Breast Reduction

Are you a good candidate?

Breast reduction surgery is frequently performed in our practice, and our standardized technique consistently delivers predictable results and promotes excellent healing.

Breast and skin are excised from the outer, inferior and inner parts of the breast. The nipple is kept alive on an inner flap of breast, fat and dermis (red outline in the picture). This flap is rotated and suspended into the ideal nipple position into the Weiss pattern and the breast and skin are sutured again into an inverted T-scar.

Breast reduction scars

Usual contraindications include patients with unrealistic expectations, uncontrolled chronic disease or bleeding disorder, patients responding to peer, spousal, or parental pressure, women <18 years and if there is a significant breast disease (severe fibrocystic disease, ductal hyperplasia, high-risk breast cancer).

Secondary cases will not be accepted without an operative report describing the technique used.

  • Under regional anesthesia + anesthetic infiltration into tissues + sedation (thoracic spinal anesthesia) or general anesthesia.

  • Minimal pain usually controlled with pain medication

  • Postoperative antibiotics are of no proven benefits

  • Medical brassiere for 6 weeks, worn day and night (no push-up bras or harsh manipulation)

  • Scar massage starting 3 weeks

  • Aerobic exercises at 2 weeks (gently at first)

  • Heavy lifting at 6 weeks

  • Swelling for 1 month usually, breast descends during the first 3 months and the final result is at 6 months.

  • Scar usually fades in about a year.