For women who are affected by having overly large breasts and accompanying pains, breast reduction can bring many benefits. During the procedure, the fat, skin and glandular tissue are removed using liposuction and a surgical excision. The breasts are lifted, reshaped, and made smaller and firm. Reducing the size of the chest can also relieve back, neck, and shoulder pain. Many women who undergo breast reduction can subsequently engage in regular physical activity and wear clothes more easily, things that were hard to imagine before the procedure. However, sometimes the results of the intervention are not according to the expectations of the patient. How is the breast reduction surgery performed? The procedure is performed to correct overly large breasts, so the intervention is performed on women of different ages suffering from hypertrophy of the breasts. This operation is also effective in correcting asymmetric breasts. Before undergoing the procedure, there is a pre-operative consultation during which the patient discusses all issues concerning the surgery with the plastic surgeon. It is during this time that the patient is expected to formulate her goals and expectations from the procedure clearly. In many cases, we will be talking about bra sizes. Most patients desiring the breast reduction surgery want to achieve a full C once the procedure is completed. However, there are also women who will want to go as low as a B cup. It is essential to be specific and clear in defining your goals because your results depend on it. During the procedure, the plastic surgeon will remove the excess of mammary gland, skin and fat tissue from the breasts to get you to the size desired. The success rate of the intervention is very high. In general, the results are very satisfactory. Patients can use breast reduction while being certain to have a guaranteed result. The breasts will certainly be smaller and also look more elevated on the breasts if breast lift techniques are used. But there are women who notice after the surgery that their breasts are still too big and the size is not what they expected. How to avoid getting unsatisfactory results after breast reduction First and foremost, it is essential to choose a board-certified plastic surgeon that you can talk to. Expressing your needs in a clear manner is also important for the success of the intervention. After performing the measurements, the plastic surgeon will recommend a certain size for your breasts and also give you indications for his recommendation. If you want your breasts to be smaller than the recommendation, make sure to let him know. Also, it is important for the patients to understand that is not advisable to go from one extreme to the other, more specifically from overly large breasts to very small breasts. There should always be a consideration for the proportions of the body and how different features complement each other. I had patients coming in for revision surgery to decrease the size of their breasts even more after a breast reduction a few months after the initial intervention. This, again, is not a good idea as the final results need time to be properly evaluated. After breast reduction, the breasts will be swollen and bruised, and due to their elevated position on the chest, they can look bigger than expected. When the swelling subsides and the breasts settle, you might notice that they actually are the size you desired. So if you feel that your breasts are too big, make sure to make this assessment at least a year after the surgery. Other patients gain weight after breast reduction surgery, and this causes an increase in the size of their breasts as well. They feel that the result of the surgery is not satisfactory because their breasts didn’t stay small, but the reality is that the breasts, just like any part of our body, are subject to weight fluctuations and other changes. If your breasts become bigger after weight gain or an ulterior pregnancy, lose the weight before looking for revision surgery. There are also cases when the plastic surgeon isn’t experienced enough and left you with more tissue and bigger breasts than you desired. In this case, you can schedule a revision surgery to have them corrected again. Also, it is important to make sure that you allow at least one year (if not more) in between the two different plastic surgery interventions. How to assess if your breasts are still too big Breast reduction surgery is mainly performed for functional purposes and only secondary for aesthetic ones. This means that after the procedure, the patient seeks to get relief from the constant pain in the neck, back, and shoulders that are caused by overly large breasts. If you are still in pain following the intervention, this means that your breasts might be still too big. Also, if the dermatological conditions that have developed prior to surgery at the level of the inframammary fold don’t get any improvement, your big breasts might still make it difficult for the air flow to get there. If it is still a struggle to find clothes and lingerie that provide proper support for your breasts postoperatively, your breasts might still be too big, and you might need a revision surgery. Conclusion Breast reduction surgery is meant to eliminate the excess of skin, fat and mammary gland tissue on the breasts. Performed mainly for functional purposes, the procedure also delivers good aesthetic results. However, there are different cases in which the patient is not satisfied with the results as she considers her breasts to be still too big. To determine whether your breasts are still overly large, you can check to see if any of the preoperative conditions are present: neck, back, and shoulder pain, as well as dermatological conditions affecting the skin at the level of the inframammary fold.