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Breast Reduction

Breast Reduction 

 

Officially called Reduction Mammaplasty, a breast reduction is an operation to reduce the volume of the breasts. Large breasts can cause physical symptoms such as grooving in the shoulders from their bra, rashes under the breasts, difficulty finding bras or clothing, poor posture, neck, shoulder or back pain.  It is one of the operations associated with significant improvement in the quality of life for patients.

Breast reduction is performed under a general anaesthetic and usually requires an overnight stay in hospital.  Patients may need to have a drain in either breast immediately after the procedure and these will be removed prior to discharge.

 

 Duration – 2 – 2.5 Hours

 Hospital stay – Day surgery or Overnight stay

 Costs – from £5500

 Return to work – 2 weeks

 Location – London, Manchester, Beirut, Doha

Frequently Asked Questions

Will my breast be lifted as part of the procedure?

With a breast reduction the breasts will be both lifted and reduced, achieving smaller breasts that are more lifted. 

How will the results last?

The results will last for a varying time from patient to patient. However the breasts can still change shape or get bigger with future pregnancy and change in weight. 

Where will the scars be?

With a breast reduction, the scars will be placed around the nipple, down the breast and under the breast, described as inverted T shape. 

I smoke, is that OK?

Breast reductions results are negatively affected by smoking as that significantly affects wound healing, fat necrosis and other complications. You will need to be smoke free and off nicotine replacement products for at least one month before the procedure and for one month after the procedure. 

What are the potential risks for breast reduction?

There are always potential risks and complications associated with surgery. Complications are rare but can occur. The main complications of breast reduction surgery include:

Bleeding

Bleeding can occur after your procedure and oozing from the wounds is common. Some bleeding can accumulate under the skin resulting in a haematoma or blood collection. Small haematoma will usually resolve with time and may not need any further treatment. Larger haematomas, however, may need a return to theatre to remove them and find the source of bleeding.

Infection

Infection can occur and most often can be managed with antibiotics. Sterile procedures and antibiotics given during the operation try to reduce the risk of infection.

Wound breakdown and healing problems

The most common site of wound breakdown or healing delay is the so called T junction. This is the area where the vertical and horizontal scars meet and the point of maximum tension when the breast is stitched closed. If this occurs it may take longer to heal. There are pre-existing risk factors for poor wound healing such as smoking and diabetes.

Scarring

There will be permanent scars on the breast depending on the type of skin incision pattern. Scars can sometimes become hypertrophic or keloid which means they may be raised, red and lumpy. This can occur around the areolar or along all the scars. Patients will usually have a tendency to develop this type of scarring or there may be a family history of abnormal scarring.

Asymmetry

There is always some degree of asymmetry between breasts and nipple areolar complexes. Occasionally, after breast reduction there may be residual asymmetry or patients may become more aware of pre-existing asymmetries.

Change in Nipple Sensation

Due to the nature of surgery and movement of the nipple there is risk of changes to nipple sensation. This is usually reduced nipple sensation after surgery that is often temporary but may be permanent.

Nipple Loss

Very rarely there is risk of nipple loss that can occur when the blood supply to the nipple is disrupted. There is a higher risk of this when the breast is very big and the distance the nipple is moved is longer. In extreme cases, the nipple may be removed pre-emptively and used as a nipple graft.

Fat Necrosis

Fat necrosis occurs when the fat in the breast loses its blood supply. This may result in firm hard areas where the fat has not survived. Small areas often resolve with time.

Can I breast feed after breast reduction?

It is generally said that you will not be able to breast feed after breast reduction. This is because some of the glandular tissue is removed and nipple areolar complex has been moved. There are some cases where patients have been able to breast feed but in general most will not be able to breast feed.