Reduction (Reduction Mammaplasty)
Breast Reduction, technically known as reduction mammoplasty,
is a surgical procedure to reduce the size and shape of
a woman's breast for a number of reasons. Breast
Reduction can modify the body contour of a woman who,for
personal or physical reasons, feels her breast size is
too large and
desires a more discrete breast appearance.
Patients who undergo Breast Reduction Surgery frequently are
seeking relief from physical symptoms caused by the
excessive weight of large breasts. Breast Reduction usually
can solve these problems as well as improve the size and
shape of your breasts. Following Breast Reduction, your
breasts will be more proportional to the rest of your body,
and clothes will fit you better.
Who is best for Breast Reduction?
Breast Reduction can improve your appearance and your
self-confidence. Before you decide to have surgery, think
carefully about your expectations, and feel free to discuss
them thoroughly during your consultation.
The best candidates for Breast Reduction are women with
breasts that are too large in proportion to their body
frame, women with pendulous breasts with nipples that point
downward, woman with a large size difference between
breasts, women with back, neck or shoulder pain caused by
breast weight, women who suffer skin irritation beneath the
breasts, women who must restrict their physical activity or
the way they dress due to the size and weight of their
breasts or women with self-consciousness about the largeness
of their breasts.
Breast Reduction can be performed at any age, but waiting
until breast development has stopped is usually recommended.
Pregnancy and breast-feeding may have significant and
unpredictable effects on the size and shape of your breasts.
Nevertheless, many women decide to undergo Breast Reduction
before having children and feel that they can address any
subsequent changes later. If you plan to breast-feed in the
future, you should discuss this with your Plastic Surgeon.
During the consultation, another important factor to
consider is the desired breast size as well as anything else
about your breasts that you would like to see improved. This
will help us understand your expectations and determine
whether they realistically can be achieved.
Reduction can be performed with general Anesthesia, so you
will sleep through the entire operation.
factors and personal preferences will determine the specific
technique selected to reduce the size of your breasts. The
most common method of reducing the breasts involves three
incisions. One incision is made around the areola. Another
runs vertically from the bottom edge of the areola to the
crease underneath the breast. The third incision follows the
natural curve of the breast crease.
After the removal of the excess breast tissue, fat and skin,
the nipple and areola are shifted to a higher position. The
areola, which in large breasts usually has been stretched,
also is reduced in size. Skin that was formerly located
above the nipple is brought down and together to reshape the
Usually, the nipples and areolas remain attached to
underlying mounds of tissue, and this allows for the
preservation of sensation. The ability to breast-feed may
also be preserved by this method, although this cannot be
There are many variations to the design of the incisions for
Breast Reduction. The size and shape of your breasts, as
well as the desired amount of reduction, are factors that
will help us determine the best technique for you.
Rarely, if your breasts are extremely large, the nipples and
areolas may need to be completely detached before they are
shifted to a higher level. In such a case, you will need to
have made the decision to sacrifice sensation and the
possibility of breast-feeding in order to achieve your
desired breast size.
Reduction Surgery can make your breasts smaller and firmer.
Without the excessive weight of large breasts, you may find
greater enjoyment in playing sports and engaging in physical
The incisions from your Breast Reduction Surgery will
initially be red, but generally fade over time. It is
important to realize, however, that the incision lines will
be permanently visible, more so in some individuals than
others. Fortunately, the incisions for Breast Reduction are
in locations easily concealed by clothing, even low-cut
Breast Reduction often makes a dramatic change in your
appearance. Most women eventually become comfortable with
their smaller breasts and feel very pleased with the results
Unless you gain or lose a significant amount of weight or
become pregnant, your breast size should remain fairly
constant. However, gravity and the effects of aging will
eventually alter the size and shape of virtually every
woman's breasts. If, after a period of years, you become
dissatisfied with the appearance of your breasts, you may
choose to undergo "Breast Lifting" procedure to restore
their more youthful contour.