Difficulty breastfeeding, or being unable to breastfeed
Large scars that take a long time to heal
Loss of feeling in the nipple area
Uneven position of the nipples or differences in the size of the breasts
Before the Procedure
Tell your health care provider:
If you are or could be pregnant
What medicines you are taking, even drugs, supplements, or herbs you bought without a prescription
The week or two before surgery:
You may need a mammogram before the surgery. Your plastic surgeon will do a routine breast exam.
You may be asked to stop taking medicines that make it hard for your blood to clot. These include aspirin, ibuprofen, warfarin (Coumadin), and others.
Ask your surgeon which drugs you should still take on the day of the surgery.
If you smoke, try to stop. Smoking slows healing and increases the risk for problems. Ask your provider for help quitting.
On the day of surgery:
Follow instructions about when to stop eating and drinking.
Take the drugs your surgeon told you to take with a small sip of water.
Wear or bring loose clothing that buttons or zips in front.
Arrive at the hospital on time.
After the Procedure
You may have to stay overnight in the hospital.
A gauze dressing (bandage) will be wrapped around your breasts and chest. Or, you will wear a surgical bra. Wear the surgical bra or a soft supportive bra for as long as your surgeon tells you to. This will likely be for several weeks.
Drainage tubes may be attached to your breasts. These tubes will be removed within a few days.
Your pain should decrease in a few weeks. Take pain medicine to control it. Be sure to take the medicine with food and plenty of water. DO NOT apply ice or heat to your breasts unless your doctor has told you that is ok.
Within a few weeks, the swelling and bruising around your incisions should disappear. You may have a temporary loss of sensation in your breast skin and nipples after surgery. Sensation may return over time.
Schedule a follow-up visit with your surgeon. At that time you will be checked for how you are healing. Sutures (stitches) will be removed if needed. Your provider will discuss special exercises or massaging techniques with you.
You are likely to have a very good outcome from breast reduction surgery. You may feel better about your appearance and be more comfortable with various activities.
Pain or skin symptoms, such as striation, may disappear. You may need to wear a special supportive bra for a few months to reshape your breasts.
Scars are permanent. They will be more visible for the first year, but will then fade. The surgeon will make every effort to place the cuts so that scars are hidden. Cuts are usually made on the underside of the breast. Most of the time, the scars should not be noticeable, even in low-cut clothing.
Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.