Breast reduction surgery, also known as reduction mammaplasty, is a transformative procedure that can alleviate physical discomfort, improve body proportions, and significantly enhance a patient’s overall quality of life. Many women with large, heavy breasts may experience a variety of medical concerns that stem from the excessive weight of their breasts, including back and neck pain, skin irritation, bra strap grooving, and postural issues. Beyond the physical concerns of large breasts, women may also feel severely self-conscious and limited by what clothes they can wear and what activities they can participate in. At Edina Plastic Surgery, our board-certified plastic surgeons specialize in breast reduction surgery, helping our patients achieve a more balanced figure, a heightened sense of self-confidence, and a profound improvement in their overall well-being.
“Breast reduction surgery can be absolutely life-changing for a woman,” says Dr. Brian Kobienia, a board-certified plastic surgeon and partner with Edina Plastic Surgery. “The procedure not only alleviates pain and discomfort but can also dramatically improve a woman’s emotional health and self-esteem. So many of the women I perform breast reduction surgery for have been dealing with the discomfort of large breasts for years if not decades. They’ve hidden their breasts under large shirts in an effort to not draw attention to them and have struggled to find clothes they feel comfortable in. It is so disheartening to learn how much some of my patients have struggled both physically and mentally due to their overly large breasts. However, I see their lives improve immensely after reducing the size of their breasts with surgery and bringing them into better balance with the frame of their bodies. It is such an honor to be a part of this journey and see how they approach their lives with renewed confidence after surgery!”
What is Breast Reduction Surgery?
A breast reduction is a surgical procedure that removes excess breast tissue, glands, fat, and skin to achieve a smaller, more proportionate breast size. It can also reduce areolar diameter. This procedure is not solely cosmetic; it is often performed for medical reasons to relieve physical discomfort caused by excessively large breasts (macromastia). The goal of a breast reduction is to create a breast size that is in better harmony with the patient’s body while alleviating common symptoms such as neck, shoulder, and back pain.
“Breast reduction is a procedure designed to reduce the size and weight of the breasts,” explains Dr.Kobienia. “During the procedure, your surgeon reshapes the breasts by removing excess tissue, lifting the remaining breast tissue, and repositioning the nipples to a more youthful and natural position. The result is a more proportional, firmer, and lighter breast shape that enhances both physical comfort and aesthetics.”
*Did you know? Edina Plastic Surgery offers insurance breast reduction consultations for patients with Blue Cross Blue Shield & Health Partners who have proven medical necessity for the procedure.
Who is a Good Candidate for Breast Reduction Surgery?
Breast reduction surgery is an excellent option for individuals who struggle with the physical and emotional effects of overly large breasts. Good candidates for breast reduction surgery include:
Individuals with Chronic Pain – Patients experiencing persistent neck, back, or shoulder pain due to the weight of their breasts often find significant relief after surgery.
Women with Shoulder Indentations – Large breasts can cause deep grooves from bra straps digging into the shoulders, leading to discomfort and skin irritation.
Individuals with Skin Issues – Rashes, chafing, and infections under the breast fold (intertrigo) are common among individuals with large breasts.
Those with Limited Physical Activity – Many women find it challenging to engage in exercise and sports due to the size and weight of their breasts.
Women with Poor Posture – The weight of large breasts can lead to chronic postural issues, which can contribute to spinal problems and tension headaches.
Individuals Seeking Emotional Relief – Large breasts can sometimes cause unwanted attention, self-consciousness, and difficulty finding well-fitting clothing, affecting self-esteem and mental well-being.
Women in Good General Health – Ideal candidates should be in overall good health, non-smokers, and have realistic expectations about the outcomes of the surgery.
“Most women seeking a breast reduction have breasts that are significantly out of proportion to the rest of their body,” says Dr. Kobienia. “In most cases, breast reduction is performed on the fully mature breast – or after a woman is at least 18 years of age. There is no age criteria for a breast reduction, however the breasts should be a stable size for at least a year prior to considering a breast reduction. It’s important to note that younger women in their teens and twenties who have breast reduction surgery may be at increased risk for having a recurrence of macromastia/large breasts in the future.”
How is Breast Reduction Surgery Performed?
Breast reduction surgery is typically performed under general anesthesia and takes approximately 2-4 hours, depending on the complexity of the procedure. The surgical techniques used may vary based on a patient’s anatomy, goals, and their surgeon’s recommendations.
The most common methods include:
Anchor or Inverted-T Incision – This method involves three incisions: one around the areola, one running vertically down to the breast crease, and one along the breast crease. It allows for significant tissue removal and reshaping, making it ideal for patients with extremely large breasts.
Lollipop Incision (Vertical Scar Technique) – This technique involves an incision around the areola and a vertical incision down the center of the breast. It is best for moderate breast reductions and provides a more lifted appearance.
Liposuction-Only Reduction – In some cases, liposuction alone may be used to remove excess fat from the breasts, particularly for patients who need only a minor reduction and have good skin elasticity.
“During breast reduction surgery, excess glandular tissue, fat, and skin are removed, and the remaining breast tissue is reshaped for a more proportionate appearance,” says Dr. Kobienia. “The nipple and areola may also be repositioned or resized to maintain a natural look. Liposuction is often used to remove excess fat from the armpit area and allow for a smooth transition between the underarms and breasts.”
Recovery Process After Breast Reduction Surgery
The recovery period after breast reduction surgery is crucial for optimal healing and results. Your surgeon will use scar reduction techniques like careful suturing, tape support, and compression garments. Scars will fade in color and intensity over time – generally one to two years. You should know, however, that breast reduction is a trade of large and heavy breasts for a more manageable size and shape with incisions and subsequent scars.
Here’s what to expect:
Immediate Post-Surgery
- After surgery, you will be placed in an elastic bandage and gauze, or perhaps a post-surgical bra over gauze dressings.
- Typically, no drains are used, but occasionally, they are needed.
- Discomfort can be managed with prescribed pain medications.
- A brief course of antibiotics is also prescribed.
- You will return for a follow-up exam in one to three days.
First Week of Recovery
- Patients are advised to take at least a week off work and avoid strenuous activities.
- Light walking is encouraged to promote circulation and prevent blood clots.
- Stitches may either dissolve on their own or be removed within 1-2 weeks.
Weeks 2-6
- Swelling gradually subsides, and patients begin to see initial results.
- Most normal activities can be resumed after 3-4 weeks, but heavy lifting and vigorous exercise should still be avoided.
- Scarring may appear red or raised initially but will fade over time.
Long-Term Healing
- Although much swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape.
- Fluctuations may continue in response to hormonal shifts, weight changes, and pregnancies.
How Breast Reduction Surgery Can Improve Your Life
“The benefits of breast reduction surgery go way beyond aesthetics,” states Dr. Kobienia. “Most of my patients notice an instant reduction in pain and discomfort just from having lighter breasts. Over time, many more report a profound improvement in their quality of life and self-confidence from feeling comfortable in their bodies again.”
Here’s how breast reduction surgery can positively impact your daily life:
Alleviates Chronic Pain – By reducing the weight and size of the breasts, patients often experience significant relief from back, neck, and shoulder pain, allowing them to move more freely and maintain better posture.
Increases Mobility and Physical Activity – Large breasts can make exercise and sports uncomfortable. After breast reduction, patients find it easier to engage in fitness activities, improving their overall health and well-being.
Boosts Self-Confidence – Many patients feel more confident in their appearance and clothing options after breast reduction surgery. The ability to wear stylish outfits without discomfort or unwanted attention enhances self-esteem.
Improves Proportions and Posture – Breast reduction surgery creates a more balanced and proportionate body contour, leading to improved posture and reduced strain on the spine.
Resolves Skin Irritation and Rashes – Reducing the size of the breasts eliminates common skin issues such as chafing, rashes, and infections under the breasts.
Enhances Emotional Well-Being – Feeling comfortable in your own body can lead to a more positive outlook on life. Many patients report reduced anxiety and improved mental health following the procedure.
Trust Edina Plastic Surgery for Your Breast Reduction Journey
“Of all the plastic surgery procedures I perform, breast reduction seems to result in the quickest body-image changes for patients,” reflects Dr. Kobienia. “Patients not only find that they are free of the physical discomfort of heavy breasts but also of the emotional and mental stress. They suddenly have the freedom to move the way they want and wear what they want without feeling uncomfortable or self-conscious. This can be incredibly liberating for someone who has hidden behind their discomfort for a long time. As a surgeon, it is incredibly gratifying to see a patient be able to step into their “real self” after surgery because they finally feel the confidence they deserve.”
Breast reduction surgery is a life-changing procedure that offers both physical and emotional benefits. At Edina Plastic Surgery, our team of expert plastic surgeons is dedicated to helping patients in the Twin Cities and beyond achieve their aesthetic and health goals with personalized care and advanced surgical techniques.
If you are considering breast reduction surgery, schedule a consultation with Dr. Brian Kobienia or another board-certified plastic surgeon at Edina Plastic Surgery today. We are here to provide compassionate guidance and expert treatment to help you achieve a more comfortable, confident, and healthier life! Call (952) 592-6044, text (952) 925-1765, or CLICK HERE to get started!
