Generally, we recommend leaving a C or D cup breast. Typically, we hear over-resection as the most common complaint after surgery. Before surgery, we measure you and mark your breasts with a marker. We make incisions and remove skin, fat, and breast tissue. Additionally, the nipple remains on the breast mound. We don’t remove the nipple in most cases. Instead, we reposition it. Also, we reduce the size of the areola (part of the nipple with color). Finally, sutures go under the skin. Typically, we don’t remove those sutures. We also don’t use drains normally.
Most reductions take 2 to 3 hours to perform and are performed as a same-day surgery. Recovery is 1-2 weeks and pain is minimal to moderate. Typical amounts of tissue removed range from 500 grams per breast all the way up to 6,000 grams or more. Complications can include tissue necrosis, wound breakdown, loss of areola or nipple, loss of sensation, bleeding, infection, and seroma. Most patients retain sensation in the nipple and are able to breastfeed following surgery.
There are many types of breast reductions and you should let your surgeon decide which method is best for your particular situation. All breast reductions result in scarring and if you desire a scarless breast reduction see liposuction only breast reduction.