If you find your breasts are very large and heavy, and that they create discomfort to your shoulders, back and neck, talk to a Plastic Surgeon about breast reduction surgery.

While a breast reduction can be performed on teenagers, it is recommended that the procedure be undertaken only when breast development is completed, and when sufficient maturity has been attained to understand all of the issues involved.

Childbirth and breastfeeding can also have a significant effect on the size and shape of your breasts. Though some women decide to have breast reduction before having children, you should discuss plans to breastfeed with your plastic surgeon, as this may not be possible after breast reduction.

In assessing you as a candidate for breast reduction, your doctor will carefully check:

• the size and shape of your breasts
• the quality of your skin, and
• the placement of the nipple-areola complex.

If you are overweight, your plastic surgeon may suggest that you lose weight before having surgery.

Surgery

There are variations to the incisions and techniques used for breast which depend on the size of your breasts, the quality of your skin, and the amount of reduction desired.

After excess skin and breast is removed, the nipple-areola complex is moved to a higher position.

Liposuction may also be employed to improve the contour under the arm.

You and your surgeon will discuss the best technique for you.

Recovery and possible complications

Several days after surgery you will be able to move about comfortably. You may be asked to wear a support bra for a few weeks, until swelling and discoloration diminish.

Incisions will be red at first and normally stay this way for several months following surgery.

After breast reduction surgery, it is usually possible to return to work within a month of surgery.

Some of the possible complications of this surgery include bleeding, infection and reactions to anesthesia. The breasts may not be exactly the same or nipple height may vary after surgery. There may be alterations in sensation to the nipples and some women are not able to breast feed after this operation.