Many people seek to augment their breasts, but others look for ways to reduce their size due to discomfort, back pain, or limitations in physical activity. Breast reduction surgery creates a more proportional shape while addressing these concerns. At Dr. Karol A. Gutowski’s practice in Chicago, IL, we perform breast reduction surgeries with a focus on both function and appearance.
What Is Breast Reduction Surgery?
Breast reduction surgery removes excess breast tissue, fat, and skin to create a shape that is more balanced with the rest of the body. This procedure is often chosen by patients experiencing chronic pain, posture issues, or physical limitations due to overly large breasts. It is also an option for patients who are simply seeking smaller breasts for cosmetic purposes.
What Can Breast Reduction Surgery Offer?
Improved Breast Shape and Position
Heavy breasts are more prone to sagging because of the weight and can sit lower on the chest as the skin and tendons age. This procedure removes excess weight while reshaping and lifting the breasts. By repositioning the nipple and removing stretched skin, we create a natural, lifted shape that fits the patient’s frame.
Reduced Back, Neck, and Shoulder Pain
The constant pull of heavy breasts can put stress on the body and cause ongoing discomfort. Back pain from large breasts is a common reason patients consider surgery since the excess weight can strain the spine and surrounding muscles. By removing extra tissue, this procedure relieves this pressure on the shoulders, neck, and back, and can help improve a hunched posture.
Reduced Skin Irritation
Excess skin and breast weight can create friction and lead to rashes or irritation under the breasts. Constant moisture buildup in these areas may also contribute to discomfort. By removing extra tissue and reshaping the breast fold, surgery can help reduce chafing and improve skin health.
Reduced Bra Strap Indentation
Heavy breasts put pressure on bra straps, which can cause deep grooves in the shoulders. This can lead to pain and long-term indentations in the shoulders. By reducing breast size, the weight pulling on the straps is decreased, allowing bras to fit more comfortably without digging into the skin.
Reduced Areola Size
When breasts are enlarged, the areolae often stretch in proportion to the added volume. As part of this surgery, the areolae can be resized to better match the new breast shape.
Who Is the Right Candidate for Breast Reduction?
- Healthy Patients: An ideal candidate for breast reduction is in overall good health, with no underlying conditions that could affect healing. Candidates should also be non-smokers or willing to stop smoking before and after surgery.
- Patients With Fully Developed Breasts: Breast size can continue to change throughout adolescence and early adulthood. Surgery is performed once the breasts have fully developed.
- Patients With a Stable Weight: Major weight fluctuations can impact breast size and shape, which may alter surgical results. Those considering this procedure should be at a stable weight that they can maintain.
Breast Reduction Techniques
Anchor (Vertical T) Incisions
This method is used when more tissue and skin needs to be removed and is the most commonly used during breast reduction. The incision follows an anchor-shaped pattern, with one cut around the areola, another running vertically down the lower breast, and a final horizontal incision along the crease. Other incisions such as a lollipop incision may sometimes be used for patients wanting more moderate changes.
Liposuction
Liposuction may be used to remove fat from the breast area. If you have more excess fat in the area, we can remove it before excising and tightening the skin. In cases where excess fat is the main cause of large breasts and there is little to no excess skin, liposuction can be used on its own to reduce the breasts.
Is a Breast Lift Performed Alongside Breast Reduction?
A breast reduction and lift are often performed together since the surgery involves removing excess skin and repositioning the nipples. Removing excess tissue makes the breasts lighter, but a lift reshapes and repositions them. If the breasts are drooping from the weight and excess skin, combining both techniques can create a more proportionate result.
Preparation for Breast Reduction Surgery
Preoperative Medical Examination
Before scheduling a breast reduction, a thorough medical evaluation is needed to assess overall health and surgical readiness. This may include lab tests, a physical exam, and imaging. Patients will also discuss their medical history, previous surgeries, and any concerns about anesthesia or recovery.
Adjustments to Medications or Supplements
Blood thinners, anti-inflammatory drugs, and some herbal supplements may need to be stopped before surgery. Patients should provide a full list of everything they take, including over-the-counter products. If adjustments are needed, your doctor will offer guidance on when to pause or restart medications.
Tips on Preparing Your Recovery Area
Setting up a comfortable recovery space before surgery makes the first few days easier. A reclining chair or extra pillows can help support the upper body while resting. Keep essentials like water, medications, snacks, and a phone charger within reach to prevent unnecessary movement. You should also have loose, front-button clothing ready since lifting arms overhead may be difficult at first.
What Happens During Breast Reduction Surgery?
Before surgery begins, anesthesia is administered. Most breast reduction surgeries are performed under general anesthesia, meaning the patient is completely asleep. Once you are under anesthesia, we will make the incisions and remove any excess fat, glandular tissue, and skin. If liposuction is part of the procedure, small cannulas are inserted to remove fatty tissue for additional contouring.
Once the breast size is reduced, the nipple and areola are repositioned to match the new shape. The areolae may also be reduced in size if they appear stretched. In most cases, the nipple remains attached to its blood supply, preserving sensation.
After reshaping the breasts, the incisions are closed using sutures and you will be moved to the recovery room so we can monitor you as you wake up from anesthesia. The final result is a smaller, more proportional breast shape which can be noticed right away, though swelling and healing will take time. A surgical bra is provided to support the breasts during recovery, and follow-up visits promote proper healing.
What to Expect After Your Breast Reduction Surgery
Your First 24-48 Hours
The initial phase of breast reduction recovery requires rest and limited movement. Some swelling, bruising, and some soreness are normal, and medication may be prescribed to manage discomfort. You will need to keep your upper body elevated, avoid heavy lifting, and wear your compression bra to minimize swelling. You can take short walks around your home right away to promote healthy blood flow, but avoid activities that involve bending over.
One Week After Surgery
By the end of the first week, pain and swelling begin to subside, though some tightness or sensitivity may still be present. Most patients feel well enough to resume light activities, but strenuous movement should still be avoided. Continue to keep your incision sites clean and dry and wear your compression bra as directed.
Long-Term Recovery and Expectations
By week two, most patients are able to go back to work and resume most normal activities. If you have a more strenuous job, you may need to wait longer before returning to your full duties. High-impact activities should still be avoided, but you can incorporate light exercise such as walking. The breasts will settle into their new shape, though residual swelling may linger for several months after the procedure. Numbness or tingling in the nipple and breast area is common as nerve endings heal. You can expect to regain sensitivity over the course of the first year.
Frequently Asked Questions About Breast Reduction
How Much Breast Tissue Can Be Removed?
The amount of tissue removed depends on the patient’s goals, breast size, and physical concerns. Some patients only need a moderate reduction, while others want more. On average, patients can expect to go down one or two cup sizes. During the consultation, we evaluate breast composition, skin elasticity, and overall proportions to determine the best approach.
Will I Have Scars After Breast Reduction Surgery?
Incisions are necessary to reshape the breasts, so some scarring is expected. The location and appearance of scars depend on the surgical technique used. With the anchor incision, you can expect a vertical scar along the lower half of the breast. Scars around the areola and along the breast crease are well-hidden. While scars initially appear red or raised, they tend to fade over time and become much less noticeable. If you follow aftercare instructions, avoid sun exposure on the surgical area, and follow any recommended scar treatments, you can reduce their visibility even more.
How Long Will My Breast Reduction Results Last?
The results of breast reduction surgery are long-lasting, but certain factors can result in changes over time. Weight fluctuations, pregnancy, and aging can impact breast size and shape after your surgery. Maintaining a stable weight and wearing supportive bras can help preserve the surgical outcome for longer. While some natural changes will occur with age, most patients continue to experience relief from discomfort and a more proportional breast size for years.
How Long Does Breast Reduction Surgery Take?
Surgical time varies based on the complexity of the procedure and the amount of tissue being removed. Most breast reduction surgeries take between two to four hours. Additional time may be needed if other surgeries are performed at the same time.
Can I Combine Breast Reduction With Other Procedures?
Many patients choose to combine breast reduction with other procedures for a more comprehensive result. Common procedures to combine with breast reduction are a breast lift, liposuction, or tummy tuck. Planning multiple surgeries in one appointment can reduce the overall time you spend in recovery and can be a good option for certain patients. During your consultation, we can discuss whether combining procedures is right for you.
Why Choose Us For Breast Reduction?
Dr. Karol Gutowski is a board-certified plastic surgeon known for his expertise in cosmetic and reconstructive procedures, including breast reduction surgery. With a national reputation for innovation, he has been featured in major publications and medical journals for his contributions to the field. His practice in Chicago, IL is dedicated to providing precise, patient-focused care with modern surgical techniques. Every procedure is approached with attention to both function and aesthetics, ensuring results that align with each patient’s individual needs. Backed by a skilled team of medical professionals, our practice prioritizes safety, expertise, and a thorough understanding of each patient’s goals.
Learn More About Breast Reduction Surgery in Chicago, IL
Breast reduction surgery can relieve physical discomfort, improve mobility, and create a more balanced shape. Patients with back pain from large breasts often find that reducing excess tissue helps ease strain on the neck, shoulders, and spine. If you have large breasts and are experiencing discomfort, we would love to talk to you about your options. To learn more or schedule a consultation with Dr. Karol A. Gutowski, call (847) 906-1527 or contact us through the online form. We serve Chicago, IL, and the surrounding areas.
