Breast enlargement is a normal and physiological condition. There are various reasons for breasts to enlarge excessively in a way that causes discomfort. The most common cause is hereditary factors. Breast growth can also occur due to hormonal reasons. Breast growth should be investigated if one breast is growing.

There is also growth during menstruation and pregnancy. Excessive weight gain results in an increase in fat and breast growth.

Pathological growths in the breasts can be seen as side effects of birth control pills, diuretics, or antacids, as well as benign hypertrophies and inflammatory conditions in the breasts. Breasts can be larger than normal without any structural or genetic abnormalities.

Since breast development is generally completed after the age of 16, breast reduction surgery can be performed after this age if the patient is suitable.

In addition to the risks associated with anesthesia or postoperative risks in hospitals and other general surgeries, there are also some risks specific to the operation. These can be summarized as follows:

• Allergies (to drugs, blood products, suture materials, and other products used)
• Bleeding and hematoma formation
• Breast asymmetry and shape deformity
• Fluid accumulation
• Infection
• Worsening of scar appearance, hypertrophy, wound healing disorders
• Nutrition disorder (necrosis) in the skin or underlying tissues
• Temporary loss of sensation in the nipple
• Problems with breastfeeding

Before the surgery, you will have been to the hospital, your preoperative tests will have been seen, and you will have been examined. You will not eat or drink anything after midnight. You will come to the hospital where the surgery will be performed in the morning on an empty stomach and will be taken to your room reserved for you. A vein will be opened, and a serum will be attached, and you will wait. The attendants will take you to the operating room, and you will be delivered to the safe hands of the anesthesiologist. The entire operation will be performed under general anesthesia, and you will not feel any pain.

The operation will last about 3 hours, and after a short recovery, you will be taken to your room. Although you will not have any pain at first, you may experience some pain as the effect of anesthesia wears off, so special pain relievers to prevent this will be given to you intravenously through special systems, ensuring a painless night for you. You will have a special surgical bra on you, which will be placed on you in the operating room. You should use this for the first month. You will see the drains placed during the surgery. These drains will stay for 2-3 days and then be removed. The reason for placement is to prevent small leaks and fluids from accumulating in the breast area. You can start taking liquid foods after 6-8 hours. You will be given painkillers and antibiotics through your vein since your vein is open. Necessary conditions will be provided for your comfort, and after spending one night as a guest in the hospital, you will be checked by me the next morning, your prescription will be arranged, and you will be informed about what to do and what not to do, and then you will go home or to the hotel where you stayed.

Regarding scars, the technique of the surgery performed, the surgeon’s meticulous approach to the tissue, and the person’s wound healing condition are very important. After a successful surgery with an appropriate technique, the scar will be minimal and acceptable. In the method I frequently apply, there will be a scar in the shape of an inverted T on the breast. A scar that descends from the middle of the nipple down and remains in the breast fold creates one of the best aesthetic results for this surgery. The scars will return to the color of the skin within 1 year and will be barely visible.

You will not feel any pain during the operation period. Afterwards, if a successful and minimally traumatic operation has been performed on the tissue, with the support of appropriate pain relievers, the pain will be minimal. Some individuals have a low pain threshold. If they have slightly more pain, it will decrease to a minimum level after 1-2 days.

If the operation is performed with an appropriate technique and does not cause much damage to the milk-producing breast glands, there is generally no problem with breastfeeding.

If a suitable technique and effective procedure are performed, sagging does not occur for a long time. Often, it is necessary to perform a lift for sagging in addition to breast reduction. In patients where a lift is added, sagging occurs later. Excessive weight gain, multiple pregnancies will increase sagging.

If weight gain occurs after the surgery, there will be inevitable growth in the breasts due to fat accumulation. If weight is not gained, there is normally no growth in the breasts.

In the first week after breast reduction surgery, there will be more edema due to the operation. Bruising that may occur after the 1st week will slowly disappear, and you will be able to move more comfortably after 2 weeks. After the first month, you can return to your normal life with some restrictions, but with very little pain. Considering that normal wound healing takes 6 weeks, you will have very little discomfort after 1.5 months of the surgery. You should wear a special bra for 1 month and then you can continue to wear a sports bra or a normal supportive bra.