Treatment Guides

Breast Reduction

Breast reduction surgery, formally known as a reduction mammoplasty, is a plastic surgery procedure where excess fat, tissue and skin are removed to make the breasts smaller. This surgery is generally performed for a combination of physical, aesthetic or psychological reasons such as to re-proportion the bust to improve self image and reduce pain or discomfort.

quick details
  • People who are experiencing back, neck and/or shoulder pain due to the size of their breasts
  • People who are experiencing severe self-consciousness and/or insecurity due to the size of their breasts
  • People looking to reduce their breasts by a minimum of two cup sizes
  • The success of a breast reduction is a highly personal topic, depending on the patient’s reasons for pursuing the procedure. The reduction in size will generally help to alleviate or eliminate pain and discomfort issues, but in the case of dysmorphia or self-consciousness, it is important to have realistic expectations and goals.
  • Short term: 1-2 weeks to recover from immediate surgery side-effects
  • Mid-term: 1 month to resume physical activity
  • Long term: 3+ months for full results to be noticeable, swelling and scarring can take up to 12 months to completely fade
  • Between 90 minutes and 4 hours, depending on complexity
  • Scarring
  • Difficulty or inability to breastfeed
  • Loss or diminishing of nipple sensitivity
  • Asymmetric healing
  • Numbness

The cost of your breast reduction treatment depends on where you choose to be treated and your individual needs. The pricing differential depends on many factors, such as cost of living, exchange rates, practicing costs or regulatory conditions, which may differ greatly from country to country. Below are average prices for a breast reduction across various countries.

  • Thailand

    € 1,600
  • Czech Republic

    € 1,800
  • Hungary

    € 1,800

What does a breast reduction surgery involve?

Consultation process

The first step in accessing a breast reduction is having a thorough consultation with a trusted surgeon.

It is important to discuss together the issues you want to rectify with the procedure and your reasoning behind them in order to guide your treatment and set realistic goals.

Your surgeon will need to know your medical history, your current lifestyle (e.g work and physical activity levels), whether you intend to have children soon or plan to lose a large amount of weight.

Planning your surgery

Prior to surgery, your doctor will conduct a thorough examination of your breasts, in particular taking measurements to record the exact size, shape and symmetry of your breasts as well as the size and position of your nipples and areolas.

They will also take photos and usually recommend a mammogram to ensure they have accurate pre-surgery documentation of your breasts to make it easier to detect any future changes.

Surgery Day

Breast reduction surgery is carried out under general anaesthetic, meaning you will be put to sleep for the duration of the procedure.

The surgery involves four key steps:

1. Making an incision around the areola and down the breast to the breast crease, followed by an inverted T or anchor shaped incision around the area
2. Repositioning your nipple – usually while it's still attached to the blood supply
3. Removing excess fat, glandular tissue and skin from your breasts
4. Reshaping the remaining breast tissue

Your surgeon will likely make three different incisions per breast to remove excess tissue, fat and skin. The skin located above the nipple will be used to reshape the breast and liposuction may be used to contour the new shape.

Additionally, some plastic surgeons may recommend a breast lift as a procedure to combine with a breast reduction for maximum aesthetic change.

What should you expect from a breast reduction surgery?

Week one:

You will likely be sore, swollen and disoriented from the general anesthetic and pain relief. If you are not staying overnight at the hospital, it is recommended that you make arrangements to have someone assist you with getting to your accommodation and to help with basic tasks in the days afterwards.

Immediately after surgery, your breasts will be covered with gauze dressings and/or bandages and a tube will be placed under each arm to drain excess blood and fluid. Additionally, showering and dressing will be painful and difficult at first, so assistance will help to minimise the discomfort and risk of these activities.

For the first week following surgery, you will be taking medication for pain and antibiotics to reduce discomfort and infection risk. Your surgeon will also likely recommend an elastic surgical compression bra to protect the breasts.

Week 2-4:

After the first week, you will start to see a reduction in bruising and swelling and the surgical scars will be starting to heal.

Your breasts will still feel particularly tender and sensitive, with bruising and swelling as per any other operation. Some patients also report a complete loss of sensation in the areolas, but this will fade over time.

After two weeks, your stitches will be removed or start to dissolve. You should also be able to return to work and resume light physical activity.

Week 4 and beyond:

By now you should feel relatively “back to normal”, but it is important to still be mindful of the procedure.

Scarring can be made worse if you push yourself too quickly, so for example, underwire bras, lifting heavy objects and extreme physical activity should be avoided until discussed with your surgeon or doctor.

Additionally, this phase is most important in regards to your mental attitude. It is important to be patient as your breasts “fall” after surgery. They will slowly reduce in tightness, the new skin will settle and it can take a few month for your breasts to arrive at their new permanent state.

In the majority of cases, the healing process will be complete after approximately 8 weeks, but the full results can take up to a year to be obvious.

Qunomedical Health Managers have an all-round knowledge to find the right specialist for you. Learn more about Qunomedical.