The patient should have realistic expectations about this operation. Patients should tell these expectations to their surgeon. According to the patient's expectations, the surgeon will recommend the ideal breast size. It is also important to transfer the number of the bra the patients want to use after the breasts have shrunk. After the breast size is determined and the necessary examinations are made, the operation process will start.

One of the most important things in breast reduction is that the patient should be physically healthy. Before the surgery, the use of cigarettes, alcohol, medications, the patient's allergies, and general health status will be checked. The most important thing to look at is that the family should not have a history of breast cancer. When performed for people with diabetes, how long the disease developed, how long it has continued and the type of diabetes should be taken into account. Important aspects that should be considered before the operation are chest infections and previous surgical interventions. Also, it is examined whether there is a painless mass under the arm and the chest. Therefore, each patient's chest ultrasonography is taken. In general, mammographic examinations are also required for patients aged 40 and over. Examinations will provide you with information about your family situation and whether you are eligible for this operation or not. Then, after checking your body size, breastfeeding functions will be examined to see whether there is any problem.

Patients wanting to get breast reduction surgery should first discuss all details with the surgeon. The information about the necessary examinations may differ due to the use of different techniques depending on the size of the breasts. The size and the location of the chest head will be determined. Then the photos will be taken before and after the operation to compare. In the preparation process for the operation, the surgeon will provide comprehensive information about the risks of the surgery. Liver function tests, blood group, EKK, chest x-ray, urea, blood sugar, hepatitis, hemogram, aPTT, PTT, and INR as well as the latest information about the process will be transferred to the patient on the day of the operation. No food or liquid should be consumed for at least 6 hours before the operation. Patients should be at the place where the procedure will be performed at least 1 hour before the operation. Before going into surgery, jewelry, watch and similar tools should be removed.

Before the procedure, general anesthesia is applied to the patient. Then, the incision is made and the breast fat, gland tissue, and breast skin are removed. After completion of the operation, stitches, the incision site, are applied to the surgical site. Depending on the chest structure of the patient the operation can last up to 5 hours. The area to be incised for surgery is the areola, or around the nipple. A circular incision can be discarded in the shape of an anchor or an inverted T-shape. The shape of this incision is decided completely by looking at the chest characteristics of the patients. The technique of the process depends on the shape and size of the breasts. For this reason, what is considered the best technique is determined initially. These techniques are separated according to the method to be applied to the nipple itself. In general, the reduction in breast reduction is as follows; The head of the nipple is aligned with the breast tissue just underneath it. In this process, the chest wall is detected and the necessary relocation begins. There will be no nerve damage in the area with the nipple during transport. Reduction operations are performed if only the nipple is large. Breast skin with gray tissue is removed to be shrunk to planned sizes. Also, if asymmetry is present in the breasts, necessary arrangements are provided. In drooping breasts, the upper part of the breast is usually spread under the armpits. These areas are filled in the shape of the breasts. At the end of the procedure, the symmetry of the breasts is examined again. Vacuum drains are used to expel blood that can accumulate in the breasts. After the tissue is taken with gas, the breasts are formed and then the incisions are closed. When excess tissue is taken, the nipple is repositioned without damaging the nerves of the chest head and milk channels. After the removal of excess tissues, small stitches are removed and the process is completed. This operation with general anesthesia lasts approximately 2 to 4 hours. After the procedure patients should rest for 1 night in the hospital. Besides, a drain is attached to the breasts after the operation. These drains, which are installed to prevent the accumulation of fluid in the breasts, are removed after an examination.

If you decide on the operation, you should first review all the information with your surgeon. In this process, it is important to terminate smoking 15 days in advance. Sports exercises and brisk walks could be stopped 15 days before the operation. This recommendation is completely related to the ease of the anesthesia process. You should learn about the incision before surgery. There will be traces on the breasts according to the method applied. In general, one year after the procedure, these traces will be lost. Breast reduction can also last longer according to the age and the characteristics of the breasts. Another important thing is that patients should not coincide their operation with the menstrual period. Also, it is important not to take blood-thinning drugs within 10 days before surgery. The same applies to alcohol, herbal medicines, and other drugs. Some patients may have obesity problems. Therefore slimming will be the most useful option. Before the fat in the breasts will be reduced in breast surgery, the first step should be taken in the fight against obesity.

There is mild pain after every aesthetic operation. These pains can be taken under control in a short time.

After the breast reduction surgery, patients will be left with a scar. This is due to the traces of the stitch lines as a result of the incisions made during the surgery. If the breasts are not overly large and slightly sagged there will be a straight line from the lower edge to the middle of the nipple. The larger mark remains on the breasts, in people that have larger and more severe sagging. However, not all of these marks will be visible with the bra. Tension is a condition that will increase the trauma. Also, subcutaneous tissue should be adequately sutured. The strain load on the leather stitches can only be reduced in this way. Finally, the leather texture should be stitched gently and the necessary action should be taken to keep it traceless. The sutures, which are reddish for a few months after surgery, soften after a while and begin to turn pink. At the end of 12 months, they become unclear as a thin line. In addition to all this information, it is not possible to predict how many traces will be left in breast reduction.

The changes in the breasts can be noticed immediately after the procedure. Also, shoulder, waist, and back pains will end. Liquid foods can be consumed approximately 4 hours after the procedure. In addition to liquid foods, you can consume light foods such as breakfast meals 4-6 hours after the surgery. After that, you can return to your normal eating habits. Of course, it is important to pay attention to the surgeon's recommendations. The postoperative hospital stay is 1 to 2 days. If the procedure is performed in the morning, patients can be discharged in the evening after looking at their general condition. Besides, the pain will be controlled by painkillers. After the operation, patients are reminded to wear a sports bra. This bra must be worn for 3 weeks. Patients should not take a shower until the drains are removed. It is also important that the arms are not strained and the patients avoid excessive activity. You can drive a car after 1 week of breast reduction surgery. Since the sutures used in the surgery are completely aesthetic sutures, there is no need to take out the stitches. Patients should not take vitamin tablets, herbal medicines, or blood thinners such as aspirin for 10 days. Patients who wish to enter the pool or the sea may start these activities after 15 days. On the other hand, it is recommended to start using creams that reduce scars. However, only the scar reduction creams that were recommended by the surgeon should be used.