Breast Reduction (Reduction Mammaplasty)

Breast reduction surgery is a procedure that is done to reshape and reduce the size of the breasts, by removing fat, skin, and tissue. Extremely large breasts are often the source of great of discomfort, and are linked to health issues such as pain in the neck and upper back.

Who is a good candidate?

If you have too-large breasts that are causing you problems, or your large breasts are making you unhappy, you may be a good candidate for reduction mammaplasty. It is best to consult with a board certified plastic surgeon regarding your suitability.

Breast Reduction Procedure

Surgery is done under general anesthesia, or intravenous sedation. The surgeon may use one of several incision options:

  • Donut Incision: Made around the areola.
  • Anchor Incision: Made around the areola, down to the breast crease, and along it.
  • Keyhole Incision: Made around the edge of the areola, and then vertically down the breast crease.

The surgeon will remove the excess skin, fat, and tissue, and then reshape the breasts. The amount removed depends on the desired degree of reduction. This is an important issue that should be discussed with your plastic surgeon prior to surgery. The nipple/areola area is also repositioned. Drainage tubes are put in the breasts to collect excess fluid that may accumulate during the healing process.


After surgery the breasts will be wrapped with surgical bandage, or you will be asked to wear a surgical bra to minimize swelling. The breasts will be very tender, and there will also be bruising and swelling. Drainage tubes are removed about 7 days after surgery.   Most patients are able to return to work after 14 days.


Reducing the size of your large breasts will improve your body image and your life, and will also alleviate any physical discomfort you may have been experiencing.