Breast Reduction


Breast reduction surgery (reduction mammaplasty) involves a volumetric reduction of the breasts in order to improve the shape and size of the breasts, and (when necessary) a repositioning of the nipple areola complex to a more appropriate position.

Breast reduction surgery addresses a number of cosmetic and physical problems resulting from the medical condition of macromastia (enlarged breasts).

By removing excess fat, skin, and glandular tissue from the breasts, breast reduction surgery helps patients achieve more balanced body proportions, and can alleviate some of the discomfort caused by the weight of heavy breasts.

Macromastia can lead to significant disturbances in multiple body systems, and may cause patients to gain weight by negatively impacting their ability to exercise and live an active lifestyle. In order to achieve optimal surgical results, your breast reduction procedure should be performed by plastic surgeon such as Dr. Hani Sinno, M.D., who has helped patients ease the painful emotional and physical symptoms of macromastia with breast reduction surgery at his private practice in Montreal and Laval, Quebec.


Reduction mammaplasty can help to relieve a number of aesthetic, emotional, and health-related issues resulting from enlarged breasts, including:

  • Limitations on physical activity and difficulty living an active lifestyle
  • Loss of sensation in the breasts, fingers, or arms
  • Deep, pigmented  grooves in the shoulder-region, resulting from the pressure of tight bra straps
  • Poor posture
  • Sleep-related problems
  • Heightened anxiety, self-consciousness, or low self-esteem related to large breasts
  • Sagging, drooping breasts and/or stretched breast skin
  • Chronic shoulder, neck, back and/or breast pain
  • Polycystic mastitis (cystic breast infections)
  • Persistent rash and prolonged skin irritation beneath the breasts
  • Difficulty finding clothing and bras that fit appropriately

Regardless of your motivation to undergo reduction mammaplasty, Dr. Sinno will work closely with you to ensure that you are completely satisfied with the size and appearance of your breasts after your surgery, and that all of your breast reduction goals have been fulfilled.


Reduction mammaplasty is performed on an outpatient basis under general anesthesia, and typically lasts 2-5 hours. During your initial consultation, Dr. Sinno will conduct a thorough medical evaluation, assessing your breast reduction goals, breast composition, and medical history, before selecting one of three incision options for your surgery: circular incision, key-hole incision, or anchor-shaped incision.

During your surgery, Dr. Sinno will reduce the volume of your breasts, and will then lift and reshape your breasts to achieve your desired aesthetic preferences. If necessary, he will then adjust the position and size of your nipples in order to complete the aesthetically enhanced effect.

Liposuction may be performed in conjunction with your reduction mammoplasty if Dr. Sinno determines that excess fatty tissue is a primary factor in the enlargement of your breasts. Similarly, if you are suffering from breast sagging (ptosis of the breasts), a breast lift is almost always performed at the same time as your breast reduction procedure to ensure that your newly enhanced breasts are firm, lifted and perky.


Following your reduction mammaplasty, Dr. Sinno will place a drain under each arm to facilitate the removal of excess blood or fluid, and will cover your breasts with bandages or a gauze dressing. You can expect temporary post-surgical swelling and bruising, which can be ameliorated with prescription pain medication, and any incision scarring will fade over time until it is barely visible.  You should plan to take one week off from work to rest and recuperate, and will need to avoid all physical activity for at least one month after surgery, in order to allow your body ample time to heal.


Dr. Sinno and his well-trained team members have worked to create a welcoming, healing office environment, and will take the time to thoroughly explain your breast reduction procedural details and options. Your breast reduction procedure will be uniquely customized to reflect your specific aesthetic preferences, and you can be assured that you will have the best possible patient care throughout your reduction mammaplasty experience. If you would like additional information about breast reduction surgery, please contact Dr. Sinno’s office today. We are happy to answer any and all of your questions, and to schedule your initial consultation with Dr. Sinno.

Pre and Post Operative Photos

Please Click here for representative examples of pre and post-operative photos of patients from the website of the American Society of Plastic Surgeons (ASPS).

For more information on this specific procedure and to watch a 3D video animation, please visit the American Society of Plastic Surgeons (ASPS) here:

Dr. Hani Sinno