Breast Reduction

Breast reduction, also known as reduction mammoplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts. Breast Reduction will also require the patient to understand, that there will be scars around the nipple accompanied by a vertical scar running down both the mammary crease. An elastic bandage over a gauze dressing must be worn after breast surgery.

Procedure time & anaesthetic

After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary. Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

Surgery can last from 2 to 4 hours depending on the shape and volume of the breast, to bigger greater breast time will be required to perform the operation, and the technique used in the operation. Though breast enlargements are often a day case they performed under general anesthetic. Following your procedure you will feel a little groggy, we recommend a friend accompany you home.

Recovery time & after care

Recovery depends greatly on the extent of the procedure. Expect to feel sore and swollen for several weeks.
Strenuous activity should be avoided for 4-6 weeks. Although most of the bruising and swelling usually disappear within three weeks, some swelling may remain longer.
This procedure will leave scars that can be hidden by underwear and can be expected to fade in most cases.

After surgery

Immediately after surgery, you will be taken into a recovery area for close monitoring. You may be permitted to go home when you are stable for discharge, typically after an hour or so. During the recovery, the nurses will measure your Blood pressure through a cuff. She will also attach a monitor to your finger to check your pulse and level of Oxygen in your blood to ensure you are fully oxygenated.

Before leaving, you will be given specific postoperative instructions for your recovery and a follow- up to an appointment with your plastic surgeon. You may also receive medications or a prescription, but many plastic surgeons prescribe postoperative medications in advance. Your prescribed medications may include pain pills and an antibiotic to prevent infection and a support bra that will be fitted to ensure your new breasts are supported in their position.
We advise no showering for one week which is a very difficult task for anyone.

We advise that it is ok to have regular hand showers with lukewarm water and ensuring no water is submerged onto the incisions. We will advise you of this before you leave the hospital.
The next morning the pain will inevitably have eased considerably. Any remaining discomfort can be controlled by medication.
You will be required to wear a surgical support bra for two to four weeks and your stitches will be removed around seven to 10 days after surgery.

7 days after surgery

You will return to the hospital for your post-operative review, in which any stitches are removed. Though the surgeon uses dissolvable stitches, we will check to make sure your incisions have healed. You will also be assessed with any leftover swelling and any advice to help improve your recovery time.

21 days after surgery

You can start to resume light gym and cardio in moderation. You should not lift any heavy objects or go swimming /spa until 6 weeks after your surgery. Your results are instantly visible after surgery, but you must allow between 4-6 months before the breasts have fully settled at the desired height. During this time your breasts will be adjusting into place as the swelling reduces.

1 year after surgery

As apart of your aftercare, we advise all patients to book in once a year to see their surgeon for a brief assessment of the consistent results.

Time off work

We recommend taking 7-14 days off of work following your breast reduction procedure. In this case, I can supply you with a medical certificate for your employer.

Post-op appointments

Post-operative follow-up is of paramount importance. Each patient undergoing Breast Reduction surgery will be given post operative appointments for wound management and suture removal.
Post-operative instructions are vital and we consider it very important that you adhere to them.

Failing to follow these guidelines and attend your appointments can adversely affect the outcome of surgery and put patient safety at risk. Following Breast Reduction the patient is asked to return on specified appointments and occasionally it may be necessary to return more regularly than those stated.

Before and after

Invasiveness

  • Anchor type or inverted T reduction – is the most common type of breast reduction, resulting in an anchor-shaped scar starting around the areola, going down vertically and then horizontally across your natural breast crease.
  • Vertical pattern breast reduction – results in a circular scar around the areola, and a vertical scar directed downwards. This technique has the advantage of leaving no scarring under the breast and a lower chance of wound complications. However, this technique may leave a small fold of skin, initially, at the lower end of the vertical scar.
  • Reduction – only results in a circular scar around the areola. This technique is only suitable when removing a small amount of tissue.

Contact me for a professional consultation.