Breast reduction (reduction mammoplasty) in Istanbul

If large, heavy breasts cause back, neck or shoulder pain, strap grooves or skin irritation, or limit what you can do, this page explains how a reduction works, the scars, the effect on breastfeeding and the recovery.

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  • Operation time About 2.5 hours (typically 2–3 hours)
  • Hospital stay 1–2 nights
  • Time in Istanbul At least 5–7 days after surgery before flying
  • Back to work Social life in 7–10 days; work after 2–3 weeks
Illustrative artwork. Not a patient or treatment result.

What is breast reduction?

Breast reduction removes skin, fat and glandular tissue, then reshapes and lifts what remains to give smaller breasts in proportion to your body; the areola can be made smaller too. It is usually done to relieve back, neck and shoulder pain, bra-strap grooves and irritation under the breasts. The operation takes 2–3 hours under general anaesthesia with 1–2 nights in hospital, and most people take 2–3 weeks off work. The scars are permanent but fade, and the chance of breastfeeding afterwards is lower.

What it can do

  • Make heavy breasts smaller, lighter and more in proportion with your body.
  • Ease back, neck and shoulder pain, strap grooves and irritation under the breasts; most women report a clear improvement in pain.
  • Lift the breasts and move the nipple higher, with areola reduction if needed.
  • Make exercise and choosing clothes easier.

What it cannot do

  • Avoid scars: they are permanent, though they fade over months to years.
  • Protect breastfeeding fully: the chance of breastfeeding is lower afterwards.
  • Stop future change: weight gain, pregnancy and hormones can enlarge the breasts again.
  • Promise complete relief: most women report less pain, but results vary.

Is it right for you?

Breast reduction suits people whose large breasts cause physical symptoms or limit daily life. It can be done at any age, ideally once the breasts have finished developing. Suitability is decided at an in-person examination.

Usually a good fit if

  • You have back, neck or shoulder pain linked to the weight of your breasts.
  • Bra straps leave grooves in your shoulders, or the skin under your breasts is often irritated.
  • The size of your breasts makes exercise or physical activity difficult.
  • Their size affects your self-esteem or mood.
  • You are healthy, do not smoke or vape and have clear goals.

Better to wait or consider alternatives if

  • You smoke or vape, or have a condition that affects healing.
  • You plan a pregnancy soon: the breasts can grow again in pregnancy, and breastfeeding may not be possible after a reduction.
  • Your weight is still changing; weight fluctuations change the result.
  • You are a teenager whose breasts are still developing. In a review of adolescent reductions, regrowth was reported in 18% and 2.7% had a second reduction.
  • Your main concern is sagging rather than size: a breast lift may suit you better.

Techniques

Two choices define the operation: the incision pattern, which decides where the scars lie, and the pedicle, the bridge of tissue that keeps the nipple's blood and nerve supply while it is moved higher.

Around the areola

For small reductions, the incision can stay around the edge of the areola. Op. Dr. Bilgehan İlker uses this route when a small change is enough.

Best for

Small reductions.

Vertical (lollipop) pattern

Incisions run around the areola and straight down to the breast fold. Dr. İlker uses this pattern when mainly excess breast tissue needs removing.

Best for

Excess tissue without severe sagging.

Anchor (inverted-T) pattern

A third incision runs along the breast fold, so that more skin can be removed. Dr. İlker uses it when large breasts have also dropped significantly.

Best for

Large breasts with significant sagging.

Pedicle choice

Surgeons use inferior, superior, superomedial, medial, lateral or central pedicles. In a meta-analysis of 5,123 breasts, superomedial pedicles meant shorter operations, higher satisfaction and fewer infections than inferior ones, but more fluid collections and more reduced nipple sensation. Ask which pedicle is planned for you.

Best for

Depends on your anatomy and the surgeon's technique.

Nipple grafting for very large breasts

In very large reductions, the nipple and areola can be removed and replaced higher up as a skin graft. The nipple then has no sensation, healing takes longer and breastfeeding becomes very unlikely.

Best for

Very large breasts.

Added liposuction

In some cases liposuction is added to the removal of tissue. Whether it would help in your case is decided at the examination.

Best for

Selected cases, alongside the reduction.

Op. Dr. Bilgehan İlker

Op. Dr. Bilgehan İlker

Specialist in plastic, reconstructive and aesthetic surgery

  • Specialist training: Dokuz Eylül University
  • Medical degree: Trakya University
  • Health tourism authorization: ST-2657
  • Dr. İlker speaks English and Turkish.
Dr. Bilgehan İlker

How Dr. İlker approaches breast reduction

Op. Dr. Bilgehan İlker is a specialist in plastic, reconstructive and aesthetic surgery, trained at Dokuz Eylül University, with her practice in Bakırköy, Istanbul. She describes breast reduction as an operation where health and appearance meet: the aim is relief from back pain, skin irritation and strap marks as well as a shape in proportion to your body.

She performs it under general anaesthesia in a fully equipped hospital, in about 2.5 hours, with a one-night stay. She chooses between three incision patterns according to the amount of tissue and sagging, and moves the nipple to suit the new shape, reducing it if needed.

  • Honest about scars She is clear that every operation leaves a scar; the aim is to place it well and close it carefully so that it fades from red towards your skin tone.
  • A special bra for about 2 months After surgery you wear a special bra for around 2 months, and heavy sport waits until then, starting again with walks.
  • A female surgeon Dr. İlker is a woman; some patients find breast concerns easier to discuss with a female surgeon.
  • Imaging when needed Breast imaging is planned according to your age and your personal and family history.

The operation, step by step

Breast reduction takes 2–3 hours under general anaesthesia, and Op. Dr. Bilgehan İlker allows about 2.5 hours.

  1. Assessment and marking

    After the examination, tests and any imaging, the incision pattern and the new nipple position are planned and marked on your skin.

  2. Anaesthesia

    You are given a general anaesthetic in hospital.

  3. Moving the nipple

    The nipple and areola are moved to their new position, usually still attached to their blood and nerve supply, and made smaller if needed.

  4. Removing tissue

    Excess fat, glandular tissue and skin are removed, and the remaining tissue is lifted and shaped.

  5. Closing

    Deep stitches support the new shape and the skin is closed. The stitches usually dissolve, and drains may be placed.

  6. The first night

    You wake in a special bra and stay at least one night in hospital; drains usually come out after 1–2 days.

Your days in Istanbul

Plan at least 5–7 days in Istanbul after surgery. NHS guidance is not to fly sooner after breast surgery, because surgery and flying both raise the risk of blood clots.

  1. Examination and tests

    Before surgery

    Arrive early enough for the pre-operative examination, blood tests and any imaging, and bring previous breast scan reports.

  2. Operation and hospital stay

    Surgery day

    You arrive having fasted for 6–7 hours and stay at least one night.

  3. Rest close to your accommodation

    The first days

    Pain in the first few days is controlled with medicines. Wear the special bra, avoid lifting and skip alcohol, sunbathing, swimming and tours.

  4. Wound check and a follow-up plan

    Before you fly home

    Have your wounds checked, and agree who will see you at home and how to reach the clinic.

Recovery, day by day

Typical ranges from NHS and ASPS guidance, together with the protocol Op. Dr. Bilgehan İlker describes. Your own timeline may differ.

  1. Day 1

    Dressings and drains

    You wake with dressings, drains and a special bra or elastic bandage, and a pain pump may be used.

  2. Days 2–3

    Drains out

    Drains usually come out after 1–2 days and you leave hospital. Pain over the first few days is controlled with medicines.

  3. Week 1

    Limited activity

    Pain, swelling and bruising are expected and activity is limited. Flying becomes reasonable after 5–7 days, and Dr. İlker expects a return to social life after 7–10 days.

  4. Week 2

    Feeling better

    Most people feel much better, and some return to light work, depending on the job. Exercise is still restricted.

  5. Weeks 3–4

    Back to work

    After 2–3 weeks off, most people are back at work. Keep wearing the bra and increase activity gently.

  6. Months 2–3

    Exercise returns

    From week 6, stretching, lifting and strenuous exercise can restart, though Dr. İlker advises avoiding heavy sport for 2 months and starting with walks. Swelling settles by about 3 months, and scars are red for the first 6 weeks.

  7. Month 6

    The shape settles

    Dr. İlker expects the new shape to settle at around 6 months. The scars are still new.

  8. Month 12

    Scars fade

    Scars are remodelling towards your skin tone. Keep up breast self-examination and routine mammograms.

Contact us straight away if you notice

  • Severe pain, or a burning sensation in a breast.
  • Unusual swelling of a breast, especially rapid and painful swelling on one side.
  • A change in the colour of the skin or the nipple.
  • Fever, redness, or fluid or pus from a wound.
  • Pain, swelling or warmth in one calf.
  • Shortness of breath, chest pain or an irregular heartbeat: call your local emergency number.

In an emergency, call your local emergency number.

Aftercare at home

  • Wear the special bra for as long as advised, usually around 2 months.
  • Look after the dressings as instructed; the stitches usually dissolve.
  • Protect the incisions from strain and rubbing.
  • Do not drive until you can wear a seatbelt without pain, which can take a few weeks.
  • Avoid stretching, heavy lifting and strenuous exercise until about week 6.
  • Once healed, use silicone gel or sheets, gentle massage when allowed and SPF 30+ on the scars.
  • Continue breast self-examination and routine mammograms.

Risks and how they are reduced

Breast reduction is a major operation. Its risks are the general ones of surgery plus those of moving the nipple and removing tissue.

Risks are lowered by not smoking, reviewing your medicines, keeping a stable weight, wearing the special bra, protecting the incisions and waiting 5–7 days before flying. If breastfeeding matters to you, say so: the technique affects how much of the tissue beneath the nipple is preserved.

Risks and how they are reduced
RiskHow often

Scarring

Scars are permanent and can be thick or noticeable, and keloids are more common on darker skin. Extra skin can remain at the ends of a scar.

Varies

Nipple sensation

Sensation can change temporarily or permanently, and it often improves with time.

Varies

Breastfeeding

In a meta-analysis, the breastfeeding success rate after reduction was 62%, and women were 3.5 times more likely to be unable to breastfeed than women without surgery. Keeping the column of tissue beneath the nipple attached improves the chance.

Varies

Asymmetry

The breasts or nipples can differ in size, shape or position.

Varies

Wound-healing problems

Healing can be slow, especially where incisions meet and in smokers, and fat necrosis can leave firm lumps.

Varies

Bleeding or infection

A haematoma, which usually appears within the first 24 hours, or an infection needs prompt treatment.

Uncommon

Loss of nipple or skin

Poor blood supply can cause partial or total loss of the nipple and areola, or of areas of skin and fat.

Rare

Anaesthesia and blood clots

Any major operation raises the risk of blood clots, which can be life-threatening, and flying soon afterwards adds to it.

Rare

Results and how long they last

The breasts are smaller straight away, but they stay swollen and tender for up to about 3 months, and Op. Dr. Bilgehan İlker expects the new shape to settle at around 6 months. Scars are red for the first 6 weeks and then fade, usually ending up hidden by underwear or a bikini.

In studies using the BREAST-Q questionnaire, satisfaction with the breasts rose from 22.9 to 73.0 out of 100 after surgery, with gains in psychosocial and physical wellbeing. The breasts still change with age, weight and hormones, and pregnancy can enlarge them again.

How long it lasts: Long-lasting under normal conditions; significant weight change or pregnancy can change the shape.

With any surgical or interventional procedure, results vary from person to person. We recommend a detailed consultation with your doctor before any procedure.

Questions to ask at your consultation

Take these to any surgeon you see — including us.

  1. What is your specialist training, and how often do you perform breast reductions?
  2. Which incision pattern and pedicle do you recommend for me, and why?
  3. How much tissue do you expect to remove, and what size might I end up?
  4. How could this affect breastfeeding and nipple sensation?
  5. Which hospital will I be in, and how many nights will I stay?
  6. How long should I stay in Istanbul, and when are my check-ups?
  7. Who do I contact once I am home, and what happens if there is a complication?
  8. What does the plan include, and what might cost extra later?

What shapes your plan and quote

Your plan and quote follow your examination, because the technique depends on how much tissue is removed and how far the nipple must move.

  • The amount of tissue to remove and the incision pattern.
  • Whether liposuction or another procedure is added.
  • Tests and imaging needed beforehand.
  • The hospital stay, usually one or two nights.
  • Your stay in Istanbul before you are fit to fly.

We do not publish prices: every plan is personal and is written for you after your assessment.

Frequently asked questions

How long is breast reduction recovery?

Plan on 2–3 weeks off work. Pain usually lasts a few days, drains come out after 1–2 days, and stretching, lifting and strenuous exercise wait until about week 6. Swelling and tenderness can last around 3 months, and Op. Dr. Bilgehan İlker expects the shape to settle at about 6 months.

What will the scars look like?

The scars run around the areola, down to the breast fold and, with the anchor pattern, along the fold. They are red for the first 6 weeks, still new at 6 months, and by a year usually much closer to your skin tone, often hidden by underwear or a bikini. They are permanent but fade.

Can I breastfeed after a breast reduction?

Possibly, but the chance is lower. In a meta-analysis, the breastfeeding success rate after reduction was 62%. The odds are better when the column of tissue beneath the nipple is kept attached, and very low after nipple grafting. If breastfeeding matters to you, say so before the technique is chosen.

Can breasts grow back after a reduction?

They can change. Weight gain, pregnancy and hormones can enlarge the breasts again. In teenagers, whose breasts may still be developing, a review of studies reported regrowth in 18%, and 2.7% had a second reduction. Keeping a stable weight helps the result last.

When can I sleep without a bra?

Not for the first weeks. Dr. İlker asks patients to wear a special bra for about 2 months, and some surgeons advise a sports bra day and night for up to 3 months. The bra supports the new shape while the tissues heal, so ask before leaving it off at night.

When can I drive after a breast reduction?

When you can wear a seatbelt comfortably, which can take a few weeks after a reduction. Until then, travel as a passenger. Check with Dr. İlker before you start driving again, and remember that flying also has to wait at least 5–7 days after surgery.

When can I exercise or swim?

Stretching, heavy lifting and strenuous exercise wait until about week 6, and Dr. İlker advises avoiding heavy sport for the first 2 months, starting again with walks. Swimming waits until the wounds have fully healed and you are cleared; NHS advice for surgery abroad is to avoid swimming during recovery.

Is breast reduction major surgery?

Yes. NHS guidance describes it as a major operation: it is done under general anaesthesia, takes 2–3 hours and usually involves 1–2 nights in hospital. That is why the preparation, the recovery plan and the timing of your flight home matter as much as the operation itself.

Is breast reduction painful?

There is pain for a few days, which is controlled with medicines. The breasts then stay swollen and tender for up to about 3 months. Pain that suddenly gets worse, a burning feeling or unusual swelling on one side should be reported to the clinic straight away.

Will I lose nipple sensation?

Sensation can change, temporarily or permanently, but it often improves over time. The technique plays a part: in one large analysis, the superomedial pedicle was linked with more reduced nipple sensation than the inferior pedicle. With nipple grafting for very large breasts, the nipple has no sensation.

Will my back pain go away?

Most women report a clear reduction in back, neck and shoulder pain after surgery, but no surgeon can promise it for you. Results vary from person to person, and your examination looks at how your symptoms relate to the size of your breasts before surgery is recommended.

When can I fly home after a breast reduction?

NHS guidance is to wait 5–7 days after breast surgery before flying, because surgery and flying both raise the risk of blood clots. Plan your stay in Istanbul around this, have your wounds checked before you leave and agree who will see you once you are home.

Should I have it before or after having children?

It depends on your symptoms and your plans. The breasts can enlarge again in pregnancy, which may change the result, and breastfeeding may not be possible after a reduction. If you plan children soon, discuss the timing at your consultation; there is no single right answer.

Medical informationThe information on this page is general information only. It is not medical advice and does not replace a diagnosis or treatment. Every surgical and interventional procedure carries risks, which will be explained to you in detail during your consultation. Whether this procedure suits you can only be decided after an in-person examination and assessment. We encourage you to also seek independent advice from your own doctor before deciding.

Written by the Bilgehan Clinic editorial team from the sources below. Medical review by Op. Dr. Bilgehan İlker is in progress.

Last updated:

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Op. Dr. Bilgehan İlker Specialist in plastic, reconstructive and aesthetic surgery
  • Nef 22 Ataköy, D Blok, Kat 1, Daire 36, Çobançeşme E-5 Yanyol Cad. No:22, Bakırköy / İstanbul
  • Monday to Saturday, 10:00–18:00
  • +90 542 280 27 51
  • Dr. İlker speaks English and Turkish.

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Dr. İlker speaks English and Turkish.

Op. Dr. Bilgehan İlker Specialist in plastic, reconstructive and aesthetic surgery

Let’s plan your consultation

Choose your country code on the left. Enter your number without the country code.

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