Breast Reduction Sydney
Through breast reduction surgery it is possible to raise, reshape and reduce large breasts.
The breast reduction procedure removes excess fat, glandular tissue and skin from the breast, leaving the patient with a breast size which is in proportion with their body, alleviating the discomfort which can come with overly large breasts.
The self-consciousness and emotional discomfort many women experience due to having large, pendulous breasts is as important an issue as the physical discomfort and pain they can cause.
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|Desired Results:||Women in Sydney come in with many different reasons and motivations for wanting a breast reduction. However, the results are generally the same, or similar.|
What does a consultation involve?
There are four important parameters that define the beauty of a breast:
- Location on the chest wall
- Proportions of the breast in relation to the torso
- Aesthetically pleasing shape
- Symmetry of both breasts in volume and shape
The challenge in breast reduction surgery is that all these parameters are affected and therefore need addressing to achieve an excellent result.
Breast reduction is a highly individualised procedure. To achieve a predictable and safe result a few key anatomical considerations need to be made. I will discuss all of these factors with you at your initial consultation.
How does the procedure work?
The breast platform is the footprint that the breast makes on the chest wall, similar to the outline a house makes on a parcel of land. The platform forms the basis or foundation of the overlying three-dimensional structure of the breast.
The goal of breast reduction surgery is to return the breast mound back to its original position higher on the chest wall.
The breast mound refers to the three-dimensional shape, projection and volume of the breast tissue on top of the breast platform. In building terms, this is analogous not only to the size of a building, but also the shape and form of the building.
In breast hypertrophy, the mound is too large and deformed. The breast mound needs not only a reduction, but also a lift and a reshaping.
My preference is to perform the breast reduction with a superomedial pedicle, which just means that the blood supply to the breast mound and nipple come from a blood source above and to the midline of the chest wall.
After the breast mound has been reshaped and repositioned on the chest wall, the skin envelope needs reduction to fit the newly shaped breast mound. A skin envelope of appropriate quantity functions like a well-fitted bra, holding the breast tissue in an appropriate position.
Of the many different types of breast reduction operations available, my preferred skin envelope and therefore final scar is one that has a suture line around the areolar with an inverted T-scar running vertically down and then across at the level of the inframammary fold. In my opinion this leads to the quickest healing, but more importantly the most predictable and therefore most reproducible results.
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What are the potential risks and complications of breast reduction?
Some possible complications and risks specific to breast reduction surgery include:
- Surgical risks such as bleeding and infection
- Seroma accumulation under the breast. This fluid may need to be drained under ultrasound guidance.
- Visible and prominent scars including keloid and hypertrophic scars
- Swelling and bruising around the breasts which takes two to three months to settle
- Fat necrosis of the breast. This is a result of poor blood supply to the fat cells. These shows themselves as small firm lumps.
- Changes in breast and nipple sensation
- Temporary or permanent areas of numbness around the scars
- Asymmetry of the breasts
- Partial or total loss of the nipple and areola
- Need for further surgery to treat complications
- Revisional surgery to correct any unevenness between the two sides
- A blood clot in the legs (DVT), which can move to the lungs and may be life threatening
How much does breast reduction cost?
Costs associated with a breast reduction vary depending on a number of factors, including:
- Anaesthetist's fees
- Private hospital or day surgical facility fees
- Need for post-operative garments
- Your level of private insurance cover
- Surgical assistant's fee
After our consultation, my staff will give you an itemised account of the total cost.
Frequently Asked Questions about Breast Reduction
Can I breast feed after a breast reduction?
The short answer is yes. For example a short study undertaken in the Reconstructive Surgery Journal took 150 women who had undergone a breast reduction surgery, along with 150 women who had not undergone the surgery and were of similar weight and age. The study reviewed the ability for the women to breast feed.
The results were similar between both groups:
- 1/3 could breast feed with no issues
- 1/3 needed formula supplementation
- 1/3 couldn't breast feed
What are the different types of scars?
Regrettably you can't have a breast reductio without a scar burden. All scars take time to change colour as they heal. The scars begin as red, then turn purple, and then blue, before finally turning white. This overall healing process can take about one year.
The different patterns for incisions that could leave scars include:
- Vertical of lollypop shape
- Inverted T or anchor shape
Will I keep nipple sensation after a breast reduction?
Generally yes as the nipple isn't removed nor is the blood or nerve supply. However, some patients may take longer to have nipple sensation return due to particularly heavy reductions. Also some patients have increased sensitivity after a reduction as the nerve supply isn't stretch as much anymore.
What if I've already had a reduction, can I have another reduction?
Yes, but it comes down to 2 main factors:
- How long between operations. After a year there is no issue.
- What nipple blood supply was used in the initial consultation.
Where possible it is best to use the same blood supply but sometimes this isn't possible because patients don't have access to their original operation report. You can use a different blood supply provided you have waited at least a year between operations.
Can I pick what cup size I want?
Yes you can but this will only guide your surgeon on the results you are after. No one can predict the cup size post-op because all bra manufacturers have different volumes for each size. As a general guide each 150-200gm reduction equates to 1 cup size.
How long before I see my results?
It will take around 3 to 6 months. During the first 3 months the breast may be 'boxy' at the bottom. However, this always settles and takes a nicer shape around the 6 month mark.