Surgical reduction of macromastia (overly large breasts) and mastopexy for ptotic (sagging) breasts. The two procedures may be performed independently or combined where clinically indicated, based on tissue volume, skin quality, and patient goals.
Reduction and mastopexy at Umnagumo Plastic Surgery are tailored to the individual: a patient with significant volume excess but good skin tone may need pure reduction, while a patient with appropriate volume but stretched skin may need only a lift. Many patients fall between these extremes and benefit from a combined approach.
Incision pattern is selected based on the degree of ptosis and the amount of tissue to be removed. Vertical (lollipop) and inverted-T (anchor) patterns are the most common; periareolar-only lifts are reserved for limited cases of mild ptosis.
For reduction, glandular and adipose tissue are removed with preservation of the nipple–areolar blood supply (commonly via a superomedial or inferior pedicle technique). The skin envelope is then reshaped to the new breast volume.
For mastopexy, excess skin is removed and the gland is repositioned to a more youthful level on the chest wall. The nipple–areolar complex is repositioned higher and reduced in diameter where required. Combined reduction–mastopexy is staged within a single operation when feasible.
Daily activity typically resumes within 7–10 days. Vigorous exercise, including running and weight training, is reintroduced over 4–6 weeks. Final breast shape settles over 3–6 months as swelling resolves and tissues reorganize.
Scars from reduction and mastopexy mature over 12–18 months. Scar care guidance, including silicone sheeting and sun avoidance, is provided as part of post-operative follow-up.
In most pedicle techniques used at Umnagumo, the duct system to the nipple is preserved as much as anatomically possible. However, breastfeeding capacity cannot be fully guaranteed, and patients planning future pregnancies are counseled in advance.
Yes, in selected cases. When upper-pole fullness is desired alongside reduction or lift, a small implant can be combined with the reshaping. This is decided based on tissue thickness and goals.
Vertical (lollipop) and inverted-T (anchor) scars are the most common patterns; both fade significantly over 12–18 months. Scar appearance varies with skin type and post-operative care.
In Korea, breast reduction performed for documented symptomatic macromastia may be partially covered by national health insurance, with specific volume and symptom criteria. Coverage is reviewed during consultation. International insurance coverage is the patient’s responsibility.
For full clinical details, before-and-after photographs, and Korean-language patient information for this procedure, please refer to the Korean detail page.
View Korean detailThis page is part of the English overview. For all procedures and FAQs in English, see the English landing page.
