Breast Reduction Surgery Risks and Safety

Breast reduction surgery is a cosmetic procedure to remove excess breast tissue and skin, altering the weight, size and shape of breasts. This surgery may also combine breast reduction with implant insertion to improve the shape of the breasts while reducing their size. Reasons for opting to undertake breast reduction surgery to remove excess breast tissue may include improving the appearance of breast droop through a breast reduction and lift,  increasing breast symmetry and alleviating physical discomfort that may be present in the shoulder, neck and back areas from carrying around excess weight from very large breasts.

This blog will explain the risks of breast reduction surgery and how these can be prevented through appropriate care, before and after breast surgery, along with what these breast reduction surgery best practices are.

What are the risks of breast reduction surgery?

Breast reduction surgery, like any surgical procedure, carries risks that patients should be aware of before making the decision to undergo treatment to reduce breast size and excess tissue. While many people experience successful outcomes, complications can occur, affecting both the aesthetic and functional results of the procedure.

Some of the primary risks include:

• Infection: poor wound healing can lead to infections, which may require antibiotics or, in severe cases, further medical intervention. Signs of infection after breast reduction surgery include localised pain and tenderness beyond the expected recovery timeline, pus or unusual discharge, excessive warmth at the surgical site and excessive swelling.
• Breast reduction scarring: while scarring is a natural part of the healing process and one of the more common problems after breast reduction surgery, some people may develop breast reduction scars that are thick and raised.
• Changes in nipple sensation: some individuals experience a temporary or permanent loss of sensation in the nipples due to nerve damage during surgery.
• Asymmetry: differences in breast shape or size may become apparent post-surgery, sometimes requiring revision procedures.
• Difficulty breastfeeding: depending on the surgical technique used, some people may struggle to breastfeed after surgery.
• Haematoma and bleeding: a collection of blood under the skin (haematoma) can occur, potentially leading to pain, swelling, and the need for further treatment. This may appear discoloured, showing as purple, blue or black, warmth around the area, localised pain that is not a normal part of the healing process and delayed healing of the wound.
• Tissue necrosis in rare cases, a lack of blood supply can lead to tissue death, particularly in the nipple or surrounding skin.

How can breast surgery risks and complications be mitigated?

While a breast reduction procedure can deliver transformative results, complications can arise if proper care is not taken before, during and after the surgery. Both the patient and the surgeon play a role in enabling the best possible outcome.

As a patient, there are several steps you can take to help mitigate the risk of complications and support your body’s healing process:

• Choose an experienced surgeon: research your surgeon thoroughly, choosing a board-certified plastic surgeon such as those accredited by BAAPS or BAPRAS. Also opt for a specialist, who has extensive experience in breast reduction procedures - request breast reduction before and after photos of their previous breast reduction work.
• Follow pre-operative instructions: your surgeon may provide guidance on stopping certain medications, avoiding smoking, and preparing for surgery to ensure your body is in the best condition.
• Maintain a healthy lifestyle: eating a balanced diet, staying hydrated and avoiding excessive alcohol consumption and smoking can aid healing and reduce the risk of infection.
• Adhere to aftercare advice: proper wound care, wearing a supportive surgical bra and avoiding strenuous exercise during the recovery period are all essential for preventing complications.
• Attend follow-up appointments: regular check-ups allow your surgeon to monitor your healing progress and address any concerns early.
• Be aware of warning signs: understanding what is and isn’t normal during recovery can help you seek medical attention promptly if issues arise, reducing the risk of further complications.

Your surgeon’s duty of care

A qualified and reputable surgeon has a professional obligation to prioritise patient safety and deliver a high standard of care throughout the surgical process. Their responsibilities include:

• Providing full and accurate information: before surgery, your surgeon should explain the risks, potential complications and expected outcomes so you can make an informed decision.
• Conducting a thorough assessment: a responsible surgeon will evaluate your medical history and overall health to determine whether you are a suitable candidate for the procedure.
• Using safe and appropriate surgical techniques: the surgeon must follow best practices and industry standards to minimise risks such as excessive bleeding, nerve damage and poor wound healing.
• Offering proper post-operative care: clear aftercare instructions and access to follow-up support should be provided to help you recover safely.
• Addressing complications promptly: if issues arise, your surgeon should be proactive in providing corrective treatment and guiding you on the necessary steps to improve your outcome.

How can a solicitor help if your breast surgeon has been negligent?

If your breast reduction surgery has resulted in complications due to negligence, a specialist solicitor can help you explore your legal options and seek compensation. Cosmetic Surgery Solicitors are experts in handling cosmetic surgery negligence claims, ensuring that individuals who have suffered avoidable harm after breast reduction surgery receive the support they need.

A solicitor can assist you by:

• Assessing your case to determine whether negligence occurred.
• Gathering evidence, including medical records and expert opinions, to build a strong claim.
• Seeking compensation for the physical, emotional, and financial impact of the complications.
• Supporting you throughout the legal process, ensuring that you receive expert guidance.

Compensation can help cover the cost of corrective surgery, lost earnings and the psychological distress caused by a failed procedure. By seeking legal assistance, you can take the necessary steps towards holding those responsible accountable and achieving a fair outcome.

FAQS about breast reduction surgery

How bad is the pain after breast reduction?

Pain levels vary from person to person, but most individuals experience moderate discomfort in the first few days following surgery. This can usually be managed with prescribed pain relief. Tenderness, swelling and tightness in the chest are common during the initial recovery period, but these symptoms gradually subside within a few weeks.

What does the breast reduction swelling timeline look like?

Swelling typically peaks within the first 48 to 72 hours after surgery. It then gradually decreases over the following weeks, with most swelling resolving within six to eight weeks. However, mild residual swelling may persist for several months as the body continues to heal. Wearing a surgical bra and following aftercare instructions can help minimise swelling during your breast reduction recovery.