Breast reduction, or reduction mammaplasty, is a surgical procedure aimed at reducing the size and weight of the breasts to alleviate physical discomfort, improve body proportions, and enhance overall quality of life. This procedure is often sought by women experiencing physical issues such as back, neck, and shoulder pain, skin irritation, or posture problems due to overly large breasts. It can also help improve mobility and increase comfort in daily activities.
The process begins with a comprehensive preoperative assessment, where our surgeon evaluates the patient’s overall health, medical history, and specific concerns. Imaging studies, such as mammograms or ultrasounds, may be conducted to assess breast tissue and detect any underlying conditions. Our surgeon will also discuss the desired breast size, shape, and any potential risks, ensuring the patient has realistic expectations about the outcomes.
Breast reduction surgery is typically performed under general anaesthesia, ensuring the patient is pain-free throughout the procedure. In some cases, a combination of local anaesthesia with sedation may be used depending on the patient's health and the extent of the surgery.
There are several incision techniques used in breast reduction surgery, and the choice depends on the size and shape of the breasts, the amount of tissue to be removed, and the patient's preferences. The most common techniques include:
Once the incisions are made, the surgeon removes excess breast tissue, fat, and skin to achieve the desired breast size and shape. The nipple-areolar complex is typically repositioned to a more natural height, and, if necessary, resized for a proportionate appearance. Unlike a breast lift (mastopexy), which primarily focuses on reshaping and lifting the breasts, breast reduction involves a substantial removal of breast volume.
After reshaping the breasts and repositioning the nipples, the surgeon closes the incisions with sutures, which may be layered deep within the breast tissue to provide support and minimise scarring. The surface incisions are closed with sutures, skin adhesives, or surgical tape. Drainage tubes may be temporarily placed to prevent fluid accumulation and are usually removed within a few days post-surgery.
Postoperative care is critical to ensure proper healing and minimise complications. Patients are typically required to wear a surgical bra or compression garment to support the breasts, reduce swelling, and promote healing. Pain, swelling, and bruising are common in the initial days following surgery and are managed with prescribed pain medications. Patients are advised to avoid strenuous activities, heavy lifting, and sleeping on their stomachs for several weeks. Follow-up appointments are necessary to monitor healing, remove sutures if needed, and address any concerns.
As with any surgery, breast reduction carries potential risks and complications, including infection, bleeding, scarring, changes in nipple sensation, asymmetry, poor wound healing, and, rarely, complications related to anaesthesia. In some cases, there may also be an impact on breastfeeding ability due to the removal of glandular tissue and repositioning of the nipple.
Overall, breast reduction surgery is considered a highly effective procedure for alleviating physical discomfort and improving body aesthetics. When performed by an experienced plastic surgeon, it can offer significant benefits, enhancing both physical comfort and psychological well-being.
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