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Breast Reduction (Mammoplasty)

What Is Breast Reduction (Reduction Mammaplasty) Surgery?

Breast reduction surgery (or reduction mammaplasty) relieves women of the physical and emotional strain that comes from bearing overly large breasts.  Prior to reduction mammaplasty, patients may receive a medical evaluation or baseline mammogram.  Intravenous sedation or general anesthesia keeps the patient pain-free during the procedure.  The plastic surgeon makes incisions into the breast or uses liposuction to remove excess fat, glandular tissue, and skin.  As part of the breast reduction surgery, the surgeon also repositions the nipple and areola, keeping it connected to its original nerves and blood supply, and lifts and reshapes the breast.   

The results of the breast reduction surgery are apparent almost immediately, more so after the post-surgery swelling subsides.  To minimize swelling after reduction mammaplasty, patients wear an elastic bandage or support bra.  In some cases, the surgeon temporarily inserts a small, thin tube under the skin to drain excess blood or fluid.  While the effect of the breast reduction surgery is long-lasting, changes to the breast can occur due to aging, weight changes, and hormonal changes.  When breast reduction surgery is necessary to relieve medical problems, health insurance may cover the reconstructive procedure. When done for purely cosmetic reasons, however, the procedure typically is not covered.