Breast reduction: What, when and for whom?


When it comes to the appearance of the breasts, many people seem to think that bigger, rounder, perkier is the best there is, but this is not always the truth. Actually, the reality is that overly large breasts can be not only lacking in the aesthetic sense but also quite a burden to deal with on a daily basis. Overly large breasts can trigger health issues, aside from other discomforts such as difficulty in finding the right type of bras and clothing.

breast reduction

The breast reduction procedure is the only effective method that we can use nowadays to correct breasts that are too large compared to the rest of the patient’s anatomy.

In this article, we will discuss the breast reduction procedure: what is it, when is it recommended, and for whom.

What is the breast reduction procedure?

Before discussing breast reduction, we need to understand what mammary hypertrophy is, which is the condition that can only be corrected with the help of breast reduction.

Breast hypertrophy represents the excessive growth of breasts within a normal structure. The breasts are made of skin envelope, fat tissue, and mammary gland. When breast hypertrophy occurs, it is the volume of the mammary gland that is in excess and causes the overly large appearance of the breasts. In case of mammary hypertrophy, the volume of the mammary gland can get to considerable dimensions and the breasts can become longer and saggy. In a vast majority of cases, the mammary hypertrophy is bilateral, affecting both breasts and rarely unilateral. The cause of mammary hypertrophy is often hormonal, but hereditary factors can also play an important role.

Breast hypertrophy can affect women from a very young age, and often the condition occurs even before the mammary gland tissues are completely developed. The patient struggles with heavy weight on the chest due to the overly large volume of the breasts. Aside from this, there is also a shame that can develop especially in young girls that have breasts too big for their anatomy. In young women, breast hypertrophy is isolated, and it is only the breasts that grow more than normal while the rest of the body keeps good proportions. When it comes to patients of an older age, mammary hypertrophy can be associated with a general weight gain.

Breast reduction is the plastic surgery procedure performed with the purpose of reducing the volume of the breasts and making them more in line with the rest of the patient’s anatomy. When the procedure is performed, the plastic surgeon will make incisions in different areas of the breasts that will be used to remove the excess mammary gland tissue. During the procedure, the part of the mammary gland that remains is re-centered and the nipple and areola complex are recontoured to be harmonious with the rest of the breast. The sagginess is corrected, as well as other potential imperfections such as mammary asymmetries.

When is the breast reduction recommended?

Most celebrities promote big, round, perky breasts that are not necessarily in line with the rest of their anatomy. There are also plenty of celebrities that had huge implants only to have them removed and replaced with smaller ones a few years down the line. The reality is that living with huge breasts on a daily basis is not a piece of cake. There are many reasons why it is not healthy to have breasts that are way too big compared to your anatomy, and we have already discussed some of them.

While there are patients interested in undergoing breast augmentation with implants to get breasts that are an E cup or even G, you should know that from the C cup up, we are actually talking about mammary hypertrophy, a condition that should be corrected with the help of breast reduction.

When it comes to the best time to undergo a breast reduction, there are a few things we need to discuss. Before anything else, you should know that most plastic surgeons don’t advise the patient to undergo the procedure unless the mammary gland is completely developed. This means that the procedure can be performed on patients starting from 16 years old. But when it comes to patients that are too young, the parents, patient, and plastic surgeon must work together to determine whether this is really the best time to undergo a procedure that has long-term consequences. Another factor that needs to be taken into consideration when scheduling the breast reduction is the desire to have more children and breastfeed after the procedure.

While breast reduction doesn’t interfere with a potential ulterior pregnancy, the weight fluctuations and changes that occur on the breasts during pregnancy can alter the aesthetic results achieved with breast reduction. Moreover, patients undergoing breast reduction should know that breastfeeding might be problematic and even impossible after the procedure. This is because when the excess mammary gland is removed, the milk duct network that is positioned in that part of the gland will be removed as well. Moreover, the nipple and areola complex will be reshaped and repositioned during the procedure, and this can translate into a temporary lack or change in nipple sensitivity, and nipple sensitivity is essential for breastfeeding to be possible.

Breast reduction is recommended when the patient has either a severe form of mammary hypertrophy that makes daily life a struggle or when the patient is planning no further pregnancy or weight fluctuations. Just like pregnancy, weight fluctuations that might occur after the surgery can alter the results and cause an increase in the size of the breasts.

To find out for sure if this is a good time for you to undergo breast reduction, schedule a meeting with the plastic surgeon and discuss this issue.

For whom is breast reduction recommended?

There is no doubt about it: overly large breasts can cause pain and suffering. On a daily basis, patients with overly large breasts can be confronted with back, neck and shoulder pain. Aside from these, the spine can be deformed due to the unnatural body position that most women with excessively large breasts tend to adopt. Of course, some would say that these women can tone up their muscles with the help of physical exercise to fight back the effects, but the reality is that physical exercises are not really easy to perform with such a burden on the chest.

Breast reduction is recommended for patients who have breasts that are too large compared to their anatomy. Anything larger than a C cup can be considered a mammary hypertrophy that can be corrected with breast reduction; however, not many patients with a D cup resort to this procedure. It is often athletes that choose to have the procedure done even if the amount of mammary gland is not overly excessive. However, just a few hundred grams off the breasts can make all the difference between success and failure when it comes to sports.

Moreover, breast reduction is also a good option for young women who have been bullied due to their overly large breasts. When the condition occurs in young patients, the effects can be devastating both on a physical and emotional level. The young woman will try to hide overly large breasts and hence develop a wrong body posture. She will also avoid social situations and clothing that are too revealing.

The procedure is a good solution for women of all ages who want to improve their functionality, get more active or professional in the sports scene, and enjoy day-to-day life more. Discuss your reasons to undergo breast reduction surgery with the plastic surgeon as well as the results you expect to achieve with the procedure.


Breast reduction is a procedure that entails the removal of a part of the mammary gland tissue to reduce the size of overly large breasts that can trigger pain and discomfort for the woman having them. The procedure is commonly performed nowadays and can also be supported by health insurance if the volume of mammary gland tissue to be removed is considerable.

The procedure should be performed on patients who have completed the mammary gland development and preferably don’t expect to get pregnant or breastfeed in the future.

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