Breast hypertrophy is called to excessive breast volume. Its volume can occur as an isolated symptom or may beaccompanied by fall of the breast (ptosis). Generally it is due to the excessive development of the mammary gland and the adipose tissue from inside.

The Breast Reduction or Reduction Mammoplasty, is a surgical procedure to reduce the size of breasts, through the elimination of fat, breast tissue and skin, making them smaller, lighter, rounder, and firmer. In addition this interventionis often supplemented with a reduction in the size of the areola.

Women with large breasts may have some problems due to this excess weight, such as back pain and neck pain, irritation of the skin under the breast and respiratory problems. The breast reduction aims to achieve an aesthetically more proportionate breast with the consequent functional benefit.


The Breast Reduction is usually done to alleviate a physical problem, rather than for purely aesthetic reasons although the aesthetic improvement will be evident both nude and clothed. Many women who undergo this procedure are concerned about the excessive volume of her breast that interferes with many activities and causes physical discomfort.

In the majority of cases are expected until the breast has developed fully, but it can be done before if physical problems are very important.

Therefore, those patients who frequently suffer from back pains, pains in shoulders by bra, difficulty in finding proper clothes, submammary skin maceration,…they would be part of the group of patients susceptible to breast reduction.

Before and after Gallery of images of real cases | Dr Guilarte | Clínica de cirugía plástica, estética y reconstructiva en Madrid
Frequently asked questions | Dr Guilarte Clinic

NEW View Simulation:

General anesthesia
Duration of the procedure:
2-3 hours
24 hours
Easily controlled with medication
You must wait:
Bruise until the 3rd week; swelling until the 6th; temporary numbness
Final result:
At the 6th month, although the scars will improve until the 12 – 18 months
Duration of result:
Years although it is variable depending on the quality of your skin


During the first consultation, Dr. Guilarte will evaluate the size and the shape of the breasts, the firmness of the skin and your good state of health.

We will explain to you the different surgical techniques; we will discuss the size and shape that will have your breasts and the options or a combination of procedures that are best for you. Remember that you will be who should tell us the shape and volume desired.

You must expose your expectations with a sincere and honest manner, so that the plastic surgeon will be clear and will show you the choices available for your problem, with the risks and limitations of each one of them.

Do not forget to tell if you are smoker or if you take any medication or vitamin, the number of previous pregnancies and if you are thinking about getting pregnant again or give breastfeed. Do not hesitate to ask any question that may arise, especially those related to expectations about the results.


The Breast Reduction is performed in the operating room, in a clinic or hospital. The hospitalization is necessary; we give you the discharge the same day of the intervention or the next day.

The surgery is performed under general anesthesia, staying patient asleep during the operation. A breast reduction lasts between 2 and 3 hours.

The scar resulting from this surgery depends on the technique used. This varies according to the size of the breasts and the outcome that is desired.


It is normal to find yourself tired a few days after the breast reduction, but you can do almost normal life at 24-48 hours. Most of the pains are well controlled with medication prescribed by your plastic surgeon, but the breasts can hurt a couple of weeks; during the first menstruation after a reduction can make those breasts are swollen and painful.

The bandage or dressing will be removed in a few days, being replaced by a special bra, to be kept in the manner prescribed by your surgeon. After the breast reduction, may be normal to have decreased nipples sensation that you will recover gradually.

The stitches are removed between 7 and 14 days; edema does not yield up to 3 or 6 weeks. After a breast reduction you can return to work in 2 or 3 weeks, although in a few days you can make near-normal life. You should limit physical activity for a few weeks, until you recover from the operation.

During 1 or 2 weeks, it is convenient to avoid sexual relationships in order not to swell incisions; you must avoid intense physical contact in the breast during 3 or 4 weeks.

After your surgery, your scars will be of very good quality, given the meticulous stitches that will you have, although you must anticipate that they will continue the normal process of maturation, so in 2-3 months the scars will be reddened and in this way the scars will be almost undetectable at 12-18 months.

That is why it is very important to take care of your scars as instructed. However, Dr. Guilarte will go seeing you during the months following the surgery to see the evolution.

The lymphatic drainage massages that our physiotherapists will make to you in our examination room are very beneficial, thus achieving a better result and an earlier incorporation in your activities.


The Breast reduction surgery is a safe technique, provided that it is carried out by a qualified plastic surgeon. However, as in any operation always there may be complications and risks.

The Breast Reduction leaves scars that are permanent and visible, though you can conceal the scars under the bra or bikini.

In case of being a large breast reduction, you should understand that it may require more time to complete healing of your breast.


It is important to remember that after a breast reduction scars are permanent, although Dr. Guilarte will make an effort to hide the scars. Over time, the scar will be practically imperceptible.

After a Reduction Breast, it will take a few months until your breast acquire the final appearance; Even so, your breasts will change to normal hormonal stimuli, pregnancy or weight changes. You may need some time to get used to your new body image. If your expectations are realistic, you will be very satisfied with the result of breast reduction.

Sometimes is necessary a breast prosthesis implantation simultaneously to a breast lift, which allows predicting the final volume and get a more aesthetic result and, above all, more long-lasting. You must expose your expectations with a sincere and honest manner, so that the plastic surgeon will be clear and will show you the choices available for your problem, with the risks and limitations of each one of them.