Reduce breast volume and weight to relieve discomfort, improve posture, and achieve a breast size in harmony with your frame — with careful preservation of shape and sensation where possible.
Breast reduction (reduction mammaplasty) decreases the size and weight of the breasts by removing excess tissue and reshaping the remaining breast mound. Common incision patterns include periareolar with vertical limb, inverted-T, or variations chosen by skin elasticity and degree of reduction.
Goals include relief of neck, shoulder, and back symptoms from heavy breasts, improved ability to exercise, and a more balanced silhouette — while maintaining a natural breast aesthetic.
Women with persistent symptoms related to large breasts — such as shoulder grooving from bra straps, rashes under the fold, or limitation in activity — may be candidates once breast development is complete and health is stable.
Smoking cessation, realistic expectations about scars, and discussion of future breastfeeding and sensation are important parts of informed consent.
Potential improvement in physical symptoms linked to breast weight
More proportional breast volume relative to chest and hips
Lift effect combined with volume reduction in the same operation
Personalised incision planning based on tissue quality and goals
Consultation & markings
Photography, measurements, discussion of scar pattern, volume goals, and medical screening.
Tissue resection & shaping
Controlled removal of gland and fat with pedicle design to support the nipple-areola complex.
Closure & dressings
Layered closure, supportive dressings or garments as planned.
Follow-up pathway
Wound checks, activity progression, and scar care once healing allows.
Expect swelling, tightness, and restricted arm movement initially. Wear the surgical bra or garment as directed and avoid heavy lifting until cleared.
Monitor incision lines for healing; attend all reviews for stitch timing if non-dissolvable sutures are used. Nipple sensation changes can occur and often improve over months.
Next step
Arrange a confidential consultation to review options, alternatives, and a personalised plan with Dr. Manandhar.
