
Breast Reduction Surgery
Breast reduction surgery restores balance and firmness that suit your figure for breasts of an ideal size.
Procedure information
From surgery time to recovery, see the breast reduction schedule at a glance.
Surgery time
About 4 hours
Anesthesia
General anesthesia
Hospitalization
Not required
Stitch removal
After 10 days
Follow-up visits
1-2 visits
Recovery period
After 1-2 weeks
Ruby Breast Reduction Surgery
This surgery reduces breasts that are too large or sagging, considering functional issues such as eczema and pain as well as cosmetic concerns.

Various causes
Causes include genetics, excess hormone secretion and weight gain.

Functional discomfort
Eczema under the breast or pain in the waist and shoulders can occur.

Experienced specialist
As a difficult surgery, having an experienced specialist perform it is important.
Ruby Points
We plan breast volume and firmness to suit your figure.
Volume fit to your body
Refined dissection minimizes damage to existing tissue and allows more accurate and precise surgery.
Protecting vessels and nerves
Accurate dissection with an endoscope minimizes blood vessel and nerve damage and helps prevent side effects.
Managing scars and pain
Minimal incisions, delicate suturing and careful aftercare minimize incision scars and pain.
Why does macromastia occur?
Macromastia is divided into endocrine and obesity-related types by cause.
Genetics and hormones
Endocrine macromastia, where hormones that drive breast growth are over-secreted due to genetics. It often begins with hormonal imbalance in adolescence.
Pregnancy and breastfeeding
Breasts can also enlarge temporarily during pregnancy, childbirth and breastfeeding.
Obesity
Obesity-related macromastia, where the breasts enlarge with overall weight gain, is rising with Westernized diets.
Cup size by breast measurement
Cup size can be estimated from the distance between the upper and lower breast: A 10cm, B 12.5cm, C 15cm, D 17.5cm, E 20cm, F 22.5cm and G 25cm. E cup and above is considered macromastia, and the surgical method may vary with size. Standards differ between bra sizing systems, so use this only as a guide.


What problems does macromastia cause?
Macromastia can cause neck, shoulder and back pain, spinal deformity, skin conditions under the breasts and psychological withdrawal.
Neck, shoulder and back pain
The weight of the breasts causes neck, shoulder and back pain.
Spinal deformity
Prolonged posture to bear the weight can deform the spine.
Headaches
Ongoing neck and shoulder tension can lead to headaches.
Stretch marks under the breast
Skin under sagging breasts can stretch and form marks.
Eczema and skin conditions
Sweat and friction under the breast cause eczema and other skin conditions.
Low confidence
Large breasts can make people self-conscious about clothing and social life.
Breast reduction methods
Breast reduction is divided into the periareolar, vertical and omega (anchor-shaped) incision methods according to breast size and shape, skin elasticity, areola position and degree of sagging.

Periareolar incision
Only the edge of the areola is incised, working like taking contents out of a pouch and tightening its opening again. The scar stays around the areola, so it is the smallest, breast shape and function are kept, and low bleeding allows a quick recovery.

Vertical incision
A method between the periareolar and omega incisions, with less scarring than the omega incision, and it also suits moderate or greater reduction. Because the shape right after surgery differs a lot from the final result, it is a demanding surgery that is hard to judge without a skilled, experienced specialist.

Omega incision (anchor incision)
When enlargement and sagging are both severe, the incision runs around the areola and down in an omega shape. The shape right after surgery is good and results are relatively even, but the scar area is the largest.

Liposuction method
When there is a lot of fat, this method reduces breast size through liposuction. It is effective for fatty breasts without sagging and with good skin elasticity.

Want a balanced breast line?
Natural breast line; improvement of skin conditions Relief of waist, shoulder and neck pain; balanced figure
Who breast reduction suits
At consultation we review breast size, sagging, pain and skin condition.
Large, sagging breasts
When the breasts are large and sagging and feel burdensome
Emotional stress
When large breasts cause mental stress
Neck and back pain
When the weight of the breasts causes neck and back pain
Skin problems
When sagging breasts have caused a skin condition
Proportionate breast line
When you want a breast line that suits your body shape
Large, fatty breasts
When the breasts look large because they contain a lot of fat
Four promises we keep
Beyond beauty, we practice medicine that adds value to your life.

Honest consultation, principled surgery
We consult without exaggeration and operate by principle.

Safety from the basics
Accidents can start from small details, so we follow every safety rule carefully.

One dedicated specialist
Your specialist handles consultation, surgery and aftercare. No shadow doctors.

Results that suit you
We find the beauty that fits your features and personality.
Frequently Asked Questions
Frequently asked questions about self-assessment and comparing surgical methods.
Is the surgical method decided by size alone?
We decide the method by looking at sagging and body shape as well as breast size. The actual plan is decided after an examination.
How do the incision methods differ?
There are several methods, including periareolar, vertical and omega incisions. The scar area and suitability depend on your condition and are explained at your consultation.
Post-Surgery Precautions
Side effect information: Complications that can generally occur after surgery, such as bleeding, infection and inflammation, may vary in degree from person to person, so caution is needed.
Related Breast Surgery
Explore breast surgery care by area and method.
Get started with an easy inquiry or booking
Reach us by phone, messenger or online. Our chatbot is available 24 hours a day.
