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Department of Surgery

Strong Health's Specialists in Plastic Surgery

Cosmetic Surgery

Breast Reduction Surgery: What To Expect

Breast reduction surgery can be an outpatient procedure or it may require a short hospital stay. The procedure normally takes about two to four hours, though more complicated cases can take longer. You will probably be given general anesthesia, so you’ll be asleep during the surgery.

How the Procedure is Performed

The most common breast reduction procedure begins with the surgeon making a three-part, anchor-shaped incision. The first part circles the areola; the second moves vertically down from the areola to the crease beneath the breast; the third moves horizontally beneath the breast, following the natural curve of the crease.

After the incisions are made, the surgeon removes the unwanted fat, glandular tissue and skin and usually moves the nipple and areola up to a higher position. If the nipple and areola can be moved without detaching them from their original nerves and blood vessels, they may keep their ability to feel sensation.

At the end of the operation, the surgeon may temporarily put a small, thin drainage tube under the skin of each breast to drain blood and fluids that collect there. Finally, the surgeon closes the incisions with small stitches and puts a bandage on the area to protect it from infection.

Other Breast Reduction Procedures

There are several breast reduction techniques besides the one listed above. The technique used will depend on the specific details of your case, including how much reduction you want. For example, sometimes the horizontal incision below the breast isn’t needed. In other cases, liposuction can be used to remove excess fat.

Risks

All surgery involves some risk and uncertainty. Serious complications or side effects of this surgery are rare, but they include:

  • Infection
  • Bleeding
  • Bad reactions to the anesthesia
  • Temporary soreness around the nipple

Even more rare are the possibilities of:

  • Slightly mismatched breasts
  • Unevenly positioned nipples
  • Loss of feeling in the nipples or breast
  • Surgery to rebuild the nipple and areola

Learn More About Breast Reduction Surgery