Breast Reduction Recovery

I want to have a breast reduction surgery, but after seeing pictures of patients whose operation went very wrong, I got worried and discouraged. Why do some patients who have breast reduction surgery end up with dead tissue and really awful wounds? How can you prevent that? Is it the doctor's fault? If the operation goes great and the patient follows the post operation treatment correctly, can still this happen? If the doctor I'm seeing is a member of the ISAPS, can I be assured that he won't do anything wrong? Please, I'm really really worried.

Doctor Answers (36)

Breast reduction recovery


Most patients do quite well after a breast reduction procedure. The surgery involves removing breast tissue, fatty tissue and skin with no involvement of the muscle, which makes for a relatively smooth recovery. Most patients will take 3-4 days off work, during which time they will take narcotics before transitioning to tylenol. A surgical bra ( no underwire) will be worn for four weeks after surgery prior to a regular bra.

Activities with the arms should be minimized for the first week or so, but soon after surgery, most patients can have full range of motion of their arms and resume most regular activities. Remember, this is a much different recovery than a breast augmentation for example, where the pectoral(chest) muscle is divided and needs several weeks/months to heal.

Please consult with a board certified plastic surgeon for more information regarding breast reduction surgery and its recovery.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 144 reviews

Breast Reduction Normally Surprisingly Easy


Many patients share your concerns, but the occurrence of complications is fortunately small.

There are factors that can increase risk, like smoking, obesity, and diabetes.

During consultation, discuss your concerns directly and openly with your surgeon to determine whether your surgery carries more than average risk.

No surgeon can guarantee surgery without complications or a specific result.  Even the best experts experience complications.  It does help to choose an experienced and well qualified surgeon with a known reputation for excellence in breast reduction.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.0 out of 5 stars 12 reviews

Breast Reduction Recovery

Breast reduction surgery tends to have a high patient satisfaction rate.  Not only are you able to eliminate symptoms such as neck and back pain in many cases, but also benefit from the aesthetic outcome.  I use the vertical breast reduction technique that avoids the bottom horizontal scar.  Since switching to this technique I have found that my patients have less pain postoperatively and are able to return to work within a couple of days with just over the counter pain medication as needed.  A supportive postoperative bra is worn for 4-6 weeks and regular exercise can resume in 4-6 weeks depending on the healing.

Quintessa Miller MD FACS
San Antonio Plastic Surgeon

Quintessa Miller, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 5 reviews

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Recovery Process Following Breast Reduction

         Breast reduction is a commonly performed procedure that is associated with high satisfaction rates. This procedure improves quality of life and alleviates symptoms associated with breast hypertrophy.
         It’s important to remember that recovery varies from patient to patient. The vast majority of patients have uneventful recoveries, but occasionally patients do have complications. These are usually related to problems with wounds healing and occur for a variety of reasons.
         Breast reduction not only makes the breast smaller but lifts the breast into a normal position. This requires the development of skin flaps and the removal of excess skin. These skin flaps, occasionally have compromised blood supply which can lead to wound healing problems.
         Infection, obesity, diabetes and cigarette smoking have all been shown to adversely impact blood flow to skin flaps and are associated with wound healing problems. Every effort should be made to minimize the impact of these risk factors. This will ultimately result in fewer wound healing problems and less scarring.
         It’s also important to make sure that your surgeon has experience performing breast reduction and is board certified in plastic surgery. Scarring in inevitable with any surgical procedure, but with proper care this can be minimized following breast reduction surgery.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 76 reviews



Most breast reduction patients heal well and quickly after their procedure.  Absence of complications is the usual case although some minor complications may occur.  Comormidities  such as smoking, obesity, and  diabetes cause an increase in complications.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 38 reviews

Complications after Breast Reduction?

Thank you for the question.
On the one hand, complications after breast reduction surgery are rare  and mostly relatively minor.
On the other hand, complications can occur in the best of surgeons' hands. Membership in specific societies does not necessarily guarantee complication free surgery.
The best that you can to is to do your due diligence in  surgeon selection.
Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 718 reviews

Breast Reduction Recovery


For the vast majority of patients, the breast reduction procedure may creat tremendous satisfaction. However, patient selection is key.  During the consultation process, the board certified plastic surgeon must understand your needs, desires, lifestyle, medical condition and medical history before determing if a patient would make a good candidate.  

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 16 reviews

Multiple reasons


Breast reduction surgery is very common and any major complications are low. The wound problems you are seeing can be minimized decreasing the amount of breast tissue that is removed, no smoking for three months before and 1 mo after the surgery.

Even under the most expert hands problems with wound healing can occur in breast reduction surgery as any surgery. If you see a plastic surgeon who says he does not have any of these problems then he is not being truthful with you.

Ultimately the operation is very safe AND patients are extremely happy with the way they look and feel.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast Reduction complications

No one can assure you nothing will go wrong, but this is an elective surgery and PSs would not perform this procedure if things went wrong all the time. Choose a surgeon that has been in practice and has photos and patients to refer you to allow you to be come more familiar with their work and satisfied patients. Wound healing problems along incision do occur in breast reductions that require local would care. Large tissue loss and loss of Nipple areolar complex is rare. No smoking is a great rule to adhere to in this procedure. With your high level of concern you might not be the perfect candidate for this procedure…..but I will say my patients that are similar with anxiety are usually very very happy they went thru the procedure with their new smaller lifted breast with reduction of their pain.

David Liland, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 8 reviews

Breast Reduction Recovery

One of the most common causes for a prolonged recovery and complications are when patients do not follow their post-op indications. It tends to happen that patients feel very good after surgery and that can be very deceiving, even if you are feeling like have had nothing done you did and need to very cautious and still follow the instructions your plastic surgeon gives you, a bad movement can put your surgery at risk and ultimately cause a bad outcome. Also what does contribute is your genes patients you tend to not scar well is not the Doctor's fault it is just how their body heals. Just follow your indications and go to your follow-ups do what your Plastic Surgeon recommends and you should be good.

Luis Suarez, MD
Mexico Plastic Surgeon
5.0 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.