U&U Plastic Surgery Clinic
Large Breast

Large Breasts

Motiva
Make your life more comfortable.
We make your life a little more comfortable.
Breast reduction is, first and foremost, a surgical procedure that reduces the size of overly large breasts. U&U's bespoke breast reduction, however, aims beyond a simple reduction in size — it is designed to treat neck, shoulder, and lower-back pain as well as skin chafing.
Breast reduction is, first and foremost, a surgical procedure that reduces the size of overly large breasts. U&U's bespoke breast reduction, however, aims beyond a simple reduction in size — it is designed to treat neck, shoulder, and lower-back pain as well as skin chafing.
Motiva
Who Needs Surgery
  • If your breasts are too large for your frame
  • If large, sagging breasts are a source of stress
  • If large breasts cause pain in your back, shoulders, or neck
  • If you have eczema under your breasts due to their size
  • If you feel emotional distress from unwanted attention
Bespoke breast reduction
Breast Reduction
Bespoke breast reduction
Breast Reduction
I consider breast reduction a more difficult operation than breast augmentation.
Even when I first began learning breast surgery 20 years ago, I learned augmentation first and reduction afterward. That is because reduction is not simply a matter of inserting a pre-determined implant — what matters is how much you leave behind. After more than a decade of performing breast reductions, I came to see that every patient wants a different size, and I found myself tailoring the remaining breast tissue and skin accordingly.
I came to realize that this is a patient-tailored operation, carried out in a bespoke manner just as a tailor cuts a garment to fit. U&U's breast reduction is tailored to your desired size — A, B, or C cup — and performed with devoted suturing and aftercare to leave only minimal scarring.
I came to realize that this is a patient-tailored operation, carried out in a bespoke manner just as a tailor cuts a garment to fit. U&U's breast reduction is tailored to your desired size — A, B, or C cup — and performed with devoted suturing and aftercare to leave only minimal scarring.
01
Surgery duration
1–3 hours
02
Drain
None
03
Inpatient care
Same-day discharge
04
Massage
Not needed
05
Anesthesia method
General anesthesia
06
Stitch removal
Week 1
07
In-clinic treatment
Week 1
08
Aftercare
Weeks 1, 2, 3, 4, and 12
Bespoke Breast Reduction Surgery

Bespoke breast reduction method

Depending on the scar pattern, breast reduction can be performed with a periareolar incision, a vertical incision, or an anchor (inverted-T) incision.

The method best suited to the goal of breast reduction is the anchor incision; in the diagram below, I adjust the radius of the circle and the lengths of the sides based on experience, completing the breast after surgery as if tailoring it.

Wide, spread-out areolas are reduced with a 38 mm diameter design. If nipple reduction to 11 mm is performed at the same time, an areola diameter of 35 mm creates harmonious proportions.
Depending on the scar pattern, breast reduction can be performed with a periareolar incision, a vertical incision, or an anchor (inverted-T) incision. The method best suited to the goal of breast reduction is the anchor incision; in the diagram below, I adjust the radius of the circle and the lengths of the sides based on experience, completing the breast after surgery as if tailoring it.

Wide, spread-out areolas are reduced with a 38 mm diameter design. If nipple reduction to 11 mm is performed at the same time, an areola diameter of 35 mm creates harmonious proportions.
Principle of Bespokeㅠㄱ>Breast Reduction Incision
Principles of breast reduction incisions
Motiva breast augmentation
C. A circular incision performed alongside areola reduction (mild)

B. A vertical incision to remove excess skin in the horizontal direction (moderate)

A. A horizontal incision to remove excess skin in the vertical direction (severe)
Motiva breast augmentation
The circular incision required for areola reduction (mild)
A vertical incision to remove excess skin in the horizontal direction (moderate)
A horizontal incision to remove remaining vertical excess skin (severe)
Types of Incisions
Types of incisions
bre1

Anchor (inverted-T) incision

This is performed on severely large, sagging breasts of 1,500 cc or more. It reduces volume and excess skin the most and is highly effective. Because it can reduce effectively in both the horizontal and vertical directions, it is the surgical method best suited to symptom relief — the very goal of breast reduction — and satisfaction is high.

You can freely choose your desired size — A, B, or C cup — and this is the incision method best suited to Bespoke breast reduction. Nipple position can be corrected to the desired height, and the scar takes an anchor (inverted-T) shape.
bre2

Vertical incision

Performed on moderately large breasts of 600–1,000 cc, it can remove a relatively large amount and has the advantage of being applicable to almost every breast shape. The areola is incised, followed by a vertical incision below it.
bre3

Periareolar incision

Effective for not-overly-large breasts of 400–600 cc, It is possible when the areola circumference exceeds 4 cm. a puckered scar around the areola  often remains, and the breast tends to look flat and wide. An implant can optionally be used.
bre4

Liposuction

A method that removes fat cells from the breast with liposuction. Performed on fatty breasts with little sagging and good skin elasticity. Its advantage is that it leaves almost no visible scarring.
bre1
Anchor (inverted-T) incision
This is performed on severely large, sagging breasts of 1,500 cc or more. It reduces volume and excess skin the most and is highly effective. Because it can reduce effectively in both the horizontal and vertical directions, it is the surgical method best suited to symptom relief — the very goal of breast reduction — and satisfaction is high.

You can freely choose your desired size — A, B, or C cup — and this is the incision method best suited to Bespoke breast reduction. Nipple position can be corrected to the desired height, and the scar takes an anchor (inverted-T) shape.
bre2
Vertical incision
Performed on moderately large breasts of 600–1,000 cc, it can remove a relatively large amount and has the advantage of being applicable to almost every breast shape. The areola is incised, followed by a vertical incision below it.
bre3
Periareolar incision
Effective for not-overly-large breasts of 400–600 cc, and possible when the areola circumference exceeds 4 cm. A puckered scar often remains around the areola, and the breast tends to look flat and wide. An implant can optionally be used.
bre4
Liposuction
A method that removes fat cells from the breast with liposuction.
Performed on fatty breasts with little sagging and good skin elasticity. Its advantage is that it leaves almost no visible scarring.

Even more cherished after surgery!

AFTER SERVICE FOR PATIENTS

We do not just check your progress and hand aftercare off to staff. The surgeon who operated on you personally provides your aftercare, so you can ask about any post-operative discomfort in detail and without feeling rushed.

after
We do not just check your progress and hand aftercare off to staff.
Because the surgeon who operated on you personally provides your aftercare, you can ask about any post-operative discomfort in detail and without feeling rushed.
step

Even more cherished after surgery!

Aftercare by U&U
We do not just check your progress and hand aftercare off to staff. The surgeon who operated on you personally provides your aftercare, so you can ask about any post-operative discomfort in detail and without feeling rushed.
We do not just check your progress and hand aftercare off to staff. The surgeon who operated on you personally provides your aftercare, so you can ask about any post-operative discomfort in detail and without feeling rushed.
after
step
Side effects such as bleeding, infection, and inflammation can occur after surgery and vary in severity by individual, so caution is required.

Side effects such as bleeding, infection, and inflammation can occur after surgery and vary in severity by individual, so caution is required.

Before & After
Large Breasts / Before & After Photos
Individual results may vary.
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View before & after photos
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View before & after photos
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Check the image.
View before & after photos
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Check the image.
View before & after photos

Outstanding U&U

Beautiful breast surgery is a given —
now it's time for healthy, safe breast surgery!
Your neck and shoulders matter after breast surgery too. On specially designed equipment, you can receive thermal massage plus posture correction and manual therapy from a female physical therapist.
A breast-specialized Pilates instructor helps speed your recovery with shoulder-joint and pectoral stretching and swelling relief.
You can consult up to two breast-dedicated surgeons who fit your preferences and situation before deciding on surgery.
Consultation, ultrasound and simulation are all carried out as private, untact care — without running into other patients.
Every patient gets a private waiting room and private recovery room for a comfortable recovery.
To give every patient our best, we perform at most three surgeries a day, factoring in fatigue and operating time.
Aftercare is not handed off to staff — the operating surgeon takes 1:1 responsibility.
Operating-room air shower, wind-free AI air conditioning, untact hand dryers, CESCO Virus Care
Breast surgery

Outstanding U&U

Beautiful breast surgery is a given —
now it's time for healthy, safe breast surgery!
Breast surgery
Your neck and shoulders matter after breast surgery too. On specially designed equipment, you can receive thermal massage plus posture correction and manual therapy from a female physical therapist.
A breast-specialized Pilates instructor helps speed your recovery with shoulder-joint and pectoral stretching and swelling relief.
You can consult up to two breast-dedicated surgeons who fit your preferences and situation before deciding on surgery.
Consultation, ultrasound and simulation are all carried out as private, untact care — without running into other patients.
Every patient gets a private waiting room and private recovery room for a comfortable recovery.
To give every patient our best, we perform at most three surgeries a day, factoring in fatigue and operating time.
Aftercare is not handed off to staff — the operating surgeon takes 1:1 responsibility.
Operating-room air shower, wind-free AI air conditioning, untact hand dryers, CESCO Virus Care