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:

  1. Reducing breast volume to relieve discomfort.

  2. Lifting and reshaping the breast tissue.

  3. 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.

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.

Plastic, Reconstructive & Aesthetic Surgery, Sydney

Contact Dr Law below to request a consultation.