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Overview

Reduction mammaplasty is an aesthetic surgical procedure aimed at reducing overly large or lifting sagging breasts to a more comfortable shape and size.

This procedure is indicated if you feel uncomfortable with large or sagging breasts. There may be pain in the breasts, shoulders, lower neck or back or discomfort during physical activity. A breast operation minimises these problems, enhances the posture, and helps improve the overall appearance and self-esteem.

There are currently several techniques for reduction mammaplasty. They all aim to remove excess breast tissue, re-contour the breast, and reposition the nipples. Your surgeon will take your physical condition and requirements into consideration, and will determine which technique would be best for you.

Thousands of reduction mammaplasties are performed each year. The vast majority of women are very happy with their improvements and often say they wish they’d had the operation sooner!
 
The operation normally takes between 2 to 3 hours and may be performed in a day stay hospital provided the patient has suitable aftercare, It is unusual for any post operative pain although swelling, bruising are common and may persist for 7 to 10 days.

Drain tubes are not usual for this procedure. Post operatively, the patient will wear a support bandage or garment for 3 to 5 days. Stitches are dissolving.

Re-shaping the breast by lifting the skin and removing excess tissue is now more frequently requested. The newer techniques offer minimal incisions with the end result showing less evidence of the operation.

Removal of fatty breast tissue to reduce size offers scar free surgery, however this technique generally does not give a lift and although the patient may reduce 1 to 2 cup sizes, the shaping and firming offered by alternate techniques, do not apply.

The less obvious scar involves an incision around the edge of the nipple to “drawstring” the breast giving a minimal lift. The nipple may be reduced and even repositioned during this procedure. Inserting a surgical mesh to support breast tissue internally has greatly improved the outcome of this surgery.

A single incision, around the nipple and in a line to the fold of the breast, will minimise the incision and obvious scar and can give a lift or reduction in size to the breast.

For large reductions and significant lift, including repositioning the nipple, this is the one which gives the best result.

In Australia there may be some Medicare benefit and GST is therefore not usually charged.

FAQs

The aesthetic outcome from these procedures is very dependant on your surgeons skills. Ensure you see his post operative results before proceeding. Check if the stitching is neat and dissolving.

Post operative pain is not usual with this operation

This operation may limit this possibility and many surgeons advise patients to wait until they have had children before proceeding.

This is very dependant on weight gain or loss, pregnancy and breast feeding. Given there is no dramatic change in the size of the breasts the results should be long lasting.