Breast Reduction

Breast Reduction Surgery (Reduction Mammoplasty)

Breast reduction surgery is a surgical procedure performed to reduce aesthetic, functional, and orthopedic problems caused by large and heavy breast tissue. It involves removing excess tissue and skin, reshaping the breast, and lifting it to a more youthful position. It is one of the most effective breast aesthetic methods that provides both physical relief and aesthetic improvement.

Who is Suitable for Breast Reduction Surgery?

It is an ideal treatment option for patients experiencing the following complaints:

• Back, neck, and shoulder pain
• Shoulder indentations and pressure marks from bras
• Rashes, fungal infections, and skin irritation under the breasts
• Clothing incompatibility and limited mobility
• Difficulties with daily life activities
• Postural deformities due to large breasts
• Desire for a smaller and firmer breast appearance

Surgical Techniques

The technique used is determined based on the breast size, tissue quality, and degree of sagging.

Most Common Techniques

• Inverted T / Anchor Technique: The safest and most commonly used method. It allows for controlled removal of excess skin and tissue. It provides the most effective results in large breasts.
• Vertical / Lollipop Technique: Suitable for medium-sized breasts. It offers the advantage of a shorter scar.
• Pedicle Techniques: Superomedial pedicle, central pedicle, and inferior pedicle methods; these are the most academically accepted techniques that safely preserve the blood supply to the nipple.

During the surgery, the breast tissue is reshaped, and the nipple is lifted to a higher position to achieve a more youthful form.

Pre-Surgery Preparation

• Breast ultrasound (mammography for patients over 35 or those at high risk)
• Tissue measurements and photographic analysis
• Stopping smoking at least 2–3 weeks before surgery
• Adjustment of blood-thinning medications as needed
• Achieving weight balance, if necessary

The patient’s expectations, functional relief from surgery, and aesthetic outcomes are thoroughly evaluated.

Surgical Process

• Performed under general anesthesia
• Average duration: 2–3 hours
• Excess skin and breast tissue are removed
• The nipple is moved to its ideal anatomical position
• A firmer, lighter, and balanced breast shape is achieved
• Special bandages and a supportive medical bra are applied at the end of the surgery

Post-Surgery Recovery Process

• Pain is usually minimal and well-controlled during the first 3–5 days
• Return to social life is possible within one week
• Heavy exercise is not recommended for 4–6 weeks
• Swelling and mild bruising are normal during the first weeks
• Scars will noticeably flatten within 6–12 months

Functional Benefits

Most patients report a significant reduction in back and neck pain after surgery.

Possible Risks and Complications

As with any surgical procedure, breast reduction surgery carries certain risks:

• Delayed healing
• Asymmetry
• Sensory changes in the nipple
• Nipple necrosis (rare)
• Hematoma
• Infection
• Fat necrosis

With the correct technique and proper patient selection, the risk of complications is quite low.

Longevity of Results

Breast reduction surgery provides permanent results. However, significant weight changes, pregnancy, and age-related tissue laxity can lead to changes in breast shape over time.