All about breast reduction surgery (BBR)

By understanding the details of breast reduction surgery, patients can make informed decisions about their health and well-being, leading to improved physical comfort and quality of life. Here to tell us more is leading consultant plastic surgeon Miss Mary Morgan.

What is breast reduction surgery?

Breast reduction surgery, also known as reduction mammoplasty, is a procedure aimed at reducing the size and weight of large breasts. This surgery involves removing excess breast fat, glandular tissue, and skin to achieve a breast size more proportional to the patient’s body. The procedure can also alleviate discomfort associated with overly large breasts, such as back pain, neck pain and skin irritation.

Who can benefit from breast reduction surgery?

Individuals who experience physical discomfort due to large breasts are often ideal candidates for breast reduction surgery. Symptoms that might lead someone to consider this procedure include:

• Chronic back, neck and shoulder pain.
• Skin irritation beneath the breast crease.
• Difficulty engaging in physical activities.
• Posture problems.
• Bra strap indentations on the shoulders.
• Psychological distress or self-consciousness related to breast size.

What does the surgery involve?

Breast reduction surgery is typically performed under general anaesthesia and takes about two to four hours, depending on the extent of the reduction. The procedure involves making incisions in the breasts, removing excess tissue and repositioning the nipples. There are several techniques for breast reduction, including:

• Anchor or inverted-T incision: This method involves three incisions - one around the areola, one vertically down from the areola to the breast crease and one along the crease.
• Vertical or lollipop incision: This technique involves two incisions - one around the areola and one vertically down from the areola to the breast crease.
• Scarless breast reduction: Liposuction is used to remove excess fat with minimal scarring.

What can patients expect during recovery?

Post-surgery, patients can expect some pain, swelling and bruising, which typically subside within a few weeks. A special support bra is usually worn to minimise swelling and support the breasts as they heal. Patients should avoid strenuous activities for at least four to six weeks and follow their surgeon’s specific post-operative care instructions.

Key points to consider during recovery:

• Pain management with prescribed medications.
• Keeping incisions clean and dry to prevent infection.
• Attending follow-up appointments for wound checks and to monitor healing.
• Gradually resuming normal activities based on the surgeon’s advice.

What are the potential risks and complications?

Like any surgical procedure, breast reduction surgery carries potential risks and complications, including:

• Scarring: Incisions will leave permanent scars, although they typically fade over time.
• Changes in nipple or breast sensation: Some patients may experience temporary or permanent changes in sensation.
• Asymmetry: Differences in size or shape between the two breasts can occur.
• Problems with wound healing: Delayed wound healing or infection can arise.
• Anaesthesia risks: Reactions to anaesthesia, although rare, can occur.
• Inability to breast feed. 

What are the benefits of breast reduction surgery?

Breast reduction surgery can significantly improve the quality of life for many individuals by alleviating physical discomfort and enhancing self-esteem. Benefits include:

• Reduction in chronic pain.
• Improved ability to participate in physical activities.
• Enhanced posture.
• Better-fitting clothing.
• Boost in psychological well-being and confidence.

Is breast reduction surgery right for you?

To determine if breast reduction surgery is appropriate, patients should consult with a qualified consultant orthopaedic plastic surgeon. During the consultation, the surgeon will assess the patient’s medical history, physical condition and aesthetic goals. This comprehensive evaluation ensures the patient is well-informed about the procedure and its potential outcomes.

If you require expert assistance regarding breast reduction surgery, arrange a consultation with Miss Morgan via her Top Doctors profile.