The breasts that are large at young ages grow and sag over time with the effect of pregnancy, weight gain and especially gravity. The big breasts that cause the problems such as feeling embarrassed, staying stoop and avoiding from the tight clothes at young ages cause bigger and more serious complaints in later ages. It is seen as neck, shoulder and back pain that develops in advanced ages, permanent disorders that develop in the spine, formation of bra strap marks, the main problems such as irritation and bad odor caused by the stuffy and sweaty under the breasts.
The Breast Reduction surgery is the surgery performed in the patient group having the above-mentioned complaints. Its purpose is to reduce the breasts proportionally to the body. In the surgery, excess breast tissue is removed, the nipple is lifted up, the breast is given a more upright and conical shape, and excess skin tissue is removed.
Who is the breast reduction surgery performed for?
All patients who have completed their breast developments (aged 18 and over) and have large, sagging breasts is suitable for this surgery. The purposes of being performed of this surgery that can be performed in three patient groups including young, middle-aged and advanced age are different. 
Does the Breast Reduction surgery affect breastfeeding?
There are many scientific studies conducted on this subject. While some studies have not detected any difference in the breastfeeding in groups of the patients who had and without surgery, some studies mention the possibility of not being able to breastfeed, which varies between 10-15%. I believe that after this surgery, in which so many breast-related procedures are performed, the patients are not given guarantee that they will be able to breastfeed. 
Are scars formed in the Breast Reduction surgeries?
The Breast Reduction surgeries are the surgeries with scars. The size of the breast and the type of the surgery to be chosen accordingly determine the shape of the scar. The character of the scar mainly depends on the scar potential and skin type of the person. The scar can be in the form of "Inverted T", "J" or "lollipop". In all three types of scars, there is a line around the nipple and perpendicular to it. In the inverted T-shaped scar model, there is a horizontal scar under the breast occurred at the level of the groove. In the J-shaped scar model, the vertical descending line is extended outward to match the lower crease of the breast. In the lollipop-shaped scar, the skin pot being found at the bottom of the vertical line is closed by shrinking. In general, the scars are more obvious in the first 1-1.5 months, but gradually become more obscure.
Which Breast Reduction surgery is more suitable for me?
The questions about the surgical technique of the patients become more frequent, as a result of the plastic surgeries become widespread and the public is conscious of it. The surgeries, which leave scars in the form of "Inverted T", are the classic and most commonly used type of the surgery. Although the horizontal trace line of the Inverted T is under the breast crease and it is not very obvious, the scar is more prominent in this surgery. The results are less permanent. However, it is a surgical technique that will be used in very large breasts. The vertical mammoplasty technique should be applied for the breasts that are not too large. With this technique, the J-shaped or lollipop-shaped scar is left. The results are more permanent. More conical shapes can be created. The most common problem is the skin pot on the lower part of the scar. These pots, which regress spontaneously within 3 months in 85% of the patients, can be removed with the local anesthesia after 3 months if they do not disappear.
Are the results of the Breast Reduction surgeries permanent?
The results of the breast reduction surgeries are long-lasting. This period can change with age, weight gain and loss, post-operative pregnancy encountered and breastfeeding. However, in every environment where there is gravity, the tissues are condemned to be defeated by the gravity. We recommend to our young patients who want long-term permanence to apply 6 months after they complete their pregnancy and stop breastfeeding.
Is anesthesia required in the breast reduction surgery?
The breast reduction surgery is a surgery performed in the operating room and under the general anesthesia.
How long does the Breast Reduction surgery take?
Although it varies between 2-3 hours, the time can be longer in increasing the breast sizes.
Are the Breast Reduction surgeries painful?
In the first few days after the breast reduction surgery, pain that will cause the requirement of the painkillers can occur, but it can be relieved with simple painkillers.
What should be done and what should not be done before the surgery?
Before the surgery, the breast USG/mammography is required to be taken. This is an important data that is required to be kept in the future follow-up of the patient. The breast USG/mammography is repeated 1 year after the operation. As it is in all surgeries, the smoking should be stopped 3 weeks in advance. The smoking is one of the most important factors that increase wound healing problems. Aspirin and blood thinners should be absolutely stopped at least 1 week before.
Those being inconvenient to use before surgery:
-The painkillers such as Apranax, Voltaren, Vermidon (Minoset, Novalgin can be used when pain relief is required),
-The multivitamin pills containing substances such as ginseng, ginkgo biloba, coenzyme Q,
-Green tea, flaxseed, cherry stalk, tomato seed herbal products
-All slimming products
Does loss of the sensation occur in the Breast Reduction Surgeries?
There is a possibility of occurring temporary loss of the nipple sensation after the surgery. It usually resolves within 6 months. However, very large breasts can rarely experience permanent loss of the sensation.
What kind of problems can occur after the Breast Reduction surgeries?
The wound healing problems are the most common encountered problems. In vertical mammoplasty, it is observed more in the pot formed in the lower part of the breast. There is a possibility of occurring wider wound dehiscence in the patients who smoke. With small dressings, the wounds heal in such a way that they will not affect daily activities. The bad scars, being lower and higher of the nipples than necessary and not being able to provide sufficient reduction are the problems that can be prevented by the appropriate and meticulous surgery. 
What happens after the surgery?
The patients can eat and stand up after 3 hours. 1 night hospitalization is required. She can take a bath after 2 days. There is a small dressing at the wound site. The special bras are used to be used for 6 weeks after the operation. The patient comes for the control 3 days later. Afterwards, she comes to the controls in the 1st week, 1st month, 3rd month, 6th month and 1st year. The patient can return to work and drive after the 5th day. In the first 3 weeks, the sports are not recommended except for walking. After the 3rd week, the sports can be done except for the movements where the arm and chest muscles work. After the 6th week, all sports are free. For the 1st month, the breasts do not look natural. They stand more upright than normal and the pot at the bottom is viewed as shrunken. Over time, the breasts descend to their normal positions and the tightness under the breasts decreases and disappears. The breast takes its final shape in the 3rd month.