Cosmetic Breast Reduction and Lift

Breast Reduction

Breast reduction is a surgical procedure designed to reduce the size of the breasts and improvement in breast contour to make them more in proportion with the rest of your body. It is an operation associated with a high degree of patient satisfaction.

Am I suitable for breast reduction?

Patient selection for breast reduction is critical and most importantly you should ideally be nearly normal weight for height (BMI) when the operation is performed. If you suffer with:

  1.     Aching in the back, neck or shoulder reigon
  2.     Grooving of the bra strap area
  3.     Significant stria (stretch marks) on the breast
  4.     Significant rash under the breast

Then breast reduction may help and improve these symptoms. A breast reduction can also improve your body self-image and confidence.

Timing of breast reduction

Breast reduction is not routinely performed until the breasts are fully developed, i.e in the late teens onwards.

Your assessment for the operation

At your initial consultation, Mr Davies will examine and measure your breasts and discuss what the operation involves. It is vital for Mr Davies to be made aware of any significant medical conditions you may have, in particular smoking history, diabetes, and bleeding tendencies and allergies as well as any previous breast problems or family history of breast cancer. In some patients a mammogram may be peformed prior to your surgery to screen your breasts.

Where will my surgery take place?

At the New Victoria Hospital. You can expect to stay 1-2 nights following the operation.

About the operation

The operation takes 2-4 hours to perform. Typically the excess breast tissue is removed through cuts on the lower parts of the breasts and the nipples are moved to their new position. The skin is reshaped and the cuts are closed with fine dissolving sutures. Fine plastic tubes (drains) may be left in each breast to allow and blood or serous fluid to drain. These are usually kept in overnight only. Your breasts are supported with dressings.

What to expect after the operation

You will be given painkillers to relieve any discomfort as the general anaesthetic wears off. You will be given specific instructions about getting out of bed, bathing, diet and gentle excercises. Before you go home you will be given a follow up appointment and advice about caring for your wounds. Recovering from surgery

At home, most patients require simple pain relief such as paracetamol and ibuprofen. General anaesthesia can affect your coordination temporarily so you should not drink alcohol, operate machinery or sign legal documents for 48hrs after your operation. You should be able to safely make an emergency stop before driving. After 48 hrs you will be asked to wear a sports bra which you will need to wear for 6 weeks.

In the event of new pain, a fever or copious discharge from you wounds you should contact your GP or Mr Davies for an appointment as you may have developed a wound infection.

Results of Surgery

Scarring will continue to fade over several months and inititaly scars will appear prominent and red. The breasts initially will be swollen and "square". The rounded contour of the breast develops over 6-8 weeks as the healing breast softens. It will take 3 months for your breasts to assume their new shape and contour.

What are the risks of the operation?

Common risks include pain, swelling, tenderness and bruising. Scarring will appear pink initially but fade. A small number of patients exhibit thickened or "hypertrophic" scarring. Changes in sensation, particularly around the nipple are common. Numbness can be permanent. Depending on the method of breast reduction, you may be unable to breastfeed after the operation.

Significant risks include excessive bleeding (5%), deep vein thrombosis, wound (10%), chest and urinary infections and hypertrophic or keloid scarring. Antibiotics and blood thinning injections and stocking are given during and after your operation to minimise these risks.

It is always a risk that you may not be satisfied with the cosmetic result following your breast reduction.

Please see the photo gallery for the typical results of this procedure.