Breast Reduction

Breast Reduction

  • Overview

    The weight of large breasts can cause a variety of medical problems, including back and neck pain, as well as shoulder discomfort from tight bra straps. Breast reduction surgery aims to make the breasts smaller and better supported, decreasing pain and discomfort associated with large breasts. Breast reduction is an extremely successful procedure. From the perspective of patient satisfaction, it is amongst the most reliable of all cosmetic surgical procedures.

    During breast reduction surgery, excess fat, tissue and skin are removed from the breast, to achieve a breast size that is proportionate to the body. For many patients with large or disproportionate breast, breast reduction surgery can help to improve their self-image and self-confidence, as well as their ability to participate in physical activities.

    Breast reduction resolves issues such as:

    • Chronic back, neck and shoulder pain
    • Chronic rash or skin irritation under the breasts
    • Deep grooves in the shoulders from bra strap pressure
    • Restricted activity
    • Poor self-image related to large breasts
    • Difficulty fitting into bras and clothing
    • Difficulty sleeping

    Just like any major surgery, breast reduction surgery presents some risks such as bleeding, infections and an adverse reaction to the anaesthesia. Other risks may include:

    • Scarring
    • Loss of sensation in the nipples and skin surrounding the nipples (areolae)
    • Difficulty or inability to breastfeed
    • Differences in the size, shape and symmetry of the surgically altered left and right breasts, which might lead to further surgery to improve appearance
    • The risk of poor wound healing increase with the amount of breast tissue removed.

    The particular technique used to reduce the size of breasts may vary depending on the patient’s individual need. An incision is made around the areola and down the breast. Excess fat, breast tissue and skin are then removed to reduce the size of each breast. In most cases, the areola remains attached to the breast, however, if the breasts are very large and droopy, the areola might be removed and reattached at a higher position on the breast as a skin graft.

  • Preparations

    It is important to avoid consuming any tablets containing Aspirin (such as Dispirin) for two weeks before and after the surgery, as Aspirin thins the blood and has an adverse effect on bruising. If you are a smoker, it is imperative that you stop smoking for four weeks before surgery and two weeks after, to avoid restricting the circulation of the skin. This applies to all nicotine products, including inhalers, patches and nicotine chewing gum.

    Also, ensure that you arrange for someone to drive you home after surgery, as you will be unable to drive yourself.

    In preparation for your surgery, bring a soft bra (one without an underwire) that is in your new size.

  • FAQs
    Am I a candidate for a breast reduction?

    Not everyone can have a breast reduction. Suitability is determined by a thorough analysis of your medical history, as well as a thorough clinical consultation. You will need to be in good health before a breast reduction is considered. If you are a suitable candidate, Dr Maresky will educate you about the particular type of techniques that best addresses your concerns.

    What are the benefits of a breast reduction?

    Breast reduction surgery improves the appearance, contour and shape of the breasts, while placing the nipple in a more youthful position. This surgery reduces the feeling of heaviness in the breasts, as well as decreased the symptoms of neck and shoulder pain. This surgery is very successful at increasing patient confidence and improving self-esteem.

    Will the scars be visible?

    All scars are hidden under the average bra or bikini top.

    Is the procedure painful?

    This procedure is usually not very painful. While in hospital, strong painkillers can be given to keep you comfortable. We will give you tablets to take when you go home to keep you comfortable.

    How long does it take to recover from the procedure?

    Following surgery, you should wear a firm sports bra for six weeks. Depending on your job you can usually return to work for light duties after two weeks. By six weeks you should be able to return to full activities including sport.

    When will I notice the results?

    You will notice an immediate change after a breast reduction. However, there will be some bruising and swelling which may last several weeks.

Dr Gideon Maresky
Dr Gideon Maresky
Dr Gideon Maresky

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