A breast reduction or boob reduction procedure focuses on reducing the size of the hypertrophic breast with appropriate skin redraping while maintaining a viable nipple-areola complex. For many women, breast reduction offers lasting conical projection, preserving areola sensation and minimal scarring.
Dr Carmen Munteanu, Melbourne Plastic Surgeon can combine a breast reduction procedure with body contouring techniques, including liposuction. In fact, if the breast size is found to be mostly due to fatty tissues and there is no issue with excess skin, it is possible that liposuction alone could be used to achieve the desired results.
There are a number of symptoms and signs that might indicate you are the ideal candidate for breast reduction surgery that go beyond simply wanting smaller breasts. As this is a relatively significant elective form of cosmetic surgery, you will need to work with your plastic surgeon to determine whether or not you are a good candidate for breast reduction. Not only does having overly large breasts often present significant physical challenges, they can also create a substantial amount of emotional discomfort and stress.
While you may simply think your breasts are too large and having smaller breasts might make you look and feel better, that is only a small portion of what is taken into consideration when discussing the possibility of breast reduction surgery. Here are several other very important signs that must be taken into consideration.
View the Breast Reduction Before & After Photo gallery of real patients of Dr Carmen.
The technique chosen for you will be carefully chosen based on your individual anatomy and unique needs.
1 – Anesthesia
To ensure your comfort during the breast reduction procedure, either intravenous sedation or general anesthesia will be administered. We will make a recommendation on the best choice for your unique circumstances.
2 – The incision
There are two options for the incision for your breast reduction surgery; a keyhole or racquet-shaped pattern, or an inverted T or anchor-shaped pattern. We discuss these further in the section below.
As mentioned above, liposuction can also be used to solve excess heaviness, but this procedure is limited to “fatty” breasts. Depending on your unique needs and circumstances, a combination of procedures may be required to give the best outcome.
3 – Removing tissue and repositioning
Once the incision has been made, the nipple is then repositioned. The nipple remains tethered to its original blood and nerve supply. If necessary, the areola diameter can be reduced by excising skin at the perimeter. In some extremely large-breasted women it may be necessary to remove the nipple and areola and reposition it to a higher location on the breast, but this is rare. This procedure is known as a free nipple graft.
Your underlying breast tissue will be reduced before the remainder of your breast tissue is then shaped and lifted.
4 – Closing the incisions
Once the breast tissue has been reduced, the incisions made in the skin are then brought together, reshaping the now smaller breast. In order to support the newly shaped breast, sutures are layer deep within the tissue. Sutures, skin adhesives or surgical tape will then be used to close the skin.
The lines left on your breasts by the incisions are permanent, but most women find that with time they fade and improve significantly. These scars can be easily concealed beneath a bra or swimsuit.
Inverted T pattern or Anchor Technique
Vertical Incision or Lejour / Lollipop technique
The incision wounds (usually lollipops that encircle the nipple and go straight down to the bottom of the breast) will be swollen for a while. For most people the scars improve significantly over time, however they are always there. Dr Carmen uses the Hall-Findlay technique (lollipop) and will take every effort to minimise the scars with post-op treatments like Healite and Surgical Taping.
The results of your breast reduction surgery will be visible immediately after the procedure. Post-surgical swelling will resolve with time, and incision lines, while permanent, will continue to fade.
Your final results will appear over the coming months as your new breast shape and position settle, and your satisfaction with your new image should grow as you continue to recover.
While the results of your surgery will be long-lasting, it should be noted that your breasts can continue to change thanks to gravity and the natural aging process. Keeping a healthy lifestyle and maintaining your weight will help you to retain your new look for longer.
It must also be noted that while this procedure generally achieves good results, there is no guarantee. Certain patients may not be able to achieve optimal results in a single surgery, and a subsequent surgery may be required.
To achieve the best results possible, it’s essential you follow Dr Carmen’s post-operative instructions, and that the incisions are not subjected to any excessive motion, force, swelling or abrasion during the healing process. The instructions we provide will be personalised for your unique circumstances.
During your consultation, Dr Carmen Munteanu will carefully listen to your reasons for surgery, discuss the procedure process and address the possible complications. Any history of breast cancer or lumps is of significance in this procedure and will be taking into consideration too.
Dr Carmen will examine your general state of health, your breast size, shape, and “footprint”, as well as the skin elasticity, and nipple and areola position. Based on this examination, she will determine the ideal surgery technique, as well as what can realistically be achieved.
You will then be presented with an individualised recommended treatment plan. This will include everything from the preparatory phase to your long-term care.
Once you have made a well-informed decision on your surgery plan, Dr Carmen can confirm your surgery date.
You will be involved in all stages of the decision-making process, and Dr Carmen will address any issues based solely on your individual needs.
Dr Carmen places the highest priority on patient safety, and achieving superior results with minimal risk. The aesthetic appearance, scarring, reliability and long lasting results are all taken into consideration, but safety always takes priority.
All Surgery is customised and Dr Carmen’s team will give you a price for your surgery that will depend on the exact type of procedure you require, the hospital you attend and the length of your stay.
After your initial consultation, you will be given a detailed quote. This will include the Surgeon’s fee, Anaesthetist fee, Surgical Assistant fee and the hospital fees.
We can also provide information on Payment Plans, Finance, Private Health Insurance and different methods of payment.
The majority of patients report significant improvements in satisfaction with how their breasts look, how they feel, as well as their general health. Most say they wished they had breast reduction surgery years earlier. Realself reports a very high patient rating for this surgery being ‘Worth It’
Most women who get breast reduction are very satisfied with the results. Men with conditions such as gynecomastia (in which male breasts are abnormally enlarged) may also have it. Because it’s major surgery, you should know the benefits, potential complications, and what’s involved in recovery.
The breast reduction procedure involves breast tissue and excess breast skin being removed. During the operation, your nipples will be relocated to a higher position on your breasts. This is usually accomplished WITHOUT detaching or removing your nipples and putting them back on. This is a much safer technique – preserving the blood supply to prevent nipple loss or necrosis.
If you are healthy, active with no underlying health issues you may be able to carry a little more weight than usual. If you are more than just a little overweight, then it would be optimal for you to lose weight before you undergo a breast reduction. Being overweight causes many medical problems. Therefore, it is important to get to a normal weight and learn to stay there to prevent significant problems in the future.
Hormonal Changes: Women develop their breasts during puberty as estrogen increases. Pregnancy and milk production can also cause the breasts to enlarge due to hormonal changes.
Most patients have a permanent reduction of breast size after surgery. Although not common, on occasion breast tissue can grow back after breast reduction. These patients may notice their breasts enlarge later in life after a pregnancy, starting birth control pills, gaining weight or even undergoing menopause.
In general, you can expect to lose around one or two cup sizes. During your initial consultation, your surgeon will evaluate your aesthetic goals and breast composition to give you an idea of what results you can realistically expect.
When underlying breast tissue and fat is removed, breast sagging amplifies, so a breast lift is typically necessary in order for patients to be happy with their results. But the good news is, lifting the breast is a normal part of breast reduction procedure.
If you have any further questions about breast reduction surgery, please give our friendly team at Dr Carmen’s a call on (03) 98520545. We are more than happy to guide you through the whole process of appointment to consultation to surgery and beyond, to help you reach the desired result and best outcome.
Risks and Complications of Breast Implant Removal Surgery
Every surgery has some risks and possible complications.
Dr Carmen will cover the potential risks and complications during your consultation as part of your informed consent. She will also explain the measures she will take in order to reduce your risks as much as possible.
Possible complications of surgery include the following:
For more information about risks of surgery and possible complications
Specific possible complications of breast surgery can include the following:
Inflammation, Infection, Pain, Seroma, Scar presence, Asymmetry, Necrosis
Things you can do to minimise your risks and complications of surgery
How painful is breast reduction surgery?
Pain is typically most intense in the days immediately following surgery and then begins to subside. Soreness can continue for up to two to three weeks following surgery, but this is more like the feeling experienced after a hard workout.
Dr Carmen has 25 years of expertise in breast & tummy surgery as well as excess skin removal for weight-loss patients. Her favourite surgery is Breast Reduction. She also has significant experience in using fat transfer & fat grafting processes to the breast for augmentation and enhancement.
Dr Carmen is a FRACS Plastic & Reconstructive Surgeon – she is a Fellow of the Royal Australasian College of Surgeons.
She is a precise surgeon and customises her surgery procedures and placement of surgical incision lines for each patient to get the best outcomes.
Caring and engaging, Dr Carmen is highly regarded by her peers and patients.
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