Breast reduction: Mammoplasty reduction


Breast reduction: Mammoplasty reduction

Also known as mastopexy reduction. In Dr. Javier Collado’s opinion, the aim of this intervention is to solve a physical problem, as opposed to a cosmetic one. When this intervention is recommended, not only is there an excess of volume in the mammary glands, but there is also an excess of skin. As such, it is necessary to reduce the amount of both components. For this, a scar in the shape of an inverted T or an anchor is required on the breast being operated on. With the appropriate care, this scar will become less and less visible and will usually be covered by a bra or a bikini top. In the cases of ptosis or drooping breast, instead of mobilising the areola-nipple complex with its vessels and nerves, it will have to be removed entirely and be applied through a skin graft, as if it were a “sticker”. It is important that patients do not smoke in the days before and after the intervention as this influences the healing process.

Preguntas Frecuentes

Am I a good candidate for intervention?

Candidates are women with large and drooping breasts as some of them suffer from associated medical problems, such as back and nape pains, cutaneous irritations, respiratory problems or bone deformations. An excessively large breast size can lead to lack of self-confidence in women and teenagers.

Mammary reduction, technically known as mammoplasty reduction, is the appropriate intervention for these women.

This surgery reduces the fat, glandular tissue and the skin of the breast, making it smaller, lighter and firmer. The areola, the dark tissue surrounding the nipple, can also be reduced. The aim is to give the woman a smaller breast and one that is in better proportion to the rest of her body measurements

Is it a safe intervention?

Mammary reduction is not a simple operation but it is very safe if done by a qualified surgeon. However, like any intervention, there is always a possibility that complications such as infections, haemorrhages or allergic reactions to anaesthesia may occur. Some patients feel pain in the nipples after the intervention. This can be treated with an analgesic cream. If you follow your surgeon’s advice, the risks diminish completely.

The intervention leaves visible scares, although they can be covered by a bra or a bikini (the healing is slower and the scares are more visible and common in smokers).

How is the intervention performed?

There are different techniques for breast reduction but the most common consists of making an anchor-shaped incision downwards from the areola and following the curve shape of the breast. The excess of the glandular tissue, the fat and the skin is removed and the nipple and the areola are moved to their new position. The skin from both sides of the breast is placed below and around the areola, forming the new contour.

In most cases, the nipples remain connected to their blood vessels and nerves. If the breasts are very large or pendular, the nipples and areolas should be removed completely and placed in a higher position through a graft.

In young women with good cutaneous quality, a vertical reduction technique can be used which reduces the scarring, removing the horizontal scar.

Your specific case requires a personalised diagnosis and the appropriate technique according to the nature of your tissues.

What anaesthesia is there?

In each case, general anaesthesia is used, this being the safest option for the patient.

Mamoplastia de reducción en Málaga
Observaciones del doctor


Although you will be released the day after the intervention, your breasts will be sore and may cause discomfort for up to 2 weeks. You should avoid lifting weight and pushing heavy things for between 3 and 4 weeks.

Your surgeon will give you all the instructions to follow until you can return to everyday activities (normally, after two weeks), although you should wait until you feel more energetic to do more strenuous activities.

You should avoid sexual relations in the week following the intervention or even longer and avoid contact with the breasts for up to 6 weeks.

It is normal that a small amount of fluid leaks from your wound.

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