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Breast Reduction in Colombia

Excessively large breasts can cause self-consciousness, emotional discomfort, pain and physical conditions that impair a woman’s ability to lead an active life.

Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body as well as to alleviate the discomfort associated with overly large breasts.

The surgery can help improve back, neck and shoulder pain, skin irritation beneath the breast crease, and an enlarged areola or sagging skin with the nipple resting below the breast crease.

Women who take advantage of the breast reduction procedure find that they are able to lead a healthier, more comfortable life, in addition to enjoying a beautiful, more proportionate appearance.

Breast reduction surgery patients in Colombnia are among the happiest of all plastic surgery patients because they both look better and feel better following surgery. When women have large, burdensome breasts, they frequently suffer from a condition called symptomatic macromastia. Symptomatic macromastia is considered to be a medical problem that may include the following symptoms:

  • Pain in the neck, shoulders, breasts, and upper or lower back
  • Bra strap indentations
  • Rashes underneath the breasts
  • Finger or hand numbness
  • Difficultly exercising or fitting into clothing

What causes large breasts? Most often it’s just plain genetics, but other factors include Hormone Replacement Therapy (HRT), virginal hyperplasia (in young girls with a surge of new hormones), pregnancy, and breastfeeding.

Breast reduction surgery is designed to make the breasts smaller and lighter to alleviate the problems of symptomatic macromastia. The surgeon performing the breast reduction is the most important determinant of the quality of the result, and you’ll be happy to learn that all of our plastic surgeons at Premium Care are experts in this procedure. There are many different techniques for breast reduction, and each surgeon has his or her own preferences based on experience and patient needs. Usually, breast reduction is combined with a breast lift.

At Premium Care Plastic Surgery in Colombia, we are committed to our patients leading more enjoyable and fulfilling lives. We’d be happy to discuss breast reduction with you through an online consultation. Better yet, to make an appointment for consultation in person in Cartagena, call us at (+57) 312 545 5569 and (+1) 305 8481909 in United States and begin your journey to a better you.

Choosing a Breast Reduction at Premium Care

Are you one of the thousands of women tired of living with uncomfortable, large breasts? Breast reduction can help you reach your dream of feeling more comfortable and wearing some those stunning clothes you see in your favorite store. If you are one of the millions of women who suffer from deep ruts on her shoulders from bra straps that dig in due to overly large breasts, take heart. If you are one of the millions of women who suffer from back ache, neck ache, shoulder ache, and headaches, take heart, for you are not alone. Overly large breasts cause many problems – physical, as well as emotional.

The good news is that a breast reduction in Coombia with Dr. Alex Campbell and Dr. Carolina Restrepo of Premium Care Plastic Surgery can quite literally change your physical well-being and lighten your emotional load.

A breast reduction at Premium Care Plastic Surgery in Cartagena is an excellent choice because it offers major benefits in the way you look, while actually improving health and enabling a much healthier lifestyle. It’s beyond cosmetic. It’s beyond rejuvenation. For some, it’s nothing short of getting their life back.

Any woman who is considering surgical correction to reduce the size of her breasts can benefit from a breast reduction in Cartagena. This procedure combines the latest surgical techniques for long-lasting breast resizing and reshaping. A plastic surgeon at Premium Care Plastic Surgery will understand the importance of creating a surgical result that not only looks fantastic soon after surgery, but that retains lasting beauty for many years to come.

When it comes to breast reduction with one of our Cartagena breast reduction surgeons, great care will go into making sure each patient gets the best procedure appropriate for their body and desired shape.

At Premium Care Plastic Surgery in Colombia, we encourage you to learn all you can about breast reduction. The more well-prepared you are when you come in for your consultation, the more quickly you’ll be on the way to a new you. When you’re ready, you can book a consultation online or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States to schedule an appointment.

Liposuction Breast Reduction

While most women require breast reduction combined with breast lift, some women can benefit from breast reduction alone, usually performed as liposuction or traditional surgery.

Typical Candidate:
Tight, elastic skin

The breast skin must be very elastic and tight, not requiring any breast repositioning. No excess skin will be removed, so the skin should be able to “shrink” to its new size. Many women who have large breasts do not have skin that can shrink enough to be aesthetically pleasing.

Excellent nipple position

The nipple should be in its optimum place before the breast reduction. If the nipple is low (especially if it is below the breast crease), a breast lift is usually needed along with the breast reduction.

Full upper breast

The shape of the breast should include fullness at the top of the breast before the breast reduction in Cartagena, or the breasts will not be in the correct placement on the body after the reduction. Fullness at the top of the breasts provides cleavage and optimum aesthetic appeal.

Breast Reduction Surgery

Most women who have large enough breasts to consider a breast reduction surgery also need a breast lift (mastopexy) simply because the weight and size of their breasts has allowed gravity to pull the breasts down. Also, most women have excess skin that needs to be removed or lack tissue at the top of their breasts – both reasons to combine breast reduction surgery with mastopexy.

When we perform a breast reduction with breast lift, we must strategically remove skin, fat, and breast tissue so that we can reconstruct a breast that is smaller, of more ideal proportions, and in a more youthful position. We do this by molding the breast tissue into a beautiful shape, and then tailoring the skin around a refined nipple and areola to create a stunning result. With less weight on your chest, you will feel much better as symptoms are almost always improved after breast reduction surgery. As an added benefit, your new breasts will better be a much fit for your body, making you look better as well.

Areola Size

Large breasts often “stretch out” the nipple. As part of the breast reduction operation, we routinely reduce the size of the areolas to keep them proportional with the smaller breasts. We have the ability to adjust the size of the areolas based on patient preference. The average diameter of the areola tends to be slightly more than 4 cm.

Preserving Nipple Sensation & Function

In the breast reduction techniques we perform in Cartagena, we leave the nipple attached to the underlying tissues and slide it to a higher position. Most patients continue to have nipple sensation, and most still have the ability to breastfeed should they desire to do so. There is another procedure for moving the nipple called a free nipple graft, where the nipple is totally detached from the breast and placed in the new location as a skin graft. Nipple sensation and the ability to breastfeed are lost with a free nipple graft. In our experience, it has rarely been necessary to perform free nipple grafts.

If you’re interested in a breast reduction in Colombia, request a consultation online with our plastic surgeons at Premium Care, or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States to discuss your options for breast implants.

Techniques in Breast Reduction Surgery

There are two main considerations in breast reduction surgery: the incisions and the pedicle.


The circumareolar incision results in a scar that is camouflaged around the outer aspect of the areola. It allows adjustment in the size and position of the areolas, but does not provide much lift for the lower portion of the breast and only allows a minimal reduction.

Vertical Scar (Lollipop or Le Jour scar)

Vertical scar breast reductions leave a relatively short scar and are best for patients with good, elastic skin who are in the more moderate size range. The primary advantage is that there’s no horizontal scar underneath the breast. Excess breast skin under the breast is gathered together and smoothes out over time.

Inverted-T (Anchor Scar)

The inverted-T incisions, or anchor scars, are the most common pattern of scars for our breast reduction patients. The scar looks like the lollipop with an additional horizontal scar in the breast crease. These techniques allow the largest amount of breast tissue to be removed and provide the greatest amount of lift. Patients with larger breast volume, greater droopiness and poorer skin elasticity tend to be the best candidates for these types of procedures.

Pedicle Methods

Most women who are interested in breast reduction surgery have breasts that are so large that they hang low on the chest. So, the nipple needs to be relocated, higher up on the breast. In the vast majority of cases, we reduce the breast and move the nipple using a pedicle method, which leave the nipple attached to the breast skin, blood vessels and milk ducts to minimize nipple trauma and scarring.

There are several variations of the pedicle method. The best choice depends on the size, shape, and placement of your breasts and how much reduction you need. The nipple is rotated or shifted to a more suitable location on the breast while the pedicle maintains the blood supply and innervation.

The pedicle is our typically our preferred method, as this method offers many advantages for patients. By not severing the connection with blood vessels, nerves, and milk ducts we are able to give patients less scarring, improved sensation, and the best chances for breast feeding.

It is not the appropriate method for all women, though. Women having extensive reductions or emergency surgery may require a free nipple graft instead.

All breast reduction processes begin with a consultation with your physician. Our plastic surgeons can evaluate your individual needs and discuss the available reduction procedures with you at your consultation. At this consultation you can discuss concerns, goals, and expectations you have. In turn the physicians can explain the procedures in more depth and determine the best way to help you meet your goals.

Breast Reduction with Breast Lift

Most women interested in breast reduction in also need a breast lift. It’s simply a matter of size and weight working in conjunction with gravity. Breast reduction surgery can successfully remove the excess fatty or glandular tissue making your breasts large and heavy, but a breast reduction alone will not bring your breasts back to a desirable position on your chest. That’s why breast reductions are often combined with a breast lift so that your new, smaller breasts are situated higher up on your chest for an attractive and more youthful appearance.

Free Nipple Grafting

While great care is taken to use methods that are less invasive and create the least amount of scarring, ultimately the procedures needed are dictated by the size of the woman’s breasts, the amount of ptosis (sagging), and the current position of the nipple.

For women who need a massive amount of tissue removed, the nipple sometimes has to be removed from the breast and then repositioned and sutured in a higher, more aesthetically pleasing position after the excess breast tissue has been removed. This technique is rarely necessary but is available to our most severely affected patients.

When the nipple is removed from the breast it is also separated from the milk ducts. Unfortunately, milk ducts cannot repair themselves after such separation, so a women who has had a free nipple graft will not be able to breastfeed after the operation. A scar along the circumference of the nipple will be present, but often heals nicely.

There is a slight chance of necrosis of the nipple. After breast reduction, some women will experience changes in areola pigmentation and most have a permanent loss of nipple sensation. Choosing an experienced physician as well as following all post-op instructions help to minimize any risk of complications.

About Scars

Everybody scars differently. Some people scar more easily than others. Some areas of the skin scar more than others. Some lifestyle activities make scars more visible. So, what exactly is a scar?

Think of scarring as a visible healing act. In the beginning stages of recovery — usually the first two to three months — your scars may be very apparent and pronounced. This is normal healing. As time goes by the scars will slowly become smaller and less visible. It may take up to two years for skin to fully heal from surgery. By then scars are considered “mature” and you will see their final outcome.

What determines how much you will scar? It depends mostly on age, location, genetics and lifestyle.

Finally, breast reduction in Cartagena and across the world has among the highest patient satisfaction rate of all elective surgeries. So while all breast reductions will come with some scarring, most women see this as a justifiable trade-off. T hey look forward to having smaller and perkier breasts, participating in athletic activities, fitting into clothing, and being relieved of pain in the neck, shoulders and back.

Scarring After Surgery

If you are considering breast reduction surgery, you have probably learned about many of the benefits already. But in order to make the best decision for yourself you will need to consider some of the side effects, such as scarring.

While all breast reductions result in some amount of scarring, great care is taken to minimize scarring — from performing the least amount of incisions, to careful suturing, to proper post-op care. Still, the ultimate amount of scarring will depend on the procedure and the patient. Our entire team at Premium Care will work with you to choose the best technique for you, and will then partner with you to achieve the best possible results, including optimum management of incisions.

Circumareolar Scar:

The circumareolar lift results in a scar that is camouflaged around the outer aspect of the areola.

Lollipop Lift:

The lollipop breast lift has a scar that is concealed around the circumference of the areola, as well as a vertical scar on the lower portion of the breast. This procedure gives a significant amount of lift to the lower portions of the breast, as well as the nipple. It allows us to transform a droopy and “boxy” breast into a round and perky breast.

Anchor Lift:

The inverted-T scar, or anchor scar, is essentially the lollipop with an additional incision underneath the breast. This procedure allows us to maximize the amount of lift and treat substantial droopiness of the breast. It is most commonly used for women who have a large amount of excess breast skin, typically after significant changes in breast size following breastfeeding or weight loss.

For more information on breast reduction surgery, request a consultation online or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States.

Your Breast Reduction Consultation at Premium Care Plastic Surgery

So, what’s the next step once you’ve decided to get a breast reduction in Cartagena? It’s really a three-part process: a consultation and physical examination, surgery, and recovery.

The consultation is important. The best way for patients to understand their options is in a thorough consultation at Premium Care Plastic Surgery. In our approach to breast reduction, communicating with our patient is key. We will carefully review your medical history and breast evaluation questionnaire before the initial consultation.

The in person consultation is where your surgeon can learn what you want your breasts to look like, as well as to let you know if what you envision is realistic for your body frame. In the consultation the physician will help you to understand which reduction procedures are appropriate for you. You can discuss these options and decide together which route to take.

Be prepared to discuss:
  • Why you want the surgery, your expectations and desired outcome
  • Your general health status and any pre-existing health conditions or risk factors
  • Medical conditions, drug allergies and medical treatments
  • Previous surgeries
  • Use of current medications, vitamins, herbal supplements, alcohol, and tobacco

After we gain an understanding of what the patient wants, we then proceed to the examination. We consider many features including breast volume, width, height, nipple position, areola size, ribcage curvature, skin tone, droopiness, asymmetry, and crease position. Breasts are highly variable, and we help the patient understand what their best options are based on their physical characteristics. Our plastic surgeons will explain how the different procedures may apply to you specifically, and what we recommend for your particular case.

It is important that you are in good health – both physically and mentally – before going into surgery.

Your lifestyle will also contribute:

If you are a smoker, please quit smoking now (smoking lowers the body’s ability to deliver important oxygen to all of the organs – very important during surgery and recovery).
If you have diabetes you may be asked to maintain a certain level of health before the operation (diabetics may have trouble healing after surgery).
Young girls under the age of 18 are often encouraged to wait until their breasts have stopped growing before undertaking a breast reduction.

Your plastic surgeon at Premium Care will also:
  • Take photographs for your medical record
  • Discuss your options and recommend a course of treatment
  • Discuss likely outcomes of tummy tuck and any risks or potential complications

Breast reduction surgery is an area of expertise for our plastic surgeons at Premium Care. Our patient population reflects a cross-section of residents from the United States, Europe, and Latin America, and we have a broad range of experience with different ages, ethnicities, and sizes of patients

Is it right for me?

Breast reduction surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast reduction is a good option for you if:
  • You are physically healthy
  • You have realistic expectations
  • You don’t smoke
  • You are bothered by the feeling that your breasts are too large
  • Your breasts limit your physical activity
  • You experience back, neck and shoulder pain caused by the weight of your breasts
  • You have regular indentations from bra straps that support heavy, pendulous breasts
  • You have skin irritation beneath the breast crease
  • Your breasts hang low and have stretched skin
  • Your nipples rest below the breast crease when your breasts are unsupported
  • You have enlarged areolas caused by stretched skin

If you’re ready to meet with our plastic surgeons at Premium Care in Colombia, you can request a consultation online or contact us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States.

Preparing for your Surgery

Premium Care Plastic Surgery encourages you to take a few simple steps in preparation for your breast reduction procedure in Colombia. Following the steps presented below will make your recovery from surgery as safe, short and relaxing as possible.
Your surgeon will provide you with a list of specific steps you should take leading up to your procedure. This list might include limiting your use of certain medications, alcohol and cigarettes, and minor changes in your grooming habits. These changes are temporary but very important to your comfort and safety.

Before breast reduction surgery, you may be asked to:
  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking well in advance of surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
  • What to do on the day of surgery
  • The use of anesthesia during your breast reduction
  • Post-operative care and follow-up
  • Medications to purchase and bring with you on the day of surgery.

A patient’s final result will be enhanced through active participation in preparing for breast reduction. Patients considering breast reduction need to maintain a healthy, well-balanced diet to prepare for surgery.

Smoking increases the risks of many potential complications of surgery and should be avoided. Patients who smoke should stop at least two months before surgery, but even then they are still at increased risk when compared to non-smokers. Nicotine patches or gum are also associated with increased complications and should not be used in preparation for surgery.

Preparing your home before your procedure will help ensure a safe and relaxing recovery. If your procedure will impact your ability to stand or walk for long periods, or reach high places, you may want to prepare meals in advance and move kitchen items out of cupboards and onto the counter. Having a phone, medications and other necessities on a night stand or side table will keep you from having to get up and down. Having extra pillows and blankets already on your bed or couch can also keep you comfortable. If you have pets or children, you should make sure someone is available to care for them while you are recuperating.
On the day of your surgery, we ask that you wear no jewelry or make-up and avoid deodorant, skin lotions and perfume. We recommend warm, loose fitting clothing, such as pajamas or sweat pants with thick socks or slippers to prevent the chills commonly experienced after surgery. Please inform your surgeon if you have a cold, sore throat, active allergies or an open cut or sore on the day of your breast reduction.
You’ll need help. Arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery. Effective planning prior to undergoing liposuction can make your recovery as brief and relaxing as possible.

To take the next step, arrange a personal consultation with Premium Care Plastic Surgery in Colombia by calling (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States, or use our convenient online form to book a consultation online.

Your Breast Reduction Surgery
What happens during breast reduction surgery?

What makes our breast reduction procedure in Colombia so unique? The answer lies in its combination of the latest surgical techniques. By using the most advanced techniques, our surgeons perform both a breast reduction and a breast lift procedure to create an elegantly reshaped look that offers internal breast support using your own tissue.

Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction.

The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.

Step 1 – Anesthesia

Medications are administered for your comfort during breast reduction surgery. We perform breast reduction under general anesthesia with long acting local anesthetic injected to the surgical site for post operative pain control. Your doctor will discuss the best choices for you.

Step 2 – The incision
Incision options include:

A circular pattern around the areola
The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.

Breast lift Colombia cresentBreast lift Colombia donut

A vertical or lollipop-shaped pattern with an incision around the areola and vertically down to the breast crease.

Breast lift Colombia lollipop

An inverted T or anchor-shaped incision pattern

Breast Lift Anchor

Step 3 – Removing tissue and repositioning

After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary.

Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

Step 4 – Closing the incisions

The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Step 5 – See the results

The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

If you’re looking for innovative and experienced breast reduction surgeons, you’ve come to the right place. Our practice understands that overly large breasts can cause many hardships in a woman’s life, and we are delighted to share the dramatic stories of transformation as well as before & after photos from our actual breast reduction patients. Request a consultation online today, or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States.

Breast Reduction Recovery in Colombia

One of the amazing things about recovering from breast reduction surgery is how quickly patients experience relief from their symptoms. The morning after surgery many patients already feel symptomatic relief, even though their recovery has just begun. Many comment that they even breathe easier when they no longer have so much weight on their chests.

Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. Patients are pleased with the elimination of physical pain caused by large breasts as well as a better proportioned body, an enhanced appearance, and better fitting clothes.

You will notice a difference in breast size immediately. The key to healthy recovery is to follow the doctor’s orders. While some complications are possible, most people heal quickly and are incredibly happy with their results.

Recovery from a breast reduction tends to be relatively swift because the surgery does not involve the underlying muscles, bones or internal organs. After your breast reduction procedure is completed, dressings or bandages will be applied to the incisions. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect after breast reduction surgery.

You’ll need to wear an elastic bandage or support bra to minimize swelling and support your breasts as they heal. You will continue to wear a surgical bra for several weeks, around the clock. This promotes healing and helps to ensure you get the breasts you want. Most women take one to two weeks off from work and normal activity; strenuous activity is not recommended for six weeks after the operation.

You may notice that your back, neck and shoulder aches are improved. You may notice your posture improving. You may notice how much easier it is to find clothes you like and that fit. And most importantly, you may feel better about yourself. And what is more important than that?

Get started today: request your consultation through Inside Online.

You will be given specific instructions that may include:
  • How to care for your breasts following breast reduction surgery
  • Medications to apply or take orally to aid healing and reduce the risk of infection
  • When to follow-up with your plastic surgeon.
Be careful

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

Breast Shape After Surgery

Women considering breast reduction surgery have one big question: “what will my breasts look like after my procedure?”

In general the breasts will be smaller, firmer and higher up on your chest wall. Some women will also have their breast reduction reduce their areola in size and/or have it repositioned to be in proportion with their new, smaller breasts.

After surgery, even though you will have some swelling, you will immediately notice the change in your breasts. However, the final shape and appearance of your breasts may not be apparent for six months to one year. Meanwhile, your breasts will be smaller, firmer and younger looking.

During the pre-operative consultation the amount of your reduction will be determined. For breast reduction, one woman may need a lot of excess volume removed, while another woman may achieve breast reduction that meets her needs with only minor tissue removal. The key is balance – keeping your body in proportion. What determines this? Your height, frame, body shape, and hip size all factor in. If your breasts become too small it can make your hips look larger. If your frame is very small, you may need more reduced.

Breast reduction results

The results of breast reduction surgery will be long-lasting. Your new breast size should help relieve you from the pain and physical limitations experienced prior to breast reduction. Your better proportioned figure will likely enhance your self image and boost your self-confidence.
However, over time your breasts can change due to aging, weight fluctuations, hormonal factors and gravity.

When you request your consultation online or call our office at Premium Care Plastic Surgery in Colombia at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States, you will be able to discuss breast shape with a highly- skilled plastic surgeon who will listen to what you have envisioned for yourself.

Risks and Complications of Breast Reduction

Our patients from the United States, Europe, and Latin America see breast reduction as an exciting way to free themselves from physical and emotional discomfort. Beyond giving you a new physical appearance, this is a procedure that helps give you a life you long for: free of shoulder, neck and back pain due to large breasts; free of persistent breast rashes or irritations; free to join in on countless physical activities that before were too painful for participation.

However, as with all elective surgeries, it is still important to go into it fully informed and aware of potential risks and complications. When you request your consultation at Premium Care Plastic Surgery, out plastic surgeons will take the time to discuss all aspects of breast reduction in depth, and answer any questions you may have.

In the meantime, we have listed some possible risks and complications on this page.

Bleeding, infection, and anesthetic complications

These are risks in all surgeries. Your physician and assisting staff will take all precautions to minimize any potential problem. We use only board certified medical doctor anesthesiologists for our cases.
Bruising, swelling, inflammation, infection, discomfort These can happen after surgery. Following your physician’s instructions (such as limiting physical exertion or taking medication) will help to minimize these possibilities.

Sharp pains in the breast or nipple

A small percentage of women experience temporary sharp pains for up to six months. This can be part of the healing process and will subside over time.

Loss of nipple functionality

Some breast reductions can result in the loss of nipple sensation as well as the ability to breastfeed. You can read more about this on the Preserving Nipple Sensation and Function page.


All breast reductions result in some level of scarring. The extent of scarring you experience will depend on the Breast Reduction method you have, as well as other factors discussed on the Scarring and Breast Shape After Surgery page.


A small percentage of women have breasts that become significantly asymmetrical after surgery. This is an uncommon occurrence and could require another operation to correct it. All breasts are asymmetrical to some degree and revision surgery should not be done for small differences in breast size or shape.


This is rare and results from tissue being cut off from the blood supply during surgery. When this happens, tissue begins to die and can result in gangrene. It requires immediate medical attention and possible additional procedures.

How can you help minimize risk?

Our surgeons and staff take precautions to protect the health of their breast reduction patients. What can you do to minimize risks and maximize health before, during and after a surgery?

Don’t smoke. Smoking constricts your veins and arteries — it makes them less able to carry oxygen to all of your organs. During surgery your body will need all of the oxygen it can get, especially when anesthesia is involved. Smoking can also slow down the healing process, even affecting the way your scars mature. Not smoking helps your body heal scars, making them smaller and less visible.
Get your diabetes under control. Diabetes can make your body heal more slowly. If you are diabetic make sure to optimize medical management of your condition. Remember, you want to do everything you can to promote healing.
Be fit. If you are overweight your physician may ask you to lose weight prior to surgery. Losing excess weight before surgery will help you get the breast shape you want after surgery. While breast reduction surgery is permanent, breast size will fluctuate depending on weight gain or loss. By being at your normal weight before surgery, you can help minimize any future change of breast shape.
Follow your physician’s instructions. If you are asked to stop smoking, lose weight or improve your health in any way before surgery, make sure you do these things. If you are given instructions after surgery, make sure you follow them. These are all set up to help you get the results you want with the least amount of complications and the fastest healing process.

Plan to come in and talk with Dr. Alex Campbell and Dr. Carolina Restrepo at Premium Care soon. Request a consultation online or contact us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States.

Insurance Coverage for Breast Reduction

A common question we get at Premium Care is about insurance — do insurance companies cover breast reduction in Cartagena?

Every insurance company is different — they each have unique policies and guidelines when it comes to breast reduction coverage. The good news is that our specialists at Premium Care are used to working with insurance companies. We know what type of information they need and we know what to follow up on. We are happy to help you work with your insurance company to determine if your breast reduction in Cartagena will be covered, how much of the procedure will be covered, and to help get the required information to the insurance company.

Working with the Insurance Companies

Most insurance plans will cover this procedure for patients with these symptoms if they have attempted conservative medical treatment without success. Most commonly, this conservative medical treatment is provided by an internist, orthopedist or chiropractor.

One of the determining factors for breast reduction insurance coverage is the degree of physical problems the potential patient is experiencing. If you have overly large breasts, you are probably very aware of typical symptoms such as chronic neck, back or shoulder pain; grooves in your shoulders from your bra straps; rashes; and inability to participate in some high-impact activities.

Breast reduction surgery is considered to be medically necessary if a patient suffers from symptomatic macromastia. The typical criteria for insurance coverage of a breast reduction include: bothersome symptoms detrimental to quality of life, failure of medical therapy prescribed by another physician or chiropractor, and removal of a minimum estimated weight of breast tissue.

Typically, there is a minimum weight of breast tissue that must be removed from each breast to qualify as a medically necessary breast reduction for insurance coverage. The best way to determine if your procedure is medically indicated is in a consultation with us at our office at Premium Care in Cartagena.

If you’re ready to meet with our plastic surgeons at Premium Care in Colombia, you can request a consultation online or contact us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States.

Breast Reduction: Words to Know
  • Areola: Pigmented skin surrounding the nipple
  • Breast reduction: Also known as reduction mammaplasty, the surgical removal of breast tissue to reduce the size of breasts
  • General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness
  • Hematoma: Blood pooling beneath the skin
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax
  • Liposuction: Also called lipoplasty or suction lipectomy, a procedure that vacuums out fat from beneath the skin’s surface to reduce fullness
  • Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain
  • Mammogram: An x-ray image of the breast
  • MRI (Magnetic Resonance Imaging): A painless test to view tissue, similar to an x-ray
  • Reduction mammaplasty: The surgical removal of breast tissue to reduce the size of breasts; also known as breast reduction surgery.
Breast Reduction: Frequently Asked Question

When considering a breast reduction surgery in Colombia, you may have a lot of questions about what to expect before, during, and after surgery. These FAQs should help you learn a little more about breast reduction.

Below are some of the common questions we hear from patients about breast reduction surgery in Cartagena. If you don’t see the answer to your question here, or if you’re ready to take the next step and talk with one of our surgeons about a breast reduction, request a consultation online or call us at Premium Care in Cartagena at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States.

I am interested in a breast reduction. How do I choose my size?
Your plastic surgeon will meet with you and discuss your goals and the size you wish to become. In most cases, a woman can “pick” the size she wishes. There are infrequent occasions when the physical examination of the patient reveals limitations to the size she can become.

Will I need to repeat this surgery in time?
Most people have this surgery only once. If you gain or lose excessive amounts of weight, it is possible that you would wish to have an additional breast lift or breast reduction.

Is breast reduction paid for by insurance?
Many insurance companies pay for breast reduction surgery in many cases. Insurance companies generally do not cover the costs for breast lift surgery without reduction.

Does it cost more money to have a breast lift at the same time as a breast reduction?
No, in most cases a breast lift is performed at the same time as a breast reduction. There are no additional costs for breast lift surgery at the same time as reducing the breasts.

Where is the surgery performed?
Our surgeons perform their breast augmentation procedures at the modern facilities at MediHealth Clinic in Cartagena. Premium Care combines the utmost in state-of-the-art technology, a clear focus on patient safety and a warm, refined ambiance. Most patients find their surgery to be a pleasant, relaxed experience.

How long will I need to stay in town?
Most of our out-of-town patients stay in Cartagena after breast reduction for one week. While you visit you may want to see the sights in Cartagena and surrounding areas. Both cities are on the cutting edge of sights, culture, activity, shopping, and nightlife. See our fly-in-for- surgery section for more information.

I do not have anyone who can come with me. Can I come alone?
Yes, many women fly in from out of town and even out of the country. Many of these women come alone and do very well. When a patient is alone, we generally ask that she stay in the our care facility for three days prior to returning to her hotel. We see her every other day until she leaves.

Can I go home the night of breast surgery or do I need to stay in a hospital?
Most of our patients stay overnight the first night in one of the many room choices available at Premium Care. This provides a comfortable, safe environment for the first evening after breast surgery and helps patients an optimum transition to the recovery phase.

Will I lose sensation?
Because the nipple is not detached and a free nipple graft is not necessary, most women will retain their nipple sensation. Occasionally there is a loss of nipple sensation.

Does insurance cover the cost of a breast reduction?
Insurance usually covers breast reductions. The medical condition caused by overly large breasts is called symptomatic macromastia. They do not cover the cost for breast augmentation or simple breast lift surgery. Dr. Campbell and Dr. Restrepo will write a letter to your insurance carrier and provide them with any information required for approval. If you have symptoms such as back pain and neck pain from your large breasts, then your insurance company may cover the cost of a breast reduction surgery.

Is it possible to lift the breast when performing a breast reduction?
When we reduce the size of a breast, we also strive to improve its appearance. This includes lifting the breast and repositioning the areola.

What are some of the possible complications from breast reduction?
Complications tend to be minor and resolve over the course of a month or two with appropriate treatment. Possible complications from a breast reduction include slow healing, infection or bleeding. Careful planning, meticulous technique and diligent post-operative care all help to decrease the rate of problems.

Is the areola made smaller during breast reduction surgery?
Typically we make the areola diameter smaller during breast reductions to optimize the proportions of the new breast. This decision is made in conjunction with the patient.

Where are the final scars located in breast reduction surgery?
The scars from a breast reduction are in the pattern of either a lollipop or inverted-T (anchor). The scars tend to fade over the course of a year. We use modern plastic surgery techniques during surgery and our post operative scar management program helps you to optimize their appearance.

Is it possible to improve breast symmetry when performing breast reduction?
Most women’s breasts are slightly different sizes, and that is especially true with larger breasts. We routinely make adjustments to the breasts to improve their symmetry when we perform a breast reduction.

Is breast reduction surgery safe?
Breast reduction is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician’s advice both before and after surgery.

Who is a candidate for a breast reduction?
Anyone who feels their breasts are too large or heavy for their body is a candidate for a breast reduction. Of course they have to also be healthy enough to undergo the surgery and mature enough to decide that this is right for them.

What are the most important factors to consider when deciding whether or not to get a breast reduction?
The simple most important factor is recognizing that you would rather be smaller and perkier with scars than how you are now without scars.

What are some of the benefits of getting a breast reduction?
A breast reduction can reduce neck, back, shoulder, and breast pain. It can reduce rashes that can occur under pendulous breasts; it can alleviate grooving from bra straps; it can make a woman feel more proportionate and wear a greater variety of clothing and lingerie. But the most significant differences are issues such as improved self-esteem, not feeling that people are staring at their breasts, an increased ability to exercise and play sports, and overall feeling lighter and more spry.

Will my nipple be removed?
NO. Everyone thinks that this will happen, and it does not. Skin around the nipple is removed and tightened, but the nipple always remains attached to the breast.

How much smaller will my breasts be after a breast reduction?
You and your surgeon will discuss how much smaller you want to be. But understand that the actual footprint of the breast on the chest – where the breast starts towards the center and where it ends to the side – can be changed little in most situations. Given that, there is an ideal breast volume that will create the most aesthetic breast. In an attempt to go too small, the breast can look wide and flat; if it is left too big for the width, the breast will of course still look too big.

Are the results of a breast reduction permanent?
The tissue that is removed is gone. Remaining breast tissue can fluctuate with hormones, fat in the breast can fluctuate with weight, and droopiness can start to increase just due to gravity. But by and large most of the result of a breast reduction is permanent, though like all breasts, they will of course change over time.

If I gain weight after a breast reduction will my breasts get big again?
They can increase in size, but they are unlikely to get as large as they were unless you gain a significant amount of weight.

What will the scars be like if I have a standard breast reduction?
You will have what is called an “anchor” scar, which is a scar that goes around the nipple, straight down to the bottom, and across the underneath part of the breast. This affords the greatest shaping in all three dimensions. The so-called “vertical” lift only has a scar around the nipple and straight down to the bottom of the breast. Many surgeons do not consider the shape of these breasts to be as attractive, which makes sense because there is one less direction of control the surgeon has. And though there is less total length of scar, inch by inch the quality of the scar is less because this technique requires ‘bunching’ of skin, which often makes a wider scar. The vertical frequently requires some scar revision, often including the placement of a horizontal scar at the bottom at a later date, so in most cases it does not make sense. Patients always ask about the “donut” lift, also known as the “circumareolar” scar. This is very limited in how much tissue can be removed and in how much the breast is reshaped

Will I lose sensitivity in my breasts after a reduction?
Loss of sensation is a risk of breast reduction. Many women with large breasts have lost sensation from the stretching of their nerves, and for them this is not an issue. But many others have a lot of sensation, and the risk of losing that sensation is important to them. It is very hard to measure and quantify changes in breast sensation. While most patients do not experience a reduction in feeling, the bottom line is that you have to decide for yourself that you would rather be smaller even if it meant you lost sensation.

Can I get regular mammograms after a breast reduction?
Mammograms can be done after breast reduction and they are just as effective as if the reduction had not been done. In fact, if the breasts were very large and pendulous the mammogram can be even better.

Will I be able to breastfeed after I have a breast reduction?
Today’s techniques for breast reduction do not cut the milk ducts. Studies show that 2/3 of women getting a breast reduction are able to breast feed afterwards. Of course, not all of the 1/3 who couldn’t would have been able to breast feed without the reduction, as a many women with breasts large enough to need reductions have stretched out ducts and flattened nipples that babies may not be able to latch on to.

What form of anesthesia will be used for my procedure?
Most surgeons use a light general anesthesia so that the patient doesn’t feel any pain or anxiety.

What should I bring with me the day of surgery?
We will give you detailed instructions after you have scheduled your surgery. We will provide you with the bra you will need to wear after surgery. Just wear a comfortable sweatshirt top you can zip on and off.

How painful is the recovery?
Most patients use the word sore more than painful. They feel achy, they feel a pressure, but the pain is never sharp or severe. The pain builds gradually, so if you feel yourself getting uncomfortable, take a pain pill and you will feel better.

How soon can I go to work?
When you will feel ready to do your job is highly individualized. So long as your work doesn’t involve straining and heavy lifting, you can expect to be back to work after five or six days. Some people go back even sooner, and many work from home the next day.

When can I drive?
You can drive when you are off of all narcotic pain medication and feel totally unrestricted by your discomfort such that you could make any movement you might need to safely drive your car. That is ultimately a decision that I cannot make for you.

When can I travel by airplane?
There is nothing about airline travel that you must avoid for a specific period of time. The issues involved have to do with the difficulty of getting through airports these days, and whether you are going somewhere there is a plastic surgeon to look after you should you have questions or problems or just need to be looked at by an experienced doctor. These issues are usually very individualized, and you should discuss them with me. But in general, breast reduction patients will get on an airplane after about five or six days.

When can I resume exercise?
We suggest you wait 3 weeks to to be sure that everything is healed. There is always a chance of causing bleeding if you start much before that time. When you start, listen to your body. You will be a little out of condition and a bit sore. But you will get back to where you were before surgery very quickly.

What is considered to be exercise?
Elevating your heart rate or blood pressure, breathing hard, or straining or sweating. But light walking is beneficial starting the day of surgery.

Does not being able to exercise then exclude sex?
Sex can be resumed as you feel comfortable. Most often patients hit their level of comfort in 3-7 days. Again, respect the fact that you have undergone surgery and try to avoid the manipulation of the incisions.

When can I lift my child?
You can lift a cooperative child that is up to 20 pounds right away. But don’t try to pick up your child if he or she is upset.

When can I drink alcohol?
A small amount of alcohol will not interfere with your recovery.

When can I smoke cigarettes?
Cigarettes pose a particular hazard to patients undergoing this operation. They shrink critical small blood vessels that are important for healing in a breast reduction. You should wait a minimum of three weeks after surgery to have them. This is a very real and very important issue with this operation.

When can I be in the sun?
It is okay to go out in the sun within days after surgery, provided that the incision is protected by something that will totally block the sun, and it is a good idea to keep the incision totally blocked form sun for a year or so.

When can I shower/take a bath?
You can take a shower the day after surgery. You should wait about two weeks before taking a bath so that your incisions are somewhat healed.

What will my post-operative appointment schedule be like?
There are no drains or stitches to be removed after a breast reduction, so there are really no compulsory visits or times at which something in particular must be done. Our plastic surgeons want to see everyone the day after surgery to assure ourselves that everything is okay. We offer patients frequent visits thereafter, usually at one week, one month, six months, one year, and yearly thereafter. But some patients will come more frequently, some less frequently. Some people have little questions they want answered, and other people feel fine on their own. Our staff is always available by telephone for more minor issues. Our doctors are always available for a patient who wants to come in. It is not uncommon for breast reduction patients to have a “spitting stitch” or a small area here or there of delayed healing that they will need to see. These are small issue overall, but we will see you through every part of this process.

Is there swelling and if so, how long does it last?
Swelling increases after surgery, usually peaking about 5-6 days after surgery. After that, the swelling will subside, rapidly at first, and then gradually. After one month, you’ll think the swelling is gone, but it will still go down more at three months, and even more at six months and even a year, though at that point changes are subtle.

Is there bruising and if so, how long does it last?
Usually there is a little bit of bruising on and around the breast, but it is typically very mild and is all gone by ten days to two weeks.

Will I have a special bra or garment to wear after surgery? How long will I have to wear it?
We will give you a bra that is easy to take on and off after surgery, and it will provide a gentle amount of compression. But there is nothing really special about it. All reduction patients feel more comfortable with a bra, and you can use a soft bra of your own if you prefer. It is normal for the skin to ooze a bit for about four or five days after surgery. We will give you sterile gauze pads to tuck into your bra to absorb this.

What do I have to do to care for the incision?
It is okay to shower, get it wet, and blot it the day after surgery. Let the steri strips start to peel on their own, and then tease them off in the shower. That usually occurs at a week to ten days. Then wash your breasts gently with a soapy washcloth to remove any small crusting. The breast skin can get dry after a reduction, so put a rich moisturizer all over your breasts after the steri-strips come off.

When do the stitches need to be removed?
For a standard reduction the stitches all dissolve.

What should I do to prevent scarring?
The bottom line is that the fate of your scar is mostly determined by your own genetics and by the surgery itself. It is not clear the extent to which putting things on scars will influence their final appearance. However, most patients want to do something. There has never been a direct comparison between the various products. Patient feedback has been the most positive from three sorts of things: Scar Guard, which is a liquid containing steroid, Vitamin E, and silicone that you brush on; Silicone gel strips (such as Neosporin scar strips); and silicone ointment (such as Scar Fade.) You can get these from the office or the pharmacy, and you can start putting them on once the glue or the steri

What do I need to watch out for?
It is normal when operating on two sides of the body for them to swell differently, but by and large they serve as a control for the other. So if one is much larger or more painful, let us know right away. If the incisions get red, tender, inflamed, let us know. Sometimes there can be a little separation along the incision or a “spitting” suture, and you should come in so we can help you treat this.

We’d be happy to talk with you further in Cartagena about breast augmentation (enlargement) at Premium Care. Simply request a consultation online or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States in Cartagena to schedule an appointment.


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