BREAST REDUCTION
What is Breast Reduction?
The breast is one of the most important organs of women in terms of appearance and function, the problems caused by the large size of the breast lead to the development of a negative attitude towards this organ in women. Large breasts restrict mobility, cause neck and low back pain, diaper rash and wounds on the lower parts impair hygiene, on the other hand, problems caused by visual discomfort cause a decrease in self-confidence. Breast reduction is a life-enhancing surgery for all reasons.
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You can send photos for preliminary evaluation.
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My Approach to Breast Reduction Surgery
In breast reduction surgery, my priority is to create a personalized plan for each patient by carefully analyzing their physical characteristics, lifestyle, and expectations.
Every body has different needs; therefore, I aim not only for an aesthetically pleasing appearance but also to improve the patient's daily quality of life.
Through a detailed pre-operative examination and open communication, I focus on achieving the most natural, body-proportion-harmonious, and lasting results by clarifying expectations with the patient.
Are you a suitable candidate for breast reduction surgery?
If you have complaints related to breast size, please contact us for a preliminary assessment of your suitability for breast reduction surgery.
WHO IS A SUITABLE CANDIDATE FOR BREAST REDUCTION SURGERY?
Problems related to breast size:
Due to breast size;
Back, neck, and shoulder pain that affects daily life.
Bra straps leaving marks on the shoulders, a feeling of sagging in the shoulders.
Recurrent diaper rash, irritation, and fungal infections under the breasts.
Difficulty during exercise, discomfort when running or jumping.
Significant limitations in clothing choices.
Severe sagging (ptosis) and heavy breast tissue
Individuals with significant breast asymmetry should be evaluated for breast reduction surgery.
Criteria for breast reduction surgery
Complete breast development (>18 years)
No chronic disease that would prevent surgery.
Having realistic expectations.
BMI not being within the extreme obesity range
Criteria for breast reduction
Complete breast development (>18 years)
No chronic disease that would prevent surgery.
Having realistic expectations.
BMI not being within the extreme obesity range
IS THERE AN AGE LIMIT FOR BREAST REDUCTION SURGERY?
Breast reduction surgery requires the breasts to have completed their development. Therefore, breast reduction surgeries can be performed from the age of 18 onwards.
💡However, setting a rule that breast reduction surgery should only be done at a certain age may not be very practical. Since self-perception is fluctuating at younger ages, it is important for the individual to be ready for surgery in terms of psychosocial development .
In middle-aged and older individuals, breast reduction surgery is performed unless there is a chronic condition that would prevent the surgery or significantly increase the risk.
🌸🌸When should breast reduction surgery be planned? For comprehensive information, please see our article "BREAST REDUCTION TIMING" .
Breast reduction surgery may not be performed or may be postponed.
Chronic health problems : Uncontrolled diabetes, bleeding and clotting disorders, severe anemia, active infection, serious heart conditions.
Smoking : negatively affects recovery.
Weight changes: If the goal is rapid and high-rate weight loss, weight loss should come first, then surgery.
Obesity : If the BMI (Body Mass Index) value is very high, weight control should be addressed first.
Pregnancy and breastfeeding: If pregnancy is planned in the very near future, the surgery can be performed 6 months after breastfeeding ends.
Unrealistic expectations
Breast-related conditions: a newly detected suspicious mass.
INITIAL CONSULTATION
Clarifying complaints and objectives.
Medical history and risk assessment: Smoking, chronic diseases, medications, etc.
Physical examination and measurements: Breast volume, nipple position, skin quality, asymmetry, degree of sagging.
Technique and scar planning: nipple-conserving or "free nipple" technique.
Personalized recovery and return-to-work plan.
Assessment of risks and potential complications.
Examination and imaging plan: Blood tests for anesthesia, breast examination with ultrasound or mammography.
BREAST REDUCTION INCISIONS
Vertical incision – “Lollipop” (Lejour)
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Areola circumference + downward vertical line.
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It may be preferred in patients requiring moderate reduction in size.
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There will be no long scar in the breast crease.
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It may not be effective in cases of very large breasts or severe sagging.
Reverse T / Anchor (Wise pattern)
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Areola scar + vertical scar + horizontal scar in the inframammary fold.
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The trace is much larger compared to other techniques;
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The horizontal scar remains in the inframammary fold.
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It is also used for large breasts and advanced sagging.
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It is the most frequently preferred and "most comprehensive" technique.
BREAST REDUCTION TECHNIQUES
Nipple-preserving technique
When using a breast-conserving technique during breast reduction surgery, the nipple is held in place by a small amount of tissue under and around it. This tissue, to which the nipple is attached, is called a "pedicle." Different pedicle designs may be used in breast reduction surgery depending on the anatomical structure, breast size, degree of sagging, and the surgeon's experience.
Nipple-areola transfer "pedicle" techniques
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Inferior pedicle (lower pedicle)
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Superomedial pedicle (upper-inner pedicle)
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Superior pedicle (upper pedicle)
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Medial/lateral pedicle (more select cases)
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Central pedicle
Nipple sensation, blood supply security, and breastfeeding potential play a role in planning. The choice of technique is determined in the individual treatment plan.
There is no rule stating that one technique is superior to another; the important thing is to choose the technique that is appropriate for the individual's breast size.
💡 Nipple (areola) transfer techniques are named according to the direction of the preserved tissue. "Superomedial pedicle" is the most commonly used technique.
"Free nipple" technique
This is a breast reduction technique used to safely reduce breast size in very large and sagging breasts and/or in elderly patients. In this method, the nipple-areola complex is separated from the tissue connection that provides its circulation, prepared as a graft (skin transplant) , and repositioned in the planned new location in the breast being reduced. Thus, the risk of circulatory problems that can occur with very large reductions in classic "pedicled" techniques can be reduced in some patients.
The advantage of this approach is that it offers the surgeon a choice in terms of risks related to nipple circulation, especially in cases of very high volume reductions or when the nipple needs to be moved a very long distance.
Disadvantages include loss of sensation in the nipple and inability to breastfeed. Risks include changes in nipple/areola color or texture, graft failure, and delayed wound healing.
💡Free-nipple technique
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Remove the nipple in a round shape.
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By applying a reduction process
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After repairing the breast incisions, we reposition the nipple using a "skin graft".
BREAST REDUCTION SURGERY PROCESS
Arrive at the hospital a few hours before your scheduled surgery.
Take your personal belongings and comfortable clothing that opens at the front.
Choose a calm and positive companion.
Make sure the hospital room isn't crowded.
Preparations for the surgery are made, and the necessary drawings for the breast reduction plan are created. The surgery time may change depending on the workload in the operating room.
SURGİCAL PROCESS
Arrive at the hospital a few hours before your scheduled surgery.
Take your personal belongings and comfortable clothing that opens at the front.
Choose a calm and positive companion.
Make sure the hospital room isn't crowded.
Preparations for the surgery are made, and the necessary drawings for the breast reduction plan are created. The surgery time may change depending on the workload in the operating room.
RECOVERY PROCESS
Period
Swelling, tension, and limited movement are more pronounced.
There may be slight stinging at the incision sites.
Swelling and bruising may occur in the breast.
You can return to desk work on days 5-7.
Suggestions
Pay attention to the lying position: semi-sitting.
Short, light walks promote circulation.
You should avoid lifting heavy objects and sudden arm movements.
You can drive when you feel well.
In breast reduction surgery, the recovery time and the full settling of the breast tissue depend on the scope of the surgery, the breast structure, and the individual's overall lifestyle. Each person's response to surgery can be different. Close monitoring of the patient during the post-operative period is important.
POST OPERATIVE CARE
Rest
It's normal to feel tired in the first few days, rest.
Support circulation with short walks.
Lying position
We generally recommend lying on your back with your head and back slightly elevated.
Lying on your side or stomach should be avoided in the early stages as it can put pressure on the breast.
Beslenme: Bol proteinli gıdalr ve bol su tüketimi iyileşmeye yardımcıdır. Tuzlu ve ağır yiyeceklerden kaçın.
Sigara: Doku kanlanmasını bozduğu için yara iyileşmesini ve toparlanmayı geciktirir. Mümkünse bırakılmalıdır.
Alkol: Ödemi artırabilir, iyileşmeyi geciktirebilir
Protein and water intake: Supports wound healing. A balanced diet is important.
Smoking/nicotine: Can significantly impair wound healing and reduce tissue circulation. Should be stopped completely if possible.
Alcohol: In the early stages, it may be recommended to limit it due to the risk of edema and drug interactions.
RISKS and COMPLICATION
Breast reduction (reduction mammoplasty) is a commonly performed surgery with high patient satisfaction. However, as with any surgical procedure, there are some risks and potential complications. Risks and undesirable outcomes vary depending on factors such as the individual's breast structure, general health status, smoking habits, and the technique used.
⚠️ General risks of surgery
Bleeding (hematoma): This may occur in the early postoperative period with sudden swelling and increased pain in the breast; rarely, further intervention may be necessary.
Infection: May manifest as redness, increased warmth, discharge, and fever; antibiotics or additional treatment may be required.
Delayed wound healing: Particularly at the incision lines, there may be dehiscence, crusting, or delayed closure.
Seroma (fluid accumulation): Fluid buildup in the udder; may require monitoring, drainage, or additional dressing changes.
Risks associated with anesthesia: Nausea and vomiting, allergic reactions; rarely, more serious complications.
🩺 Risks specific to breast reduction surgery
Nipple and skin sensation altered: Numbness/reduced sensation is common; it resolves over time in most patients, but very rarely may be permanent in some.
Nipple circulation problems: This is a rare but significant risk, more common in cases of large nipple reduction surgeries, smoking, or circulatory problems.
Effects on breastfeeding : Since the milk ducts may be affected, the ability to breastfeed may be reduced; while breastfeeding may be possible in some patients, it cannot be guaranteed.
Asymmetry: Natural breast asymmetry may partially persist after surgery or become more pronounced during the healing process; rarely, correction may be necessary.
Shape problems / “bottoming out”, boxy appearance, etc.: Over time, breast tissue may shift or the shape may not fit as desired.
Scarring: Scars usually fade over time; some individuals may develop hypertrophic scars/keloids.
Pigment changes: There may be discoloration or irregularities around the nipple.
Suture reaction: The suture material protruding towards the skin's surface; this can be resolved with minor intervention/dressing.
Fat necrosis: Can cause hardness, a nodule-like sensation, and sometimes mass-like findings requiring imaging and follow-up.
Thromboembolic events (DVT/PE) : Risk of blood clots forming in leg veins and traveling to the lungs; rare but can be serious. Early mobilization and protective measures are applied in necessary cases.
❗Factors that can increase the risk
• Smoking and nicotine use (including e-cigarettes): quitting is recommended.
• Diabetes, circulatory disorders, connective tissue diseases
• Obesity / high BMI: surgery may be postponed.
• The need for very large volume reductions
• Blood-thinning medications or certain supplements
BREASTFEEDING AFTER BREAST REDUCTION SURGERY
In breast reduction surgery, especially in women of childbearing age, techniques that preserve the nipple and mammary glands are preferred to maintain breastfeeding function. Breastfeeding is physically possible after surgery, but milk production may vary. The baby's needs may be fully met, or supplemental formula may be needed. In some cases, milk may be produced, but the quantity may be very low. Breastfeeding may not be the same for every breast reduction patient.
Frequently Asked Questions?
Are breast reduction and breast lift the same procedure?
In breast reduction surgery, excess tissue is removed, and the breast is simultaneously lifted and firmed. Therefore, in most cases, reduction and firming are performed together.
Can breast reduction surgery be performed under local anesthesia?
Due to the size of the surgical area and the scope of the operation, it is performed under general anesthesia.
Does the position of the nipple change during breast reduction surgery?
Yes, in most nipple reduction procedures, the nipple-areola is repositioned higher. This is done using different methods depending on the technique employed.
Can nipple sensation be lost during breast reduction surgery?
Temporary decreased sensation/numbness is common. It resolves over time in most patients; rarely, permanent sensory changes may occur.
How many days will I experience pain after breast reduction surgery?
In the first few days, you may experience tension, tenderness, and pain. The pain, especially at the stitches, will decrease within a few days.
How many days should I rest after breast reduction surgery?
Rest is required for one week after surgery. Return to work is recommended 6-7 days after office work, and within two weeks at the latest for physically demanding jobs.
Do I absolutely have to wear a medical bra after breast reduction surgery?
Yes, wearing a medical bra in the first few weeks helps control swelling and pain. You can switch to more comfortable bras after 4-6 weeks.
When will I see the results of breast reduction surgery?
Swelling subsides within weeks, and the relief from the weight is felt immediately after surgery. It takes 6 months for the breast shape to settle and for the scars to fully heal.
Will the breasts grow back / sag?
Weight gain, pregnancy, aging, and gravity can all cause changes over time. Weight control and wearing a proper bra can help maintain the results.
BREAST REDUCTION: Prices 2026
Factors Affecting Pricing
The cost of breast reduction surgery can vary from person to person depending on the scope of the procedure, the technique used, and the hospital services provided. Therefore, a precise price is determined after examination and surgical planning. The main factors that can affect the price are:
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Breast size and degree of sagging
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Surgical technique to be applied
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Surgery duration and anesthesia plan:
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Hospital/operating room expenses:
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Duration of stay:
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Additional procedures / combined surgeries
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Scope of examinations and controls
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Medical supplies used
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The surgeon's experience
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Risk assessment of the procedure to be performed
For detailed and transparent information, pricing will be shared based on the surgical plan, risk assessment, and follow-up schedule created according to your needs after the examination.
INFORMATION and CONTACT
If you are experiencing problems related to breast size, we recommend an examination and evaluation in Kocaeli to get clear answers to your questions about breast reduction, such as "Is it right for me?", "Which technique is more appropriate?", and "What are the scars and recovery like?".
After a preliminary consultation and examination regarding breast reduction surgery, a personalized treatment plan and recovery schedule can be determined, a risk assessment can be performed, and information can be provided regarding the current pricing of breast reduction surgery.
You can submit your questions and concerns via WhatsApp or social media platforms.
Contact us now via WhatsApp.
You can send photos for preliminary evaluation.
You can submit your questions.