Breast reduction surgery has become increasingly popular in recent years, especially among women who want to feel more comfortable in their daily lives. Although it is often considered a cosmetic procedure, breast reduction (reduction mammoplasty) is also a reconstructive surgery designed to improve both physical comfort and quality of life.
Having overly large breasts may cause more than aesthetic concerns. Many women experience chronic neck pain, upper back pain, shoulder pain, and posture-related issues such as hunching or spinal strain. In some cases, the burden of heavy breasts can negatively impact work performance, physical activity, and overall wellbeing.
One of the most common problems is the pressure caused by bra straps. The straps may compress shoulder nerves, leading to numbness, tingling, or persistent pain. With breast reduction surgery, these complaints can often be significantly reduced-or completely relieved.
However, discomfort from large breasts is not limited to pain. Women may also experience:
- Difficulty breathing comfortably during physical effort
- Skin irritation, rashes, and chafing under the breasts
- Restrictions in sports or daily movement
- Difficulty finding suitable clothing
- Self-confidence issues and emotional distress related to body image
Breast reduction surgery is not only about removing excess breast tissue. The procedure often includes reshaping the breasts for a more natural appearance and repositioning the nipple to a more youthful, aesthetically balanced location. In many patients, breast reduction also provides a lifting effect, improving breast shape along with size reduction.
Breast enlargement can occur due to genetic factors, hormonal changes, weight fluctuations, pregnancy, and breastfeeding. Fortunately, reduction mammoplasty offers a long-term solution for women who struggle with these issues.
To learn more about breast reduction surgery in Tekirdağ (near Istanbul), including pricing and consultation details, feel free to contact us.
Is Breast Reduction Surgery Risky?
It is important to remember that breast reduction is a surgical procedure, and as with any surgery, it carries certain risks. There is no such thing as a completely risk-free operation. However, compared to many other procedures, breast reduction surgery is widely considered safe when performed by an experienced surgeon.
Possible risks may include:
- Changes in nipple sensation
- Impact on milk ducts and a potential decrease in the ability to breastfeed
- Removal of more or less tissue than intended
- Asymmetry in breast size or shape
A significant portion of these risks can be minimized by choosing a skilled and experienced surgeon. During the pre-operative evaluation, the surgeon carefully assesses anatomical structure and patient expectations to reduce complications such as asymmetry or over-resection.
After the operation, antibiotics may be prescribed to lower the risk of infection. For a smooth recovery, it is essential to follow your doctor's post-operative guidance closely.
Breast Reduction Surgery Techniques
There are different surgical methods for breast reduction. The most appropriate technique is determined by the surgeon based on the patient's breast size, tissue condition, skin quality, and future breastfeeding plans.
Today, two main techniques are commonly discussed:
- Free Nipple Graft Technique
- Pedicle (Flap) Technique
Free Nipple Graft Technique
This technique is usually recommended for women with very large breasts who do not plan to breastfeed in the future. During surgery, the nipple is removed from its original position, the breast is reduced and reshaped, and then the nipple is placed back in the correct location.
The major advantage of this method is that it allows the surgeon to achieve significant reduction even in extreme cases.
However, it also has important disadvantages:
- Permanent loss of nipple sensation may occur
- Breastfeeding becomes impossible because milk ducts are affected
For these reasons, the free nipple graft technique is generally used only when medically necessary.
Pedicle (Flap) Technique
The most commonly preferred method today is the pedicle (flap) technique. In this approach, both nipple and breast tissue vitality are preserved. After excess skin and tissue are removed, the nipple is repositioned upward without disconnecting it completely from its blood and nerve supply.
This technique provides an important benefit: breastfeeding ability is not necessarily lost. Many women may still be able to breastfeed after healing. Although reduced nipple sensation is less common in this method, it remains a possible risk.
Your surgeon will explain the best option based on your anatomy and goals, and you can discuss all your concerns in detail during consultation.
Procedure Process
In general, the breast reduction process can be explained in three main stages. Understanding each step helps patients feel more confident and prepared, and gives a clear picture of what to expect before, during, and after surgery.
Before Surgery
Before planning breast reduction surgery (reduction mammoplasty), it is essential to consult with an experienced plastic surgeon and clearly describe your concerns and expectations. Explaining why you want this procedure-whether it is due to back and neck pain, posture issues, difficulty in daily activities, or cosmetic reasons-allows for a more personalized surgical plan and better results.
A detailed pre-operative examination is extremely important. The surgeon evaluates not only breast size, but also:
- Breast shape and symmetry
- Nipple position and degree of sagging (ptosis)
- Skin elasticity and tissue quality
- Age and overall health condition
During this consultation, you will also receive information about:
- The type of anesthesia
- Potential risks and complications
- New nipple position after surgery
- Breastfeeding considerations after breast reduction
Patients should feel comfortable asking all questions openly during this stage. A clear plan and realistic expectations lead to a smoother experience and higher satisfaction.
Preparing for Surgery
Before breast reduction surgery, certain medical tests may be required. These tests are important for evaluating overall health and minimizing surgical risk. Common evaluations may include:
- Blood tests
- Chest X-ray
- Mammography (in some patients, depending on age and medical history)
- The surgeon will also consider factors such as:
- High blood pressure (hypertension)
- Smoking or tobacco use
- Diabetes or blood sugar regulation problems
In most cases, patients do not need to donate blood before surgery. However, if a blood transfusion is expected, an autotransfusion plan may be arranged 5-7 days prior to the operation.
After the procedure, 1 to 3 days of rest in the clinic may be recommended, and it is helpful to arrange someone to assist you during the early recovery period.
Surgery
Breast reduction surgery is performed under general anesthesia, meaning the patient does not feel any pain during the procedure.
Key details of the surgery process include:
- Excess breast tissue is removed and the breasts are reduced in proportion to the patient's body shape
- Extra skin is also removed through carefully planned incisions
- The surgical plan is determined in advance, including which parts of the tissue will be removed
- The operation typically takes around 2.5 to 3 hours, although this can vary depending on the individual case
- After one night of clinical observation, patients are usually discharged
Following discharge, resting at home for a few days supports a more comfortable recovery.
After Surgery
Regardless of which technique is used, it is important to know that a mild scar may remain around the nipple area after breast reduction surgery. Over time, this scar typically fades, becomes softer in appearance, and gradually blends with the natural skin tone.
Depending on the surgical method, it is also possible to have a T-shaped scar in the lower central area beneath the nipple. Some patients report that scars become far less noticeable over time, and in certain cases may appear lighter when exposed to sunlight (however, sun exposure without protection is not recommended during healing).
After surgery, patients may experience mild pain, which can usually be controlled effectively with the medication prescribed by the doctor. Temporary limitation in arm movements may also occur.
Key post-operative steps typically include:
- A bandage dressing shaped similarly to a bra is applied to protect the breast contour and support healing
- Medical drains (surgical drains) may be placed in both breasts
- Drains are usually removed after 48-72 hours, depending on recovery
- A special dressing is placed over the nipple area
- This dressing is often opened after 2 days to check for infection or wound-related issues
- Bandages are generally removed after one week
- Stitches are usually taken out within 7 to 10 days
Patients should use the surgical bra for the period recommended by the surgeon and avoid trauma or pressure to the breast area.
It is also normal to experience:
- Swelling
- Temporary nipple sensitivity
- Bruising or purple discoloration of the skin
- These effects are usually temporary and improve gradually during the healing period.
Returning to Daily Life After Breast Reduction
Patients often ask how soon they can return to normal life after breast reduction surgery. In general, it is recommended to take approximately 7 days off work. Resting for at least one week is important for a smooth recovery.
During this period, patients should:
- Avoid physically demanding movements
- Use medications exactly as prescribed
- Follow all doctor's instructions carefully
Additionally, until recovery is fully complete, it is important to stay away from environments such as:
- The sea and swimming pools
- Sauna and steam rooms
Breast reduction provides long-lasting results, and many women experience significant relief from the discomfort caused by large breasts-often after just a single operation. With modern techniques, the recovery period is typically shorter and more comfortable than in the past.
Beyond physical relief, this procedure may also improve psychological wellbeing by increasing self-confidence and body comfort.
For international patients considering breast reduction near Istanbul, Tekirdağ can be a convenient option thanks to its close location and easy access to Istanbul transportation routes.
Can Breast Reduction Surgery Be Repeated?
Many patients wonder if breast reduction is a one-time procedure. In most cases, the breast shape achieved after surgery is maintained for a long time.
However, factors such as:
- Weight gain or weight loss
- Pregnancy and breastfeeding
- Natural aging and tissue changes
may cause the breasts to enlarge again or develop sagging over time. If this happens, breast reduction surgery may be performed again. In other words, this is not necessarily a procedure that can only be done once in a lifetime.
