Pain is a very subjective feeling, but most patients tolerate breast reduction very well. Most take oral narcotic medication for 2 – 5 days following surgery, and then may continue on acetaminophen or ibuprofen for a few more days. I have even had a few patients who have not taken any oral pain medication past the first few hours post-op.
Post-op compression and support is very important in helping to reduce patient discomfort, and I usually have patients wear a bra for eight weeks following surgery.
Those women who have suffered from significant neck, shoulder, and/or back pain seem to have less surgical site pain; perhaps because they experience relief of the pain that has plagued them for years. Comparing breast reduction surgery to other common plastic surgical procedures of the breast and body, breast reduction is perhaps tolerated better than any other. Best wishes.