Process Overview
1-2 Hours
1 Night
2 Weeks
3-4 Months
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Patient’s Experience
What Is Breast Reduction?
Breast Reduction, or reduction mammoplasty, is a surgical procedure that removes excess breast fat, glandular tissue, and skin to achieve a breast size more in proportion with the body and to alleviate discomfort associated with overly large breasts. The procedure follows a detailed process, starting with a medical evaluation to determine if the patient is a suitable candidate. If no contraindications are found in the patient’s medical history, preoperative blood tests and evaluations are carried out. Once cleared, surgery is planned and conducted with strict safety measures to minimize complications such as infection, poor wound healing, or deep vein thrombosis.
During the operation, patient safety is closely monitored with advanced anesthesia techniques and vital sign tracking. Preventative steps such as antibiotic prophylaxis are implemented to lower the risk of infection. Bleeding is managed with anti-hemorrhagic medications, and measures to prevent thrombosis—like pneumatic stockings, patient positioning, and early mobilization—are used. The breast tissue is carefully reduced and reshaped while preserving sensation and function. The nipples are repositioned, and all steps are taken to protect circulation and healing. Surgery is conducted with high precision to ensure a safe and aesthetically pleasing outcome.
How Can I Achieve Balanced Proportions And Comfort?
Women with disproportionately large breasts often experience physical symptoms such as back and neck pain, bra strap grooving, skin irritation, or postural issues. Breast reduction surgery not only improves the breast shape but also relieves these symptoms by reducing the weight and volume. The areas around the breasts are reshaped and contoured to restore body balance and improve posture.
This process results in a lighter, firmer, and more symmetrical appearance while also making physical activities easier and more comfortable. The breast tissue removed is carefully measured to maintain symmetry, and internal support structures may be added to preserve long-term shape. If the skin is loose, additional tightening or support techniques can be combined. The result is a significant improvement in both body image and physical well-being. Every step is personalized to the patient’s anatomy and goals to ensure a natural-looking and healthy transformation.
“I had an amazing experience with Dr. Ersin. His focus on safety, honesty, and natural results stood out. He postponed my surgery after COVID for safety reasons, which showed real care. The team were supportive and professional. Dr. Ersin only does two surgeries a day, and the results from my breast reduction and liposuction are already visible at four weeks. The clinic, hospital, hotel, and transport services were all excellent. I highly recommend them!”
“Amazing doctor had my surgery 3 years ago (breast reduction) still same size and shape even though I recently had a baby and did put on so much weight during pregnancy! Will definitely be back for tummy tuck once I recover from c section! Thanks to Doctor Ersin Gönüllü!!”
“I had the best experience with Dr Ersin. I had a breast reduction, liposuction and bbl. the doctor knew exactly what he was doing and how best/safe to execute all. I absolutely love love love my result. My breasts look amazing right now. (Though still healing, I’m only 11 days post op). He is the best really! And warm and kind and honest. I’m very happy to have had my surgery with him.I can’t thank him enough! Best doctor ever.”
“I had a breast reduction in July in Istanbul after years of discomfort and frustration. After months of research, I chose a highly professional doctor who prioritized safety and delivered amazing results. The entire experience—from airport pickup to surgery at hospital and post-op care—was smooth and reassuring. The results exceeded my expectations, and I’m still receiving support months later. I’m truly happy and highly recommend him!”
Who Should Consider Breast Reduction?
Breast reduction is ideal for individuals suffering from physical and emotional discomfort due to overly large breasts. Common complaints include back, neck, and shoulder pain, skin irritation beneath the breasts, grooving from bra straps, posture problems, and limitations in physical activity or clothing options. The procedure significantly relieves these symptoms by removing excess breast tissue and reshaping the breasts to a size more in proportion with the patient’s body.
Ideal candidates are generally in good health, at a stable weight, and not planning significant weight loss or future pregnancies, as those can alter the results. The procedure can be life-changing, restoring comfort, mobility, and confidence. Many women also seek breast reduction for aesthetic reasons—to achieve a more youthful, lifted breast appearance and to correct asymmetry or sagging associated with heavy breasts.
Types Of Breast Reduction Techniques
Different techniques are available depending on the breast size, skin quality, and degree of sagging. The most common approaches include the vertical (lollipop) and anchor (inverted-T) techniques. In milder cases, a periareolar or short scar method may be possible, but most patients with large, heavy breasts require more advanced reshaping through the anchor method.
The technique choice depends on how much tissue needs to be removed and how much lifting and nipple repositioning is needed. In all approaches, care is taken to preserve nipple sensation and, when possible, breastfeeding capability. During the consultation, the surgeon evaluates the best method for each patient based on their anatomy, goals, and safety profile.
Surgical Procedure And Tissue Removal
Breast reduction is performed under general anesthesia in a fully equipped surgical hospital. The procedure begins with detailed markings to outline where skin, fat, and glandular tissue will be removed, and how the new nipple position will be achieved. Incisions are made according to the chosen method, and excess tissue is removed in a way that ensures symmetry and a natural breast contour.
The remaining tissue is lifted, reshaped, and supported with internal sutures. The nipple-areolar complex is repositioned to a more youthful height, and its size may be reduced if stretched. In most cases, the nipple remains attached to its blood supply and nerves, but in extreme cases of gigantomastia, a free nipple graft may be required. The surgery typically takes 2.5 to 4 hours depending on the size and complexity.
Safety Measures And Preventive Care
A complete medical assessment is conducted before the operation, including bloodwork, ECG, and sometimes imaging. We ensure the patient is fit for surgery and understand the risks and expectations. If there are any health concerns such as diabetes, hypertension, or smoking, appropriate measures are taken to optimize patient safety.
Sterile surgical environments, prophylactic antibiotics, meticulous technique, and intraoperative monitoring reduce the risk of complications. Postoperative instructions include guidance on wound care, support garments, activity restrictions, and medication management. Common complications like wound dehiscence or delayed healing are rare but manageable with proper care and early follow-up.
Pain And Recovery Process In Breast Reduction Surgery
Patients typically stay one night at the hospital after surgery. Drainage tubes may be placed to remove excess fluid and are usually removed within a few days. Mild to moderate discomfort is expected in the first week and managed with oral painkillers. Swelling and bruising gradually subside over 2–3 weeks.
Most patients can return to desk work within 7–10 days, depending on their comfort level. Strenuous exercise, lifting, and sleeping on the chest should be avoided for 4–6 weeks. A supportive surgical bra must be worn continuously for the first month to aid healing and help the new breast shape stabilize. Full results, including reduced swelling and natural softness, become more apparent over 3–6 months.
Breast Size, Shape, And Scar Results
Breast reduction creates smaller, firmer, more proportionate breasts with improved symmetry. Patients often report instant relief from pain and improved posture. The breasts are not only reduced in size but also lifted and reshaped to a youthful, rounded form. The nipple is repositioned upward, and the overall breast contour becomes more defined and natural.
While scars are an inevitable part of the surgery, they are planned carefully to lie in natural folds or under the bra line. Most scars fade over time and become significantly less visible within 6–12 months. Scar creams, laser therapy, and silicone tapes may be recommended to support better healing. The majority of patients feel that the benefits far outweigh the scarring.
Long-term Results And Maintenance
The results of a breast reduction are long-lasting, particularly when weight is stable and healthy lifestyle habits are maintained. However, changes such as pregnancy, breastfeeding, weight fluctuations, or aging can affect the breast shape and volume again over time. Wearing supportive bras daily and avoiding smoking will help preserve the results.
While most patients never require additional surgery, some may opt for future adjustments, especially if they desire added volume through implants or want minor corrections. Still, the vast majority of patients enjoy permanent relief from the physical and emotional burdens of overly large breasts after a single procedure.
Combining Breast Reduction With Other Procedures
Breast reduction can be performed alone or as part of a comprehensive body contouring plan. Commonly paired procedures include breast lift for better shape enhancement, liposuction to refine surrounding areas, or tummy tuck for full torso reshaping. In post-bariatric patients, it is often integrated into a total body lift plan.
Combining procedures has the benefit of reduced overall recovery time and a more balanced final result. The decision depends on individual anatomy, safety considerations, and personal goals. Our team carefully plans each combination to ensure safe, efficient, and satisfying outcomes for our patients.
Emotional And Functional Transformation
Following breast reduction surgery, the newly shaped tissue and sutures require time to settle and heal. Patients are advised to avoid lifting heavy items, stretching, or raising their arms above shoulder level for the first two months. The upper chest must be protected from pressure and strain during the early recovery period. Sleeping on the back with the chest slightly elevated is recommended. Wearing a special surgical bra at all times helps maintain the new breast shape and minimizes swelling. These steps ensure the tissue heals properly and the long-term outcome remains stable and aesthetically pleasing.
How Long Should I Avoid Straining And Lifting After Breast Reduction?
Breast reduction surgery often results in a profound emotional shift. Patients report improved self-esteem, body image, and quality of life. Simple pleasures like exercising, wearing fitted clothes, or sleeping comfortably become possible again. The physical and emotional burden lifted is noticeable — many describe the procedure as life-changing.
Our team is committed to providing compassionate care and expert results. We understand the personal nature of this decision and guide our patients with support, education, and attention to their goals at every stage. Breast reduction is more than aesthetic—it’s a deeply functional, freeing transformation for those who need it.
