What is breast reduction?
Breast reduction, called reduction mammoplasty, is a
procedure in which a plastic surgeon removes breast tissue
and skin to reshape and reduce the size of your breasts.
When is it used?
This operation is usually done to relieve strain and pain
in the back, neck, or shoulder that can be caused by large
breasts. This operation may relieve some discomfort and it
may improve shoulder droop. It will not prevent or cure
cancer in either of the breasts. It will not change
inverted nipples. This surgery is not recommended for women
who plan to breast-feed.
The alternative to this operation would be to choose not to
have treatment and accept your breasts as they are. You
should ask your health care provider about this choice.
How do I prepare for a reduction mammoplasty?
Discuss with your health care provider the size and shape of
breasts you would like to have.
Plan for your care and recovery after the operation.
Arrange for someone to drive you home after the procedure.
Allow for time to rest. Try to find other people to help
you with your day-to-day duties.
Follow your provider's instructions about not smoking before
and after the procedure. Smokers heal more slowly after
surgery. They are also more likely to have breathing
problems during surgery. For this reason, if you are a
smoker, you should quit at least 2 weeks before the
procedure. It is best to quit 6 to 8 weeks before surgery.
Also, your wounds will heal much better if you do not smoke
after the surgery.
If you need a minor pain reliever in the week before
surgery, choose acetaminophen rather than aspirin,
ibuprofen, or naproxen. This helps avoid extra bleeding
during surgery. If you are taking daily aspirin for a
medical condition, ask your provider if you need to stop
taking it before your surgery.
Follow any other instructions provided by your health care
provider. Eat a light meal, such as soup or salad, the
night before the procedure. Do not eat or drink anything
after midnight and the morning before the procedure. Do not
even drink coffee, tea, or water.
What happens during the procedure?
You are given a general anesthetic. A general anesthetic
relaxes your muscles and puts you to sleep. It prevents you
from feeling pain.
The surgeon will make a cut around the areola (the pigmented
area around the nipple), extending to the underside of the
breast. The surgeon will remove fat, breast tissue, and
excess skin from the breast. The surgeon will move the
nipple and areola to a new position on the breast. The
procedure will be repeated on the other breast.
What happens after the procedure?
You will probably stay at the hospital or clinic for a few
hours and then go home. Occasionally, some women stay in
the hospital overnight. For at least the next 2 or 3 weeks,
your breasts may ache and be swollen and bruised. You will
wear a surgical bra for several weeks.
You may have some loss of feeling in your nipples and
areolas for several weeks or longer. In some cases the loss
of feeling may be permanent.
Ask your health care provider how to care for yourself
during your recovery and when you can return to your normal
activities. Also ask when you should come back for a
checkup.
What are the benefits of this procedure?
Your breasts will be smaller and less likely to strain your
back, neck, or shoulders. You may be happier about your
appearance.
What are the risks associated with this procedure?
- There are risks associated with general anesthesia.
Discuss these risks with your health care provider.
- Your nipples and areolas may be numb.
- Your nipple tissue may not receive enough blood and turn into scar tissue or die.
- You may not be able to breast-feed, depending on the type of procedure you have, your age, and the condition of
your breasts before surgery. There is a small chance you
will be able to breast-feed, but it will be unlikely you
will be able to give your baby enough milk. You will
need to bottle-feed your baby in addition to whatever
breast-feeding you are able to do. For more information
about breast-feeding after this surgery, call:
HealthONE Lactation Program
(303) 320-7081
- Your nipples and areolas may be unequal in size, shape, and position.
- Your breasts may be unequal in size, shape, position, and contour.
- Your breasts may droop.
- You may want further surgery to make the breasts more similar or to lessen the scars or change the position of
the nipple or areola.
- Your arm and shoulder movements may be restricted or painful.
- There will be permanent, noticeable scars where the
nipples used to be and around the incision site.
- The breast tissue may become infected or bleed.
You should ask your health care provider how these risks
apply to you.
When should I call my health care provider?
Call your provider right away if:
- You develop a fever, redness, or unusual drainage.
- You have unusual or excessive swelling of the breast.
Call during office hours if:
- You have questions about the procedure or its result.
- You want to make another appointment.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File SRG5004F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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