Breast reduction

Excessively large, heavy breasts may often be very painfull and cause women back, neck and shoulder pain, skin rashes beneath their breasts and can cause different diseases.

Breast reduction – is the surgery for reducting the size of large breast by removing breast tissues (both gland and fat). At this surgery it is also possible to correct the size and shape of nipple-areola complex (NAP).

Breast reduction is considered to be one of the most difficult types of interventions in plastic surgery. Furemost the surdeon must ensure that the tissue viability of the nipple-areola complex, functional sensitivity and lactational capability of the breast are preserved.

The vertical scar technique – this technique is recommended for removing small areas of the skin envelope and small volumes of internal tissues. This technique usually produces short incision scars. The insicion is vertical to the nipple-areola complex. The increased projection of the breast is achieved by gathering the folds of the skin envelope medially, then the inner and outter portions of remaining gland are sutured.

The inferior pedicle flap technique (inverted-T incision) – a classical method of breast reduction. This technique is recommended to reduce very large volumes of internal tissues. The volume and size reduction is performed with a periareolar incision to the nipple-areola complex, which is extends downwards following the natural curve of the breast hemisphere. After cutting and removing the tissues (glandular, adipose, skin), the nipple-areola complex is transposed higher upon the breast hemisphere. Then the folds of the skin-envelope are gathered medially and the portions of remaining breast gland are sutured to provide an upward projection of the nipple-areola complex.

Free nipple-graft technique (M.Lejour technique) – applies a vertical incision, breast liposuction and wide undermining of the skin of the lower portion of the breast. The excess skin on lateral surfaces of the breasts is not removed, it is widely released. Further the breast accepts natural form.

Only during the consultation the plastic surgeon will define the most effective method of operation suitable for you to achieve the best result.

  • is carried out under general anesthesia;
  • you can leave the clinic in 1 or 3 days after the surgery;
  • lasts no more than 3 hours;
  • stitches are removed within 2 weeks;
  • the convalesce period – from 2 to 3 weeks;
  • surgical dressing should be worn for 4-6 weeks after the surgery.

You will see the final result in 2-3 months


  • the early postoperative period is accompanied by the temporary painfull feelings, swellings of tissues that pass within few days;
  • small body temperature increase can be observed within several days after the surgery;
  • bandagings are necessary within 1 week;
  • it is recommended to avoid physical activity within 3 weeks after surgery;
  • wrinkles at the bottom of the vertical limb of the scar usually resolve within 3-6 month after the surgery.


  • pregnancy and lactation;
  • unevaluated tissue masses in the breasts or unidentified microcalculations;
  • systemic illness;
  • age till 18 years.


To reduce risks for the patient, it is necessary to pass preoperative inspection.

For patients

Attention! Download and complete patient's questionnaire (pdf russian) before appointment.

Download questionnaire

How to prepare to your surgery

Required tests list