A breast reduction:

also known as reduction mammaplasty

It is indicated, when the size of your breast is disproportionate to the size of your body, and you have a problem fitting your bikini top  swimsuit size with your bikini bottom, and your heavy breasts is causing you neck, shoulders and back pain, and your breast size is interfering with your sportive activities.

On physical examination, you will have  the nipples in a low position, and usually pointing downwards. a notch on the shoulders from the bra straps.

Breast reduction can be done if severe in teenage years.

Breast reduction surgery:

The procedure takes three to four hours, usually  under general anesthesia in the hospital setting. An overnight stay is not usually required. The areola is reduced in size , Dr Paul Audi uses a vertical skin flap, to elevate the nipple areola complex. The lower excessive breast tissue is removed and sent for pathological examination. The breast pillars can be also decreased in thickness if judged bulky. the breast is reconstituted by joining the two pillars forming an internal bra. Incisions are closed meticulously in an inverted T pattern. Drains may be placed in some cases.

The result will be a reduced and lifted breast in harmony with the rest of your body.

Breast Reduction by  Liposuction:

In young teenage girls, or in post-menopausal women with large fatty breasts. Liposuction alone can be done. Small incisions are used. Decreasing the fat volume will allow the breast to be lighter, smaller and will allow a lift.

If you are planning to lose a significant amount of weight.

It is better to do it before breast reduction to avoid that your breast will sag. Also if you gain a significant amount of weight you will regain volume in your breasts. The key is to maintain a stable weight.

If you get pregnant following breasts reduction surgery, you will be most probably able to breastfeed. The technique Dr Paul will not interrupt or interfere with the milk ducts.

Post procedure:

After breast reduction, you will go home the same day or the next day. You will be given instructions to empty your drains, if applicable, and a presription for antibiotics and pain medications. Pain is acceptable and will subside as soreness over the next few days.

It is important to have a ten to fourteen days limited range of motion of your arms, to protect th ehealing suture lines of your areolas, and vertical and horizontal incisions. no exercises or sportive activities for six weeks. Avoid sauna and hot showers for 6 weeks. Wear items that open in the front for 4 weeks , avoid bending, wear slip on shoes for 4 weeks.

A breast compression garment will be worn for 4 weeks .

Bruising might be present and will disappear after three weeks.

Numbness is expected  and change of nipple sensitivity that will subside over the next few weeks.

Swelling is normal and will subside gradually over the next four months.

Bathing is allowed after the first week, when suture will be removed,.

Like any surgery, there is a risk of complications like:

Hematoma or seroma that might require drainage or aspiration
Wound infection


Unsatisfactory results that may necessitate additional procedures.
Blood clots in the legs or lungs.

By following your doctor instructions you can minimize the occurrence of such complications.