Large breasts can cause persistent discomfort for many women. Back, neck, and shoulder strain are often daily issues, along with irritation beneath the breast fold. In some cases, it may also be difficult to maintain physical activity or find clothes that fit properly.
Breast reduction surgery can help by decreasing breast volume, refining the shape, and bringing the chest into better proportion with the rest of the body. Georgia Plastic & Reconstructive Surgery offers surgical options for patients in Atlanta and Marietta, GA. We also provide minimally-invasive methods to reduce breast size slightly, correct subtle asymmetries, and improve the shape of the breasts.
An Overview of Breast Reduction
Breast reduction is a surgical treatment that removes excess breast tissue, fat, and skin to decrease breast size and improve body proportions. It is often recommended for patients experiencing physical discomfort from overly large breasts. The goal is to create a more balanced appearance while relieving strain on the back, shoulders, and neck.
Several surgical methods can be used depending on the amount of tissue being removed and the patient’s anatomy. These include approaches that reposition the nipple, reduce the glandular volume, and reshape the breast. Liposuction may also be used in select cases, either alone or combined with other techniques.
What Does Breast Reduction Address?
Chronic Neck, Shoulder, and Back Pain
Carrying the weight of large breasts can lead to ongoing discomfort across the upper body. Breast reduction for back pain and breast reduction for neck pain can help by removing excess tissue that strains the spine and surrounding muscles. Our surgeries reduce the pressure on affected areas and make day-to-day movement less difficult.
Postural Concerns Due to Large Breasts
When the body compensates for extra weight on the chest, posture often shifts to maintain balance. This can contribute to a hunched or rounded upper back, with tension building along the spine. Surgery may help improve posture by bringing the chest into better alignment with the rest of the body.
Physical Limitations Due to Breast Size
Exercise and movement can become uncomfortable or restricted when breast volume is excessive. Activities like running, lifting, or walking briskly may cause pain or require additional support. Reducing the size and weight of the breasts can make these actions easier and less stressful on the body.
Skin Rashes and Irritation in the Breast Fold
Patients with large breasts may experience chronic rashes, redness, or fungal infections in this area. Trapped heat and moisture under the breasts can create an environment where skin irritation develops easily. Removing excess skin and improving the shape of the breast can reduce friction and improve airflow to the skin underneath.
Bra Strap Grooving
Deep indentations on the shoulders can form when bra straps support more weight than they’re designed to handle. If you have noticed skin changes, discomfort, or nerve irritation from the weight of your breasts on your bra, this surgery can help relieve the pressure.
Breast Asymmetry
Breasts that differ noticeably in size or shape can create physical imbalance and affect how clothing fits. Reduction surgery may be performed on one or both sides to bring them into better proportion. This approach is often used when one breast is larger and heavier, causing an uneven pull on the spine and muscles.
How Surgical Breast Reduction is Performed
Most patients benefit from either a vertical incision technique (sometimes called the “lollipop” method) or an anchor incision that extends around the areola, down the breast, and along the fold. With these techniques, we remove excess fat and glandular tissue and reshape the breast, repositioning the nipple to a higher position.
We begin by marking your skin while you are upright so we can identify the correct areas for removal and reshaping. Once you are in the operating room, we place you under general anesthesia. After making the necessary incisions, we remove excess glandular tissue, fat, and skin. We then sculpt the remaining tissue to create a rounder, more proportional breast.
Duration of Surgery
The average reduction mammoplasty takes between two to four hours, depending on the complexity of the case and whether we are operating on one or both breasts. More time may be needed for larger volume reductions or if there are other techniques involved. You will be in recovery for a short period after surgery so we can monitor you before discharge, but most patients go home the same day.
Minimally-Invasive or Scarless Breast Reduction Techniques
Liposuction
In certain cases, we can use liposuction alone to reduce breast size without making larger incisions. This works best for patients who have more fatty tissue than glandular tissue in the breasts. We make small access points, usually near the side of the chest or the crease under the breast, and insert a thin cannula to remove fat.
Liposuction does not allow us to reshape the breast or lift it, so it is not ideal for everyone. However, if you are looking for a mild to moderate reduction and already have good skin elasticity, it may be an option.
BodyTite
BodyTite uses radiofrequency-assisted lipolysis (RFAL) to tighten tissue and melt fat at the same time. We insert a small internal probe through a tiny incision and place an external electrode on the skin surface. The radiofrequency energy flows between the two, heating the area and stimulating tissue contraction while liquefying fat.
This can help reduce breast volume and tighten loose skin and can be good for patients who do not need a full surgical lift. While BodyTite does not allow us to reposition the nipple or remove large volumes of glandular tissue, it can offer improvement in breast shape and firmness with minimal scarring.
Morpheus8
Morpheus8 combines microneedling with radiofrequency energy to firm and remodel the tissue under the skin. We apply a handheld device with fine needles that penetrate to a customizable depth, delivering heat into the deeper layers. This stimulates collagen production and gradually tightens the treated area.
Morpheus8 can help improve mild skin laxity and support the results of other reduction methods like liposuction. It is not a standalone method for significant size reduction, but it can enhance skin texture and improve the appearance of sagging tissue. This approach is completely nonsurgical, with no incisions and minimal recovery time.
Combining Breast Reduction With a Lift
When we perform a mastopexy reduction, we remove excess breast tissue while also lifting and reshaping the breast. This is often necessary because reducing the volume alone will not correct sagging or low nipple position. We reposition the nipple higher on the breast and tighten the surrounding skin to create a firmer, more elevated shape. This approach works well for patients with both large volume and moderate to severe drooping.
How to Prepare for Breast Reduction Surgery
Initial Consultation and Evaluation
We begin by discussing your symptoms, goals, and medical history during your consultation. We examine your breast tissue, skin quality, and overall proportions to determine the right approach for your body. You will also have a chance to ask questions about what to expect before, during, and after surgery. If you are a good candidate, we take detailed measurements and discuss surgical options that match your anatomy and expectations.
Pre-Operative Instructions
Before your breast reduction procedure, we will give you specific instructions to follow. These may include lab work, stopping certain medications or supplements, and avoiding tobacco use. You should arrange for someone to drive you to and from surgery and stay with you for the first 24 hours. We may also provide prescriptions in advance so you have them ready at home.
Planning for Your Recovery
We recommend setting up a recovery space with easy access to essential items so you can limit movement during the first few days. You will need to wear a surgical bra or compression garment to support healing. Most patients take about one to two weeks off from work, depending on the nature of their job. Avoid lifting, bending, or similar activities until we clear you to resume normal routines. We will schedule follow-up visits to monitor healing and answer any questions as you recover.
What to Expect During Breast Reduction Recovery
The First Week After Surgery
During the first week, you can expect swelling, bruising, and some discomfort, which we help manage with prescribed medications. You will wear a compression bra to reduce swelling and support the breasts as they begin to heal. We recommend sleeping on your back, avoiding heavy lifting, and limiting arm movement. Your initial follow-up appointment is typically scheduled a few days after surgery so we can monitor your progress and make sure everything is healing properly.
Two to Six Weeks Post-Op
By this stage, swelling and bruising begin to decrease, and you should feel more comfortable doing light activities. We may give you the green light to return to work if your job does not involve strenuous physical tasks. Continue wearing your support bra as advised, and avoid high-impact exercise or upper body workouts until we clear you. You might notice changes in breast shape during this time as the tissue settles. Most patients see noticeable results from breast reduction during this phase, although the final shape will continue to refine.
Long-Term Healing
Scars will start to fade over the following months but may remain pink or firm before softening. We can discuss scar management techniques with you during follow-up visits. Final results typically stabilize by six months to one year after surgery.
How to Make Your Breast Reduction Recovery Smoother
- Stay Hydrated and Eat Well: A balanced diet with adequate protein and hydration supports tissue repair. Avoid alcohol and limit sodium to help control swelling.
- Avoid Smoking or Nicotine Products: Nicotine reduces blood flow and increases the risk of complications like delayed wound healing. It is best to stop smoking several weeks before and after surgery.
- Take Short Walks: Light walking promotes circulation and helps prevent blood clots. Keep movement gentle and gradual in the first few days.
- Plan Ahead for Help at Home: Arrange for assistance with meals, chores, and child care if needed. Minimizing physical strain allows your body to focus on recovery.
Frequently Asked Questions About Breast Reduction
How Much Breast Volume Can Be Removed?
The amount of tissue we remove depends on your anatomy, symptoms, and overall goals. Some patients need only a moderate breast size reduction, while others benefit from removing several hundred grams or more per breast. We decide on the amount during your consultation and preoperative planning.
Can I Breastfeed After a Breast Reduction?
Breastfeeding after breast reduction surgery is possible but not guaranteed. The ability to nurse depends on how much glandular tissue is removed and whether the ducts and nerves remain connected. If future breastfeeding is important to you, we can discuss techniques that may improve the chances of preserving this function.
Does Insurance Cover Breast Reduction?
Medically necessary breast reduction may qualify for coverage if you meet certain requirements. This often includes documentation of chronic pain, failed conservative treatments, and a minimum volume of tissue to be removed. Insurance coverage for breast reduction always depends on your individual policy.
How Long Will It Take to See Final Breast Reduction Results?
Initial results are visible once swelling begins to go down, usually within the first few weeks. However, it takes several months for the tissue to settle and for the final shape to fully develop. Most patients see their final result six months to a year after surgery. Scars will also continue to fade and soften over time.
What Are the Risks of Breast Reduction Surgery?
Potential risks include bleeding, infection, delayed healing, and fluid buildup. Other possible issues include asymmetry, loss of nipple sensation, or problems with wound healing. We review these risks with you during your consultation so you can make an informed decision.
Can I Combine Breast Reduction With Other Procedures?
The most common combination is a breast lift with reduction to improve shape and position. You may also choose to pair this with an abdominoplasty if you want to address loose abdominal skin or stretched muscles. We can also perform liposuction on other areas, like the flanks or thighs, during the same operation.
Learn More About Breast Reduction With a Consultation in Atlanta, GA
Breast reduction can relieve physical strain, improve mobility, and create better balance between the breasts and the rest of the body. At Georgia Plastic & Reconstructive Surgery, Dr. Okoro brings extensive international experience in breast and body sculpting, offering advanced surgical techniques to patients in Atlanta and Marietta, GA, as well as Douglasville, Vinings, Woodstock, and surrounding areas. Patients often travel from across the U.S. and internationally to work with a surgeon recognized as a Platinum Elite RealSelf expert.
To request a consultation or learn more, contact us through our website or call (770) 485-1554.
