Breast reduction surgery

Why have a breast reduction?

Many women with large, heavy breasts experience a range of issues that affect their quality of life. These may include:

Neck, shoulder and back pain from the weight of the breasts.
Skin irritation or rashes under the breast fold, especially in hot weather.
Difficulty exercising or finding well-fitting bras, swimwear, and clothes.
Grooves from bra straps on the shoulder and back.

Breast reduction surgery is done to reduce the size and to improve the shape of the breasts. Breast reduction surgery can help by:

Reducing breast volume to relieve discomfort.
Lifting and reshaping the breast tissue.
Tailoring the skin envelope to match the new breast size.

Whether large breasts are causing physical discomfort or aesthetic concerns, breast reduction surgery can help create a breast size that is more comfortable and in proportion with the rest of your body. Each procedure is individually tailored to your needs and personal goals. While most patients are very pleased with the outcome, it’s important to remember that results can vary depending on factors such as your anatomy, healing process, and overall health.

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Surgery

You may be a good candidate for breast reduction surgery if:
- You experience physical, emotional and social discomfort due to large breasts.
- You have realistic expectations.
- You are in good general health.
- You are at or near a stable weight.
Before your surgery, you’ll have a detailed consultation with Dr Law to discuss your goals, the procedure, and any risks. Clinical photos will be taken, and a second consultation will be arranged to answer further questions. It’s important to stop smoking at least six weeks before surgery to reduce risks. You may need blood tests and other health checks, and will receive personalised instructions to prepare you for surgery.
Breast reduction surgery is performed under general anaesthesia in an accredited hospital.
The operation usually lasts around 3-4 hours.
There are different techniques for performing breast reduction surgery, but the main steps involve:
- Making the incisions
  Scars include one scar around the areola and one vertical scar down to the breast crease. In larger reductions, there may also be a horizontal scar along the crease, forming an "anchor" shape.
- Removing excess tissue
  Excess breast tissue, fat, and skin are removed to reduce volume and improve breast shape. Liposuction may also be used to remove fat, especially from the sides of the chest.
- Reshaping the breast
  The remaining breast tissue is lifted and reshaped to create a natural contour. The nipple and areola are usually lifted to a higher position while keeping their connection to blood supply and nerves.
- Closing incisions
  The skin is redraped over the new breast shape. Incisions are closed with dissolvable stitches. Surgical dressings or tape are applied, and a surgical bra is usually worn to support healing.
Dr Law aims to keep scars as short as possible while still achieving the desired results.
Please note that for very large breasts, the nipple may need to be removed and grafted into place. However, this is very rare.
As you recover, you’ll need to wear a surgical bra for 6 weeks to support healing. You may also be advised to:
- Avoid exercise and heavy lifting.
- Refrain from smoking and alcohol.
- Sleep on your back.
- Avoid lifting your arms above shoulder height, especially in the early stages.
- Comply with wound care which may involve keeping incision sites clean, using specific ointments or creams, and refraining from swimming, etc.
- Attend follow-up appointments to check your healing and results.

Risks & complications

All surgery carries risks and may include:
- Drug reactions.
- Allergic reactions.
- Infection.
- Bleeding and haematoma (blood clot).
- Seroma (fluid collection).
Risks specific to breast reduction surgery will be discussed with you during your consultation and will also be provided in your consent paperwork. These include:
- Nipple numbness.
- Nipple healing problems.
- Fat necrosis (lumps in the breast).
- Wound healing problems and poor scarring.
- Asymmetry.
- Inability to breastfeed.
Choosing a qualified surgeon with proper anaesthetic support helps minimise these risks.

Frequently Asked Questions

Who is a good candidate for breast reduction surgery?

You may be a good candidate if you experience chronic back, neck, or shoulder pain, have skin irritation or rashes beneath the breasts, struggle with physical activity or exercise due to breast size, find it difficult to find clothes or bras that fit or feel self-conscious about your breast appearance.

What does breast reduction surgery involve?

Breast reduction surgery is performed under general anaesthetic. Excess breast tissue, fat, and skin are removed. Your breasts are then reshaped and lifted. The nipple and areola are usually repositioned to match the new shape.

How long is the recovery?

Most patients go home the same day or after one night in hospital. Expect 1–2 weeks off work depending on your job and how physical it is. Gentle walking is encouraged, but heavy lifting and strenuous exercise should be avoided for 6 weeks. Swelling gradually improves over several weeks, with final results visible after a few months.

Will I have scars?

Yes, there will be scars around the areola, vertically down the breast, and often along the breast crease (commonly called “anchor” or “lollipop” scars). Scars usually fade over time and are designed to be hidden under clothing.

Can I breastfeed after breast reduction surgery?

Breastfeeding may still be possible, but there is a risk that milk supply will be reduced. This depends on the surgical technique used and individual healing. Dr Law will discuss your options if future breastfeeding is important to you.Will I have scars after breast reduction surgery?

Is surgery safe?

Like any operation, breast reduction carries some risks, including bleeding, infection, delayed wound healing, asymmetry, and changes in nipple sensation, and in very rare cases, nipple loss. Choosing a fully qualified specialist surgeon helps minimise these risks and ensures safe and expert care.

Will surgery be covered by Medicare or health insurance?

In Australia, breast reduction may be covered by Medicare if it meets the criteria of being medically necessary. Private health insurance may also help cover hospital and surgeon’s fees. Dr Law’s team can guide you on eligibility.

What results can I expect from surgery?

Most women notice an immediate improvement in comfort, posture, and confidence. Exercise and daily activities become easier, and clothes fit better. The final breast shape continues to refine over several months as swelling settles.

How do I prepare for breast reduction surgery?

Ensure you stop smoking at least 6 weeks before surgery. Avoid certain medications as advised by Dr Law. Maintain a stable, healthy weight. Arrange time off work and support at home for recovery. Dr Law’s team will give you all the instructions to prepare you for surgery and recovery.

How long will my results last?

After a breast reduction, your breasts will not “grow back”. However, they can become larger if you gain weight or during pregnancy, and smaller if you lose weight. Like all breasts, they will naturally change in shape and position over time as part of the ageing process.