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Practical Information
Plastic Surgery
- Reduce breast size;
- Lift the areola and nipple (correct sagging breasts);
- Correct breast asymmetry.
2 to 3 hours
General anesthesia
Outpatient surgery or hospital admission, depending on the surgeon’s recommendation.
2 to 3 weeks
What Is Breast Reduction?
Breast reduction, technically known as reduction mammoplasty, is a surgical option for women who wish to reduce the size and weight of their breasts, lift the areola and nipple, and, when necessary, improve breast symmetry.
Breast reduction can help relieve physical discomfort, improve posture, and restore more balanced body proportions.
How is it performed?
Breast reduction surgery involves an incision around the nipple-areola complex, a vertical incision extending from the areola to the inframammary fold, and a horizontal incision along the fold, resulting in an inverted-T (anchor-shaped) scar.
These scars generally become much less noticeable after about a year, particularly the vertical and periareolar scars (around the nipple). The scar along the inframammary fold is naturally concealed within the crease beneath the breast, and its length depends on the amount of skin and breast tissue that needs to be removed.
It is natural to have concerns about the scars resulting from the procedure. At Living Clinic, our commitment to your well-being goes beyond achieving your desired aesthetic results. We also aim to ensure a smooth recovery and minimise the visibility of scars.
Scar care does not end with the surgical procedure itself. We provide detailed postoperative care instructions to promote optimal healing.
Who is this surgery for?
Breast reduction surgery is suitable for women who wish to reduce the size of their breasts for aesthetic, health, or well-being reasons, such as back or neck pain, posture problems, skin irritation beneath the breasts caused by friction and moisture, deep marks on the shoulders from bra straps, among others.
This surgery can also correct breast asymmetry and lift the areola and nipple, improving the appearance of sagging breasts.
Expected Results
The final results of breast reduction surgery are usually visible after approximately 4 months. The aim is to achieve a reduction that is balanced both aesthetically and clinically, helping to relieve physical discomfort, such as back pain.
Breast reduction surgery can also improve breast symmetry and lift the areola and nipple.
After surgery, patients often report increased self-esteem and self-confidence regarding their body image.
The results are generally long-lasting, provided there are no significant weight fluctuations or pregnancies after surgery.
Breast Reduction Post-Surgery and Recovery
As breast reduction surgery is usually performed as an outpatient procedure, you will need to remain under observation for as long as necessary to receive pain relief and ensure that any surgical drains are functioning properly. You will then be discharged.
Generally, 24 to 48 hours after discharge, patients should return to the clinic for drain removal, following daily monitoring by the surgeon. If recommended by the surgeon, you may also undergo your first lymphatic drainage session.
During the postoperative period, wearing a compression bra is essential. The compression bra should be worn day and night for 6 to 8 weeks. Lymphatic drainage sessions may be performed twice a week.
It is normal to experience some discomfort when performing certain movements, such as moving your arms. However, this type of pain is usually tolerable and can generally be managed with painkillers.
All scar care instructions will be explained in detail by the surgeon.
The recovery period and time away from normal activities will depend on the type of activities you perform.
Frequently Asked Questions
How long does recovery take after breast reduction surgery?
Recovery time after breast reduction surgery can vary from person to person, depending on several factors, including the extent of the reduction, the patient’s general health, and how well they follow postoperative instructions.
In the first few days after surgery, it is common to experience discomfort, swelling, and pain in the breasts. Patients may need painkillers prescribed by their surgeon to relieve the pain. It is important to rest and avoid physical activities for the period recommended by the doctor.
Generally, patients can return to work and social activities from around the fourth day after surgery, while physical exercise should only be resumed after approximately one month.
Sunbathing should be avoided during the first month, and sauna use should be avoided for approximately three months.
Is there a risk of losing nipple sensitivity after breast reduction surgery?
With current surgical techniques, nipple sensitivity may be slightly reduced immediately after surgery, usually recovering within around three weeks. Complete loss of nipple sensation is very rare.
How painful is breast reduction surgery?
Recovery after breast reduction surgery is generally not very painful. It is normal to experience some discomfort when performing certain movements, such as moving your arms. However, this type of pain is usually tolerable and can generally be managed with painkillers.
At what age can you have breast reduction surgery?
Breast reduction surgery can generally be performed once breast development is complete, usually around the age of 18. However, in cases of severe juvenile breast hypertrophy (also known as virginal breast hypertrophy), surgery may be considered at an earlier age.
Can breasts grow back years after breast reduction surgery?
Yes, breasts can increase in size again years after breast reduction surgery, although this is not very common. Several factors may contribute to this:
1. Hormonal changes
Hormonal changes, such as those associated with menopause, pregnancy, contraceptive use, or hormone therapy, may stimulate breast tissue growth.
2. Significant weight gain
Fat makes up a substantial proportion of breast tissue. If a patient gains a significant amount of weight, the increase in fatty tissue may lead to an increase in breast volume.
3. Pregnancy and breastfeeding
During pregnancy, the body prepares the breasts for breastfeeding, which may cause a temporary or permanent increase in breast size, even after surgery.
4. Age and metabolism
Metabolism changes over time, and the redistribution of body fat associated with ageing may affect breast volume.
5. Genetic factors
Some patients have a genetic predisposition to larger breasts. In rare cases, breast growth may occur again over time, even without significant external changes.
Can I breastfeed after breast reduction surgery?
Yes, breastfeeding is possible after breast reduction surgery. However, the procedure may affect milk production, depending on the surgical technique used and whether the milk ducts and nerves are preserved.
If you are planning to become pregnant and breastfeed in the future, it is important to discuss this with your plastic surgeon during your initial consultation.
What is the difference between breast reduction and mastopexy?
The main difference lies in the purpose of each procedure. Breast reduction, also known as reduction mammoplasty, aims to reduce breast volume and weight, while also allowing the areola and nipple to be lifted.
In contrast, mastopexy, also known as a breast lift, primarily aims to lift and reshape the breasts without necessarily reducing their volume.
The choice of procedure depends on the characteristics of the breasts and each patient’s individual goals.
Plastic Surgeon
[Medical License #53318]
Dr. Francisco Martins de Carvalho is a specialist in Plastic, Reconstructive and Aesthetic Surgery. He completed his degree in Medicine at the School of Medicine of the University of Oporto and the Internship in Specific Training in Plastic, Reconstructive and Aesthetic Surgery took place at Hospital de São José (Lisbon) and Hospital de São João (Oporto).
Dr. Francisco Martins de Carvalho performed several internships, namely on Oncology Surgery of the Head and Neck at the Portuguese Institute of Oncology – Oporto and a fellowship of Hand Surgery, organized by the Portuguese Society of Hand Surgery. He also performed international internships in Aesthetic Surgery, Breast Reconstruction and Lymphedema at the Clinic Planas – Barcelona, at the University Hospital of Brussels and at the Villa Sant’Apollonia Clinic – Bergamo, having contacted with references in Plastic Surgery such as Dr. Jaume Masià, Dr. Moustapha Hamdi and Dr. Enrico Robotti.
Currently, he is also a plastic surgeon at the Hospital de São João – Oporto, and an Invited Lecturer at the School of Medicine of the University of Oporto.
In the field of cosmetic surgery, he has a special interest in facial cosmetic surgery, breast cosmetic surgery, body contouring surgery and vaginal cosmetic surgery.
What is the Price of Breast Reduction?
At Living Clinic, the price of breast reduction surgery ranges from €3750 to €4750.
The final cost of the surgery depends on several factors, so an individual assessment is required.
Schedule a consultation to receive a personalised quote and have all your questions answered.
Plastic Surgery Testimonials
“Dr. Francisco Martins De Carvalho doesn’t forget the smallest detail. He seeks perfection and finds it. A unique and sublime talent. I woke up with the body of a teenager (I’m 41). Thank you for making me smile.”
“Very attentive doctor, very helpful and friendly receptionist. Welcoming and pleasant environment.”
“I had a gynocomastia surgery about two weeks ago, performed by Dr. Carvalho. The surgery went exactly as he outlined during the consultation. The process was very smooth and painless. Even though it’s only been two weeks, it feels like I never had surgery, and the result is truly flawless. Dr. Carvalho provided very detailed […]
“One of the best surgeons, I’m so grateful for the excellent work he did with me! A perfectionist!! I couldn’t be happier with the results! Thank you, Dr. Francisco Carvalho!”
“Dr. Francisco Carvalho is undoubtedly the best plastic surgeon with a very promising future ahead. His dedication, responsibility, professionalism, concern for patients, sensitivity, and humility are second to none. I highly recommend him. Thank you, Dr. Francisco, and the entire team for everything, but especially Dr. Francisco Carvalho. I recommend this plastic surgeon to anyone […]
LOCATION
Where to have breast reduction in Porto?
Have your breast reduction surgery at Living Clinic with maximum safety and natural-looking results! We are located at Av. da Boavista 117, 6th floor, Room 607, 4050-115 Porto, Portugal.
Schedule a consultation with the plastic surgeon to hear his recommendation for your specific case and clarify all your questions.
