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.

A: 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