A breast reduction is a surgical procedure that reduces bust size and also lifts the breast. It removes excess breast gland, fat and skin to reduce your cup size to make it more in proportion with your body and remove symptoms caused by large breasts (macromastia).
Typical symptoms from a large bust include:
Breast size is the result of a number of factors, such as family genetics, hormones at puberty or menopause, body weight, pregnancy, breast feeding and individual physical characteristics.
There are a number of surgical options can be offered depending on individual characteristics, such as:
Liposuction alone is not a good option for reducing large breasts. Large breasts are made up of excess fat, gland and skin which all needs to be removed to produce a smaller breast that sits higher on the chest wall and is cosmetically attractive. Liposuction only removes fat which then deflates the breast skin and produces an unattractive smaller and droopy breast. In my experience patients that have undergone liposuction to treat their large breasts are dissatisfied post-operatively and seek a surgical breast reduction to correct this poor outcome.
Individuals are good candidates for surgery if they are healthy non-smokers and do not have conditions or take medicines that may impair healing. Individuals need to have realistic expectations and understand that breast reduction surgery does result in scarring, that although permanent are an acceptable trade-off for relief of the symptoms associated with large breasts. They will also be aware that breast size and shape can change with aging, weight changes, pregnancy and breast feeding and as such their rejuvenated post-surgical appearance will change with time.
To start, at your pre surgical consultation you will meet Chris Porter and together discuss your personal goals, medical health and previous treatments, surgery and anaesthesia. A list of your current medications is required but you do not need a referral from your family doctor. Your breast characteristics will be examined and explained to you. At the end of the consultation you will have discussed:
You will also have the opportunity to satisfy any nervousness or personal concerns, you should be comfortable discussing your feelings during the consultation. Remember, your individual goals are specific to you but are also commonly experienced by other plastic surgery patients.
On the day of surgery you will be admitted to the hospital where you will be assessed by the Anaesthetist who may administer medication to settle any pre-surgical nervousness. Chris Porter will perform pre-surgical markings and take photographs for your personal file. Following this, you will be transferred to the operating room where you will meet the surgical team and then your general anaesthetic will be started. While you are asleep under the anaesthetic your surgery will be performed and you will be given pain relief medication so you are comfortable when you wake up following the anaesthetic. Following completion of your surgery and anaesthetic you will be transferred to the ward where the nurses will keep you comfortable and guide your recovery. Typically you will have a one night hospital stay and on discharge you will be provided with pain relief medication, instructions to optimise your recovery, and post-operative appointments.
You will have some post-surgical bruising, swelling and discomfort which will subside towards the end of the first week. Following discharge from hospital you should not drive or return to work during the first week after surgery. During this time you need to rest at home to minimise swelling, bruising and as well as optimising your wound healing. Your dressings are sufficiently waterproof to allow showering from the first day after your surgery. Typically you will be able to return to driving and office based work in the second week after surgery. I recommend that general activity is limited to gentle walking for the first three weeks, if you are progressing well at that stage then you will be able to increase your activity aiming for unrestricted activity just as you were prior to surgery at week four to six, depending on your level of exercise. A lightly supportive non-underwire bra is recommended for the first six weeks and then you can have your formal bra fitting performed for day and sportswear.