Breast Reduction

Breast Reduction

This operation is regarded by many as “cosmetic” but it can also provide a huge functional benefit. It is so common to hear a woman in her 40s or older say at the final postoperative check, “if only I had had this done years ago”.

Breast reduction

Breast reduction can help with:

  • Neck and upper back ache
  • Shoulder grooves
  • Rashes beneath the breasts
  • Bra fitting
  • Participation in sporting activities
  • Embarrassment
Post operative care

Pain is usually not enough to stop you being mobile the next day. Some discomfort at the outsides of the breasts is common for 2 to 4 weeks.

I usually insert a drain (soft plastic tube) in each breast. These are routinely removed next morning and it is rare to stay more than one night in hospital.

The cuts are simply taped with paper tape which survives wetting so you can shower the next morning. A stretch bra can be worn from day 2.

Be aware

Since the nipple always has to be re-sited higher up, all breast reductions methods result in a scar right around the areola and a scar vertically down from there to the inframammary fold (groove beneath the breast). Usually there is also a curved transverse scar running the length of the inframammary fold. There are “vertical scar” techniques which seek to avoid this transverse scar and this is sometimes appropriate.

Loss of nipple sensation is not uncommon. Numbness of some skin beneath the nipple is usual.
You may not be able to breastfeed should you have a pregnancy after breast reduction.
The nipple has to move up and retain its blood supply. it is possible for this blood supply to be inadequate and to lose part or all of a nipple but this is an exceedingly rare complication.
Symmetry should be very good but may not be perfect.

Coming from
out of town?

Ideally a consultation should be face to face but is certainly possible to arrange a telephone consultation. If you can email the photos first so much the better. If it is clear what procedure is required then the in-person consultation can be the day before or the morning of the surgery.