Are your breasts weighing you down — literally? Many people struggle with back pain, shoulder discomfort and skin irritation because of large breasts.
Breast reduction surgery can be life-changing, helping to relieve pain and improve overall quality of life. But how do you know if it’s right for you?
We spoke with Kristen Yee, MD, a plastic surgeon with Banner – University Medicine, about the benefits and risks of breast reduction surgery and how to know if it’s the right option for you.
What is breast reduction?
Breast reduction surgery, or reduction mammoplasty, is one of the most common plastic surgery procedures in the U.S.
“Breast reduction surgery is performed by a plastic surgeon who removes excess breast tissue, fat and skin to make breasts smaller, lighter and more comfortable,” Dr. Yee said. “The goal is to reduce the size of the breasts while keeping them looking natural and balanced with your body.”
Signs you might need a breast reduction
While there are no guidelines on how big is too big when it comes to surgery, here are some signs that it is something to consider:
- Chronic pain: Large breasts can put extra strain on your muscles and spine, leading to back and neck pain.
- Grooves on your shoulders: If your bra straps dig into your shoulders and leave painful marks, your breasts might be too heavy for your frame.
- Skin issues: Do you get rashes or irritation under your breasts? This can happen when skin rubs together.
- Posture problems: If your large breasts pull your shoulders forward, you might notice that you have problems sitting and standing upright.
- Difficulty finding clothes that fit: Many people with large breasts have a hard time finding supportive, comfortable clothing that fits properly and comfortably.
- Limitation in physical activity: If running, jumping or even just exercising feels uncomfortable or painful, a breast reduction may help you move more freely.
- Feeling self-conscious: Some people feel uncomfortable with how their breasts look or the unwanted attention they get because of them.
“If you’re thinking about breast reduction, talk to your health care provider about your symptoms and try other treatments first,” Dr. Yee said. “Physical therapy, massage, wearing different bras or support garments and treating rashes or infections can sometimes help.”
In some cases, losing weight may also be recommended before surgery. “Many surgeons want patients to have a BMI under 30 to 35 (depending on the surgeon) for elective surgery because a higher BMI can increase risks like problems with anesthesia and slow healing,” Dr. Yee said. “If your BMI is too high, your doctor may suggest weight loss first to make surgery safer.”
If pain and discomfort don’t go away with non-surgical treatment, breast reduction may be a good option to discuss with your provider.
Health benefits of breast reduction
“The benefits of breast reduction surgery go beyond just appearance,” Dr. Yee said. “Many people experience significant improvements in both physical and mental well-being.”
Physical benefits:
- Reduced back, neck and shoulder pain
- Decreased skin irritation and rashes
- Better posture and balance
- Easier breathing during physical activity
Mental and emotional benefits:
- Increased self-confidence
- Less self-consciousness in social settings
- Greater comfort in clothing and bras
- Improved ability to exercise
Risks and potential complications
As with any surgery, breast reduction comes with some risks.
“Risk of problems like bleeding, infection and healing problems are common to any kind of surgical procedure but are low with this particular surgery,” Dr. Yee said.
Other possible complications include:
- Changes in nipple and areola sensation
- Mild asymmetry between breasts
- Delayed healing or wide/thickened scars
- Possible impact on future breastfeeding ability
“Studies indicate that some people who have breast reduction will need to supplement with formula when breastfeeding, but it is difficult to predict who will need to supplement and who will not,” Dr. Yee said.
Your surgeon will discuss these risks with you and help you decide if breast reduction is the right choice.
What happens during breast reduction surgery
Breast reduction surgery is performed in a hospital or outpatient surgery center. Usually you can go home on the day of the surgery, but you might have to stay overnight.
During the surgery, the surgeon will remove excess tissue and fat, reposition the areola (the area around your nipple), tighten the outer skin and close the incisions with sutures and surgical tape. The surgery can take two to four hours.
What to expect after breast reduction surgery
The recovery process can vary from person to person, but here’s a general idea of what you can expect:
- Swelling and soreness: The first few weeks may bring some discomfort, but pain is usually managed with prescribed or over-the-counter (OTC) medications.
- Surgical bra: You’ll wear a special surgical bra for as long as your surgeon tells you. This helps reduce swelling, provides support and promotes healing.
- Gradual return to normal activities: For the first two weeks, you should avoid lifting anything over 10 pounds, strenuous exercise and reaching or stretching overhead. After this period, you can slowly increase activity, with upper body exercises being the last thing you add in around four to six weeks after surgery.
Your provider will give you instructions on caring for your incisions and when you can start exercising or wear normal bras again.
Does insurance cover breast reduction surgery?
It depends. Every insurance company has different, independent criteria for coverage. Breast reduction is typically considered cosmetic, but some insurance companies cover some or all the costs of surgery if it is being done to relieve some medical problems related to large and heavy breasts.
“Every insurance plan is different, so it’s important to check with your insurance company to understand what’s required,” Dr. Yee said. “You may need to try non-surgical treatments before insurance will approve the procedure.”
If insurance doesn’t cover the surgery, you can talk to your provider about financing options or payment plans.
Takeaway
If you’ve been struggling with pain, discomfort or self-consciousness because of large breasts, a breast reduction could be a solution. To learn more about whether you’re a good candidate, schedule an appointment with a plastic surgeon or a Banner Health specialist.
