There may be many different reasons for sagging breasts. Generally, incompatibility between the tissue and the skin may occur due to reasons such as loosening of the ligaments that hold the breast tissue in place, weight changes, breastfeeding and gravity. This condition is called sagging breasts. Another reason affecting breast sagging is the size of the breast. Generally, women with very large breasts experience sagging problems as well as various other problems.

Those who apply for breast reduction surgery are generally women in the middle-to-advanced age group and mostly in the postpartum period, in contrast to those applying for breast enlargement surgery. This problem, which is mostly structural, can occur after rapid weight gain and loss and sometimes pregnancy. Breast reduction surgery can be performed on patients of all ages suffering from these problems. Breasts that are large compared to the body are a problem that causes serious back pain, skin irritations and affects social activities such as running and walking. Breast reduction is a surgery that increases a person’s self-confidence and improves their quality of life and health standards.

In breast reduction surgery, we generally prefer techniques that leave an inverted T-shaped scar around the nipple and extending downwards. These inverted T-shaped scars are completely hidden inside the bra, and even if a bikini is worn, the scars are not visible from the outside.

Although these scars are more visible in the first 6-12 months, they fade over time after the 12th month. The important thing here is to decide whether you wish to accept the scars and have a comfortable and ideal breast form, or whether you wish not to accept the scars but have breasts you are not satisfied with. Scars are minimized by using special creams and, if necessary, special breast silicone bands for the first 12 months. The important thing to remember is that scars vary from person to person, depending on the person’s own genetic factors, recovery level and external factors (smoking, sun exposure, etc.).

In addition to general surgical precautions, it is recommended that all patients under the age of 35 have a breast ultrasound, and all patients over the age of 35 have a breast ultrasound and mammography. Since smoking negatively affects nipple circulation, problems with nipple circulation in smokers are much higher than in the normal population. This can be treated with surgical measures after at least a 6-week smoke-free recovery period.

The hospital stay after breast reduction surgery is 1 day. You are discharged the next morning after a dressing change. There may be mild pain due to movement for the first 3-5 days. It is normal for there to be bruising, edema, and slight bleeding in the form of leakage from small wounds, all of which is more noticeable in the first days. We recommend a special medical bra for the first 4 weeks and a sports bra for the first 6 months. It is important to limit all activities that may increase blood pressure for the first 4 weeks.

After breast reduction surgery, the adaptation of both breasts to their new form proceeds independently of each other and is completed in an average of 6-12 months, parallel to the natural healing of the body. Asymmetry, which is more obvious at first, is completely normal. In particular, the adaptation of the nipples to their new location occurs in different ways and over time, depending entirely on hormonal effects. Nipple numbness may occur initially, depending on the technique used and the anatomical characteristics of the person, but very rarely it remains permanent. Regular post-operative dressing, a high-protein diet limited in sugar and salt, and absolutely no smoking are the most important factors for recovery. We should avoid heavy lifting and excessive movement of the arms, especially for the first month.Although it varies depending on the techniques used, the general opinion is that the volume of milk available will be relatively reduced. Since the location of the nipple changes, the mammary glands may be damaged in this surgery.

The new breast form varies from person to person and first begins to become apparent in the 3rd month, with recovery continuing until end of the 1st year. Both breasts are anatomically and physiologically different from each other – this will never change. Factors such as the person’s frequent weight gain and loss and excessively loose skin are important. As time progresses, change is inevitable due to aging and gravity. Deformation is minimal in healthy people who maintain their weight.