Breast Reduction Surgery

Breast Reduction Surgery (Reduction Mammoplasty)

Breast reduction surgery is a surgical procedure performed to relieve physical discomfort caused by excessively large and heavy breasts and to achieve a breast size that is more proportional to the body. This operation is not only an aesthetic intervention; it is also a long-lasting solution for health problems that reduce quality of life, such as back, neck, and shoulder pain.

During surgery, excess breast tissue and skin are removed in a controlled manner. In most patients, the nipple and areola are repositioned to a more ideal and lifted location, and the breasts are reshaped.

Who Is Breast Reduction Surgery Suitable For?

Individuals who experience the following complaints due to breast volume being large relative to their body structure may be considered suitable candidates for breast reduction surgery:

Chronic Physical Pain: Persistent heaviness and pain in the neck, shoulders, and back
Skin Problems: Bra-strap grooves on the shoulders, rash and irritation under the breast
Limited Mobility: Difficulty exercising and reduced comfort in daily activities
Psychosocial Effects: Difficulty choosing clothing and decreased self-confidence

The final decision regarding suitability is determined through a physical examination and an individualized assessment by a specialist physician.

How Is Breast Reduction Surgery Performed?

The surgical technique is planned based on breast volume, degree of sagging, skin elasticity, and the patient’s desired appearance. The main stages of the procedure include:

Incision Planning: A personalized incision plan is made around the areola, along vertical lines, and/or within the inframammary fold.
Tissue Removal and Reshaping: After excess breast tissue is removed, the remaining tissue is shaped into a more lifted and balanced form.
Suturing and Closure: In most cases, dissolvable sutures are used to support the healing process.

Recovery Process and Return to Daily Life

Although recovery varies depending on individual factors, it generally progresses as follows:

Return to Work: Desk-based workers can usually return to work within 5–7 days.
Medical Bra: Wearing a specialized bra after surgery is important for healing and maintaining shape.
Physical Activity: Heavy exercise and lifting should be restricted for the first 4–6 weeks.

Scars After Breast Reduction Surgery

As with any surgical procedure, it is natural to have some degree of surgical scarring after breast reduction surgery. However, scars are typically placed in areas that can be covered by a bra or bikini.

Over time, scars usually lighten and become less noticeable.
Scar care and supportive measures recommended by the doctor can positively affect the healing process.

Breastfeeding and Nipple Sensation

After breast reduction surgery, breastfeeding capacity can often be preserved in most patients, depending on the technique used. While changes in nipple sensation may occur, this is usually temporary and tends to improve as healing progresses.

Non-Surgical Breast Reduction Options

Exercise, corsets, or similar methods are not truly effective in reducing breast tissue. In a limited number of patients with a higher fat component and good skin elasticity, liposuction may be considered as a supportive option if deemed appropriate by the physician.

For more detailed information: Is scar-free and non-surgical breast reduction possible?

Risks and Possible Complications

As with any surgery, breast reduction carries risks such as infection, bleeding, asymmetry, or delayed wound healing. With an experienced surgeon and appropriate postoperative care, these risks can be significantly reduced.