Breast reduction surgical process


Most women desire to get bigger breasts so that they can look aesthetically welcoming and sexy and identify with the latest physical beauty trends. Bigger breasts look good, but when the breasts become extra large or cross a certain threshold, it not only creates self-esteem problems for the patient but also results in physical pain and discomforts. Excessively large breasts look unpleasant and trigger localized pain like neck ache, shoulder pain, and backache.

The good news is that breast reduction surgery can effectively decrease the size of overly grown breasts. During the pre-operative consultation, the plastic surgeon will discuss the process with you. It is vital for the patient to understand the surgical process so that the operation and the recovery can be smoother.

Pre-operative consultation

The pre-operative consultation is the step to learn whether you are a good candidate for the surgery. Be sure to consult only with a board-certified plastic surgeon having extensive experience in breast reduction surgery. The plastic surgeon will examine your breasts and ask you questions about how the overly grown breasts are affecting your life and self-esteem. Be sure to tell the surgeon how the condition is affecting you physically and emotionally and what improvements you expect to achieve.

The doctor will also assess your medical history. Keep in mind that breast reduction is a major operation. It entails risks and complications. If you are suffering from any severe disease, make sure to discuss it with the surgeon so that the risks can be reduced. The plastic surgeon will then tell you whether you are a good candidate for the operation.


Breast reduction surgery is performed under general anesthesia. Making sure a board-certified anesthesiologist administers the anesthesia is important. Some patients are allergic to general anesthesia. If you have any such history, make sure to discuss it with the surgeon. The surgeon will tell you about the anesthesia during the pre-operative consultation.

The use of general anesthesia means you will be completely asleep during the surgery. You will not remember as to how the surgery was performed. Also, you will not feel any pain or discomforts during the operation. When you wake up from the effects of anesthesia, you will find yourself in the recovery area where your health will be monitored for a few hours.

Making the incisions

The plastic surgeon will start the operation by making incisions on the breasts. The type and size of the incisions depend on how large the breasts are and to what extent they have to be reduced. In any case, it is essential to make the incisions so that the tissue, fat, and skin can be excised. The plastic surgeon will try his level best to make sure the incisions are not very large, or the resulting scars are not more noticeable. The incisions can be made in places where they can be camouflaged or hidden.

Removal of the excess tissue and fat

The plastic surgeon will approach the glandular tissue through the incisions. The goal here is to remove the excess epithelial tissue that is making the breasts huge. The plastic surgeon will then carefully remove the excess gland. As a result, the breasts will achieve a good level of reduction.

After removing the excess gland, the doctor will remove the excess fat as well. Keep in mind that the breasts become large primarily due to the excess glandular tissue and fat in the breasts. When the excess amount of these tissues is removed, the breasts will achieve a considerable reduction in size. However, this step is critical because if an equal amount of tissue is not removed from both breasts, the breasts will be different in size or shape.

Removal of the excess skin

When your breasts become overly large, the skin also expands. When the doctor removes the excess tissue and fat from the breasts, it leaves a vacuum in the breasts. The skin does not retract because the elastin has become weaker due to the expansion of the breasts. As a result, the breasts are left with excess skin. If this skin is not removed, the breasts will become saggy. To avoid this condition, the plastic surgeon will trim the excess skin from the breasts. It is essential to remove the excess skin carefully so that the breasts can be balanced in shape and size.

Suturing and closing the incisions

After trimming the excess skin from the breasts, the plastic surgeon will re-drape the remaining skin on the breasts. He will then suture and close the incisions. Suturing and closing the incisions properly is important here. If this step is not implemented carefully, it may result in wound dehiscence. In most cases, absorbable sutures are used to close the surgical wounds.


The incisions made during the operation will gradually change into scars. The scarring after the surgery is unavoidable. The surgery cannot be performed without incisions, which will develop into scars in the weeks and months following the procedure. In most cases, the scars usually develop. At the start, the scars will be more noticeable, but as time passes, the scars fade and become less visible. If the incisions are strategically placed, the resulting scars will be hidden in the breast folds.

The scarring happens when your body reacts against the incisions and surgical trauma. It happens to close the incisions. Your body produces more collagen as a reaction against the incisions. The collagen seals the incision by creating scars.

In rare cases, the scars may develop abnormally. This happens mostly due to genetic factors and when the patient is careless during the recovery period. It can also occur due to surgical errors. Abnormal scars are more prominent and visible. They are raised and look aesthetically unpleasant. If you have a genetic predominance to developing abnormal scars, you must share this information with the surgeon during the consultation session.

Recovery process

Your recovery will begin immediately following the procedure and will continue for many weeks. The primary recovery period comprises the first two weeks after the surgery whereas complete recovery can take six weeks. It is vital for the patient to be prudent during the first two weeks because the surgical wounds are weak and may split open due to pressure or strain on the incisions.

Make sure not to sleep on your front for two weeks. Also, do not touch the incisions because it can trigger infection. You must take rest during the first two weeks after the surgery. When you take rest, the incisions will heal quickly and accurately.

After the surgery, you will be required to wear surgical compression bras or support bras. These bras are designed to speed up the healing and prevent complications. They also help reduce the post-operative swelling.

Complete recovery can take six weeks. During this period, you may resume work but be sure not to apply any pressure to the breasts. You must avoid strenuous activities like exercises, jogging, jumping, and weight lifting or six weeks. After six weeks, you may resume these activities gradually.

Expected results

You should not expect to see the improvements in your breasts right after the surgery. Your breasts will be swollen for many weeks and even months after the procedure. The results will appear after the incisions have healed and the swelling has disappeared.

When the results transpire after many weeks or months, you will notice that your breasts have been considerably reduced. You will also feel comfortable because the pain linked with huge breasts will be alleviated. As a result of these improvements, your self-esteem will get a boost. You will also feel confident when socializing. On the broader level, your quality of life will improve.

Keep in mind however that breast reduction is a major and invasive procedure. This means that there are risks and complications associated with the procedure. You must discuss the risks with the surgeon and find ways to reduce those risks.


Breast reduction is a standard plastic surgery procedure in the US. It is recommended for women with overly large breasts. Overly developed breasts can create many discomforts, both emotional and physical. Breast reduction surgery reduces the breasts by removing the excess glandular tissue, fat, and skin from the breasts.

In this article, I have discussed the surgical process of breast reduction surgery. I have explained each step of the operation in detail above. It is essential for the patient to understand breast so that the surgery and recovery can be safe and smoother and you can achieve the expected improvements.

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