Breast reduction is usually performed for more physical relief rather than for cosmetic improvement. The majority of women who decide to have this form of surgery are troubled by very large, sagging breasts that put restrictions on their activities and cause the patient great physical discomfort. This procedure does leave noticeable, permanent scars, although they'll be covered by a bra or bathing suit. There are varying techniques for breast reduction. The most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. The surgeon will then proceed to remove the excess glandular tissue, fat, and skin and moves the nipple and areola into their new position. The skin is then brought from both sides of the breast downand around the areola, thus shaping the new contour of the breast. In some cases, the nipple will remain attached to their blood vessels and nerves and in other cases if the breasts are very large or pendulous, the nipples and areola may have to be completely removed and then grafted in a higher position.

The stitches are usually located around the areola, in a vertical line that extends downward and along the crease of the breast.

After surgery the patient will be wrapped in an elastic bandage or a surgical bra that goes over a gauze dressing. A small tube will be placed in each breast that will serve to drain off blood and fluids for the first day or two. The patient will experience pain for the first couple of days and some mild to moderate discomfort for a week or more. Pain medication is prescribed to the patient to lessen the pain.

The bandages will be removed a day or two after surgery, but the patient will continue to wear the surgical bra, day and night, until the swelling or bruising has subsided. Suture removal will be from one to three weeks.

Although the patient will be up and about in a day or two, the breasts will still ache occasionally for a few weeks.

The patient should avoid lifting or pushing anything heavy for three to four weeks. Most patients can return to work, as long as it is not too strenuous in about two weeks. A small amount of fluid draining from the surgical wound and crusting is normal. The patient will need to wear a good athletic bra for support.