What is Breast Reduction (Reduction Mammoplasty)?
Breast reduction is a surgical procedure that removes breast tissue, fat, and excess skin to bring the breasts to a size that is proportionate to the body. The goal is to provide a more balanced silhouette while reducing back and neck pain, shoulder indentation, chafing, poor posture, and restrictions on sports and clothing.
Who is it suitable for?
Those experiencing neck-back pain, shoulder strap marks, or chafing under the breasts
Those feeling restricted in daily activities/sports
Those complaining of breast asymmetry or breasts that are disproportionately large for their body
Non-smokers or those willing to quit, suitable candidates for wound healing
Individuals whose breast development is complete and who have realistic expectations
Before Surgery
Blood tests, mammogram/ultrasound if necessary
Evaluation of medications and additional diseases
Quitting smoking for at least 2 weeks, discontinuing blood thinners
Clarifying expectations and the location/shape of scars with the doctor
Obtaining a post-operative bra in the appropriate size
Techniques Used and Scars
Inverted-T (Anchor/Wise pattern): Around the nipple + vertical + inframammary fold; common for large reductions.
Vertical (Lollipop): Around the nipple + vertical scar; for moderate reductions.
Around the nipple (Periareolar): Limited reshaping; in selected cases.
The technique is determined based on breast size, excess skin, tissue quality, and the desired shape.
Anesthesia, Duration, and Hospitalization
Under general anesthesia, average 2–4 hours
Same-day discharge or 1 night hospitalization
Drain may be used; removed in most patients within 24–48 hours
Recovery Process
0–3 days: Swelling, tightness, and mild-to-moderate pain; controlled with pain medication.
1–2 weeks: Return to daily activities; avoid heavy lifting.
4–6 weeks: Wear a sports bra 24/7; start light cardio, delay arm and chest weights.
3–6 months: Shape stabilizes, swelling subsides. Scars fade from pink-red to skin tone.
Scar care: Silicone gel/sheet, sun protection, massage may be recommended.
Possible Risks
Bleeding, infection, seroma
Delayed wound healing, opening
Scar prominence, tendency toward keloid/hypertrophic scarring
Sensory changes (temporary/permanent around the nipple)
Asymmetry, need for nipple position correction
Risk of decreased breastfeeding capacity
Risks vary depending on the extent of surgery and individual healing characteristics.
Breastfeeding and Sensation
Breastfeeding: May be affected depending on the technique and amount of tissue removed. Protective techniques may be preferred in those planning to breastfeed.
Sensation: Decrease/tingling may occur in the early period; it resolves within weeks to months in most patients.
Permanence of Results
Weight change, pregnancy, aging, and gravity affect the shape.
Proper bra use and stable weight help maintain results.
Frequently Asked Questions
Pain level: Mild to moderate the first few days; most patients are comfortable with standard pain medication.
Return to work: Desk jobs 5–7 days; physical jobs 2–3 weeks.
Sports: Walking 1st week, running/jumping 4–6 weeks, weights 6–8 weeks.
Will the scars disappear?: They do not disappear completely; they fade and lighten over time. This depends on skin type.
How many sizes smaller?: Depends on breast volume and the goal; planned during the consultation.
Price: Varies depending on the center, technique, surgery duration, and hospitalization; finalized after the consultation.
Smoking: Significantly increases wound problems; quitting at least 2 weeks prior is recommended.
Post-Surgery Recommendations
Wear a sports bra for the first 6 weeks.
Keep the wound sites dry and clean; apply the recommended dressings/products regularly.
Avoid reverse tension and sudden arm movements.
Protect the scars from the sun for the first 3 months.
Do not skip check-ups; consult your doctor in case of sudden swelling, increased pain, or redness.
Quick Checklist
Clarify your expectations and desired body shape with your doctor.
Stop smoking and taking blood thinners in time.
Prepare your post-operative bra and rest plan.
Arrange for home support for the first 2 weeks.
This text is for informational purposes only; consult a plastic, reconstructive, and aesthetic surgery specialist for your personal situation.
The purpose of breast reduction, candidate profile, techniques, recovery, and risks are presented in a straightforward manner.
Breastfeeding/sensitivity, scar management, and recovery timeline are summarized with practical points.