Breast Reduction

A Breast Reduction is a surgical procedure that removes fat, glandular tissue and skin to make breasts smaller, lighter, better shaped, and proportionate to the rest of the body. A Breast Reduction relieves many health problems such as neck and back pain, with the patient also being able to exercise more easily and improves self-esteem.

The procedure can incorporate repositioning or resizing the areola and/or nipple, or correcting the position of the nipple. Breast Reduction can be used in conjunction with breast implants to create fuller, perkier breasts.


CosMediTour – Breast Reduction

Surgeon:Plastic & Reconstructive Surgeon
Consultation:Free Surgeon Consultation
Surgery Time:2 – 3+ hours
Anaesthesia:General Anaesthesia
Note: Twilight Sedation is not used. What is this?
Hospitalisation:2 – 3+ nights
Time Away:10 – 13 nights
Hospital Transfers:Transfers are included
Post-Operative Appointments:Follow up 5 – 7 days
Recovery time:Up to 6 months

An incision circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. The nipple and areola remain attached to the remaining breast tissue, and this whole composite is shifted to its desired final location. The Surgeon will remove excess glandular tissue, fat and skin and then bring the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. At this point if required, large areolas can be decreased via a circular incision made around each nipple, excess skin is trimmed away and the nipple is repositioned in a more centralised location.

In a small proportion of women, the size of the breast reduction is simply too large to keep the nipple and areola attached to the remaining breast tissue. In these cases, the nipple and areola are removed as a graft, the reduction is performed, and then the nipple and areola are replaced back on the breast as a skin graft. This procedure is known as a breast reduction using a free nipple graft.


Technique Options

Vertical/Lollipop techniques all describe a technique with a scar around the areola with a vertical scar extending downwards. The choice depends on the extent of ptosis (sagging) and the surgeon’s experience with different techniques. Liposuction is commonly used with the Vertical techniques and less frequently with the Vertical/Horizontal techniques.

VerticalVertical or Lollipop Technique

Has a scar around the areola with a vertical scar extending down the centre of the lower breast. The choice depends on the extent of ptosis (sagging) and the surgeon’s experience. This technique is often used for smaller Breast Reductions, where the patient has good skin quality, and the Nipple Areola Complex (NAC) does not have to be raised a significant length.


AnchorAnchor, Inverted T or Wise Pattern

All describe a technique that removes the skin from around the areola, making a vertical incision extending down the centre of the lower breast, and then extends downwards to a horizontal scar beneath the breast, known as the inframammary fold. This technique is usually ideal for patients with moderate to large breasts, especially if a large amount of excess skin is visible. Breast tissue is removed from the inner and outer sides of the breast and the upper part of the breast.


Potential Surgery Risks and Complications vary from patient to patient depending on a range of factors and the extent of surgical work required. Regardless of how remote, the potential risks are listed below are possible. Your own research is essential especially if you are considering surgery. Following pre and post surgical care and instructions will also reduce your risks. See the following potential risks and complications include and not limited to:


  • Temporary pain, swelling, bruising, infection, scarring, fluid build up (seroma), bleeding and haematoma, numbness, Keloid scarring, reaction to anaesthesia and medications
  • Suture complications
  • Poor healing or Necrosis (common with smokers)
  • Loss of sensation in the nipples and areolas after repositioning
  • Change in nipple sensation (hypersensitive or under sensitive)


  • Mismatched breast size and unevenly positioned nipples (asymmetry)
  • Possible change in nipple sensation, hypersensitive or under sensitive

Breast Reduction Price Includes:

  • Breast Reduction Surgery
  • Surgery at one of Thailand’s JCI Internationally Accredited Hospitals in Bangkok or Phuket
  • Operating Theatre, Anaesthesiologist and all associated surgery & Hospital charges
  • All drugs, routine and take home medications
  • Surgery by a renowned Plastic Surgeon, including pre and post-surgery consultations
  • Transfers: Airport / Hospital / Hotel / Hospital follow up / Airport – Hospital transfers are included for procedures over 90,000 THB. (Yanhee Hospital do not offer transfers)
  • 2 – 3+ nights (post-surgery) in a Private Hospital Room
  • CosMediTour’s Bangkok Medical and Aesthetic Clinic (in AETAS Bangkok Hotel complex) with support from Doctors and Registered Nurses (if required – Bangkok only)
  • CosMediTour Destination Client Relations Manager
  • Private ‘Invitation Only’ CosMediTour Surgery Forum to connect up with many other CosMediTour Clients and Patients staying in Thailand before you travel and during your stay

* Note: All procedures in Thailand, are based on standard, non-complicated procedure patients.

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FAQ’s – Breast Reduction

Can I breastfeed post-surgery?

A Breast Reduction may make breastfeeding difficult or impossible in the future depending on what type of reduction you have. Speak to your CosMediTour Consultant or your Surgeon if this will be an issue for you.

What is normal recovery / back to work time after surgery?

Most people generally need 2 weeks before they go back to work but each situation varies and depends on the Surgeon’s recommendation. While you recover, you will need to stop any significant physical activity for at least 1 month after surgery. You should also avoid any heavy lifting for at least 2 months post-surgery.

What will my scars be like?

All of our Surgeons are fully qualified and accredited Specialist Plastic and Reconstructive Surgeons, which means they have specialist skills to take special care during surgery to minimize the scarring and trauma to your breasts. As with any surgery, a Breast Reduction procedure will leave some scarring where the incisions have been made. The scars will vary from person to person as to how noticeable they will be, and by the type of incision that has been used. These will be red and swollen at first but scars typically fade over time.

Have a question, or like to enquire about a procedure?