The breast reduction procedure might not be as famous and sought out as the breast augmentation with silicone implants, but there are still women who go for it. This is certainly an intervention performed commonly for aesthetic, but mostly functional purposes. If women undergo the breast augmentation procedure to add volume to the breasts and have a more attractive appearance, women choose the breast reduction surgery to alleviate the pain and discomfort usually associated with overly large breasts. As a result, these women have really large breasts to the point that it causes them severe discomfort. These women usually complain about pain at the level of the spine and are also confronted with dermatological issues due to the poor airflow on the inframammary fold. Breast reduction surgery: aesthetics of curative purposes? Most plastic surgeons will say that if the breasts are excessively large and cause back issues or skin conditions such as rashes, irritations, dermatitis, then we are not talking about a cosmetic surgery. Instead, the intervention is a curative one that involves the use of techniques specific to plastic surgery interventions. Similar to issues associated with small breasts, overly large breasts can have negative effects on the emotional condition of the patient. It can creating complexes and become a cause of permanent frustration, especially since there is no physical exercise or medical treatment that can cure it. Only a plastic surgery intervention can help. For patients desiring the breast augmentation procedure, the market is flooded with creams, pills and potions that promise to increase the size of your breasts significantly. But when it comes to breast reduction, there is just one simple and viable solution: plastic surgery. We can’t deny the fact that after the breast reduction procedure the patient will also notice a considerable improvement in the aesthetics of the breasts too, even though this is not usually the main reason to undergo the procedure. The vast majority of patients choose the breast reduction surgery for the health benefits associated with it. What are the health benefits after breast reduction surgery? Reduced pain at the level of the back, neck and shoulders; An improved body posture; No more skin conditions occurring at the level of the inframammary fold; No more limited movements when it comes to engaging in sports and other physical activities. Pre-operative indications for the breast reduction surgery: For those considering undergoing a breast reduction, there are certain things you must do before your surgery. Let your plastic surgeon and anesthetist know if you have any known medical conditions, such as high blood pressure, diabetes, pulmonary conditions, epilepsy, neurologic conditions or allergies to different medication. The procedure should be postponed even if you are suffering from something as common as a cold. Have a mammary echography or a mammography to check the condition of the mammary gland and see if there are any nodules present. Don’t smoke or drink for a couple of weeks before the intervention. Avoid sun exposure on the area to be treated before the surgery. Don’t follow any strict diets before the procedure and avoid using aspirin or other medication that has it. Stop taking birth control pills for at least four to six weeks before the scheduled surgery. Usually, the procedure is scheduled to be performed when the patient is done with the menstrual period. How is the breast reduction surgery performed? The breast reduction procedure can last up to two to three hours, depending on the complexity of the case, the desired shape of the breasts, and the amount of skin and mammary gland to be removed. Most plastic surgeons will start by performing an anchor incision in consideration of the natural contour of the breasts. After this, the plastic surgeon will excise the excess skin, reposition the areola and nipple, dislodge the mammary gland from the pectoral muscle, remove the excess of mammary tissue and fat, and then reshape the breast and suture the incisions. At the same time, with the help of liposuction, the plastic surgeon can also remove the adipose tissue at the level of the axilla, which is a common occurrence for women with overly large breasts. By combining the breast reduction with liposuction, the patient will no longer have any unaesthetic bulges that can be seen when wearing a bra. Unfortunately, the scars attained from breast reduction are relatively large, but so long as it is performed by an experienced and board-certified plastic surgeon, it shouldn’t be visibly unappealing. Normally, the patient is left with a scar around the areola, another one going vertically towards the inframammary fold, and in the inframammary fold. The patient is sometimes required to spend the night in the medical facility where the procedure is performed. Antibiotics will be administered after the surgery and also after the surgery. It is mandatory to wear compression garments for a few weeks or months, depending on the condition of the patient. The post-operative recovery As aforementioned, the girdle is an important part of the recovery process. The reason for this is because breasts need support after the intervention, and the girdle will provide that. At the same time, the compression helps the skin retract beautifully to the new contours, while also preventing blood and fluid accumulation on the incision sites. As for the new position of the breasts, this won’t be permanent as it is directly influenced by weight fluctuations, ulterior pregnancies, and the natural aging process. In most cases, the breast reduction surgery shouldn’t prevent you from breastfeeding, but getting pregnant shortly after the breast reduction procedure can negatively affect the position of your breasts, as well as their shape and size. The changes in your body caused by pregnancy may only reverse or even make it worse later on; hence, you should opt for the surgery after having children. Normally, it is possible to resume normal activities within a week after the procedure, but intense physical activities must still be avoided for at least four to six more weeks. Sun exposure should also be avoided for at least a year after the surgery to avoid the pigmentation of the scars. Conclusion The reduction mammoplasty is a surgical intervention performed under general anesthetia. Aside from the aesthetic benefits, it offers comfort to the patients suffering from back, neck and shoulder pain, breathing issues and also difficulties in finding suitable clothing due to the excessively large breasts. Therefore, this surgery is considered as more of a curative rather than aesthetically-enhancing procedure.