It is seen that during the puberty, combining with the weight gain, breasts grow larger than their normal sizes. Large breasts do not only cause aesthetic problems but also backaches, posture and some irreversible spine problems.

Patients who have complaints about the size of their breasts must be examined for hormone levels, breast growth progress (if stopped or not) and for possible lumps or infections.  If none of these problems are present, after examining the breast fat tissue, breasts’ sizes, mammary glands and nipples’ positions and noting the age of the patient and if she wants to have children in the future, doctor decides on the method and technique of the surgery.

Before the surgery, patient’s laboratory examination results are evaluated. Drawings and measurements are made based on the method of the surgery before the operation. The most commonly applied technique is called vertical mamoplasty, in which a straight cut is made from the bottom of the nipple downwards. Another commonly used method is called reverse T method, in which a horizontal cut is made under the breast.

Breast reduction surgery is generally for 2-3 hours long and performed under general anesthesia. Breasts, which are spread and sagged towards the armpit, is rehspaed to have a better look. Nipple is moved to symmetrically where it should be.

Drains are used to suck the blood and saline water leakage after the surgery. These drains are removed 1 day after the surgery. Patients are recommended to use a sports bra for nearly 1 month after the surgery.

Nipple tissue must be protected for future breastfeeding.  Operation must be performed  using a technique which does not damage the connection between mammary duct and breast tissue.

If the only problem is lipoidosis, liposuction is recommended for breast reduction.