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Extremely large breast not only causes breast ptosis and affects the appearance but leads to shoulder and back ache, or poor posture due to slouch, which further results in physiological and psychological burden. Breast reduction is one such solution for consideration of treament.

Breast reduction is recommended after the breast is fully developed because the surgery will require massive removal of breast tissue, which could affect breastfeeding.

Indications

• Back, neck and shoulder ache caused by breast tissue.
• Symptoms caused by the size of breast affect daily life.
• Skin eczema caused by breast folds and chronic dermatitis.
• Large areola caused by sagging.

Breast Reduction Methods

• Circular Breast Reduction Surgery (DONUT): The surgery is implemented around the areola to trim off excess tissue and skin. The reduced cut number will be less but will not leave scar on the breast. At the initial stage, there will be wrinkle folds around the areola and will be smoother in 1~3 months.
• Inverted-T Scar Surgery (ANCHOR): Trim off excess mammary glands, fat and skin from the breast, and shift the areola and nipple upward to reconstruct a nipple of normal size. The number of reducible cups is more while the inverted-T scar will blemish eventually.
• A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease.

Surgical complications

• The most common 1-shaped or inverted T scars left from the surgery will blemish eventually.
• Ecchymoma, infection, or skin necrosis and cut-wound that is difficult for healing, particularly the nipple or areola (considerably related to the peripheral circulation of the patient such as smoking).
• Asymmetry on the two sides.
• Sensory change in nipple and breast (usually temporary).

Preoperative precautions

• Discuss all possible treatment options with your doctor in detail, including the desired reduction in bra size. Take photos before and after the procedure for reference and record-keeping.
• Please remove all valuable jewelry and makeup, and Check in at the operating room Counter .。
• Smoking should be stopped one week before and after surgery.。
• Please tell us medical history, drug allergies, anesthesia allergies, heart disease, high blood pressure, or other special medical conditions.
• If you are taking any medications, please inform your doctor so that they can assess the situation before surgery. For example, if you are taking aspirin or similar anticoagulants, please check with your family physician, if  stopped or not , reduce wound bleeding, bruising, and swelling.。
• Health supplements such as Vitamin E, Ginkgo, and Grape Seed Extract should be discontinued a week before and after surgery to reduce the chance of wound bleeding.
• Breast reduction surgery may affect breastfeeding. If you plan to breastfeed, it is recommended to discuss this in detail with your doctor.

Post-Operative Precautions

• A small thin tube may be temporarily placed under the skin to drain and excess blood or fluid, which was removed in 3-7 days.
• Ice compress: Use cold towel on the surgical area in 2-3 days after the surgery to reduce swelling.
• Normal routine: Maintain normal routine after the surgery with full rest. Do not lift heavy articles or engage in intense exercise to reduce likelihood of bleeding.
• Wound healing requires 1~2 weeks and the scar care after stitch removal is very important. Continue to massage the breast tissue after stitch removal to reduce scar and firming pain for about 3~6 months.
• Smoking, drinking, ginseng and ganoderma are prohibited after the surgery. Aspirin could affect blood coagulation and result in bleeding or affect wound healing.

Q&A

• Q: How long is the recovery period after breast reduction surgery?
• A: The recovery period is usually 2-4 weeks. Swelling and bruising are expected in the first few days, but these symptoms will gradually subside within 2 weeks. Most patients can resume their daily activities within 1-2 weeks, but full recovery may take 6-8 weeks.
• Q: How long do the results of the surgery last?
• A: The results of breast reduction surgery are usually permanent; the removed breast tissue will not regenerate. However, with age, pregnancy, breastfeeding, or weight changes, the breasts may experience slight changes again.
• Q: Will the surgery affect my ability to breastfeed?
• A: If you plan to have children and breastfeed, please be sure to have a detailed discussion with your doctor before the surgery and choose a suitable surgical procedure based on your breast condition and childbirth plans.
• Q: Will breast reduction surgery affect nipple sensation?
• A: In the early postoperative period, the nipples may feel numb or have reduced sensitivity, but most people gradually recover within weeks to months.