Consultation:A breast reduction consultation lasts around 20 minutes to one hour. It is an opportunity to find out everything you need to know about having your breasts reduced in size along with undergoing a medical examination of your breasts, nipples, areola and upper body proportion.
During a consultation, you will discuss the reasons for wanting a breast reduction along with any goals and outcomes you wish to achieve. It is important to be honest and ask every possible question you can think of so that there are no doubts about proceeding with surgery. Your surgeon will need to know about your medical history and any conditions or allergies you may have. You will also be made aware of any risks and complications related to reduction mammaplasty.
When having your physical assessment, you will be asked about family and personal breast screening whilst your surgeon checks:
• The quality and quantity of your breast tissue
• Your current breast size and shape
• The desired size and shape of your breasts after surgery
Pre-Procedure:If you are unhappy with the size of your large breasts, you may be an ideal candidate for breast reduction surgery. Below is a list to use as a guide for suitable candidates:
• You are female over the age of 18 with large breasts
• You are experiencing pain or discomfort because of your large breasts
• You struggle to fit in to items of clothing
• You feel self conscious about the size of your breasts and receive unwanted attention as a result
• You are a non-smoker or have not used nicotine products for a minimum of 6 weeks.
• You have a desire to alter the way your breasts look
• One breast is much larger than the other
• You should be mentally and physically healthy before undergoing surgery and if you are planning on having children, you may wish to delay your surgery until childbearing is complete.
• If you feel you are a suitable candidate for surgery, check with your cosmetic surgeon to see
• If your aesthetic goals are realistic with breast reduction alone as some patients choose combined surgery for a better aesthetic outcome.
Day of the Procedure:Breast reduction surgery is performed under general anaesthetic, meaning you will be asleep for the duration of the operation. Occasionally local anaesthetic with sedation is used, but general anaesthetic is more common. Your surgeon will carry out a number of steps from the beginning of the procedure to the end, which typically involves:
• Removing excess skin, fat and breast tissue from each breast
• Reshape existing / remaining breast tissue based on preference and goals of the patient
• Move the nipple and areola to a new position
• Where possible, your surgeon will ensure that the blood supply is preserved along with any connective tissue and nerve endings. This helps with the healing process and reduces the risk of complications post surgery.
• There are a number of different techniques and incisions that can be used during a breast reduction, which you will be able to discuss in detail with your surgeon.
• Following your procedure, you will be observed on a ward for 24 hours before being discharged the following day.
Post Procedure & Recovery:Preparing yourself for what is to come before and after breast reduction surgery is the best way to have the most positive experience without added stress and so that things run as smoothly as possible. Below is some general breast reduction surgery guidance:
– Immediately after surgery
You will be placed on a ward after your breast reduction procedure and will stay overnight in hospital until the anaesthetic has worn off. You will typically be discharged within 24 hours.
• Sleeping
After breast reduction, sleeping on your back in an inclined position is recommended.
• Driving
You will not be allowed to drive home from your procedure and will need a lift from a friend or family member. You are to avoid driving for up to 2 weeks if possible.
• Household chores
Carrying out household chores in your house before breast reduction surgery is recommended so that you can relax and recover at home.
• Rest
You should rest at home for up to one week after your breast reduction. Occasional walking can help prevent blood clots.
• Children
Looking after young children or pets can be difficult after a breast reduction and it is recommended to seek help from a friend or family member for a few days.
• Other guidance
Avoid drinking alcohol, smoking and taking drugs for a minimum of 6 weeks before surgery as they can increase your risk of complications and infection. They can also delay the healing process of any incisions. Avoid heavy lifting and keep arm raises above your head to a minimum.
• Procedure Steps
Breast reduction surgery is performed under general anaesthetic, meaning you
