Body Harmonization · Surgical

Breast Reduction: less weight, more comfort

You feel it in your back, in the straps digging into your shoulders and in clothes that don't fit the way you'd like. You're not alone: many women with large breasts tell us the same thing. Breast Reduction aims to remove part of that weight and leave a shape in proportion with your body. Dr. Thuel and Dr. Juan Ramón Poveda, Physician and Surgeon, Specialist in Plastic, Reconstructive and Aesthetic Surgery, listen to you and support you together. Their aim is for you to feel lighter and more comfortable in your daily life.

I want to know if it's right for me

Medical consultation · US$100, VAT included. This amount is applied in full toward your treatment or procedure if you formalize it with your payment on the same day or within the following seven calendar days. It can be the full payment or a first payment of more than US$100. Booking it does not commit you to having surgery.

Every consultation is handled personally by Dr. Thuel and Dr. Poveda, so their availability is limited. We suggest booking in advance.

Dr. Irene ThuelPhysician and Surgeon, Expert in Aesthetic Medicine and Surgery · MED10355

Dr. Juan Ramón PovedaPhysician and Surgeon, Specialist in Plastic, Reconstructive and Aesthetic Surgery · MED5800

More than 17 yearsof practice in Aesthetic Medicine and Surgery

Trusted by colleaguesAmong those who trust her most are physicians and other health professionals

Patients who come backMany are referred by a family member, a friend, or someone who wishes them well

Two physicians in your surgeryDr. Thuel and Dr. Poveda: more than 40 years of combined experience

Duration: 2 to 5 hours
Recovery: Office in 1 to 3 weeks
When it shows: Final in a few months, as the swelling goes down
How long it lasts: Generally long-lasting

Every scar and every risk, explained before you decide.

Dr. Irene Thuel · Physician and Surgeon, Expert in Aesthetic Medicine and Surgery · MED10355

The essentials before you decide

What Breast Reduction involves, step by step

General information so you arrive at your consultation with a clear idea. It may vary in your case; Dr. Thuel and Dr. Poveda will confirm it at your consultation.

It may be right for you if…

At the end of the day, your back, neck or shoulders feel strained by the weight of your breasts.
You take off your bra and see strap marks on your shoulders.
You have irritation or a rash under the breast that keeps coming back.
You avoid exercising or have a hard time finding clothes that fit.
You want to move more freely, without carrying that weight.

What it is: Surgery that removes breast tissue, fat and skin to make the breast smaller and lighter, and lifts the areola.
How it is done: Incisions are made around the areola, downward and, sometimes, in the breast crease. The excess is removed, the breast is reshaped and closed with stitches.
Advantages: Besides reducing size, it lifts the areola and improves shape in the same surgery. Many patients notice relief from the discomfort caused by the weight.
Who performs it: Dr. Irene Thuel and Dr. Juan Ramón Poveda Xatruch, plastic surgeon, working as a team in the operating room.
Anesthesia and discomfort: It is usually performed under general anesthesia. The physicians will tell you which type applies in your case. The first few days bring pain, swelling and tenderness, which are usually managed with pain relievers.
Duration: Generally between 2 and 5 hours, depending on breast size and technique.
Hospital stay: It is an outpatient procedure: you go home the same day, after a few hours of observation and with a companion. If drains are placed, they are usually removed within a few days.
Recovery and care: A surgical or wire-free support bra is worn day and night, usually for 4 to 6 weeks. You usually return to the office in 1 to 3 weeks and to intense exercise after 4 to 6. Sleep on your back and avoid lifting heavy objects during the first few weeks.
When it shows: The change in size is visible from the start. Swelling takes a few months to go down, and the scars mature over 1 to 2 years.
How long the result lasts: It is generally long-lasting. Even so, weight changes, pregnancies and age can modify size and shape again.
Who should not have it: It is not recommended if you smoke or have conditions such as diabetes or heart disease without medical management. If you plan to have children or lose a lot of weight, it is sometimes best to wait. Both physicians review this during the consultation.
Follow-up visits: In general, during the first week, at one month, and between 3 and 6 months. Both physicians adjust the dates according to how you are healing.

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Beyond size

The weight you feel in your back and in your daily life

Physical discomfort

Back, neck or shoulder pain, strap marks or skin irritated by the weight.

Proportion

A size in keeping with your body and a higher shape.

Daily life

Moving and exercising with less discomfort. And choosing clothes because you like them.

Before removing volume

Back pain has several causes

That's why it's reviewed first. If you like your size and what bothers you is that your breasts have dropped, a lift may suit you better. And if now isn't a good time for surgery, Dr. Thuel and Dr. Poveda will tell you.

Consultation
We ask where it hurts, since when, and what you have tried. This helps rule out that the pain comes from somewhere else.
Team consultation
Dr. Thuel and Dr. Poveda examine you together. They talk with you about the size you'd like and the scars that would remain. And about the risks, too.
Tests and surgery
Your health is checked before surgery. Dr. Thuel and Dr. Poveda operate as a team, with the anesthesia and technique they both determine for your case.
Follow-up visits
After surgery, the team checks how the incisions are healing and how you feel with your new size.

Scars and breastfeeding

What a Breast Reduction involves

There will be a scar on the breast, sensation may change and breastfeeding may be affected. It's best to know this from the first appointment.

What to expect

Pain and swelling at first. Bruising or tender areas may appear.
Besides reducing, it lifts the areola and improves shape.
Over time, the shape settles and the scars mature.
Weight, pregnancies and the years can change the breasts again.

Discomfort and risks

Bleeding, infection, scarring, asymmetries or anesthesia complications.
Visible scars on the breast, depending on the technique and your skin.
Changes in sensation or healing problems.
It may affect the ability to breastfeed.

If size isn't the problem

Alternatives depending on what both physicians find

Breast Lift, if you like your size Liposculpture of the flanks or back Tummy Tuck (Abdominoplasty), if there is excess skin on the abdomen Non-surgical Hydrolipoclasia, for mild fat

Is this surgery right for you? At the consultation, Dr. Thuel and Dr. Poveda review your case together and tell you frankly whether it suits you and what it involves. The consultation costs US$100, VAT included, which is applied in full toward your treatment or procedure if you formalize it with your payment on the same day or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.

I want to book my consultation

Frequently Asked Questions

What people ask us most about Breast Reduction

Does Breast Reduction help with back pain?

It aims to relieve discomfort related to the weight of the breasts. Since that pain can have other causes, we review your case carefully during the consultation.

Will I end up too small?

You discuss the size with Dr. Thuel and Dr. Poveda before deciding. The goal is for you to recognize yourself when you look in the mirror.

What scars does it leave, and will I be able to breastfeed?

It leaves scars on the breast, depending on the technique both physicians choose, and it can affect breastfeeding. If you plan to have children, mention it during the consultation.

Can I have surgery if I still want to lose weight?

Talk about it with Dr. Thuel and Dr. Poveda. Weight changes alter breast size, and sometimes it's best to wait until your weight is stable.

What is the investment, and when can I return to my routine?

The investment depends on your case. After the consultation, we give you the full quote, with no obligation. In general, the surgery takes 2 to 5 hours under general anesthesia; you usually return to the office in 1 to 3 weeks and to intense exercise after 4 to 6. It may vary in your case; Dr. Thuel and Dr. Poveda will confirm it with you.

The consultation costs US$100, VAT included. If you decide to have a medical treatment or procedure, that amount is applied in full toward your treatment or procedure when you formalize it with your payment on the same day as the consultation or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.

Who performs my surgery?

You are cared for by a team: Dr. Irene Thuel and Dr. Juan Ramón Poveda Xatruch, MED5800. Both are with you at the consultation, in planning, in the operating room and at follow-up visits, and Dr. Poveda performs the surgery together with her.

To move with more freedom

During the consultation, Dr. Thuel and Dr. Poveda listen to you and review your case. They tell you how much could be reduced and what the surgery involves. It's the first step, and it doesn't commit you to having surgery.