Breast reduction surgery removes breast tissue and skin. This reduces the weight of the breasts and changes their shape. Many people seek relief from neck, shoulder or back discomfort. Skin irritation or limits on physical activity may also be concerns, as well as breast proportions.

How can breast reduction affect scars, sensation and breastfeeding?

The technique and the position of the scars depend on breast size, shape and tissue quality. The amount of tissue to be removed also matters. The nipple and areola are usually moved to a new position. Breast sensation and the ability to breastfeed can change.

Who may be assessed for breast reduction surgery?

Adults with ongoing physical concerns or concerns about breast proportions may be assessed. Discuss whether your weight is stable, your breast health and screening, smoking and plans for pregnancy. Also discuss the scars you can expect and the fact that bra cup sizes vary.

Have an in-person examination and review your medical history before you decide. Discuss the other options and what each can realistically offer. Photos, measurements or scans may help when they add to the clinical plan.

What is checked before breast reduction?

Your surgeon should check your anatomy, skin quality and any past procedures. They should review your medicines and exposure to smoking or nicotine. They should also check for health issues that could affect the anaesthetic or healing. Agree on the planned change, while preserving function and proportion.

  • Choose a qualified surgeon and an appropriately equipped clinical setting.
  • Discuss scars, anaesthesia, recovery support and the possibility of revision.
  • Follow instructions on medicines, nicotine, food and transport home.

What affects recovery after breast reduction?

Swelling, bruising and a feeling of tightness are common after many cosmetic operations. Temporary changes in feeling are common too. Limits on activity and when you can return to work depend on the extent of surgery. Swelling often fades over time rather than on a fixed day.

Recovery varies from person to person. Follow your written aftercare advice ahead of general timelines. Tell your treating team promptly about new severe pain, trouble breathing, heavy bleeding or fever. Also report any other unexpected symptom.

What are the risks and limits?

Every operation carries risks. The balance depends on the procedure and your health history. It also depends on any operations done together and how long the anaesthetic lasts.

  • Bleeding, infection and anaesthetic complications
  • Delayed healing, visible or widened scars and changes in sensation
  • Asymmetry, contour irregularity or an outcome that differs from expectations
  • Blood clots and the possible need for additional treatment or revision

What should you ask at your consultation?

  • What outcome is realistic for my anatomy?
  • Where will the procedure take place and who provides anaesthesia?
  • What will the scar and recovery plan look like?
  • How are complications and follow-up managed after I return home?
Medivia Medical Editorial Board