Case #1315
Breast Reduction
A woman in her 50s was bothered by large, asymmetric breasts. Dr. Azadgoli performed a breast reduction, removing 680g from the left and 761g from the right, with liposuction of the lateral bra roll.
A woman in her 50s was bothered by the size and asymmetry of her breasts. Dr. Azadgoli performed a breast reduction, removing 680g from the left breast and 761g from the right. At the same operation she performed liposuction of the lateral bra roll to improve the contour along the side of the chest.
Why this approach
The decisions that shaped this surgical plan.
- Bilateral breast reduction performed in one operative session so symmetry, tissue handling, and final shape track between both sides.
- Liposuction added to the primary procedure to address a specific finding identified during planning.
Pre-op preparation
What to do before surgery. Specific to this case.
- Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- No overhead clothing for 3 weeks. Stock front-zip tops, supportive sports bras (post-clearance), and the drain pouches we provide.
- Confirm a driver for surgery day and a companion who can stay through the first night.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Both sides healing in parallel means the early phase is quieter — short walks, full rest periods, and no driving until off pain medication.
- Week 2
Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.
- Week 4
Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.
- Week 6
Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.
- Month 3
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
Continued care
Recommended aftercare, skincare, and MedSpa services for Breast Reduction.
- Surgical bra continuously for 6 weeks
- Sleep elevated on your back; no side or stomach sleeping for 4 weeks
- Drains typically removed at days 5–7
- Scar management protocol at 3 weeks
- Medical-grade silicone sheeting on the anchor or lollipop incisions
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incisions for 12 months
- Hydrating body protocol while skin retracts
- Fractional laser for scar refinement after 3 months
- LED light therapy weekly for the first 8 weeks
- Lymphatic drainage starting week 2
- Aftercare
Hyperbaric oxygen series extended to 10–15 sessions for bilateral tissue support.
Bilateral procedures heal more reliably with sustained HBOT.
