Breast reduction

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Breast reduction is a cosmetic procedure to remove excess fat and skin from the breasts making them smaller, better shaped and more uplifted.

What is a breast reduction?

The procedure can relieve physical symptoms such as breast discomfort, neck ache, backache, shoulder pain, skin irritations under the breast fold, painful pressure from bra straps and difficulties and discomfort during exercise.

What happens during breast reduction surgery?

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Breast reduction is performed under a general anaesthetic. It can take between one-and-a-half to three hours.

There are several different surgical procedures for breast reduction. Excess skin and fat is removed. Your breasts are reshaped and the nipples are repositioned. All procedures result in a scar around the areola (dark area around the nipple) and each method results in additional scarring. Your surgeon will discuss each procedure with you and together you will decide which is best in your particular case. Breast reduction can also be used to correct asymmetry (imbalance) of your breasts.

Going home after breast reduction surgery

Patients often go home the same day as their procedure, but may need to stay overnight. You will have dressings on your breasts and there may be drains (plastic tubes). The drains are usually removed before you leave hospital.

You will be given post-operative pain killers and instructions regarding your dressings and any stitches you may have.

Most patients are mobile from day one and return to normal activities within six weeks. However everyone heals differently. Be sure and discuss your return to work with your surgeon.

The results of breast reduction improve gradually over time. Your breasts should become softer and more natural as the healing continues.

This chart is a guide to stages of recovery only. Everyone heals differently so your results may vary.
 
Day 1-7
Week 2
4 – 6 Weeks
6-9 months

You may have some discomfort for a week. Mild painkillers will help with this but avoid taking aspirin.


Keep walking around to avoid post-operative complications.

Sports bra worn day and night for about 3 weeks.

Might pull and hurt a little when you move around.


Any non-dissolvable stitches will be removed.

Gradually begin to increase your activity.

Depending on your job, should be able to return to work from 2 weeks.

Drive only when you feel safe to do so.

Avoid lifting or pushing anything heavy for at least four weeks.


No need to wear a bra during the night but keep one on during the day.

Loss of sensation to breast and nipple area continues to improve.

Scars will begin to soften and fade.


You can begin to judge the final result.

Every surgical procedure has a risk of complications. Be sure and discuss any concerns you might have about these risks with your surgeon.

Specific complications following breast reduction:

  • Developing a lump or swelling inside the breast
  • Numbness or persistent pain on the outer part of the breast
  • Loss of skin, including the areola and nipple
  • Stiff shoulder
  • Change of breast and nipple sensation
  • Uneven shape: Your breasts will change shape after reduction surgery. There is a chance that they may end up slightly lopsided, lumpy or with uneven nipples
  • Reduced ability to breastfeed


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