbness, can also be a motivating factor for undergoing breast reduction surgery.

Cosmetic issues and self-esteem concerns are another reason for choosing this procedure. Large breasts can cause physical and emotional discomfort, leading to dissatisfaction with one’s appearance. Furthermore, rashes and skin irritation under the breasts are common due to the lack of air circulation, leading to the desire for a reduction in size.

Moreover, limitations in physical activities, such as exercise and sports, can also prompt individuals to seek breast reduction surgery.

The typical incisions used in breast reduction procedures include the anchor-shaped incision, which allows for the removal of excess tissue and reshaping of the breasts. Liposuction may also be used to remove excess fat from the area. The combination of these surgical techniques can provide a comprehensive reduction in breast size and improve the overall appearance. Each method has its benefits and limitations, and the choice of technique depends on the individual’s specific needs and desires.


Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure to reduce the size of the breasts. Incisions are typically made around the areola, vertically down from the areola to the breast crease, and horizontally along the breast crease. Through these incisions, excess tissue and fat are removed, and the remaining tissue is reshaped to create smaller, more proportionate breasts.

In some cases, liposuction may also be used to remove excess fat from the armpit area or the sides of the breasts. The nipples are usually repositioned higher on the breast to create a more natural and youthful appearance.

The duration of the procedure can vary depending on the extent of the reduction, but it typically takes around 2 to 4 hours to complete. General anesthesia is used to ensure the patient is comfortable and pain-free throughout the surgery. After the procedure, the patient may experience some swelling, bruising, and discomfort, but these symptoms typically subside within a few weeks, and the results of the surgery can be seen as the swelling decreases.


Breast reduction surgery, like any surgical procedure, comes with certain risks and potential complications. These include the typical risks associated with surgery, such as infection, blood clots, and bleeding. In addition, some patients may experience uneven breast size and shape, visible scars, and a reduced ability to breastfeed after the procedure.

Specific complications of breast reduction surgery may include the development of a seroma, which is a buildup of fluid under the skin. There is also a risk of experiencing a loss of nipple sensation, as well as tissue loss due to reduced blood flow to the nipple or areola. Additionally, some patients may have difficulty healing properly, resulting in wound breakdown or delayed wound healing.

It is important for patients to discuss these potential risks and complications with their surgeon before undergoing breast reduction surgery. By understanding the potential outcomes and working closely with their healthcare team, patients can make informed decisions about their treatment and recovery.

What are the benefits of Breast Reduction?

Breast reduction surgery, also known as reduction mammoplasty, offers numerous benefits for women suffering from large, burdensome breasts. This procedure aims to reduce the size of the breasts, alleviate physical discomfort, improve posture, and enhance overall body proportions. Additionally, breast reduction can help to relieve chronic back, neck, and shoulder pain, reduce skin irritation and rashes in the breast crease, and minimize the limitations on physical activity and clothing choices.

Beyond the physical benefits, many women experience a significant improvement in self-esteem, body image, and overall quality of life following breast reduction surgery. This procedure has the potential to enhance both physical comfort and emotional well-being for women seeking relief from the physical and psychological challenges associated with large breast size.

Improved confidence and self-expression

Breast reduction surgery can lead to improved confidence and self-expression in several ways. First, by reducing the size of the breasts, many women report feeling more comfortable in their own bodies, which in turn can lead to increased confidence. They no longer feel self-conscious about their appearance and are able to express themselves more freely without the burden of feeling overly conspicuous.

Furthermore, the physical discomfort that often comes with large breasts is alleviated post-surgery, allowing women to engage in activities they may have previously avoided due to discomfort. This newfound physical freedom can also contribute to an increased sense of confidence and self-expression.

Numerous women who have undergone breast reduction surgery report feeling more confident and empowered after the procedure. They often express feeling liberated from the physical and emotional constraints previously associated with their large breasts, leading to a more positive self-image and increased willingness to express themselves authentically.

In conclusion, breast reduction surgery has been shown to enhance confidence, self-expression, and comfort, leading to a sense of empowerment and improved quality of life for many women.

Easier to shop

Breast reduction surgery makes it much easier for women to shop for clothes. With smaller, more proportionate breasts, they can finally find clothes that fit properly and flatter their figure. No longer limited to shopping at specialty stores, post-surgery, women can shop at almost any store they want, opening up a world of fashion possibilities.

In addition to the improved shopping experience, smaller breasts can also make it easier for women to breathe. Many women with larger breasts often experience discomfort and difficulty breathing due to the weight and size of their breasts. After breast reduction surgery, they may experience relief from these symptoms, allowing for easier and more comfortable breathing.

Overall, breast reduction surgery provides women with the opportunity to enjoy a wider range of clothing options and a more comfortable, confident lifestyle.

Back feels better

Breast reduction surgery can have significant benefits for women who experience back pain and low energy levels due to large breasts. Many women with larger breasts find that they experience chronic back pain, as the weight of the breasts can put strain on the back muscles and spine. After undergoing breast reduction surgery, women commonly report reduced back pain and increased energy levels. With the reduction in breast size, the strain on the back is significantly alleviated, leading to improved posture and reduced discomfort.

Additionally, large breasts can also lead to skin irritation, particularly under the breasts where moisture and friction can cause rashes and discomfort. After breast reduction surgery, women often experience a decrease in skin irritation and find that they are more comfortable and able to engage in physical activity without the hindrance of skin chafing.

Overall, breast reduction surgery can provide relief from chronic back pain and low energy levels, allowing women to lead a more active and comfortable lifestyle.

Bras don’t hurt

Bras don’t hurt because they help reduce the discomfort caused by the weight of women’s breasts. When the weight of the breasts is properly supported by a well-fitted bra, the strain on the bra straps is reduced, leading to decreased bra strap pain. The connection between breast weight and discomfort caused by bra straps is evident – when the weight of the breasts is not adequately supported, it can lead to increased pressure on the bra straps, causing discomfort and pain.

Well-designed bras help distribute the weight of the breasts more evenly, reducing the strain on the straps and minimizing discomfort. Additionally, bras with wider and padded straps provide better support and help alleviate the pressure on the shoulders, further reducing the likelihood of bra strap pain. It’s important for women to find bras that fit properly and provide adequate support to minimize the discomfort associated with bra strap pain. Overall, the reduction in bra strap pain when weight is properly supported is a key factor in why bras don’t hurt.

Exercise with ease

If you are looking to gradually increase your exercise routine with walking, it is important to prioritize walking to boost blood flow and improve overall health. It is essential to avoid strenuous activities like jogging or weight lifting, especially if you are just starting out or increasing your activity level. Prioritize walking as your main form of exercise, and gradually increase the duration and intensity as you build up your fitness.

It is crucial to seek your doctor’s guidance before starting any new exercise routine, especially if you have any underlying health conditions or concerns. Your doctor can provide specific recommendations for when to begin stretching exercises and normal activities, based on your individual health and fitness level.

It is important to listen to your body and not push yourself too hard too soon. Start with shorter, slower walks and gradually increase the distance and speed as your fitness improves. This will help prevent injury and ensure a safe and effective progression in your exercise routine.

By prioritizing walking and seeking your doctor’s guidance, you can gradually increase your exercise routine and improve your overall health while also boosting blood flow. Remember to always listen to your body and take it slow and steady.

Skin feels better

Skin irritation under the breasts can be relieved by practicing good hygiene, wearing breathable and moisture-wicking fabrics, and using over-the-counter creams or ointments. However, the most effective way to reduce skin irritation is through breast reduction surgery. After a breast reduction, many patients experience a significant reduction in skin irritation and discomfort, as the weight and pressure on the skin are decreased.

The impact of breast size on skin health cannot be overstated. Larger breasts can cause friction, sweat, and chafing, leading to skin irritation and even infections. To maintain healthy skin post-surgery, it is essential to keep the area clean and dry, wear supportive and properly fitting bras, and moisturize the skin regularly.

In conclusion, reducing breast size through surgery can greatly alleviate skin irritation under the breasts. However, even after a reduction, it is crucial to prioritize skin health by practicing good hygiene and using skincare products specifically designed for sensitive areas. By taking these steps, individuals can enjoy a significant improvement in skin comfort and overall well-being.

Easier to breathe

Smaller, more proportionate breasts can make it easier for women to breathe by reducing the weight and pressure on the chest and lungs. When breasts are too large for a woman’s frame, it can cause strain on the chest muscles and restrict respiratory function. This can make it difficult for some women to take deep breaths, especially during physical activity.

Breast reduction surgery can greatly improve breathing for women with oversized breasts by reducing their size and weight. This can relieve the strain on the chest and allow for better movement of the diaphragm, improving overall respiratory function. Additionally, the procedure can also improve posture and alleviate back and neck pain, which can further enhance breathing.

Overall, having smaller, proportionate breasts can significantly improve a woman’s ability to breathe comfortably, especially during physical activity. This can lead to a better quality of life and increased confidence. Therefore, breast reduction surgery can be a beneficial option for women who are facing respiratory challenges due to oversized breasts.

Conclusion: What is Breast Reduction

Breast reduction surgery is considered for several reasons, including physical symptoms such as chronic back, neck, and shoulder pain, skin irritation, and difficulty finding well-fitting clothes or bras. In addition to these physical discomforts, individuals with large breasts may also experience mental and emotional distress due to self-esteem issues, body image concerns, and unwanted attention.

The surgical procedure for breast reduction involves removing excess breast fat, glandular tissue, and skin, as well as reshaping and repositioning the nipple-areola complex to achieve a more proportionate and balanced appearance. Potential candidates for breast reduction surgery include AFAB individuals with overly large breasts and AMAB individuals with conditions like gynecomastia, which causes the development of breast tissue. Overall, breast reduction surgery can greatly improve the quality of life for individuals experiencing both physical symptoms and negative effects on their self-esteem due to overly large breasts.

Breast reduction recovery is quick and many patients find they are back to regular activity within a month. If you are interested in breast reduction surgery please get in touch with SurgiSculpt for a complimentary consultation today!

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