Breast Reduction

Who Is It For?

Some women face some serious problems on account of having very large breasts whether this is due to the genetic predisposition, hormonal changes or after pregnancy and breastfeeding. It is a real both every-day and health complication as they often suffer from headaches and neck/backaches. Breast reduction is a procedure for surgically reshaping exceptionally large breasts to increase comfort and satisfaction. Large breasts can dominate a woman’s appearance and give an unbalanced physical profile. Breast uplift with reduction can reduce the breast size and make them look better and firmer. 

Get Prepared

Make sure you will get time off work (depending on the operation and the nature of your job). You will need support and help from the family and friends in the recovery period (avoiding physically demanding jobs, important social events etc.); if needed (and possible), arranging  for children care.  

No acute illnesses should occur in the period of at least 3 weeks prior to the planned breast reduction operation (a viral illness, a cold etc.). If so, it is necessary to inform us.

Get a baseline mammogram before surgery and perhaps one after surgery to help detect any future changes in your breast tissue.

One week before the operation, do not take any medications containing acetylsalicyclic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal etc.). It might increase bleeding during and after the breast reduction surgery.

Ideally, one month (minimum two weeks) before the procedure women should stop taking hormonal contraception or replacement in order to prevent thromboembolism.

Consult your GP or your surgeon in Prague regarding other medications you take regularly. Bring your usual medicine and pills, if possible in the original packaging.

It is recommended to stop or considerably reduce smoking two weeks before the operation. If you are a smoker don’t forget to bring nicotine patches with you.

Breast reduction surgery requires the use of elastic bra after the procedure. You can either bring your own or you can buy them at the clinic. We recommend buying them after the consultation with your surgeon who will try the elastic garments on and decide which size and type is suitable for you.

Ideally, women should not have their period when operated. If they do, they need to inform their doctor.

How Is It Done?

Incisions are made around the areolae and down into the folds under the breast. The excess glands, fat and skin are removed, the glands are remodelled and the areolae are repositioned up in the centre of the newly reshaped breast.


The breast reduction surgery takes approximately three to four hours and is preformed under general anaesthetic.

After Surgery

Breast reduction procedure requires two, sometimes three, overnight stays at the clinic and a two-week rest period. A re-bandage is done at the clinic on the third to fifth day after leaving the clinic. Then special compressive bra is worn. It is not advisable to sleep on the side and also all movements involving lifting arms up should be avoided. In the first two months after the operation, it is not recommended to go to a swimming pool as there is a high risk of acquiring infection. Avoid bras with stays and underwires for 4-6 weeks. Avoid lifting anything over 5 pounds for 2 weeks.

Post-operative Instructions 

Possible Reactions

Normally your temperature may slightly rise for a period of two to three days. An analgesic can easily ease the discomfort connected to any possible pain in the area operated upon.

You might experience pain in the area of the scars. This is quite common but analgesic can ease it.

You may experience temporary soreness, bruising, swelling and tightness in the breasts as well as discomfort in the incision area.

You may not have sensation in the nipples. This usually returns as your body recovers.

Most of the discoloration and swelling will subside in 2-4 weeks. Your breasts will feel firm to the touch.

Scars may be red and angry looking for 6 months. In time, these usually soften and fade.

Your first menstruation following surgery may cause your breasts to swell and hurt.

Possible Complications

Post-operative bleeding, or bleeding caused by insufficient post-operative care at home

Swelling, Wound rupture caused by physical strain

Prolonged healing (especially if you smoke

Haematomas, Infection of the wound

Imperfect effect resulting from non-observance of the post-operative instructions 

You may have random, shooting pains for a few months.

Back To Normal

Following uneventful recovery, it is normally possible to return to work and resume customary activities (excluding exercise) within three weeks of the operation. Normal physical activity, including exercise, can be resumed within two months.


The scars remain but fade considerably with time. The result of the operation is long-lasting and remarkably noticeable.  


We also offer the reduction of so-called gigantomasty, extremely large breasts, which requires large gland, fat and skin removals.

Areolae reduction, resulting in an overall more pleasing aesthetic effect, is also offered by our clinic.

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0800 011 23 14
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