Introduction The breasts are one of the most important features of a woman’s anatomy. They are often associated with sex appeal and femininity, and many women dream of having bigger, rounder, perkier breasts and a more impressive cleavage. But other women might be tired of carrying this glorious burden on their chest non-stop, especially if their weight is overly large and not proportionate to the rest of their anatomy. If the appearance of the breasts has lost all appeal for you and you consider them just a burden and a cause of emotional and physical discomfort, chances are you have overly large breasts. If the skin under the breasts is always confronted with dermatological conditions and irritation, if there are deep indentations on your shoulders caused by bra straps and if you are suffering from constant back, neck and shoulder pain, you might need to undergo breast reduction surgery. Breast reduction can help women with overly large breasts get rid of the discomforts that are caused by the excessive volume of the breasts. The struggle of having huge breasts is real and can affect the patient on multiple levels, physically, emotionally and even socially. In this article we will discuss more about breast reduction, the details of the surgical plan, and the scars left behind after the procedure. Corrective methods for overly large breasts If you have a look online, you will see that there are multiple products that are advertised as a real solution for breast augmentation. Moreover, some products even claim to be able to elevate your breasts. But when it comes to reducing the size of the breasts, there are no magic creams or potions. The reality is that there is no other efficient and long-term solution aside from plastic surgery to correct overly large breasts. Women with overly large breasts are confronted with different reactions from society. They can be bullied due to their size of the breasts and even harassed. Moreover, mammary hypertrophy tends to occur in girls during puberty, making the patient look more mature physically than emotionally. Teenagers who have excessively large breasts very rarely consider this as a blessing. At this age, it can be quite unpleasant to be noticed all the time everywhere just because of their breasts. Moreover, they can be put in different very unpleasant situations because they can look more mature than they actually are. This is the reason why breast reduction can be performed starting at the age of 16 years old, even sooner if the patient has gigantomastia. However, keep in mind that it is generally better to undergo the procedure once the breasts are fully developed, otherwise additional procedures might be needed if the result can be altered by the further growth of the mammary gland. More than this unaesthetic appearance of the body and the social aspect of having overly large breasts from an early age, there is also the health concern associated with breasts that have a large volume. Back, neck and shoulder pain, difficulties in breathing, improper body posture or multiple conditions of the skin in the inframammary fold can be current issues for women with overly large breasts. Breast reduction is the optimal treatment plan when it comes to breasts that are too big and disproportionate to the patient’s anatomy. The aim of reduction mammoplasty is to harmonize the appearance and size of the breasts with the rest of the body. After the procedure, the patient will notice that the pain caused by excessive breast volume is much reduced (if it doesn’t subside completely) and the patient can move much better. Recommendations before breast reduction During the pre-operative consultation with the plastic surgeon, he will perform a physical examination of the tissues of the breasts and also measure and take pictures of the breasts. The plastic surgeon will decide what is the suitable operative plan depending on the anatomical characteristics of the patient and her desires from the procedure. Moreover, the plastic surgeon will advise the patient on how to prepare in order to get the best results possible after the procedure. It is during this initial meeting with the plastic surgeon that you will find out the exact details of the surgical plan that will be followed in your particular case. You will discuss the size and position of the nipple and areola complex and whether it is necessary to for them to be completely detached from the breasts when repositioned or not. Afterwards, the patient will need to take some tests, especially blood tests and a breast echography or a mammography, depending on the age of the patient. Other recommendations are to avoid smoking for at least three to six weeks prior and not take anti-inflammatory or birth control medication two weeks before the procedure. This way, we avoid certain complications that can occur after the procedure such as excessive bleeding or the formation of blood clots. Scars after breast reduction Breast reduction is performed with the patient under general anesthesia and can last up to four hours, depending on how complex your case is. During the procedure, the plastic surgeon will detach the skin and fat tissue from the mammary gland, reposition the nipple and areola complex in a natural position, remove the excess mammary gland, and remodel the breasts to have a beautiful shape. Enlarged areolas can also be reduced to suit the new dimensions of the breasts. Several incisions are needed during breast reduction surgery. An incision will follow the line of the areola’s edge, another one will go from the lower part of the areola vertically to the inframammary fold, and another one can be placed in the inframammary fold on the side of the breasts. When this surgical plan is followed, the scars left after the procedure can be easily masked with lingerie or a swimming suit. The patient can even wear dresses with a plunging neckline as there are no visible scars between the breasts. You should know that scars are unavoidable after breast reduction surgery. The scars left behind are permanent, but they are just a small price to pay to get increased mobility, release from constant pain, and an improved aesthetic of the chest and body. The scars take about one year to heal and mature, and until this happens, they go through different stages. The initial appearance of the scars can be unsightly, and this can cause the patient to worry about the final result. If your scars look unpleasant a few weeks or months after the procedure, make sure to contact your plastic surgeon. You might be prone to abnormal scarring, and in this case, it is essential to go to the follow-up consultations and allow the plastic surgeon to find and apply a suitable treatment. If the cicatrization process ends without complications, the scars after breast reduction surgery should look like fine, white lines a year after the surgery. Conclusion When it comes to breast reduction, patients should know that the scars can be considerable, especially if there is a need to remove a large part of the mammary gland. There is no other way to correct mammary hypertrophy but with the help of breast reduction. There are three incisions performed during the surgery: periareolar, from the areola to the fold under the breasts, and in the inframammary fold towards the side of the breasts. The scars after breast reduction surgery should look like fine, white lines after the cicatrization process is complete. This often happens no sooner than a year after the procedure. Until then, the scars will go through different stages, and they might look red, purple and swollen. Make sure to go to the plastic surgeon for the follow-up consultation to allow him to monitor the cicatrization process and treat any potential abnormal scarring that might occur.