Plastic Surgeon // Breast Reduction Surgery Sydney / Reduction Mammaplasty

Breast Reduction Surgery Sydney / Reduction Mammaplasty

Australia's Specialist Plastic Surgeon
with Expertise in:

  • Natural Breast Augmentation & Flash Recovery Technique
  • Complicated Breast Revisions & Pioneer of Internal Bra
  • Tuberous Breasts & Asymmetry Corrections
  • Cutting Edge work in Fat Grafting Technique



Dr Tavakoli’s
Philosophy On
Breast Reduction

Having very large breasts can make life very difficult. Not only is it tricky to find clothing (or a bra) that fits, many women also experience ongoing medical issues such as back pain. Breast Reduction is a common procedure that helps to solve these issues by reducing the size of the breasts, and improving their shape and position.

What is a breast reduction (Mammaplasty)?

Breast reduction, also known as reduction mammaplasty, is an operation intended to reduce the size of a woman’s breasts and improve their shape and position.

Frequently, the areola (dark skin around the nipple) is also made smaller.

Functional symptoms (medical disorders) such as Neck and Back Pain caused by excessive breast weight will improve by this operation.


This is probably the most important topic that gets discussed in relation to Breast lift and Breast Reduction in my 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 mammaplasty) procedure. The techniques reflect a combination of differing skin incisions (scar pattern) and the methods used in shaping the breast substance.

Breast lift before clinical diagram

  1. Liposculpture – This technique is not commonly used. However, in patients who have large breasts that are mainly fatty in nature and do not exhibit droopiness (ptosis), the liposuction surgery procedure can be quite successful with almost no scarring.
  2. The European technique involving an incision around the areola (BENNELLI’S-GOES). This method is usually reserved for breast lifting and a very small breast reduction.
  3. The French-Canadian breast reduction 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 patient (20-50 range). It produces remarkably perky breasts with excellent long term results.
  4. 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 to gigantic breast reduction cases especially in the older age group (50-70).

Occasionally, especially with Breast lifting only, these incisions may be modified and more limited. Some operations may require only the incision around the areola.

Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). When the excessive size causes functional problems, insurance will generally 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 the health funds.

Generally, the nipple-areolar complex (brown part of the breast) is carried on some breast tissue to keep it alive. This usually preserves the nipple sensation and keeps it viable. However, for technical reasons, in extraordinarily large or bulky breasts, we sometimes remove the nipples completely and put them back as “free grafts.” The sensory nerves are all cut, and even though a certain amount of sensation returns after healing, it will never be normal, with erotic sensation completely lost. The milk ducts are interrupted in this operation, so nursing would be impossible. You will be informed in advance if your breasts are in this category.

Breast reduction can be done as an outpatient procedure requiring no hospitalisation. Usually suction drains (plastic tubes) are left in place after surgery with breast reduction, and possibly with a Mastopexy.

A general anaesthetic is used on all reduction Mammaplasties and some Mastopexies.

Dr Tavakoli will always perform the operation.

Discomfort, swelling, and discoloration of the breasts are to be expected for several weeks. Usually, our patients return to almost normal activity within two weeks. The scars at the incision lines typically become reddish, raised, and firm a few weeks after surgery, but after many months become pale and soft. After 8-12 months, the scars are relatively inconspicuous. The nipples and some areas of the skin may be numb or sensitive after surgery. Sensation frequently returns within a few weeks or months but may be diminished or overly sensitive.

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 sagging 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, sagging 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.

You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 7 days after surgery. Patients can usually return to work in a few days unless their occupation requires particularly strenuous movements and lifting. In such cases, 2-3 weeks should be allowed.

  • Walking can commence within days
  • Light jogging from 6 – 8 weeks
  • Gym & Pilates from 6 – 8 weeks

Surgical risks may include: infection, bleeding, asymmetry, scarring, and nerve damage. Damage to the blood supply of the nipple-areolar complex, although uncommon, can occur.

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.