Breast reduction surgery can be life changing for women who have very large breasts and have difficulty exercising or finding clothes to wear.

Breast reduction surgery consistently has the highest satisfaction rates of all breast surgery and can truly be life changing for women who have very large breasts and have difficulty exercising or finding clothes to wear. A breast reduction can help alleviate back or neck pain, strap marks from bras, skin changes under the breasts and improve self confidence.

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There are many different options for breast reduction depending on nipple position, amount of breast tissue to be removed, skin quality and patient expectation. At TPSG we spend time examining and listening to our patients to give you the best possible outcome with minimal downtime.

Who is suitable for breast reduction?

A breast reduction is distinct from a breast lift or mastopexy although many of thesurgical techniques are similar. Typically women who have always had large breasts or women whose breasts have increased in size following childbirth will request breast reduction. There is no minimum amount of tissue to be removed nor are there breasts too large to be reduced.

How do I decide whether breast reduction is for me?

You will always be seen by the surgeon who will carry out your surgery and your surgeon will take a detailed history and carry out a careful examination before discussing what your options are for surgery.

What does the operation involve?

There are many surgical options for breast reduction but all involve making an incision around the nipple, isolating the nipple on a segment of breast tissue to preserve it’s blood supply, removing excess breast tissue, reshaping the remaining breast tissue, removing any excess skin then carefully closing the wounds to leave an aesthetically pleasing breast shape.

Depending how far the nipple needs to be lifted and how much tissue needs to be removed, the final scar will be vertically downwards from the nipple to the crease under the breast with or without a horizontal scar extending into this crease. At TPSG our surgeons are skilled in all types of breast reduction and will make every effort to minimize the amount of final scarring.

Once the wounds are closed, dressings are applied and a supportive bra is supplied. We don not routinely use drains (tubes coming out of the wounds to drain blood and fluid) unless it is necessary.

What happens after the operation?

On waking from surgery you will be reviewed by your surgeon who will check for any bleeding and that you are comfortable. Usually you will be able to go home the same day although some patients may choose to spend one night in hospital. After discharge you will need to rest at home, avoiding any strenuous activity and being looked after. We ask that you leave all dressings in place and return to the clinic for a review at 1 week at which time your dressings will be changed. You will need to have 2 weeks off work and can return to light exercise at 4-6 weeks.

How long do the results last?

Breast reduction has an immediate and permanent effect however breast shape and size can change throughout your lifetime with the influence of ageing and fluctuations in body weight.

What are the risks of a breast reduction?

Breast reduction is fairly low risk surgery. Possible complications include bleeding, delayed wound healing, fat necrosis (hard lumps under the skin that gradually fade), changes in sensation of the nipple and prominent scarring. All women have asymmetrical breasts to varying degrees and sometimes the asymmetry can be perceived after surgery too. Your surgeon will go through the risks of the operation in more detail at your consultation.

Further information on breast reduction
BAAPS Patient Information On Breast Reduction

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