Breast Reduction

Breast reduction surgery, also known as reduction mammoplasty, is a procedure designed to reduce the size and weight of large breasts.

This surgery can alleviate physical discomfort, improve body proportions, and enhance the overall quality of life.

Women with overly large breasts often experience a range of issues, including back, neck, and shoulder pain, skin irritation, and difficulties with physical activities. Breast reduction surgery offers a solution by removing excess breast tissue, fat, and skin to achieve a breast size more in proportion with the body.

Overview of Macromastia

Macromastia, or excessively large breasts, is a condition that can significantly impact a woman’s physical and emotional well-being.

Large breasts can cause chronic pain, posture problems, and skin issues, such as rashes and infections under the breast fold. Additionally, women with macromastia may experience self-consciousness and limitations in clothing choices and physical activities.

Degrees of Macromastia
The severity of macromastia can vary, ranging from moderately large to extremely large breasts. The degree of enlargement often correlates with the extent of physical discomfort and lifestyle limitations experienced by the individual.

Several factors contribute to the development of breast ptosis:

  • Ageing: As women age, the skin loses its elasticity, and the breast tissue becomes less firm, leading to sagging.
  • Gravity: Over time, the constant pull of gravity causes the breast tissue to stretch and sag.
  • Pregnancy and Breastfeeding: Hormonal changes during pregnancy and breastfeeding cause the breasts to enlarge and then shrink, stretching the skin and ligaments.
  • Weight Fluctuations: Significant changes in weight can affect the volume and elasticity of the breast tissue, leading to sagging.
  • Genetics: A family history of breast ptosis can increase the likelihood of developing sagging breasts.
Breast reduction surgery is the primary treatment for women seeking relief from the physical and emotional burden of large breasts. The procedure can be customised to meet the individual needs and goals of each patient, with various techniques available depending on the extent of reduction required and the desired outcome.
  1. Anchor (Inverted T) Technique:
    • Procedure: Involves three incisions: around the areola, vertically down to the breast crease, and horizontally along the inframammary fold. This technique allows for the removal of a significant amount of tissue and reshaping of the breast.
    • Scarring: More extensive but strategically placed to be less noticeable over time.
  2. Vertical (Lollipop) Technique:
    • Procedure: Involves a circular incision around the areola and a vertical incision down to the breast crease. Suitable for moderate reductions and results in a lollipop-shaped scar.
    • Scarring: Less extensive than the anchor technique and typically well-concealed.
  3. Liposuction-Only Reduction
    • Procedure: Involves small incisions through which excess fat is removed using liposuction. This technique is best suited for patients requiring a minor reduction and with good skin elasticity.
    • Scarring: Minimal and well-hidden.

The Breast Reduction Procedure in Australia

In Australia, breast reduction surgery is a well-regulated and widely performed procedure by experienced plastic surgeons. The process typically begins with a comprehensive consultation to discuss the patient’s goals, examine the breasts, and determine the most suitable surgical technique.

During this consultation, the surgeon will also explain the risks and benefits of the procedure and set realistic expectations for the outcomes.

Patients are usually advised to:

  • Avoid certain medications, such as aspirin or anti-inflammatory drugs, which can increase bleeding.
  • Stop smoking, as it can interfere with healing.
  • Arrange for someone to drive them home and assist them for the first 24-hours post-surgery.

Breast reduction surgery is typically performed under general anaesthesia and usually takes between three -to-four hours, depending on the complexity.

The surgeon will make the necessary incisions, remove excess breast tissue, fat, and skin, and reshape the remaining tissue to create a more proportionate breast size. The nipples and areolas are often repositioned to a more natural height. The incisions are then closed with sutures, and dressings or bandages are applied to support the breasts during the initial recovery.

  • Dressings and Bandages: After surgery, the breasts will be wrapped in dressings and a support bra to minimise swelling and support the new breast shape.
  • Pain Management: Patients may experience mild to moderate discomfort, which can be managed with prescribed pain medication.
  • Follow-Up Visits: Regular follow-up appointments are necessary to monitor healing and ensure the best possible outcome.

Recovery from breast reduction surgery varies, but most patients can expect to return to normal activities within one-to-two weeks, although strenuous activities and heavy lifting should be avoided for at least four-to-six weeks.

Swelling and bruising typically subside within a few weeks, and the final results become more apparent as healing progresses.

The results of breast reduction surgery are generally long-lasting, providing significant relief from physical discomfort and improving the overall quality of life. Many women find that they can participate in physical activities more comfortably and enjoy a wider range of clothing options.

Breast reduction surgery can have profound psychological benefits, enhancing self-esteem and confidence. Many women feel more comfortable and confident in their appearance, which can positively impact their social and professional interactions.

Conclusion

Breast reduction surgery is a safe and effective procedure for women seeking relief from the physical and emotional burden of large breasts. In Australia, experienced plastic surgeons perform this procedure with great success, helping patients achieve a more proportionate and comfortable breast size.

Whether addressing congenital conditions, hormonal changes, or lifestyle factors, breast reduction surgery can provide transformative results.

For more information or to schedule a consultation, please contact our clinic. Dr Atul Ingle has significant experience performing breast reduction surgery and is dedicated to helping you achieve your aesthetic goals and enhancing your overall quality of life.

Dr Atul Ingle is a Specialist Plastic and Reconstructive Surgeon based in Townsville.

He has 20+ years of experience in plastic and reconstructive surgery and holds two Master of Surgery Degrees. He is the Head of the Plastic and Reconstructive Surgery Department at Townsville University Hospital.

If you have a question about a condition or treatment, or would like to book an appointment, please contact us and one of our friendly staff members will happily assist you.