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Breast reduction - Overview

Alternative Names

Reduction mammoplasty

Definition of Breast reduction:

Breast reduction is surgery to reduce the size of the breasts.

Description:

Breast reduction surgery is usually done under general anesthesia. You will be asleep and pain-free. Or, you may have local anesthesia. You will be awake and will receive medicine to numb your breast area to block pain. If you have local anesthesia, you will also receive medicine to relax you.

For a breast reduction, the surgeon removes some of the breast tissue and skin. Your nipples may be moved higher to reposition them for cosmetic reasons.

In the most common procedure,

  • The surgeon makes three surgical cuts: around the areola (the dark area around your nipples), from the areola down to the crease under your breast, and across the lower crease of your breast.
  • Extra fat, skin, and breast tissue are removed. The nipple and areola are moved to a higher position. Often the areola is made smaller.
  • The surgeon closes the cuts with stitches to reshape the breast.
  • Sometimes liposuction is combined with breast reduction to improve the shape of the breast and armpit areas.

The procedure can last 2 - 5 hours.

Why the Procedure Is Performed:

Breast reduction may be recommended if you have very large breasts (macromastia) and:

  • Chronic pain that affects your quality of life. You may be having headaches, neck pain, and shoulder pain.
  • Chronic nerve problems caused by poor posture, which result in numbness or tingling in your arms or hands.
  • Cosmetic problems, such as persistent bra-strap groove, scar-like lines in the skin (striae), difficulty finding clothes that fit, and low self-confidence.
  • Chronic rashes under your breasts
  • Unwelcome attention that is making you feel awkward
  • Inability to participate in sports

Some women may benefit from non-surgical treatments, such as:

  • Exercising to strengthen their back and shoulder muscles
  • Losing excess weight
  • Wearing supportive bras
  • Reviewed last on: 1/26/2011
  • Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Burns JL, Blackwell SJ. Plastic surgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 73.

Brown JR, Holton LH 3rd, Chung TL, Slezak S. Breast-feeding, self-exam, and exercise practices before and after reduction mammoplasty. Ann Plast Surg. 2008 Oct;61(4):375-9.

Handschin AE, Bietry D, Hüsler R, Banic A, Constantinescu M. Surgical management of gynecomastia--a 10-year analysis. World J Surg. 2008 Jan;32(1):38-44.

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