Breast Surgery

Breast Reduction Surgery: Method, Before and After Surgery

Dr. Ahmet Dilber
4 min readJul 29, 2021

Breast reduction surgery is a type of operation you can choose depending on whether the breasts are larger and sagging than normal or the medical problems it causes. In addition to reducing large breasts genetically, it is a breast reduction operation applied to lift the sagging breasts after the breastfeeding period. You can also apply to prevent back and shoulder pain, wounds and infections under the breast, depending on the size of the breasts. They can also perform breast reduction operations to eliminate the feeling of pressure created by bra straps on the shoulders and due to the restriction of physical activity.

Breast Reduction Surgery

Breast Reduction Methods

Big breasts cause very important health problems in women. The most important of these are:

• Neck, back and shoulder pain,

• Due to excessive sagging of the breasts, contact with the abdomen and redness as a result of contact,

• Restricting physical activities and not being able to wear the clothes you want,

• Pitted deformity caused by the bra strap on the shoulder,

We know that the growth of breast tissue is mostly familial. Breast sagging can be seen in cases of rapid weight gain, loss, excessive weight loss, childbirth or breastfeeding. Your breasts may not be the same size, but may have different structures.. In breast reduction, different surgical techniques can be applied to both breasts to ensure symmetry in two breasts of different sizes.

The purpose of breast reduction surgery; In line with the patient’s wishes, it is to obtain symmetrical and aesthetically good looking breasts. They want to have few scars and ensure that the patient can breastfeed after the intervention. However, it is not possible to achieve this situation with all techniques. For this, you need to talk to your doctor in detail.

Breast Reduction Surgery

Breast reduction surgery, which they perform by removing the fat tissue in the skin and breast, is a type of operation applied to people aged 20 and over, whose body development is completed. Breast reduction surgery can be applied to people under this age only in the presence of medical necessity. They perform breast reduction surgery under general anesthesia.

Breast Reduction Procedure

They complete the surgery within 2.5 to 4 hours, depending on the size of the breast, using lollipop incision and inverted T incision methods. In determining the method, they consider parameters such as breast size, position of the nipple according to the breast fold, breast tissue, skin structure, distance between nipple and shoulder and hip.

In the lollipop incision method, they cut circularly around the nipple and then remove the breast tissue and excess skin tissue. They cover the skin by taking care not to damage the milk ducts.

In the reverse T incision method, they make an inverted T letter incision at the bottom of the breast. After removing the excess breast tissue and skin, the operation ends as in the lollipop type incision method.

Post-operative Process

After breast reduction surgery, the person must stay in the hospital for one day. They check at the end of the 1st and 2nd week after the operation. During the control they do in the 2nd week, they remove the stitches and use special creams to reduce the scars.

Thanks to the special bra, the patient can return to his daily life after 1 week of home rest. However, we recommend that you do not wear a special bra similar to a sports bra for 6 weeks. You may feel mild stinging and stinging in the breasts for 6 to 12 months after the operation. However, this feeling is not of a nature that will reduce the quality of life of the person.

Will There Be Any Scars After Breast Reduction Surgery?

In breast reduction surgery, as in all other surgeries, a scar remains. The shape and location of the scars change with the technique they use in breast reduction. After breast reduction surgery, inverted T, L or I shaped scars may remain around the nipple and below the nipple.

The scar remaining around the nipple ring is not noticeable as it meets the color change area. There is a thin scar going down from the nipple ring. The scar under the breast is not visible when looking from the front.

The shape of the breast is the most important factor in the aesthetic appearance of the breast. Rounded breasts and raised nipples are the results they want to achieve in breast aesthetics.

After Breast Reduction

What are the Risks of Breast Reduction Surgery?

As with any operation, there are some risks in breast reduction surgery. Some of these risks can be listed as follows:

  •  Infection and bleeding may rarely occur after surgery.
  •  Nipple sense may be adversely affected.
  •  Since the milk ducts may be damaged during the operation, the milk giving potential of the breast may decrease.
  •  Many different health problems may arise in operations that they do not perform under appropriate conditions.



Dr. Ahmet Dilber

Plastic, Reconstructive and Aesthetic Surgeon 📍Istanbul, Türkiye 🇹🇷 +90(533)0857686 🇬🇧 +90(530)0697686