FAQs About Breast Reduction Surgery

Breast reduction surgery, or reduction mammaplasty, is a common procedure that helps individuals achieve a breast size more proportionate to their body. It can alleviate discomfort associated with large breasts, such as back pain, neck pain and other physical issues. If you are considering this surgery, you may have many questions. 

Here, we answer frequently asked questions to help you better understand what to expect from breast reduction surgery. For more detailed information, check out our breast reduction FAQs.

What is breast reduction surgery?

Breast reduction surgery is a procedure designed to remove excess breast tissue, fat, and skin to achieve a breast size that is more manageable and comfortable. The surgery aims to create a breast shape that is proportionate to the individual’s body, relieving symptoms associated with large breasts. For a more detailed overview, visit the NHS website. 

Who is an ideal candidate for breast reduction surgery?

Ideal candidates for breast reduction surgery include individuals who:

• Experience physical discomfort from large breasts, such as back, neck or shoulder pain

• Have skin irritation beneath the breast crease

• Find it difficult to participate in physical activities due to breast size

• Struggle with self-esteem or feel self-conscious about their breast size

• Are in overall good health and do not smoke

It’s essential to have realistic expectations and discuss your goals with a qualified surgeon. Consulting with experienced cosmetic surgeons can help ensure the best outcomes for your breast reduction surgery.

What are the benefits of breast reduction surgery?

The benefits of breast reduction surgery go beyond just alleviating physical discomfort. Many patients experience both physical and emotional improvements, including:

• Relief from chronic pain in the back, neck and shoulders

• Improved posture and greater ease in physical activities

• Enhanced body proportion and self-confidence

• Better-fitting clothing and a wider choice of apparel

Overall, breast reduction can lead to a more comfortable, active, and confident lifestyle, addressing both physical symptoms and contributing to an improved sense of well-being.

How is the surgery performed?

Breast reduction surgery is usually done under general anaesthesia and involves removing excess breast tissue, fat, and skin to reduce breast size. The surgeon typically makes incisions around the areola and down the breast, sometimes extending along the crease. Once the excess tissue is removed, the remaining breast tissue is reshaped to create a more proportional contour, and the nipple and areola are repositioned to suit the new breast shape. In some cases, liposuction may also be used to refine the breast shape. The specific technique can vary depending on the extent of reduction needed and your unique anatomy.

What can I expect during the breast reduction recovery period?

Recovery from breast reduction surgery can vary, but most patients experience some discomfort, swelling, and bruising for the first few weeks. Compared to breast augmentation, which often involves more invasive techniques, the recovery from breast reduction surgery may involve less pain and a shorter downtime. You may need to take about one to two weeks off from work and avoid strenuous activities for up to six weeks. You will need to take breast reduction recovery week by week, and it is important to follow all post-operative instructions provided by your healthcare team to ensure a smooth recovery.

Are there any risks associated with breast reduction surgery?

As with any surgical procedure, breast reduction surgery carries some risks. Common problems after breast reduction surgery include: 

• Infection or bleeding

• Scarring, which may be noticeable

• Changes in nipple sensation, which can be temporary or permanent

• Difficulty with breastfeeding in the future

• Anaesthesia risks

Additionally, breast reduction surgery may reduce the amount of breast tissue where breast cancer could develop, potentially aiding in early detection.

Most people find that the benefits of the surgery outweigh these potential risks. Discussing these concerns with your surgeon can provide further insight into your individual risk factors.

If there are signs of infection after a breast reduction, contact your surgeon immediately to discuss symptoms like excessive pain, swelling, or infection. Adhering to post-operative care instructions is crucial for a smooth recovery. If you’re dissatisfied with the outcome or feel your concerns aren’t addressed, consider seeking a second opinion from another qualified surgeon. For persistent issues, revision surgery may be an option after full recovery. Document symptoms and communications with your healthcare provider to ensure all concerns are thoroughly addressed.

How much does breast reduction surgery cost?

Breast reduction cost can vary depending on factors like the surgeon’s experience, the facility’s location, and the complexity of the procedure. It’s important to discuss costs upfront and ask about financing options if insurance does not cover the surgery.

Will my breasts regrow after surgery?

Breast reduction surgery offers long-lasting results, but factors like weight gain, hormonal changes, or pregnancy can affect breast size in the future. Maintaining a stable weight can help preserve your results over time.

How should I prepare for breast reduction surgery?

Preparation for breast reduction surgery includes consultations with your surgeon, undergoing any necessary pre-operative tests, and following specific instructions. These might involve stopping certain medications, quitting smoking, and arranging for someone to drive you home after the procedure. 

Types of breast reduction procedures

Breast reduction surgery is a highly individualised procedure, and various techniques that can be used to achieve the desired results. The type of breast reduction procedure used will depend on the size and shape of the breasts, as well as the individual’s personal preferences and goals.

• Anchor or inverted-T reduction: this involves three incisions: one around the areola, one vertically from the bottom of the areola to the breast crease, and one along the breast crease. This method is often used for significant reductions and allows for extensive reshaping of the breast tissue.

• Vertical or lollipop reduction: this involves two incisions: one around the areola and one vertically down to the breast crease. This method is suitable for moderate reductions and results in less scarring compared to the anchor technique.

• Scarless or liposuction-only reduction: this technique involves small incisions through which excess fat is removed using liposuction. While this method results in minimal scarring, it is not suitable for individuals with significant excess skin or those needing a substantial reduction.

Each of these breast reduction procedures has its own set of advantages and considerations. During your breast reduction consultation, your cosmetic surgeon will discuss the most appropriate technique for your specific needs, ensuring that the chosen method aligns with your goals and provides the best possible outcome.

How long does the breast reduction procedure take?

Breast reduction surgery typically takes about two to five hours, depending on the extent of the reduction and the specific technique used. Your surgeon will give you a better idea based on your individual case.

What kind of scarring can I expect?

Breast reduction scarring is a common concern, as breast reduction surgery involves incisions. Most scars are located around the areola and down the breast, often fading over time. Your surgeon can suggest scar management techniques to help minimise their appearance.

If you’ve experienced excessive scarring from negligent breast reduction surgery, then you may be eligible to make a claim for compensation. Compensation can help cover additional medical costs, such as corrective treatments or scar revision surgeries, that may be needed to improve the appearance of the scars. Furthermore, making a claim holds the responsible party accountable, which can contribute to improved standards and practices within the medical field, potentially preventing similar issues for others in the future.

Will I need a breast lift alongside my breast reduction?

Breast reduction surgery typically includes a lifting effect, as it involves removing excess tissue and reshaping the breasts, which raises the nipple and improves contour. However, if significant sagging is present, your surgeon may recommend a separate or additional breast lift for optimal results. This depends on factors like the degree of sagging, the amount of tissue being removed, and your personal goals. During your consultation, your surgeon will assess your breast shape and skin elasticity to determine whether a lift is needed alongside the reduction to achieve the best overall outcome.

Can breast reduction surgery help with asymmetry?

Yes, breast reduction surgery can help correct breast asymmetry. The surgeon can tailor the reduction to ensure both breasts are as symmetrical as possible. Consulting with experienced cosmetic surgeons can help ensure the best outcomes for correcting breast asymmetry.

What should I look for when choosing a surgeon?

Choosing a board-certified cosmetic surgeon with experience in breast reduction is essential. Look for positive patient reviews, before-and-after photos, and a surgeon who takes the time to address your concerns.

To help you make an informed decision, we have a comprehensive guide on our website that provides detailed advice on finding a qualified cosmetic surgery specialist. This guide covers essential aspects like verifying credentials, understanding the importance of board certification, and tips on what to ask during consultations. You can access it here: How to Find a Cosmetic Surgeon.

What type of anaesthesia is used for breast reduction surgery?

Breast surgery, including breast reduction surgery, is usually performed under general anaesthesia, although some cases may allow for local anaesthesia with sedation. Your surgeon will discuss the best option for you based on your health and preferences.

How soon after surgery will I see results?

While you may notice immediate changes in breast size, swelling can take several weeks to subside, with final results typically visible after a few months.

For most patients, the majority of the swelling diminishes within six to twelve weeks, allowing you to have a clearer view of your new breast shape and size. However, it can take several months for the breasts to settle into their final shape and for any residual swelling to completely resolve. In some cases, it may take up to a year for the final results to be fully apparent.

Can I still breastfeed after breast reduction surgery?

Breastfeeding after breast reduction surgery is often possible, though it may be affected by the surgical technique and extent of tissue removal. Some methods, like the inferior pedicle technique, can better preserve milk ducts, improving the chances of breastfeeding success. If breastfeeding is important to you, discuss this with your surgeon, who can adjust their approach to optimise your potential to breastfeed. Even if full breastfeeding isn’t possible, partial breastfeeding or supplementing with formula are options. Consulting with a lactation specialist post-surgery can also provide support and guidance.

Will I need to wear special garments after surgery?

Yes, wearing special post-surgery garments, such as a supportive surgical bra, is a crucial part of the recovery process following breast reduction surgery. These garments are specifically designed to provide gentle compression, which helps to minimise swelling, reduce bruising, and support the healing tissues as they adjust to their new shape.

Typically, you’ll need to wear these support garments for several weeks, depending on your surgeon’s instructions. Following this recommendation is essential, as it can significantly impact the quality and speed of your recovery. Wearing the proper support during this period helps ensure that the breast reduction wound healing process goes smoothly and can contribute to optimal surgical results in terms of both comfort and appearance. Proper care and wearing supportive garments can also help minimise the appearance of breast reduction scars.

How should I manage pain after the procedure?

After breast reduction surgery, you’ll likely experience some pain and discomfort, especially in the first few days. Compared to breast augmentation, which often involves more invasive techniques, the pain after breast reduction surgery may be less intense. Your surgeon will provide prescribed pain medication to manage this, which can be supplemented by over-the-counter options like paracetamol if needed. Applying cold compresses and wearing a supportive surgical bra can help reduce swelling and discomfort. Resting, avoiding strenuous activities, and sleeping in a slightly elevated position will aid in pain management. Always follow your surgeon’s aftercare instructions and consult them if pain persists.

What should I do if I think I have had negligent breast reduction surgery?

If you believe you’ve experienced negligent breast reduction surgery, first seek medical attention from another qualified provider to assess and treat any complications. Document all symptoms, communications, and relevant medical records. Then, consult a solicitor who specialises in cosmetic surgery claims to review your case and determine if you have grounds for a claim. Be mindful of time limits for filing claims, and act promptly to ensure you receive appropriate guidance and support. Consulting with experienced cosmetic surgeons can help assess and treat any complications arising from negligent surgery.

Final thoughts

Breast reduction surgery can be a transformative procedure, offering both physical relief and an improved sense of self. If you’re considering the surgery, consult with a qualified surgeon to discuss your goals, concerns, and expectations. An experienced professional can guide you through the process and help you make an informed decision. Choosing a qualified cosmetic surgery specialist can significantly impact the success of your breast reduction surgery.

Disclaimer: This information is meant for general educational purposes and is not a substitute for professional medical advice. Always consult a qualified healthcare provider for advice tailored to your specific situation.