Minneapolis Plastic Surgery, LTD.
(763) 545-0443

Breast Reduction

Minneapolis / St. Paul, Minnesota - Breast Reduction Surgery

Women with very large, sagging breasts can have significant neck, back, and shoulder pain. Such patients find that breast reduction surgery at our Minneapolis, Minnesota practice greatly benefits their lives. Breast reduction patients not only experience relief from their symptoms, but also gain the ability to exercise more freely, wear better-fitting clothes, and enjoy an improved self-image. Of all the surgeries that plastic surgeons perform, breast reduction ranks among the highest in patient satisfaction.

Candidates for Breast Reduction Surgery

Adult patients of any age may have breast reduction surgery performed by our Minneapolis, Minnesota plastic surgeons; however, our doctors recommend waiting until after the breasts have fully developed to undergo this procedure. Women who have sagging breasts or drooping nipples but would like their breasts lifted and rejuvenated rather than reduced in size may be excellent candidates for breast lift surgery.

You may be a good candidate for breast reduction if you have any of the following problems:

  • Neck, back, or shoulder pain
  • Shoulder notching / furrowing from your bra strap
  • Heavy, sagging breasts
  • Breasts that are too large for your body size
  • Irritation and rash beneath your breasts
  • Difficulty with exercise and physical activities due to large, heavy breasts
  • One breast that is larger than the other, creating significant asymmetry

Some women may qualify for insurance coverage for breast reductions surgery, depending on their plan requirements and restrictions. Please schedule a complimentary consultation with one of our Minneapolis / St. Paul area plastic surgeons to see if your health care plan may cover part or all of this surgery. If you prefer breast reduction surgery at our office surgical facility, we can give you exact cost information, financing options, or discuss other options that may help you recover some of your out-of-network expense.


During breast reduction surgery, fatty tissue, glandular tissue, and excess skin in the breast are removed through anchor-shaped incisions made around the areolas and along the undersides of the breasts.  Breast reduction surgery is performed under general anesthesia and usually takes between two to four hours to complete. After removing excess breast skin and tissue, the remaining skin is tailored into a new skin brassiere, and the nipple/areola complex is raised to a more youthful position, making the breasts lighter, smaller, and firmer.  Rarely, a drain may be placed to allow excess fluid and blood to be removed from the breasts, speeding healing.

After your surgery, you will be wrapped in an elastic bandage or surgical bra over gauze pads for two to three days. Although there is an incision around each areola, the nipple/areola complex remains attached to the breast ducts and tissue, which usually preserves nipple sensation as well as the ability to breast-feed.  Nipple sensation can be lost in about 15% of patients who undergo breast reduction surgery. Scars then extend from the areola to the inframammary crease, and in the inframammary crease (under the breast).

When completely healed, the scars fade and are not visible with most bathing suits or clothing, including V or revealing necklines.  When unclothed, the scars are usually minimally visible, but can widen or thicken in some patients.  Since we use only dissolving sutures below the surface of the skin, no stitches need removal, and the breasts heal without crosshatch marks or unsightly railroad-track scars. 

Recovery and Results

Patients can expect a recovery period of about two weeks, during which no strenuous activity or exercise is allowed.  Gentle showering is allowed by the second or third day after surgery, but you should avoid vigorous scrubbing, baths, Jacuzzis, or swimming pools until three weeks from surgery.  Some bruising and swelling may be noted after surgery, but in most cases this is minimal and will subside towards the end of this period. Women resume normal everyday activities within a day or so, and can usually return to work in several days provided that their occupation does not involve heavy lifting or other physically strenuous activity. Over time, the breasts will settle into their new position. Because of their smaller size and “perkier” appearance, the breasts often look better in clothes after breast reduction surgery than they did prior to treatment. Patients are also happy to be able to enjoy more active lifestyles than were possible with large, heavy breasts.

Although complications are possible with any surgery, breast reduction has one of the highest patient satisfaction rates, and most complications are uncommon and easily treated.  Careful surgery, as well as patient compliance with post-operative instructions, reduces the likelihood of any complication.  Every patient should avoid aspirin or ibuprofen-containing medications for two weeks before and after surgery, as these medications can increase the risk of bleeding and re-operation.  Vitamin E and herbal medications or supplements should also be avoided as these too can cause bleeding or interfere with anesthesia. 

Breast reduction patients must not smoke or use any kind of nicotine product (patches, spray, or nicotine gum) for two weeks before and after surgery, as nicotine can cause serious circulation problems in the tightened breast skin.  If the circulation is impaired past a critical degree, breast skin or nipple/areolar skin can be lost, requiring prolonged dressing changes, skin graft, or additional revisional surgery, as well as significantly increased scarring.  Even one cigarette or exposure to second-hand smoke can increase these risks to as high as 15-20%. Increased scarring or poor healing can result from poor circulation even in non-smokers, though this is rare.

Infection following breast reduction surgery is exceedingly rare, but is possible with any operation.  Antibiotics are given just before your surgery, and antibiotic/antiseptic irrigation is utilized during surgery.  Oral antibiotics after surgery further reduce the risk of infection.  Care of the incisions after surgery, and avoidance of contact with pets will be necessary, and you will be given detailed information during your follow-up visits to assist you in an uneventful recovery.

Most women with large breasts have some degree of breast asymmetry naturally, and absolute symmetry is both unrealistic and impossible after breast reduction surgery.  If you have more noticeable asymmetry, each breast can be reduced appropriately to improve symmetry to a marked degree.

Contact Minneapolis Plastic Surgery, LTD., serving Minneapolis / St. Paul, Minnesota, for Breast Reduction Surgery

At Minneapolis Plastic Surgery, LTD. Ltd. in Minnesota, breast reduction surgery is performed by our plastic surgeons, Dr. Richard H. Tholen and Dr. Douglas L. Gervais. Both have received special training in breast surgery and are experienced in breast reduction techniques. Please contact our practice, serving the Minneapolis / St. Paul area, to schedule a free consultation with our doctors and learn more about how this procedure may be able to improve your appearance and quality of life.

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Minneapolis Plastic Surgery, LTD.
4825 Olson Memorial Highway (Hwy 55) Suite 200
Minneapolis, Minnesota 55422

Phone: (763) 545-0443
Fax: (763) 545-2784

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