5 Myths About Breast Reduction Surgery

Breast reduction surgery, or reduction mammoplasty, is a procedure that offers immense relief and improved quality of life for those struggling with large, heavy breasts. In fact, breast reduction has one of the highest satisfaction rates, with 95% of patients saying they would do it again.¹ Despite its benefits, there are several common misconceptions that persist about this transformative procedure. Here we’ll explore five myths and provide insight on the facts.

Myth 1: Breast Reduction Leads to Unsightly Scars

Fact: Concerns about scarring are common, but experienced board-certified plastic surgeons use advanced surgical techniques to minimize the appearance of scars. Techniques such as the vertical or “lollipop” incision and the “anchor” incision are designed to make scars less visible. Dr. Lisa Cassileth pioneered the Pocket Lift reduction, a technique that requires no tension on the skin, creates upper pole fullness, and greatly improves scar outcomes. Additionally, post-operative care and treatments, including silicone sheets and gels, can further reduce scarring.

Myth 2: You Can’t Breastfeed After Breast Reduction

Fact: There is no difference in the ability to breastfeed after breast reduction surgery compared to those who have not had the procedure.² While some women may experience changes in their ability to breastfeed, many are still able to produce milk post-surgery. During the procedure, surgeons aim to preserve as much of the breast tissue and milk ducts as possible to maintain breastfeeding capability and can employ surgical techniques to preserve the column of subareolar parenchyma to ensure the likelihood of successful breastfeeding following reduction mammoplasty.³

Myth 3: Breasts Have to Be a Particular Size to Qualify for Breast Reduction

Fact: There is no minimum breast size required to be considered a candidate for breast reduction surgery. The primary factors surgeons consider are whether the breast size causes physical discomfort, such as back, neck, and shoulder pain, or mental health issues, such as self-consciousness and emotional distress. Insurance companies also take these factors into account when determining coverage for the surgery.

Myth 4: You Will Lose Sensation in the Breasts and Nipples After Breast Reduction

Fact: It is a common misconception that breast reduction surgery inevitably leads to a loss of sensation in the breasts and nipples. While some patients may experience temporary changes in sensation due to swelling and healing, permanent loss of sensation is rare. By avoiding the inferolateral quadrant, surgeons can preserve the intercostal nerve that provides sensation to these areas. Most patients report that normal sensation returns within a few months post-surgery.

Myth 5: Breast Reduction is Only for Women

Fact: Breast reduction surgery is not exclusive to women. Men suffering from gynecomastia, a condition characterized by enlarged male breast tissue, can also benefit from male breast reduction surgery. This procedure creates a more masculine chest contour, boosting their confidence and comfort. The stigma surrounding male breast reduction is diminishing as more men seek treatment for this condition.

Learn More About Breast Reduction

Understanding the facts about breast reduction surgery can help patients make informed decisions about their care. Breast reduction can be a life-changing procedure that enhances both physical comfort and overall well-being. Consulting with a board-certified plastic surgeon specializing in breast procedures, like Dr. Cassileth, can provide the opportunity to discuss your goals, expectations, and medical history to determine if this procedure is right for you. Contact us today to schedule a consultation and learn more about your breast reduction options.

¹ Annals of Plastic Surgery. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? https://pubmed.ncbi.nlm.nih.gov/22964671/. Accessed August 2, 2024.
² Journal of Plastic, Reconstructive & Aesthetic Surgery. The effects of breast reduction on successful breastfeeding: a systematic review. https://pubmed.ncbi.nlm.nih.gov/19692299/. Accessed August 2, 2024.
³ PLoS One. The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. https://pubmed.ncbi.nlm.nih.gov/29049351/. Accessed August 2, 2024.
⁴ ePlasty. Plastic Surgery of the Breast: Keeping the Nipple Sensitive. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492192/. Accessed August 2, 2024.