Breast
Breast Reduction
Comfort, balance and shape — for women whose breast volume has been a daily burden.
Duration
3 – 4 hours
Anaesthesia
General anaesthesia
Stay
1 night
Indicative cost
EGP 75k – 100k
Reduction is one of the most consistently rewarding operations in plastic surgery. Patients who have lived for years with neck and shoulder pain, intertrigo, exercise restriction and posture compromise often describe profound relief by the second week. Dr. Saeed uses a superomedial pedicle technique with vertical (lollipop) scars wherever feasible to limit the scar burden.
How this is approached at the practice
- Superomedial pedicle preserves nipple sensation and lactation.
- Vertical (Lejour) scar wherever the resection volume permits.
- Inverted-T pattern reserved for very large reductions.
- Areolar diameter standardised at 38 – 42 mm.
Who is suited to breast reduction
Patients experiencing the symptoms of macromastia — chronic pain, postural changes, skin changes under the breast, or activity restriction — for whom non-surgical management has failed. The procedure also yields a significant aesthetic improvement.
- Symptomatic macromastia, often grade III or IV ptosis
- Stable weight, non-smoker
- Family complete (the procedure does not preclude future pregnancy but volume returns)
- Realistic about scar trade-off for shape and comfort
Superomedial pedicle vertical reduction
The procedure, step by step.
The nipple-areola complex is preserved on a superomedial dermo-glandular pedicle. Excess gland and skin are excised. The breast mound is reshaped, the nipple is repositioned, and the wound is closed in a vertical or inverted-T pattern depending on resection volume.
01
1. Volume assessment
Measurement of resection volume (Schnur scale) and discussion of expected cup size post-operatively.
02
2. Marking
Standing pre-operative marking — sternal notch to nipple distance, new nipple position, vertical limbs.
03
3. Pedicle preparation
The superomedial dermo-glandular pedicle is de-epithelialised, preserving the blood and nerve supply to the nipple.
04
4. Resection and remodelling
Excess inferior pole tissue is excised. The remaining breast is conified centrally to give projection.
05
5. Closure
Vertical or inverted-T closure. Nipple-areola complex inset. Drains for 24 – 48 hours.
Recovery
Week by week — what to expect.
Final aesthetic settling at 6 – 9 months · Social downtime: Time off work 10 – 14 days, full activity at 6 weeks
Day 0 – 2
First nights
One night in the clinic. Drains removed before discharge in most cases.
Week 1
Relief is immediate
Most patients describe immediate relief from neck and shoulder pain. Scars are dressed; you may shower from day 5.
Week 2
Return to office work
Most return to desk work between days 10 and 14. Driving from week two if comfortable.
Week 6
Activity unrestricted
Full sport including running. The breast settles into final shape over the following months.
Month 9
Scar maturation
Vertical scar fades. Silicone gel and sun avoidance support optimal scar quality.
Risk disclosure
We tell you everything that can happen.
Surgery carries risk. The most important conversation in any consultation is the one about what could go wrong, what we will do if it does, and what we cannot guarantee. The list below is a partial summary; the full discussion happens in person.
Scar quality
Scars are the principal trade-off of reduction. Some skin types form thicker scars; we treat with silicone, micro-needling and rarely fractional laser.
Nipple sensation change
Reduced sensation in approximately 10% temporarily; permanent change in around 5%.
Wound healing
Slow healing at the inverted-T junction is the most common minor complication and almost always resolves with conservative management.
Asymmetry
Small post-operative differences in size or nipple position can occur and are addressable with a minor revision under local anaesthetic.
Recurrence with weight gain or pregnancy
Significant weight gain or pregnancy can re-enlarge the breast.
Frequent questions
Before you book.
Will my insurance cover this?+
Egyptian private insurance does not currently cover cosmetic procedures. We provide detailed documentation should you wish to pursue medical reimbursement.
How much volume can be removed?+
Anywhere from 300 g per side for a moderate reduction up to 1.2 kg per side for very large reductions.
Will I be able to breastfeed afterwards?+
The superomedial pedicle technique preserves the major ducts in most cases, but breastfeeding cannot be guaranteed.
Begin with a written surgical plan.
A consultation lasts 60 – 90 minutes and ends with a printed plan and quotation. There is no pressure to decide in the room.
Request consultation