A breast reduction is frequently requested by female patients (also occasionally by male patients) with significantly enlarged breasts causing pain in the shoulders and upper extremities, maceration at the inframamary area, and for psychological reasons such as embarrassment and inability to wear desired clothing. Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort. In most cases, breast reduction isn't performed until a woman's breasts are fully developed. However, it can be done earlier if the large breasts are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results.
The procedure involves the removal of fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. This is done under general anesthesia, with patient confined for a few days in the hospital. This may be indicated for male patients who have persistent gynecomastia for more than two years. Sutures are removed on the fourth or seventh day after the operation. There is swelling of the breasts that usually subsides after several weeks. Be patient regarding the final appearance of the breasts.