Breast Reduction: Basics

What to Know About Breast Reduction Surgery

Breast reduction surgery—also known as reduction mammaplasty—is one of the most satisfying procedures for both patients and surgeons alike. It’s designed to reduce the weight and size of the breasts, while also reshaping and repositioning them higher on the chest wall for a more natural, ergonomic, and aesthetic appearance.

What Does the Procedure Involve?

Breast reduction is a balance between removing excess breast tissue and skin and reshaping what remains into a harmonious, proportional form. The goal is not just smaller breasts, but better-shaped, more comfortable ones.

During your consultation, you’ll discuss your desired size and shape with your surgeon. It's important to remember that bra cup sizes are not standardized—they vary between manufacturers—so it’s more helpful to describe your goals in terms of proportion, comfort, and overall appearance rather than cup size alone.

Surgical Limits and Considerations

There are anatomical and physiological limits to how much breast tissue can be removed, and how much can be left behind. These limits exist to preserve an aesthetic result—and more importantly—to maintain the health of the nipple and areola.

In very rare cases (about 1–2%), the most serious complication is loss of the nipple due to compromised blood flow. More commonly, patients may experience minor wound healing issues such as small areas of incisional breakdown, which typically resolve with basic wound care.

Scarring and Recovery

Yes, you will have scars after a breast reduction. For large reductions, these scars usually include:

• Around the areola (periareolar)
• Vertically from the areola to the breast fold
• Horizontally along the fold under the breast

While scars fade over time, they will always be present to some degree. Most patients consider the tradeoff well worth the relief they experience.

Life After Reduction

One of the most rewarding aspects of this procedure is how quickly patients notice a difference. Many feel an immediate sense of relief—less back, neck, and shoulder pain, improved posture, and the ability to move and exercise more freely.

It’s no surprise that breast reduction has one of the highest satisfaction rates in all of plastic surgery. For patients living with disproportionately large breasts, this can be a life-changing procedure.

Final Thoughts

If you're considering a breast reduction, make sure to have a thorough conversation with a board-certified plastic surgeon about your goals, expectations, and concerns. When performed thoughtfully and safely, this operation can truly transform how you feel in your body—and how your body feels to you.