Breast Reduction

Breast reduction surgery, also called Reduction Mammaplasty, is an operation to reduce the size of a woman’s breasts, while improving the shape and repositioning the nipple

How can this procedure help me?

Breast hypertrophy (enlargement) can have a profound affect not only on how you look, but the way you feel. Oversized breasts can cause pain in the neck, shoulders and back, and restrict mobility and exercise. Disproportionate breasts often make it difficult to find clothing that fits properly and damage your self-image and confidence.

Breast reduction surgery will help you to achieve smaller, firmer, better-shaped breasts that are more proportionate to the rest of your body.

What can I expect in the consultation process?

The first step when you are considering breast reduction is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this consultation. Bring in any pictures of breasts that you like and be ready to discuss your ideal breast size and shape.

Dr. Arianayagam will ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments. He will carefully examine your breasts and take measurements. He will then discuss the options available and his recommendations.

Ideally, a second consultation is had a week or two later to give you the opportunity to come back with more questions and to confirm your decision.

What does the procedure involve?

Breast reduction surgery involves the reduction of skin and breast tissue. The breast will be reshaped and the nipple-areola complex elevated to create a youthful and aesthetic shape.

There are many methods to reduce breast size. Dr Arianayagam’s recommended technique is vertical mammaplasty, a method initially popularised in Europe. This technique gives good aesthetic results, minimal scarring and excellent long term maintenance of shape and position.

Surgery is performed under general anaesthetic at the Baringa Private Hospital, where you will be admitted as an inpatient. Expect to stay in hospital for at least one night to allow for close monitoring of drains and optimal pain control.

What is recovery like?

In the first couple of weeks, surface healing will take place rapidly. But internal healing, including regaining your strength and restoring shape, will take as long as 6 months.

The key healing period is the first 3 weeks. Over this period you will be asked to significantly restrict your activities. Dr Arianayagam recommends time off work and time away from looking after small children during this critical recovery period.

You should protect your breasts from stretching activities for at least 3 months to allow for good healing.

Immediately following surgery you will have surgical dressings to support the breasts. In the second week this is usually changed to a post-operative compression garment that must be worn for 3 months.

Swelling is usually minimal after breast reduction. Expect this to settle over 6 weeks and fully subside in 3 months.

Will I have scars?

Any surgery will leave scars, but an enormous effort is made to make them as inconspicuous as possible, using fine stitches and positioning the incisions so the scars will be difficult to see once they fade.

Dr Arianayagam will provide you with information and advice on scar management and minimisation.

Can I breastfeed after breast reduction?

So long as the nerves and milk duct system are preserved, breastfeeding should be possible after breast reduction surgery.

If you are having surgery prior to child bearing we recommend that you discuss these risks with Dr Arianayagam before making any decisions.

What complications can arise from this procedure?

As with all surgical procedures, there will always be risks such as post-operative bleeding, allergic reactions, infection, deep vein thrombosis and haematoma.

There are also some risks and complications that are specific to breast reduction.

Nipple necrosis

If the blood flow to the nipples is impaired during surgery, this can result in necrosis, or nipple death. Symptoms include the loss of sensation and black discolouration of the nipple.

Breast asymmetry

It is possible to have breast asymmetry after breast reduction surgery It is important to wait for 6 months to make sure you have fully healed, before making this judgment. Usually breast asymmetry can be corrected with revision surgery.

Altered nipple sensation

Most women having breast reduction surgery will experience no change in nipple sensation. However, a small percentage of patients experience permanent reduction or loss of nipple sensation.

“Dog Ears”

A dog-ear refers to skin protuberance that can form at the end of an incision, including those along the lateral breast after breast reduction. A persistent dog-ear may warrant minor scar revision.

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