Large breasts can often be more than a cosmetic concern, leading to physical discomfort and limiting daily activities. Many women have muscle pain as well as skin irritation and difficulty finding clothing that fits comfortably. These challenges can interfere with overall well-being and quality of life. Breast reduction surgery at Tarola Plastic Surgery in Murfreesboro, TN, can help alleviate the strain caused by heavy breasts. By addressing the physical burdens of large breasts, this surgery can help restore comfort and improve mobility.
What Is Breast Reduction Surgery?
Breast reduction surgery removes excess breast tissue, fat, and skin to create a smaller, more proportional breast size. This surgical approach focuses on relieving physical discomfort caused by overly large breasts, such as back pain and restricted mobility. It also reshapes the breasts for improved symmetry and balance.
Reasons for Breast Reduction
- Physical Relief: Breast reduction surgery can help alleviate the persistent discomfort associated with overly large breasts. Many patients experience chronic back, neck, and shoulder pain caused by the weight of excess breast tissue. This surgery can provide physical relief and make daily activities more manageable.
- Improved Posture: The strain caused by heavy breasts can lead to poor posture over time which may worsen physical discomfort. After breast reduction surgery, the reduced weight can make it easier for your body to maintain a more natural and upright posture and reduce tension on the spine and surrounding muscles.
- Reduced Activity Restrictions: Large breasts often make physical activities, such as exercise or sports, uncomfortable or difficult. Breast reduction surgery removes these limitations by lightening the load and improving mobility. You may find it easier to engage in activities you once avoided.
- Improved Skin Concerns: Excess breast tissue can cause skin irritation, rashes, or infections in the folds beneath the breasts. Breast reduction surgery addresses these concerns by reducing the size and reshaping the breasts so there is less chafing and more breathability.
Additional Benefits of Breast Reduction
Improved Fit and Availability of Supportive Undergarments
Finding bras that offer proper support and comfort can be frustrating when breast size exceeds standard sizing ranges. If you have more limited options, you may have to settle for bras with straps that dig in or bands that fail to sit correctly against the body, or you may have to pay more for custom options. Breast reduction can make it easier to shop from a wider selection of bras designed for everyday wear and physical activity.
Improved Proportions
Reducing breast volume can create proportions that feel more aligned with your frame and natural shape. Breast size can sometimes feel out of balance with the rest of the body, and for some, it may draw unwanted attention or make certain styles feel uncomfortable. During your appointment, we may discuss how proportional balance can impact you in casual and professional settings.
Achievement of Aesthetic Goals
Some patients pursue breast reduction to better align their physical appearance with personal aesthetic preferences. A smaller breast size can allow for clearer definition of the waist and upper body contours. Our surgical planning takes into account your shape and the position of your breasts so that we can give you results that look natural with the rest of your body and fit the vision you have for your appearance.
Is Breast Reduction Right for You?
We look at overall health, lifestyle factors, and expectations to determine if this surgery is a good fit.
You may be a good candidate if you:
- Are in good health and able to undergo surgery with a reasonable recovery time
- Feel that breast size affects daily comfort, clothing choices or physical confidence
- Have realistic expectations about surgical outcomes and scarring
- Are at a stable weight, since significant changes can affect results
Breast reduction may not be recommended if you:
- Have certain medical conditions that interfere with healing
- Plan to become pregnant in the near future
- Smoke or use nicotine and are unwilling to stop before and after surgery
- Expect perfection rather than improvement
Preparing for Your Surgery
Breast Reduction Consultation
Every surgery starts with a consultation process. We value open communication with our patients, and we listen and provide all of the information needed for each person to make informed decisions about their bodies. During each consultation, we closely review medical history and discuss what can reasonably be achieved given the patient’s anatomy.
Preoperative Instructions
Certain medications and supplements, like blood thinners, may need to be avoided before surgery to support proper healing. Preparing your home in advance can also make recovery smoother. Freeze some meals ahead of time, keep all of the essentials handy, and set up a comfortable area for you to rest in when you get home. Arranging for someone to help with household tasks during the first few days after surgery can give you the time and space you need to recover comfortably. This is especially important if you have small children to care for or other important tasks that need to be done.
What to Bring on Surgery Day
On the day of surgery, wear loose-fitting clothing that is easy to put on, such as a button-up or zip-up top. Have your ID, insurance details, and required forms from your surgeon’s office ready. Packing a small bag with items like lip balm, your phone, and a charger can help you feel prepared and at ease.
Prescriptions and Post-Operative Supplies
Fill any prescriptions provided by your surgeon before your procedure so they’re ready when you return home. Gather supplies like gauze, ice packs, and post-operative garments recommended during your consultation. Having these items within reach helps you have a more comfortable transition into the recovery process.
Breast Reduction Techniques and Incisions
Anchor (Inverted-T) Incision
The anchor incision is often used when more tissue needs to be removed or when reshaping is more complex. Incisions are placed around the areola, vertically down the breast, and along the natural fold beneath the breast to allow for greater access and contouring control. This approach allows us to address both size and shape while repositioning the breast for a more balanced appearance. Scar placement follows natural contours to help them blend with the body.
Vertical (Lollipop) Incision
The vertical incision uses a circular incision around the areola combined with a vertical line down the breast. This technique may be appropriate when moderate reduction and reshaping are desired. It allows for improved contour while limiting the extent of scarring beneath the breast fold. We evaluate breast shape, skin quality, and tissue density when determining whether this approach is suitable.
Periareolar (Donut) Incision
The periareolar incision is limited to the border around the areola and is typically reserved for smaller reductions. Access is more limited with this technique, which means it is not appropriate for extensive size changes.
Glandular vs Fatty Tissue Removal
Breast composition varies from person to person, with some breasts containing more glandular tissue and others more fatty tissue. We take this into account during surgical planning since glandular tissue requires precise removal to reshape the breast, while fatty tissue responds differently to reduction techniques. We review these details during consultation to create an individualized plan.
Repositioning of the Nipple-Areola Complex
As breast volume is reduced, we may also reposition the nipple-areola complex to align with the new breast shape. We are always careful in this area to preserve sensation and circulation while making the placement look natural. These positioning decisions are made with long-term symmetry and aesthetics in mind.
How Breast Anatomy Influences Technique Selection
Breast shape, tissue density, skin elasticity, and chest width all influence how a reduction is planned. Denser glandular breasts require different reshaping methods than breasts with a higher proportion of fatty tissue, since each responds differently to surgical adjustment. Skin quality also matters because firmer skin may hold shape more readily, while looser skin may require additional contouring support. We evaluate everything from the nipple’s position to breast base width to find the right incision placement and reshaping strategy.
Your Breast Reduction Procedure
An Overview of Your Surgery Day
On the day of your breast reduction, you’ll arrive at our surgical facility and check in with us. Once settled, you’ll meet with your surgeon to review the plan and make sure all your questions are answered. You will be prepared for surgery, and a member of the anesthesia team will help you feel comfortable before the procedure begins.
Details About Your Surgery
During breast reduction surgery, you’ll be under general anesthesia to keep you comfortable. Your surgeon will make incisions and remove excess breast tissue, fat, and skin while reshaping the breasts. The incisions will be carefully placed to minimize visibility, and all sutures will be beneath the skin surface and dissolvable. Skin glue will cover the incision area, eliminating the need for traditional dressings. After surgery, your chest will be wrapped in a compression garment to support healing and reduce swelling.
The Recovery Process
The First 24 Hours
During the first 24 hours of your breast reduction recovery, your compression garment will remain in place to provide support and minimize swelling. After this period, you can remove it and take a shower. Light physical activity, such as walking around your home, is encouraged to promote circulation. Stick to easy-to-digest foods and follow the pain management plan outlined by your surgeon. When resting or sleeping, keep your upper body slightly elevated to reduce discomfort and swelling.
Post-Operative Care Instructions
As part of your breast reduction recovery, you’ll need to wear a sports bra or soft cup bra continuously for the first two to three weeks. These garments will support the healing tissues while reducing movement. Avoid heavy lifting or any movements that could strain your chest area during this time. Allow yourself to rest and don’t engage in any strenuous exercise.
Scar Care
We can help you in the weeks and months after your surgery to heal your scars as effectively as possible. While there will be scarring, the appearance can be minimized using healing methods such as silicone-based gels or sheets. Sun exposure can darken scars so be sure to cover the area with clothing and sunscreen when outdoors.
Follow-Up Visits
During follow-up appointments, your surgeon will monitor your progress, address any concerns, and provide additional instructions as needed. These visits also allow for personalized adjustments to your recovery plan to help you achieve the best possible outcome.
Your Recovery Timeline
- Week One: Early healing should be focused on rest, incision care, and limiting arm movement to make sure you are not straining the incision areas. Expect swelling and tightness during this phase as the body adjusts after surgery.
- Weeks Two to Three: Your energy levels may begin to improve during this time, and light daily activities may feel more manageable. You will have a follow-up so we can check your progress and answer questions you may have about healing. Continue to wear support garments.
- Weeks Four to Six: Your surgeon may begin to ease physical restrictions as your breasts settle into a more natural position. You can begin to reintroduce exercise and lifting gradually based on your individual healing patterns.
- Long-Term Healing: There can be subtle changes in shape and softness as the body completes the healing process. During this time, you can focus on helping your scars heal.
How to Manage Swelling and Discomfort
Swelling, firmness, and a feeling of pressure across the chest are common during early healing, along with periods of soreness that can shift as tissues adjust. Temporary numbness or heightened sensitivity around the breasts or nipples may occur as nerves respond to surgical changes, and sensation often improves gradually as healing continues.
You can manage swelling and discomfort in the first week with prescriptions and gentle ice in 15-20 minute increments. We recommend contacting our office if you notice sudden increases in swelling, unusual warmth, persistent redness, or discomfort that feels out of proportion to the healing stage.
What to Expect From Your Breast Reduction Results
Breast reduction surgery provides immediate relief from the physical discomfort caused by overly large breasts, with noticeable changes to your breast size and shape right after the procedure. Swelling and bruising are common in the initial weeks, and these will gradually subside as your body heals. While you’ll see substantial improvements within the first few months, your final results will become more apparent over the following 6–12 months as the tissues settle, swelling goes down and scars continue to fade.
Combining Breast Reduction With Other Surgeries
Breast reduction can sometimes be performed alongside other surgical procedures. Combining treatments may be considered for patients who are in good overall health and have clear goals that can be addressed safely during one operative period. Planning this type of surgery involves balancing recovery demands and considering incision placement and overall body proportions. For some, it can reduce the overall time spent in recovery or away from work by combining multiple recoveries into one.
Breast reduction may be combined with procedures such as:
- Liposuction, which can refine areas like the flanks, abdomen, or upper back to improve overall contour
- Breast lift, when additional reshaping or elevation is desired beyond volume reduction
- Tummy tuck, often selected to address abdominal skin laxity and muscle separation
- BBL, when volume transfer is planned to enhance lower body contours
Mommy makeover, which may include a customized combination of several of the above procedures (or others) following pregnancy
Frequently Asked Questions About Your Breast Reduction Surgery
Who Is a Good Candidate for Breast Reduction?
Ideal candidates for breast reduction surgery are individuals experiencing physical discomfort or limited activity due to large breasts. Those who are in good overall health and have realistic expectations for the results of the procedure are the best fit. A consultation with your surgeon can help determine if this surgery aligns with your goals.
Can A Breast Lift Be Combined With a Breast Reduction?
A breast reduction and lift are often performed together to address both size and shape. While the reduction focuses on removing excess tissue and volume, the lift reshapes and elevates the breasts to a more youthful position. Doing both can balance your center of gravity even more and produce beautiful and natural-looking results.
How Long Does the Surgery Take?
Breast reduction surgery typically takes two to four hours, depending on the complexity of the procedure and the amount of tissue being removed. Your surgeon will discuss the expected timeline during your consultation, including preparation and post-surgery recovery time in the facility before going home.
Are the Results Permanent?
The results of a breast reduction are permanent since the removed tissue does not grow back. However, factors like weight fluctuations, pregnancy, and aging can still impact the size and shape of your breasts. The best way to maintain your results is to keep your weight stable and care for your skin to keep it healthy and elastic.
What Are the Risks or Complications Associated With Breast Reduction?
As with any surgery, breast reduction carries some risks, including infection, changes in nipple sensation, or delayed wound healing. We always take steps to minimize these risks and provide you with detailed instructions for post-operative care. Following our guidelines supports a smooth recovery.
Will I Still Be Able to Breastfeed After Surgery?
Breastfeeding may still be possible after breast reduction surgery, but it depends on the techniques used and the extent of tissue removal. Bring up your plans for breastfeeding with us during your consultation so we can discuss this important topic and make adjustments to the surgical plan as needed.
What Kind of Scarring Can I Expect?
Scars from breast reduction surgery are typically located around the areola and vertically down to the breast crease, sometimes extending horizontally along the crease. These scars will fade over time with proper care, and your surgeon may recommend treatments to improve their appearance.
How Much Breast Tissue Is Typically Removed?
The amount of tissue removed varies based on breast size, body frame, and physical concerns discussed during consultation. Some reductions focus on modest volume changes, while others involve a more substantial decrease to address functional issues. We take detailed measurements to make sure we are removing the right amount for you, and considerations go beyond cup size. Each stage of surgical planning centers on creating balance with the rest of the body.
Can Asymmetry Be Corrected?
Natural differences between breasts are common and can be addressed during breast reduction surgery. Adjustments may be made to volume, shape, or nipple position to improve balance between the breasts. Complete symmetry is not always possible, but noticeable differences can often be reduced, and we will review these details in advance so you can have the right expectations for your results.
What Happens If My Weight Changes After Surgery?
Breast tissue responds to weight fluctuations since fat content may increase or decrease with body weight. Moderate changes in your weight will likely not dramatically alter your results, but more significant weight gain or loss may affect breast size and shape. We recommend maintaining a stable weight once you have had your surgery, and we can discuss timing considerations if you plan to have any major weight changes in the near future.
When Can I Sleep on My Side or Stomach?
You will need to sleep on your back in a slightly elevated position during early healing to decrease swelling and avoid putting pressure on the breasts. After several weeks, side sleeping may become more comfortable. You may have to avoid stomach sleeping until healing is well established and your surgeon says that it is okay again. Everyone is different when it comes to healing and staying comfortable during sleep.
How Much Does Breast Reduction Cost?
A detailed estimate is provided after consultation once surgical goals and technical considerations are clearly defined. The cost of breast reduction varies based on factors such as surgical complexity, anesthesia, facility fees, and whether additional techniques are incorporated into the surgical plan. Individual anatomy and the amount of reshaping required can also influence pricing. Our transparency during your consultation around fees will help you plan confidently and without surprises.
Does Insurance Cover Breast Reduction?
Insurance coverage for breast reduction depends on whether the surgery meets specific medical criteria outlined by each specific insurance provider. Coverage often requires documentation showing that breast size contributes to physical symptoms and that conservative treatments have been attempted. Approval standards differ between insurers, and coverage is never automatic. You will need to check with your individual insurance provider for specific information.
Meet Your Surgeon
Dr. Nicholas Tarola, a board-certified plastic surgeon, leads Tarola Plastic Surgery with a focus on cosmetic and reconstructive procedures. With a specialized emphasis on breast and body surgery, Dr. Tarola is dedicated to helping patients achieve natural, balanced results through advanced techniques. His focus is on listening to each patient and customizing surgical plans to fit the situation.
Surgeries are performed at a fully accredited facility in Murfreesboro, TN, where we prioritize patient safety and comfort. Dr. Tarola and his experienced team are committed to providing compassionate care and a seamless experience from consultation to recovery.
Why Choose a Board-Certified Plastic Surgeon for Your Breast Reduction
Board certification confirms that a plastic surgeon has completed rigorous training, passed comprehensive exams, and adheres to high standards of safety, ethics, and skill. It’s important to verify that the certification is from the American Board of Plastic Surgery (ABPS), the only board recognized by the American Board of Medical Specialties for plastic surgery of the face and body.
Not all certifications are equal, and some may come from boards that lack the same surgical depth or specialization in plastic surgery. Dr. Nicholas Tarola is certified by the American Board of Plastic Surgery and has extensive training in reconstructive and aesthetic procedures, including breast reduction.
Out-of-Town Breast Reduction Patients
We welcome out-of-town patients who would like to travel to Murfreesboro for breast reduction. We provide guidance to help simplify planning from the first consultation through recovery. Virtual consultations are available for those who prefer to begin the process remotely, during which you can discuss goals, review your medical history with your surgeon, and begin planning for travel and recovery.
Local hotels are located close to our office, and we can help coordinate lodging, transportation, and post-operative needs. Surgical care takes place at our Murfreesboro location, as well as follow-up appointments. We advise out-of-town patients to stay in the area for several days after surgery so they can attend follow-up appointments and be monitored appropriately by Dr. Tarola.
Schedule Your Breast Reduction Consultation to Reclaim Your Comfort
Breast reduction can provide relief from physical discomfort, improve mobility, and create a more proportional appearance. At Tarola Plastic Surgery in Murfreesboro, TN, we offer expertise and guidance to help you achieve results that enhance your comfort and quality of life. To learn more or schedule a consultation, call (615) 624-8914 or contact us through our online form.
