Breast Procedures

Breast Reduction

WITH DR ALAINA TAYLOR

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Breast reduction surgery is performed primarily to reduce the size and volume of the breast whilst lifting the breast and improving the overall shape.

Women with large breasts suffer from physical and psychosocial discomfort as a result of the weight and position of large breasts. This may include neck and back pain, painful shoulder indentation from their bra straps, skin irritation underneath the breast, as well as difficulty finding well-fitting clothes, undergarments, and swimwear. Breast reduction surgery achieves significant improvement in these physical and lifestyle factors and patients are usually highly satisfied.

Dr Taylor will conduct a thorough preoperative assessment and discuss in detail the potential risks and benefits of surgery as well as all the considerations, relevant to your unique situation.

Breast reduction surgery is appropriate for any woman experiencing upper back and neck pain, rashes under the breasts, bra strap indentation, and general difficulty managing life with breasts that are too large for their shape. However, like any major surgical procedures it is important to be as healthy as possible. Being overweight and smoking increases the risk of complications for breast reduction surgery. As always with surgery, nutrition is crucial so patients must be following a healthy diet and ideally participate in regular exercise.

Surgery

Breast reduction surgery is performed in an accredited hospital under general anaesthetic.

The surgery takes approximately 3hrs and involves an overnight stay. During the surgery, the breast volume is reduced and excess skin is removed. The breast mound and nipple are repositioned to achieve a well-proportioned and positioned breast on the chest wall. Dr Taylor uses a technique which focuses on minimising the wound and scar burden, whilst creating a natural and attractive shape. In most patients, this can be achieved via short scar or “lollipop” incision as opposed to the more commonly used “anchor” scar.

Risks and Complications

All surgery causes side effects such as bruising, swelling, some oozing or small amount of bleeding from wounds, new scars, infection and wound healing problems. General anaesthesia and carries a risk of wound infection and wound healing problems. There are risks associated with general anaesthesia risks including cardiac/respiratory issues and DVT.

Some risks and complications specific to breast reduction surgery include:

  • Postoperative bleeding requiring return to theatre
  • Nipple-areaola complex changes
    • Changes in sensation which may be temporary or permanent
    • Rarely poor healing or loss (necrosis) of part or all of the nipple
    • Change in shape and size of the nipple-areola complex
  • Seroma – accumulation of fluid within the breast which may become infected
  • Asymmetry
  • Small lumps due to fat necrosis
  • Wound infection, which may require antibiotics, ongoing dressings and occasionally surgical management
  • Poor scarring including hypertrophic and keloid scars
  • Ability to breastfeed may be affected
  • Need for revision surgery