Appropriate for
Reduce oversized breasts
Breast Reduction Surgery
Breast reduction surgery is recommended for women with excessively large breasts, a condition known as macromastia or gigantomastia. Beyond the aesthetic concern, the weight of the breasts can lead to neck pain, muscle tension, restricted mobility, and significant psychological distress. At Image Regenerative Clinic in Milan, this procedure is performed using advanced techniques aimed not only at reducing breast volume, but also at reshaping the breast and repositioning the areola to achieve harmonious proportions in relation to the body. The goal is not just to lighten the load, but to enhance the silhouette, improve posture, and restore lasting physical and emotional well-being.
Treatment Overview
Age
18 years and up
Procedure Details
120-180 minutes
Sessions and frequency
Single session plus post-operative visits in the days following surgery.
Precautions
Possible suspension of certain medications in agreement with the surgeon, avoid smoking for 2 weeks.
Plan Your Treatment
Schedule a video consultation or a call from the clinic
"For very large breasts or people requiring rapid intervention for health reasons, a quick and non-invasive technique involving removal of excess tissue and grafting of the nipple-areola complex (Thorek technique) may be indicated. In severe cases - removal exceeding one kilogram or orthopedic indications - the procedure can be performed through the local health service."
Prof. Carlo Tremolada
About the Treatment
What is breast reduction surgery
Breast reduction surgery is designed to reduce breast size, particularly suitable for women suffering from physical or psychological issues related to overly large breasts. This surgery focuses not only on aesthetics but primarily on improving the patient's quality of life by alleviating symptoms associated with large breasts. These symptoms include chronic back, neck, and shoulder pain, breathing difficulties, skin irritations due to excessive breast weight, and postural problems that can negatively affect the spine.
How breast reduction surgery is performed
The procedure involves several key phases. First, the surgeon removes excess fat, glandular tissue, and skin, reducing overall breast volume. Then, the breast is reshaped to achieve a more harmonious form proportionate to the patient's body. An essential part of the process is repositioning the nipples, which are moved to a higher, more natural position, ensuring an aesthetically pleasing result. In some cases, the areola diameter may also need to be reduced to maintain proper proportions. The post-operative period requires certain precautions: wearing a supportive bra is recommended to support the tissues and promote healing, and avoiding intense physical exertion is recommended for the first few weeks. Scars, initially visible, gradually fade over time thanks to modern surgical techniques and proper healing management.
Benefits and results of breast reduction surgery
Breast reduction surgery is much more than just a cosmetic procedure: it represents a concrete solution to improve patients' physical and psychological well-being. By reducing breast weight, chronic neck and back pain are alleviated, improving posture and enabling greater freedom in daily movements and during physical activity. Aesthetically, the breasts appear more proportionate and harmonious, perfectly adapting to the body structure.
The decision to undergo breast reduction surgery is made in close collaboration with the surgeon, who carefully evaluates the patient's needs and health. The procedure is suitable for women of all ages who have completed breast development, and is also ideal after pregnancy or breastfeeding to correct changes in shape and volume.
Ideal Candidacy for Breast Reduction Surgery
Candidacy for breast reduction requires comprehensive medical evaluation considering physical and psychological aspects. Physical symptoms: cervical, dorsal, and shoulder pain caused by excessive breast weight, breathing difficulties during physical activity, chronic submammary skin irritations. Functional impact: clothing limitations, inability to exercise comfortably, chronic postural problems. Emotional stability: realistic understanding of results and acceptance of permanent scarring. Age and development: completed breast development, preferably after age 18. Stable weight for at least 6 months for lasting results.
Surgical Techniques: Personalized Approaches for Breast Reduction
Breast reduction surgery utilizes different techniques based on required reduction degree. Periareolar technique: for moderate reductions, scarring limited to areola contour. Vertical technique: for medium reductions, scar from areola to inframammary fold. Inverted-T technique: for severe macromastia, includes scar in mammary fold. Personalized technique: combination of approaches based on individual anatomy and aesthetic goals. Lipogems integration in every technique optimizes healing and improves residual tissue quality, reducing scarring complications.
The Added Value of Lipogems in Breast Reduction
Lipogems utilization in breast reduction represents significant innovation for superior results. Regenerative adipose tissue is strategically applied to: accelerate scar healing and reduce post-operative inflammation, improve vascularization of remodeled tissues, optimize skin quality in areas of greatest tension, reduce necrosis risk of skin flaps. This biotechnological approach transforms traditionally "subtractive" surgery into comprehensive regenerative procedure that preserves and improves tissue health.
Recovery and Specialized Post-Operative Management
Recovery from breast reduction requires specific protocols to optimize results and comfort. First 48 hours: pain management with multimodal analgesic protocol, drains to prevent hematomas. First week: shower permitted with precautions, arm lifting limitation above shoulders, post-operative bra 24/7. Weeks 2-4: gradual return to daily activities, specific scar massage to prevent retractions. Months 2-6: definitive shape stabilization, scar maturation, complete sports activity resumption. Regenerative medicine significantly accelerates healing times.
Long-Term Functional and Aesthetic Results
Breast reduction offers benefits beyond aesthetic appearance, significantly improving quality of life. Immediate physical benefits: elimination of cervico-dorsal pain, posture improvement, freedom in movement and clothing. Aesthetic benefits: proportionate and harmonious breasts, nipples in natural position, optimized symmetry. Psychological benefits: increased self-esteem, greater social confidence, return to sports activity. Result duration: permanent if stable weight maintained, with natural aging from "corrected" position. Patient satisfaction: over 95% of patients would repeat the surgery.
Managing Expectations: Scars and Realistic Results
Understanding permanent scarring is fundamental in breast reduction. Scar evolution: red and raised in first months, progressive maturation toward white, flat scars within 12-18 months. Influencing factors: individual skin quality, post-operative compliance, advanced suture techniques. Optimizing treatments: Lipogems, fractional laser, silicone gels to accelerate maturation. Strategic positioning: scars designed to be covered by bras and swimwear. Realistic acceptance: functional benefit significantly outweighs aesthetic impact of scars for majority of patients.
Surgical Combinations in Breast Reduction
Breast reduction can be combined with other procedures for optimal global results. Reduction + Liposuction: complete trunk remodeling using aspirated fat for Lipogems. Reduction + Abdominoplasty: complete body contouring approach for post-pregnancy or post-weight loss patients. Reduction + Asymmetry Correction: balancing preexisting dimensional differences. Surgical staging: evaluating need for procedures at different times for safety and optimal results. Multidisciplinary planning determines the safest and most effective approach.
Understanding Macromastia: Medical Necessity vs Aesthetic Choice
Breast reduction for macromastia often represents medical necessity rather than purely aesthetic choice. Diagnostic criteria: breast weight exceeding body proportion, documented physical symptoms, functional limitations in daily activities. Insurance considerations: many procedures qualify for coverage based on medical necessity. Quality of life impact: chronic pain, skin breakdown, exercise intolerance, psychological distress. Long-term health benefits: spinal alignment improvement, reduced arthritis risk, enhanced physical activity capacity. Comprehensive evaluation determines medical vs aesthetic indications for each individual case.
Why Choose Image for Breast Reduction
Regenerative Approach: Lipogems for optimized healing and superior results.
Consolidated Experience: Specific specialization in complex breast reductions.
Advanced Protocols: Pain management and recovery with innovative methodologies.
Optimized Scarring: Suture techniques and scar care for superior aesthetic results.
Personalized Follow-up: Attentive monitoring for lasting functional and aesthetic results.
Plan Your Treatment
Schedule a video consultation or a call from the clinic
Frequently Asked Questions
How bad is the pain after surgery?
The pain is manageable and well-controlled with medication. Most patients go home the same day and feel much better after 2-3 days. It's more discomfort than severe pain.
How long do I need off work?
Depends on your job. If you have an office job, you can return after 5-7 days. If your work is more physical, you'll need 2-3 weeks. Many of our patients work from home after just a few days.
What size will I be after surgery?
Depends on your current size and how much tissue we remove. During consultation, we'll show you simulations to help you understand the expected result. The goal is breasts proportionate to your body.
Can I get pregnant and breastfeed afterwards?
In most cases yes, but it depends on the surgical technique. We recommend completing your family before surgery, but it's not mandatory. We'll discuss this during your visit based on your situation.
Will the scars be very visible?
Initially yes, but after a year they become very discreet. With our care protocols and Lipogems, scars heal better. They're positioned to be covered by your bra.
Am I too young for this surgery?
If you're at least 18 and your breasts cause significant physical or psychological problems, you're not too young. Many of our patients are 20-25 years old and are thrilled they had the surgery.
Will my insurance cover this?
Many insurance plans cover breast reduction when it's medically necessary. We help with pre-authorization and provide all needed documentation. During your consultation, we'll review your specific insurance situation.
When can I exercise again?
Light walking immediately, gym after 6 weeks, and full sports after 2-3 months. We give you a specific timeline based on your healing progress. Many patients are surprised how quickly they can return to normal activities.
Will I lose feeling in my nipples?
Some temporary numbness is normal and usually returns within a few months. Permanent loss of sensation is rare with modern techniques. We take special care to preserve nerve function.
How do I know if I really need this surgery?
If large breasts cause you physical pain, limit your activities, or significantly impact your quality of life, you're likely a good candidate. The best way to know is through a consultation where we can assess your specific situation.
Want More Info?
If you need more information feel free to give us a call on: +39 02 76280736 or contact us using the form below.
Attention
The information available on the website istitutoimage.it is intended solely for informational purposes and is in no way a substitute for specialist medical advice. The contents are drafted in compliance with Art. 56 of the FNOMCeO Code of Ethics and the Ministerial Circular dated 18/12/2024. The information published has been prepared by qualified doctors and surgeons and is solely for educational purposes:
- it does not in any way constitute a diagnosis;
- it does not replace the direct doctor-patient relationship;
- it must not be used as a prescription for treatments or as a basis for autonomous therapeutic decisions.
To assess suitability for aesthetic medicine treatments or plastic surgery procedures, a specialist medical consultation is always required.
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Mission
This website is aimed at users seeking qualified and up-to-date information about regenerative aesthetic medicine, plastic surgery and longevity programs. Its contents are intended to provide general knowledge and are not a substitute for the doctor-patient relationship. Image Regenerative Clinic is committed to offering scientifically supported treatments and therapies with the utmost transparency and in full compliance with current regulations.
Website Authors
Dr. Carlo Tremolada – OMCEO Milan registration no. 30098 All the contents and images on this website have been written, reviewed and approved by the internal Medical-Scientific Committee coordinated by Dr. Carlo Tremolada, in compliance with Art. 56 of the FNOMCeO Code of Ethics and current regulations on healthcare advertising.
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