Breast reduction surgery is a highly sought after procedure for both cosmetic and functional reasons. Women may choose to have a breast reduction because they are bothered by how large breasts look in proportion to their body, and they may also turn to breast reduction surgery to find relief from physical symptoms caused by overly large breasts.
Dr. Rukmini (Vinaya) Rednam is a board-certified Plastic Surgeon specializing in a variety of reconstructive and cosmetic breast procedures, including breast reduction surgery. Dr. Rednam is known for using her exceptional surgical skill to deliver natural-looking results. She understands the frustration you may have from dealing with breasts that feel too large for your body and she will take the time to create a personalized treatment plan to meet your needs and goals. Dr. Rednam also offers male breast reduction surgery for men with gynecomastia.
Benefits of Breast Reduction Surgery
Trusted Source Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL Go to Source Studies have found that breast reduction surgery, also called reduction mammaplasty, has a very high rate of long-term patient satisfaction. Potential benefits include:
- Relief from back, neck, and shoulder pain caused by heavy breasts
- Reduction of rashes or skin irritation caused by large breasts
- Renewed confidence
- Greater ease while running, dancing, and playing sports
- More comfort while sleeping
- Ability to wear more of a variety of clothing styles
- Look leaner and more in proportion
- Breast reduction lifts the breasts for a perkier, more youthful look
Breast Reduction Candidacy
- Are in good general health
- Are non-smoking
- Feel bothered by the look of large breasts
- Feel that large breasts limit their physical activity
- Have pain or irritation from heavy breasts
- Have realistic expectations for breast reduction surgery
Preparing for Your Breast Reduction Surgery
Women who are ready to have breast reduction surgery have usually spent a good amount of time considering this procedure. Your consultation appointment with Dr. Rednam is your opportunity to ask any questions and discuss all your options. Dr. Rednam will review your medical history and ask about your goals in order to make sure that breast reduction is right for you and that your surgical plan is custom-tailored to give you the best results possible.
Your Breast Reduction Procedure
Patients undergoing a breast reduction are placed under general anesthesia or IV sedation. Next, Dr. Rednam will make an incision based on the patient’s desired outcome and anatomy. The options include:
- Vertical/ lollipop incision: a circular incision around the areola with a vertical incision down to the breast crease
- Inverted T/Anchor shaped incision: a circular incision around the areola with a vertical incision down the breast crease and around the underside of the breast
Once the incision is made, Dr. Rednam leaves the nipple attached to its nerves and blood supply. She then reduces the areola by excising the perimeter skin, so it can be repositioned after the reduction. Next, the patient’s underlying breast tissue is reduced, lifted and shaped. In some cases in which the patients have large pendulous breasts, the nipple and areola may get removed temporarily, via a free nipple graft, and transplanted to a higher position on the breast.
Next, the incisions are brought together to reshape the reduced breasts. Dr. Rednam places the sutures within the breast tissue to help support the new breast shape. She uses absorbable internal sutures to close the skin. The incisions for breast reduction surgery will leave scars, but are not visible unless the areola is exposed. These scars typically fade with time, and following Dr. Rednam’s post-surgical instructions can help your incisions heal well to minimize scarring.
Dr. Rednam Discusses Breast Reduction Surgery
Breast Reduction Recovery and Results
After the procedure, dressings and bandages are placed over the incisions. Dr. Rednam may provide an elastic bandage or support bra to minimize swelling and support the breasts while they heal. Drains are almost never required with the techniques Dr. Rednam prefers.
Dr. Rednam will provide patients with instructions on how to care for their new breasts after surgery. Many patients resume light activity about two weeks after the procedure.
Most patients see immediate and long-lasting results, though their breast shape may change slightly due to weight fluctuations, hormonal changes, gravity, and aging.
1 Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Ann Plast Surg. 2012 Oct;69(4):361-3. doi: 10.1097/SAP.0b013e31824a218a. PMID: 22964671.
2 American Society of Plastic Surgeons. https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/candidates Breast Reduction. Available: Accessed December 3, 2020.
Dr. Rukmini Rednam has either authored or reviewed and approved this content.