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Breast reduction surgery is oriented toward women with large, pendulous breasts, especially gigantomastia, since the weight of their breasts may cause chronic pain of the head, neck, back, and shoulders, plus circulation and breathing problems. The weight may also cause discomfort as a result of brassiere straps abrading or irritating the skin.

Breast reduction or reduction mammoplasty, removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. As with breast augmentation this procedure is typically performed on women, but may also be performed on men afflicted by gynecomastia. Breast reduction can also reduce the size of the areola – the darker skin surrounding the nipple. The goal of this procedure is to give patient smaller breasts that are in proportion with the rest of her body.

Techniques for breast reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola and extends vertically downward.

Stitches are usually located around the areola, in a vertical line extending downward. In some cases, techniques can be used to eliminate the vertical part of the scar. And occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.

After surgery, you'll be wearing a surgical bra. You may rarely feel some pain for the first couple of days-especially when you move around or cough. The pain will be kept under control with simple pain killers.

Your surgeon will prescribe medication to lessen the pain. The bandages will be removed a day or two after surgery, though you'll continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subside.

Patients are given a list of detailed postoperative instructions, which include requirements for medications, hygiene, exercise and eating.