If you feel that your breasts are too large and they’re making your life more challenging, you may want to consider breast reduction surgery. This procedure can remove excess skin, fat, and other tissue from the breasts to reduce discomfort and enjoy a breast size that fits your body type.
Breast reduction surgery also can enhance your self-image and help you to participate in more physical activities. Many women opt for this procedure for these reasons:
- Long-term back, shoulder, and neck pain that require pain medication
- Skin irritation and rashes under the breasts
- Nerve pain in the arms, back, neck, and shoulders
- Inability to engage in vigorous physical activity, such as running, aerobics, and jumping
- Poor self-confidence related to overly large breasts
- Difficulty finding properly-fitting clothing and bras
Women who have this procedure are usually delighted because it makes the breasts smaller, lighter, and firmer. It also often reduces the pain and discomfort that may be caused by large breasts, so it’s worth considering if you’ve been self-conscious about your breast size.
Dr. Smita R. Ramanadham is a double board-certified plastic surgeon New Jersey who can help to enhance your appearance and comfort with breast reduction surgery. She also can perform many other cosmetic procedures on the body and face in the New Jersey, New York City, and Tri-state areas.
Breast Reduction Procedure
There are several methods Dr. Smita can use to reduce the size of your breasts, including the vertical and the inverted T breast reduction.
The vertical option is used for a small to moderate amount of breast reduction, with two incisions. This method doesn’t allow Dr. Smita to remove as much tissue, but there will be less scarring.
The inverted T reduction has three incisions made so more breast tissue can be taken out, but there is more scarring. She also can remove the extra fat and tissue through incisions in the breasts or remove excess fat with liposuction.
Usually, the surgeon will follow these steps:
- Create an incision around each areola and down the middle of the breasts
- Remove extra breast tissue, skin, and fat to make the breasts more proportionate to your body
- Reshape the breasts and reposition the nipples and areolas
Note that the nipple and areola usually stay attached to the breasts, but they can also be removed to sit higher on the chest.
Most women are pleased that their smaller breasts are perkier and sit higher for a younger look.
Dr. Smita also will attempt to obtain symmetry between the breasts, but there could be some variation in their size and shape. The incisions will fade over several months, but they will still be faintly visible.
Before and After Images
Benefits Of Breast Reduction
Women with overly large breasts often struggle with the same problems, including neck and back pain, skin rashes, chafing, and poor self-esteem. But the benefits of breast reduction are many and include:
- Less pain: Women with large breasts may have severe neck, shoulder, and back pain that requires pain medication. By eliminating several pounds of weight, women notice a significant difference right away, and the pain disappears. Many feel amazed at how quickly the pain goes away when their breasts are more petite.
- Relief from nerve pain: The shoulders no longer roll forward from the weight of the breasts, so there is no nerve pain, tingling, or numbness.
- More active lifestyle: A woman with smaller breasts can enjoy cardiovascular and aerobic exercise and other vigorous activities more easily. You also can find bras and attractive clothing easier.
- Better sleep: Some large-breasted women have difficulty sleeping in comfort and may have to wear uncomfortable bras at night. After breast reduction, it’s usually easier to get comfortable and wear what you like to bed.
- Better self-esteem: If you feel uncomfortable about the size of your breasts, having breast reduction can make you feel better about yourself. You will have an improved self-image from buying clothes you want and not worry about what you look like in a swimsuit.
Ideal Candidates For Breast Reduction
You may be a good candidate if:
- You are in good health
- Don’t smoke
- Think your breasts are too big
- Feel that your breasts are too heavy
- Are ashamed of what your breasts look like
- Limit your physical activities because of your chest size
- Aren’t pregnant or intend to breastfeed soon
Also, note that while women can have this surgery at almost any age, it’s best to wait if you intend to get pregnant or breastfeed.
Further, if you intend to lose weight, remember that this can affect breast size, so it’s best to wait until you get close to your ideal weight before having surgery.
Surgery Preparation For Breast Reduction
Before you have breast reduction surgery, Dr. Smita may ask you to do the following:
- Get blood testing and have a medical evaluation to check your fitness for surgery
- Adjust current medications or stop taking certain medications
- Get a mammogram before breast reduction surgery and after to help look for breast tissue changes later
- Stop smoking at least several weeks before surgery
- Not to take aspirin or anti-inflammatory drugs because they can increase bleeding during surgery and recovery
Breast Reduction Risks And Complications
The decision to have this procedure is a personal one, and Dr. Smita can help you decide if the potential benefits outweigh the risks. Most breast reduction surgeries performed by board-certified plastic surgeons go well, but some of the possible risks are:
- Anesthesia risks
- Blood clots
- Excessive bleeding and swelling
- Breast asymmetry
- Breast shape and contour irregularities
- Damage to blood vessels, muscles, lungs, or nerves
- Deep vein thrombosis in the legs, which can cause pulmonary and cardiac complications
- Persistent pain
- Excessive scarring
- Inability to breastfeed
- Loss of areola and nipple
- Fluid accumulation
Also, please remember that this procedure can interfere with having mammograms to screen for breast cancer.
Breast Reduction Recovery
After breast reduction surgery, Dr. Smita will have you wake up in the recovery room, where you’ll be monitored for one or two hours. Then, a friend or family member will drive you home.
You’ll wear a surgical bra with your breasts bandaged for a few weeks. You may experience some pain and swelling in the first week, but this is controllable with prescription pain medication.
After you no longer need prescription drugs for pain, you can go back to work. But it’s recommended to engage in only light activities for a month, so your breasts will heal.
You should see your breast reduction final results after all the swelling fades in three or four months.
Also, consider these other aspects of recovery:
- You will probably love your results, but it can take a few months before you enjoy the results.
- The procedure takes only about three hours, but you’ll be sore and tired for a few days. After that, it’s good to get up and move around every day, but you should delay intense activities for a month.
- You may not have the cup size you want: How much the surgeon can reduce the size of the breasts depends on your body, breast composition, and aesthetic goals. You may go down one or two cup sizes, but it varies.
- You’ll also have a breast lift to give your breasts a perkier look.
- You could have reduced sensation in the nipples, but it usually comes back in one or two months.
This procedure has one of the highest satisfaction rates of all plastic surgeries. The difference in a woman’s quality of life after breast reduction can be considerable. Many women can be physically active for the first time since adolescence.
You can have other cosmetic procedures when you have breast reduction surgery, such as a tummy tuck, thigh lift, Brazilian butt lift, or labiaplasty. The advantages are you can have all your post-surgical recovery at once and save considerably on surgical fees.
Many women like to have other procedures at the same time to have total body rejuvenation.
Dr. Smita will conduct a medical evaluation and determine what your goals are and other options to consider.
Breast Reduction FAQ
Before you decide to have breast reduction surgery, consider the most common questions about the procedure below:
How Long Will I Take To Recover?
You will need two to six weeks to recover completely, but you’ll regain strength and stamina after a week. Also, you should expect to take a week off work, depending on what you do.
You should limit your physical activities during this period, but it helps your recovery to take a daily walk.
Will My Breast Reduction Include A Breast Lift?
Yes. Most breast reductions include a breast lift to eliminate extra skin and tissue to obtain a more lifted appearance.
The fact that you get two procedures in one is a significant benefit that you will like.
Will My Breast Reduction Get Rid Of Back Fat?
You may lose weight during breast reduction because you are taking fat out of your body. How much weight you lose depends on how much tissue is removed. Some women lose between five and ten pounds from breast reduction surgery.
How Much Swelling Will I Have?
You will see the most swelling up to five days after the procedure. It will reduce after that, but you may notice that your swelling will move down and affect your ribcage and abdomen. This is the effects of gravity and normal.
Will My Breasts Sag After This Procedure?
Your body will continue to age after this surgery, so your breasts will eventually sag somewhat. However, they will sag less than they would have because your breasts will be smaller.
Most women are delighted at how much less sagging they have after breast reduction surgery.
Will Breast Reduction Leave Major Scars?
You will have scars with any surgery, and breast reduction is the same. But how much you scar depends on the amount of tissue removed and the surgery used. When less tissue is removed, there are usually two scars per breast. If more tissue is taken out, there are three scars.
However, Dr. Smita is trained and experienced with this procedure, so she will do everything possible to ensure the scars are as minor as possible.
Scars will be noticeable for several months, but they’ll fade after a year.
What Are The Best Ways To Recovery From Breast Reduction?
You can speed your recovery if you follow these guidelines:
- Wear the compression bra Dr. Smita gives you to ensure swelling is minimized.
- Sleep on your back to avoid putting pressure on your breasts for about one month.
- Eat healthy foods and drink a lot of water, so your body heals quickly
- Keep exercise to a minimum for three or four weeks, but take a daily walk
When Can I Lift My Arms After This Procedure?
Most women can lift their arms about two weeks after breast reduction, but you should avoid heavy lifting for at least three or four weeks.
If you engage in physical activity at work, you should ask for restricted duties for the first month.
What Do DD Cup Breasts Weigh?
It’s estimated that breasts of this size weigh between 15 and 25 pounds. So, if you have breast surgery, you can quickly eliminate five or ten pounds or even more.
How Much Does Breast Reduction Hurt?
Pain is more intense in the first days after the procedure, but it will fade after a week or two. After two weeks, you should have only minimal pain, if any.
Am I Too Old For Breast Reduction?
Some women have breast reduction in their 60s, so you can have it at almost any age if you are healthy. You also should have no medical issues that can interfere with anesthesia or healing.
Should I Lie Flat On My Back After Surgery?
You should sleep on your back for at least one or two months to heal. Sleeping on your back ensures that gravity doesn’t affect the muscles in the chest and will improve healing.
What Will My Breasts Look Like After Surgery?
Your smaller breasts will feel firmer and be rounder, and you will notice that you feel lighter in your chest. Your breasts may be a bit numb for a few weeks, but this usually resolves on its own.
Dr. Ramanadham has helped many women regain their body, mind, and spirit for a more active life with breast reduction surgery. During the consultation, Dr. Ramanadham will discuss all of the steps to attain your aesthetic desires and create a personalized surgical plan to fit your goals.
There’s no reason to continue simply accepting the lack of confidence or discomfort that can accompany large breasts. We invite you to contact our office in New Jersey to learn more about this outstanding breast reduction treatment.
What Is A Breast Reduction And What Are The Benefits Of This Procedure? (n.d.). Accessed at