Sydney Plastic Surgeon Breast Reduction Mammoplasty Surgery

Breast Procedures

Breast Reduction
Mammoplasty Surgery

Researching the plastic surgeons in Sydney can be a timely process before women choose to undergo breast surgery. Dr Tavakoli and his team provide support throughout the surgical journey. Whatever your reasons are for considering breast surgery in Sydney, Dr. Tavakoli works with you to understand your desires and expectations.

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WHAT IS A BREAST REDUCTION (MAMMOPLASTY)?

Breast reduction, or reduction mammoplasty, is a surgical procedure designed to reduce the size of a woman’s breasts while reshaping them for a more proportionate and aesthetically balanced appearance. This operation involves the removal of excess breast tissue, fat, and skin, resulting in smaller, firmer breasts that better suit the patient’s body frame.

In many cases, the areola (the pigmented area surrounding the nipple) is also resized and repositioned to align with the new breast shape. This enhancement helps create a natural and symmetrical result.

Breast reduction surgery is not only cosmetic but can also significantly improve quality of life by alleviating physical discomfort associated with overly large breasts. Common issues such as chronic neck, shoulder, and back pain, skin irritation under the breasts, and difficulty participating in physical activities can be resolved or greatly reduced post-surgery. Furthermore, many patients find that breast reduction improves posture, eliminates painful bra strap indentations, and enhances self-confidence and body image.

Beyond functional and aesthetic benefits, the procedure is customized to the individual, ensuring the results align with the patient’s desired goals, proportions, and health needs. Reduction mammoplasty can offer long-lasting physical relief and an improved overall sense of well-being.

Breast Reduction

Before & After Gallery

Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

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Where Do We Make The incisions?

This is probably the most important topic that gets discussed in relation to breast reduction mammoplasty in Dr Tavakoli’s practice. Plastic surgery does leave scars and it is important that you see plenty of postoperative photos to understand the spectrum of scarring that can occur with breast surgery.

There are a variety of techniques for the breast reduction (reduction mammoplasty) procedure. The techniques reflect a combination of differing skin incisions (scar pattern) and the methods used in shaping the breast substance.

There are a variety of techniques for the breast reduction (reduction mammoplasty) procedure. The techniques reflect a combination of differing skin incisions (scar pattern) and the methods used in shaping the breast substance.

  • Liposculpture – This technique is not commonly used. However, in patients who have large breasts that are mainly fatty in nature and do not exhibit ptosis, the liposuction surgery procedure may be quite successful with only small scars.
  • The European technique involves an incision around the areola (BENNELLI’S-GOES). This method is usually reserved for breast lifting (mastopexy) and a very small breast reduction mammoplasty.
  • The French-Canadian technique involves the extra incision between the areola and breast crease as well as the one around the nipple (lollypop scar, LE JOUR and HALL-FINDLAY). This is Dr Tavakoli’s most favoured method of reducing small-moderate size breasts in generally younger patients (20-50 range).
  • The final technique involves the above incisions, plus the extra long incision within the crease under the breast (WISE pattern- most traditional). This is an “anchor-shape” or inverted “T” incision. Dr Tavakoli still utilises this method in very large breast reduction mammoplasty cases especially in the older age group (50-70).

What happens to the circulation and sensation of my nipple?

During breast reduction surgery, the nipple-areolar complex (the pigmented area surrounding the nipple) is typically preserved and remains attached to underlying breast tissue. This ensures that the blood supply and sensation are maintained as much as possible. In most cases, the surgical technique allows the nipple to stay viable, meaning that its natural color, texture, and sensation are retained, along with proper circulation.

However, in instances where a patient has particularly large or heavy breasts, this method may not be feasible. When the breasts are excessively large, the surgeon may need to use a more complex approach to achieve the desired results. In such cases, the nipples may be removed entirely and grafted back onto the breast as “free nipple grafts.” This technique ensures that the nipples are repositioned correctly on the reduced breasts, but because they are detached from their original tissue and blood supply, the sensory nerves are severed.

As a result, while some sensation may gradually return during the healing process, it will never be the same as before. Patients who undergo this procedure often experience a permanent loss of full sensation, including the loss of erotic or heightened sensation in the nipple area. It is also important to note that the milk ducts are disrupted during this type of surgery, making breastfeeding impossible in the future.

Before proceeding with surgery, Dr Tavakoli will carefully assess your breast size and anatomy to determine the best approach and will fully inform you if your breasts require the free nipple graft technique. This ensures you are aware of any potential changes in nipple sensation, appearance, and breastfeeding ability.

limits in activity post-operatively

After breast reduction surgery, your body needs time to heal, and it’s crucial to follow specific activity restrictions to ensure a smooth recovery.

The First 10 Days

For the first 10 days after surgery, you should avoid any activities that involve lifting your arms above your head. This includes tasks such as reaching for high objects or doing exercises that engage your shoulder and chest muscles. Being mindful of arm movement is essential to prevent strain on your healing incisions.

Driving and Returning to Work

If your job doesn’t involve strenuous physical activities, you can typically return to work a few days after surgery. For jobs that require heavy lifting or more vigorous movements, you should plan to take 2-3 weeks off to fully recover. With great care, driving is generally safe to resume about 7 days post-surgery, but it’s important to ensure you can comfortably turn the steering wheel and check blind spots without discomfort before getting back behind the wheel.

Exercise and Physical Activity

In terms of exercise, walking can begin just a few days after surgery. Gentle walking helps with circulation and can speed up the recovery process. However, more strenuous physical activities such as light jogging, gym workouts, or Pilates should be postponed for at least 6 to 8 weeks. During this time, your body is still healing, and engaging in high-impact activities too soon could affect your results and recovery. Be sure to consult with your surgeon before gradually resuming these activities.

Long-Term Recovery and Sensation

As your body heals, it is normal to experience some discomfort, swelling, and discoloration of the breasts, which should gradually subside. Scars from the incision lines may appear red and raised at first, but over time, typically between 8 to 12 months, they will fade and soften. Additionally, it’s common to experience temporary changes in nipple sensation, with either numbness or sensitivity, but most patients regain sensation within a few weeks to months, although it may be permanently altered in some cases.

By carefully following these guidelines and taking care of your body, you’ll allow your incisions to heal properly and support the best possible long-term results.

Overview of Breast Reduction Surgery in Sydney

Breast reduction surgery is a procedure designed to remove excess breast tissue, fat, and skin to achieve a more proportionate breast size. It is commonly sought by individuals experiencing discomfort such as back pain, shoulder strain, and skin irritation due to the weight of large breasts. The procedure is matched to the individual’s anatomy and may involve reshaping and repositioning the breast for a balanced appearance. A consultation with a qualified breast reduction surgeon in Sydney is necessary to assess suitability and discuss potential outcomes, risks, and recovery considerations.

What is Breast Reduction?

The breast reduction procedure aims to create a more balanced shape while maintaining a natural appearance. Breast reduction surgery is a complex medical procedure that requires careful planning and evaluation. Dr Tavakoli will assess the individual’s medical history, current breast composition, and surgical goals before recommending an appropriate approach.

Purpose of Breast Reduction Surgery

The main goal of breast reduction in Sydney is to alleviate physical symptoms associated with excessively large breasts. These may include:

  • Chronic back, neck, or shoulder pain
  • Skin irritation beneath the breasts
  • Postural problems
  • Physical activity limitations
  • Difficulty finding properly fitting clothing

Apart from addressing physical discomfort, breast reduction surgery in Sydney is performed with careful consideration of aesthetic proportions. It involves reshaping the breasts to create a natural contour while ensuring the results are in proportion to the individual’s body structure.

What Can I Expect from Breast Reduction Surgery?

The surgical process involves removing excess glandular tissue, fat, and skin through carefully placed incisions. The nipple and areola may be repositioned to achieve a balanced look. In some cases, liposuction may be used to remove excess fat and refine breast contours.

Patients should have realistic expectations regarding surgical outcomes. The procedure does not aim for a specific ‘ideal’ breast size but rather focuses on addressing discomfort and improving proportion. The extent of tissue removal varies depending on the individual’s anatomy and specific concerns.

Am I a Candidate for Breast Reduction?

Determining eligibility for breast reduction in Sydney requires a thorough assessment by a medical professional. Suitable candidates often experience physical discomfort, limitations in physical activity, or difficulty finding well-fitting clothing due to excessive breast size. Factors such as medical history, skin elasticity, and overall health play a role in assessing suitability. Consulting Dr Tavakoli provides an opportunity to evaluate expectations, discuss surgical approaches, and understand the potential recovery process before proceeding with the procedure.

Assessing Your Suitability for Surgery

Breast reduction surgery in Sydney may be considered for individuals who experience:

  • Persistent discomfort due to large breast size
  • Difficulty with daily activities or exercise
  • Recurrent skin irritation or rashes under the breasts
  • Shoulder indentations from bra straps due to excessive weight
  • Chronic neck, back, or shoulder pain related to breast size

Before considering surgery, it is important to discuss all options with us. While surgery is an option for some, non-surgical alternatives may be considered in specific cases.

Initial Consultation Process

During the initial consultation, we will:

  • Evaluate overall health and medical history
  • Assess breast size, shape, and skin elasticity
  • Discuss expectations and potential outcomes
  • Explain the risks and limitations of the procedure

A thorough assessment is necessary to determine if surgery is a suitable option. Dr Tavakoli will provide a clear explanation of the procedure, including expected recovery time, potential complications, and long-term considerations.

The Breast Reduction Procedure Explained

Breast reduction surgery in Sydney involves the removal of glandular tissue, fat, and skin through carefully planned incisions, which may vary based on the required reshaping. The procedure typically includes repositioning the nipple to achieve a natural breast contour. Pre-surgical planning, including medical evaluations and imaging, ensures a personalised approach for each individual. Post-surgical care focuses on healing, with guidance on wound management, activity restrictions, and follow-up assessments to monitor recovery and long-term results.

Before the Surgery

Before undergoing breast reduction in Sydney, patients will be given pre-surgical guidelines that may include:

  • Medical evaluations to assess overall health
  • Imaging tests, such as mammograms, if required
  • Stopping certain medications that may affect surgery
  • Preparing for post-operative care and support

Dr Tavakoli may also discuss scar placement and surgical techniques to ensure the best possible outcome. It is essential to ask questions and address any concerns before the procedure.

During the Surgery

The best breast reduction surgeon in Sydney will use one of the following techniques, depending on the individual’s anatomy and the extent of reduction needed:

  1. Lollipop Incision – This technique involves an incision around the areola and a vertical incision down the lower part of the breast. It is commonly used for moderate reductions.
  2. Anchor Incision – This method involves a lollipop incision plus an additional horizontal incision along the breast crease, allowing for significant tissue removal.
  3. Liposuction-Assisted Reduction – In cases where excess fat is the primary concern, liposuction may be used to refine breast contours.

During the procedure, excess breast tissue, fat, and skin are removed. The nipple and areola may be repositioned to create a natural appearance.

Recovery and Aftercare

Recovery varies for each patient, but general post-operative care includes:

  • Wearing a surgical support bra for several weeks
  • Managing swelling and discomfort with prescribed medications
  • Avoiding strenuous activities for at least 4-6 weeks
  • Attending scheduled follow-up appointments

It is important to follow all post-operative instructions to ensure proper healing. Scars will fade over time, but their final appearance depends on individual healing responses.

Risks and Complications with Breast Reduction Surgery

Like any surgical procedure, breast reduction surgery in Sydney carries risks. While complications are rare, they may include:

  • Temporary or permanent changes in nipple sensation
  • Scarring that varies based on healing factors
  • Asymmetry or uneven shape
  • Delayed wound healing in some cases
  • Infection, bleeding, or fluid accumulation

We will discuss all potential risks and provide guidance on how to minimise complications. Following all medical instructions during the recovery period is essential for a smooth healing process.

Schedule a Consultation for Breast Reduction Surgery in Sydney

For those considering breast reduction in Sydney, an in-depth consultation with a qualified surgeon is essential. The consultation provides an opportunity to discuss concerns, explore options, and receive a detailed surgical plan according to individual needs.

Dr Tavakoli offers comprehensive consultations, ensuring that patients receive accurate information about their options, the procedure, and recovery expectations. To schedule an appointment, contact the clinic today.

Breast Reduction FAQ’s

Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family genetics, post pregnancy, excessive adolescent growth). When the excessive size causes functional problems, insurance may pay for part of the operations. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Mastopexy (uplift) is almost never covered by Medicare or health funds.

Breast reduction mammoplasty can be done as an outpatient procedure requiring no hospitalisation. Usually suction drains (plastic tubes) are left in place after surgery.

A general anaesthetic is used on all reduction mammoplasties and some mastopexies.

Dr Tavakoli will always perform the operation.

Gravity continues to have its effect, and there is a tendency for the skin of the breast to stretch over a long period of time. Women vary a great deal in this respect. In general, the smaller the breasts, the less tendency for ptosis to recur. If the breasts sag further, excision of the skin on an outpatient basis can be used to correct the problem. If we try to lift heavy breasts without making them smaller at the same time, ptosis will return soon. One key to a satisfying result is realistic expectations – a wide-based large breast will not look like a smaller, but firm, narrow-based breast.

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