A breast reduction procedure can dramatically improve your breast size.
A breast reduction procedure can dramatically improve your breast size, with usually a 2-night stay in hospital and a few weeks recovery. A special bra is worn post-op to help with your new shape and position.
About Breast Reduction Surgery
When you see Dr Flood for a consultation you will be given a quotation with item numbers so you can check all your out of pocket expenses.
This procedure is in some cases recognised by Medicare, unlike other cosmetic surgery. This means you’ll be given item numbers. Therefore your hospital accomodation should be covered by your health fund. You will also be able to claim a rebate from Medicare and your fund.
The aim of this operation is to remove excessive breast tissue and fatty tissue so as to leave the remaining breast in proportion with the rest of the body. The nipple is usually elevated and the shape of the breast improved. The patient then should be more comfortable, easier to fit with bras and ultimately feel more confident.
This is achieved by surgically fashioning “bra cups” from the skin of the breast and the plastic surgeon will plan this bra pattern on the skin in hospital before the operation.
The scars will be significant and obvious in the early months after surgery. They usually improve with time. There is usually a scar around each nipple, a vertical scar (the “seam” of the “skin brassiere”) below the nipple for about 5cm down to meet a curved horizontal scar which may be long, passing from near the midline in front to outside the breast near the armpit. This horizontal scar is long following large reductions and with the patient standing would be visible at each end but usually only to close inspection – while the vertical scar usually fades to be slightly stretched. At times the scars, moreso the horizontal one, can be more obvious than desired. They may even show keloid change, in patients with this tendency, becoming red, thick and itchy. These scars can usually be improved by a second operation if necessary.
Post-operatively there may be a breakdown of the wound edges near the “T” junction of the skin bra. This is usually a temporary nuisance requiring dressings and rarely makes any difference to the final result. Post-operative haematoma and infection may occur.
Keloid scars respond to small doses of steroid injected into the scar to hasten the scar maturation process. Dr Flood has found in his practice, with his special scar care programme post-operatively, that he has not had to perform any steroid injections to correct keloid scarring post breast reduction surgery.
Sensation of the nipple may be affected. It can be altered, being “lost”, “made different”, “sore” or it may even be “improved”.
The operation is planned in such a way to ensure that an adequate blood supply is maintained to the various remaining anatomical parts of the breast, such as skin, fat, breast tissue and nipple. At times, if the circulation is inadequate, tissue may die. This is not common, but is more likely in very large breasts or in patients with poor circulation. At times surgeons may have to compromise the desired size and shape to help maintain an adequate circulation.
There is no documented risk of producing breast cancer. However, there is evidence that the risk of breast cancer is reduced because breast glandular tissue is removed which has the potential to become cancerous. All patients have a preoperative mammography. Twelve months following their operation a further mammogram is performed to be used as a base line for future mammograms.
Generally there is no great discomfort. There may be some tender spots but these are usually temporary.
Should there still be any questions regarding this surgery, be sure to get them answered in advance by the plastic surgeon. Well-meaning friends are not a good source of information! Find out everything before the operation – a well informed patient is a happy one!
Finally, obviously there can be no guarantee with any surgery. Remember, improvement not perfection is the realistic aim. A further operation may be required to improve the result.