Breast Reduction
A Breast Lift, or Mastopexy, is a surgical procedure to raise and reshape sagging breasts.
If you are considering Breast Reduction surgery or a Breast Lift, there may be some questions you would like answered.

Essentially, a Breast Lift, or Mastopexy, is a surgical procedure to raise and reshape sagging breasts. The result is not permanent as no surgery can permanently delay the effects of gravity. Breast Reduction surgery is similar in many ways to a Breast Lift except as well as lifting the breasts, their volume is reduced.

Breast Reduction

Breast Reduction surgery is carried out to reduce the size of the breasts.

For many patients, having larger breasts can be uncomfortable and affect self-confidence. Patients with larger breasts often suffer with neck and back pain, sometimes skin irritation under the breast fold and the pressure of bra straps on the shoulders can be uncomfortable which in turn can affect posture.

What is a Breast Reduction?

Breast Reduction surgery is considered major surgery however the risk will depend on the extent of the reduction. The result will achieve a reduction of volume, lifting of the breast and overall a much improved shape to the breasts, it will undoubtedly reduce or alleviate the neck and back pain caused pre-surgery. Patients post breast reduction are often the most satisfied patient group of all due to the frequent major improvements in both the aesthetic and the physical aspects.

“I had a wonderful experience with Patrick, he is not only a great surgeon but he has extraordinary empathy and I always felt totally at ease with him.”

Z Porsche
During consultation

The consultation offers an opportunity to discuss the result the patient is looking to achieve, a range of measurements are taken which take into account the body shape and stature of the patient and a realistic expectation is offered.

Risks and Complications
As with all surgery there are potential risks and complications associated, early common complaints can include change in nipple sensation, bruising, swelling, asymmetry in the breasts and oozing, these are all normal and will subside as the breasts heal.

More uncommon complication can include infection, haematoma, seroma and delayed healing however our team of nursing staff monitor the progress of patients for signs of these complications very carefully post operatively and patients are given contact information should they need medical assistance once discharged from the hospital. Nipple sensation and areola loss are uncommon risks however must be considered as do the risks associated with General Anaesthesia such as respiratory issues and Deep Vein Thrombosis. The ability to breast feed can sometimes be compromised and should be considered prior to surgery.

The Surgery

Breast Reduction surgery is carried out under a general anaesthetic involving an overnight stay in hospital.

Breast Reduction surgery is carried out under General Anaesthetic, usually taking around 2-3 hrs in theatre and requires a 1 night stay in hospital sometimes more depending on the extent of the surgery.

During surgery both skin and fatty/glandular tissue are removed, the nipple will be repositioned higher so it is located proportionately to the new breast and the whole breast is lifted onto the chest wall. There are two styles of incision often referred to as the ‘Lollipop’ and the ‘Anchor’. The ‘Lollipop involves incisions around the areola and then down into the fold of the breast, this type of incision would usually be used for a smaller Breast Reduction. Typically the ‘Anchor’ incisions are the preferred option, this involves the same incision around the areola and then moving down and along the breast fold along the natural contour of the breast.

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Am I a good candidate for Breast Reduction surgery?

You are a good candidate for Breast Reduction surgery if you suffer from the symptoms of having heavy breasts:

Neck pain, bra strap pain, shoulder discomfort, poor posture, skin infections in the crease of the breast or you simply feel they are too big for your frame.

You should also be in good health generally, being overweight and smoking are two significant risk factors. You may be asked to lose weight or stop smoking prior to your surgery in order to minimise the risk of complications.

Are there any complications with Breast Reduction?
Breast Reduction surgery is a commonly performed operation which in the vast majority of cases is complication free and highly beneficial.

However, you need to be aware of some potential risks.

Bleeding is uncommon and rarely necessitates a trip back to theatre. If bleeding is excessive in the early post operative period a small procedure to evacuate any blood clot may need to be carried out.

Drains are placed to minimise collection of excess fluid/blood.

Infection rarely occurs and may require a course of antibiotics.

Occasionally wound healing may be a little delayed especially after very large reductions requiring dressings until healing is complete.

Occasionally wound healing may be a little delayed especially after very large reductions requiring dressings until healing is complete.

Although extremely rare, the blood supply to the nipple is theoretically at risk and may result in poor healing of the nipple.

Nipple sensation may also be altered either temporarily or more unusually permanently.

Younger women need to be aware that it is possible that breast feeding may not be possible after Breast Reduction surgery.

It is important to remember that breasts are rarely of exactly the same size to start with and that after surgery they may not be identical in shape and size – minor asymmetries are normal.

Be sure to discuss the pros and cons of Breast Reduction surgery with your surgeon before making the decision to go ahead.

A Breast Lift
A breast lift is indicated in the following circumstances:

To raise and reshape sagging breasts due to pregnancy or nursing

To reduce the size of the areola, the darker skin surrounding the nipple

If your breasts are small or have lost volume, breast implants inserted in conjunction 
with mastopexy can increase both their firmness and their size.

The following frequently asked questions and answers (FAQs) will give you a basic understanding of the procedure – when it can help, how it’s performed, and what results you can expect. These may not answer all of your questions, since a lot depends on your individual circumstances.

Your surgeon will be able to help you with any further concerns you have about how the procedure will affect you personally.

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