Breast Reduction

reduction mammoplasty

What is breast reduction?

This is an operation by which the breasts are reduced to a more aesthetically pleasing and smaller size.

Why do patients request breast reduction?

There are varying reasons patients request reduction mammoplasty but usually it’s because large breasts cause back pain (leading to headaches), shoulder ache and recurrent infection underneath the breast.

Some patients do complain of inability to find clothes which fit as the upper part of the body is disproportionate to the lower part of the body. They may find the size embarrassing and wear very baggy clothes. They may also find body hugging clothes difficult to wear.

Outdoor sports such as swimming may become very difficult as the patient is embarrassed about their size.

Another reason is to correct asymmetry (when one breast is obviously larger than the other breast).

What type of anaesthesia is used?

The operation is usually carried out under general anaesthetic.

How is it performed?

There are different methods of breast reduction but the two most popular methods are the use of the inverted ‘T’ shaped incision, or the use of the vertical incision. During the operation the nipple is left attached to part of the breast and is repositioned. Excess breast tissue is then excised and stitches are used to mould the remaining breast tissue to look like a breast again.


Did you know!

Reduction is different from a breast lift where only skin is removed. Reduction usually occurs in patients that have significant breast tissue from a C cup all the way up.



How long does the operation last?

It takes about 2 to 3 hours to reduce both large breasts

How long is the hospital admission?

This ranges from an overnight stay to two days

What are the risks of having the operation?

Breast reduction patients are amongst the most satisfied of cosmetic patients. The problems that can arise are similar to that with any surgery including hematoma (blood clot collection), infection and wound breakdown. Other problems include changes in sensation in the nipple areola complex, residual minor differences in the size and shape of the breasts, raised and stretched scars and ‘dog ears’.

Breast feeding may be difficult after this operation. Commonly breast feeding is still possible following reduction mammoplasty, however, other sources such as formula or cows milk may be necessary.