Breast Reduction Surgery

Breast Reduction or Boob Reduction in Melbourne, Australia

  • Heavy or Sagging Breasts?
  • Back or Shoulder Pain?
  • Difficulty finding clothes or a bra that fits?

What is a Breast Reduction Surgery?

Breast Reduction surgery or ‘boob reduction’ is medically known as a Reduction Mammoplasty. Melbourne Specialist Plastic Surgeon Dr Craig Rubinstein is an expert in Breast Reduction Surgery for Women. This surgery helps alleviate concerns and pain related to large, elongated, or pendulous breasts. Women may want to reduce the size or weight of their breasts for a number of reasons, including:

  • The size, position, or weight of the breasts – which may be overly large, heavy, or drooping
  • Neck, shoulder or back pain, or skin irritations caused by large heavy breasts
  • Posture may be affected due to breast weight
  • Social discomfort and embarassment
  • Comfortable, well-fitting clothing can be difficult to find

Breast Reduction surgery is a highly complex breast surgery as it combines a breast lift surgery with breast tissue reduction and nipple repositioning to ensure a symmetrical, proportionate and natural looking result.

Breast Reduction Melbourne

Benefits of Breast Reduction Surgery

Surgery provides the following benefits:

  • Firmer, rounder, more natural breasts
  • Help reduce skin chafing or excess sweating under or around the breasts
  • Improves the appearance of elongated nipples of sagging ptotic breast skin
  • Helps alleviate neck, back and shoulder pain
  • Improved posture
  • Allow for better clothing options
  • Improve exercise ease and movement

Are You a Good Candidate for Reduction Surgery?

While it is best to consult with a qualified plastic surgeon to decide the best method to improve your breast appearance, there are a couple of questions you can ask yourself to get a general idea about whether reduction surgery can help to improve the shape and position of your breasts:

  • Do you suffer from large, heavy breasts?
  • Are your nipples enlarged or over-stretched?
  • Do you suffer from neck or back pain and posture issues due to the weight of your breasts?
  • Are your breasts causing social discomfort?
  • Do your breasts cause difficulties when exercising?
  • Are you willing to follow all post-operative and recovery instructions?
  • Do you have realistic expectations of what surgery can achieve?

Considering Breast Reduction Surgery? Get the Mammoplasty guide!

Breast Reduction Guide Download

Three Breast Reduction Surgical Techniques

There are three popular breast reduction techniques used in breast reduction procedures. The choice of surgical technique depends on the surgeon’s expertise and your needs. Your surgeon will advise you on which of the following techniques will work best for your body and your surgical outcome needs.

1. Anchor Incision

Also known as a keyhole incision, the anchor incision is named due to its resemblance to the nautical anchor. This incision is made under the areola and then down the centre of the breast similar to the LeJour technique. However, unlike the LeJour, the anchor incision also involves a long third incision along the inframammary crease.

2. Peri-Aerolar Incision

This incision method is NOT often used as many qualified plastic surgeons feel the risks outweigh the benefits. Further, many surgeons find other methods get a better result with less risk to nipple function, sensation, and tissue integrity.

3. LeJour Incision or Lollipop Technique – Dr Craig’s preferred method

Also know as the Lollipop incision, this is Dr Rubinstein’s preferred method of performing a breast lift or reduction. It provides more lift, especially for those with moderate ptosis. A doughnut-shaped piece of tissue will be removed. However, in addition to this, a straight incision is made down to the breast crease to provide more lift. Hence the incision is in the shape of a lollipop not an Anchor.

 

The Breast Reduction Surgery Procedure

During the procedure, breast tissue and redundant skin are removed. The nipples may also be reshaped, repositioned, and uplifted. Best practice methods are also applied for the use of liposuction reshaping if needed. This includes liposuction of the torso and breasts for better contouring.

Between 100g and up to 5.5kg of breast tissue may be removed during the procedure to lighten the breasts. A breast lift will occur during the breast reduction, as needed.

A breast reduction procedure can take up to 2-3 hours, though this will depend on the size of the breasts,  skill of the surgeon,  teamwork and the type of breast reduction being performed.

small-scars-after-breast-implants-surgery
Dr Craig Rubinstein MBBS FRACS(Plas)  in Surgical Theatre

Reshaping of the breast and surrounding areas by liposuction for the best breast reduction surgery result

Dr Rubinstein often uses liposuction during the reduction to help reshape the breast area. This involves removing adipose tissues – including fat stores – to minimise the volume and fat cells around the breast, bra area, and the sides and back of the torso.

Nipple & Areola Reshaping during Reduction  Surgery

During reduction mammoplasty, Dr Craig may reshape or resize your areola or ‘nipples’ (known as the Nipple Areola Complex ) if they have been stretched or elongated. Further, he is likely to reposition them higher on the breast to achieve a more natural overall look.

As one of Melbourne’s top plastic surgeons, Dr Craig Rubinstein can reduce, reshape and adjust the appearance of your areola/nipples, if needed, during breast reduction surgery. This means they will look smaller, rounder and less ‘stretched out’ looking. He has a selection of special implements to create a nipple areola of a more proportionate size to your breast.

Does Breast Reduction Surgery Hurt?

  • Pain varies from patient to patient. However, all invasive surgery has some level of pain associated with it, regardless of whether they are general or plastic surgery procedures. Dr Rubinstein will use a range of methods to help reduce or limit patient discomfort including general anaesthetic, numbing anaesthetic, and pain blocks for post-surgical discomfort.

Will My Reduction Surgery Use Drains?

  • Drain-free surgery is the preferred approach of Dr Rubinstein to improve your comfort during post-op recovery and reduce infection risks at drain insertion sites. Some patients, however, will require drains, which will be removed as soon as possible.

Breast Reduction Animated Surgery (Anchor Technique)

 

What is a ‘Scarless’ Breast Reduction or ‘Lipo-only’ Breast Reduction?

Scarless breast reduction is the non-medical term for liposuction-only breast reduction procedures. This procedure is NOT technically scar-less as it does leave small scars where the liposuction cannulas have been inserted. However, it does not leave breast surgery scars.

Liposuction-only breast reduction is RARELY the best option for most patients as it still leaves scarring and it can only achieve a very minor reduction. Further, this procedure cannot address sagging skin or issues with breast ptosis. In fact, liposuction only reduction can make skin and breast ptosis worse by decreasing breast tissue without addressing other issues.

As a result, it is always best to discuss your surgical options, in-depth, with a highly qualified plastic surgeon, like Dr Craig Rubinstein.

See Our Real Patient Breast Reduction Before and After Gallery

To view some of the many Dr Rubinstein’s previous reduction patients, please click the image below. This will direct you to the real patient breast reduction before and after gallery.

before after breast reduction 3

Recovery and Healing after Breast Reduction Surgery

Every patient heals differently, with a variance of up to several months. General recovery times for breast reduction is around 10-14 days if you have no complications or delays to healing. It is important to follow all postoperative instructions given to you by your surgeon.

Depending on your type of work, you can return to work in about 2 weeks. However, if your work involves heavy lifting, you are should not return until cleared by your surgeon.

Further, your surgeon will advise you on when you can return to regular exercising. In general, you can resume gentle walking within a few days of surgery. But you should avoid running, high impact exercise and more until your surgeon advises you that it is okay.

Your healing period is important. It’s imperative you do not rush this time of healing. Naturally, surgery is a major event and your body needs time to rest and recover. During surgery, your breast and surrounding tissues are disrupted. Expect bruising and swelling for at least a few days after surgery. To many patients’ surprise, physical discomfort after a breast reduction is uncommon (but every patient’s healing and pain or discomfort levels can vary) Over-the-counter pain medications often work, but if required, we may prescribe additional painkillers to optimise your comfort and/or help you sleep as you heal. Dr Rubinstein uses dissolving stitches under the skin. These don’t leave markings but you will still have a scar. As a result, sutures do not have to be removed. We will also help you learn how to care for your incision lines as they heal.

It’s important to relax when you get home and avoid stretching, pulling, heavy lifting or hard exercise for at least six weeks. It’s also imperative to look after your skin and to wear the right support garments. They should feel a lot more comfortable after you heal.

How can Breast Reduction Scars be minimised?

It is important to remember that all surgical procedures leave scars, including so-called scarless methods. However experienced surgeons like Dr Rubinstein are extremely careful about scar placement and minimisation, with surgical scars generally fading over time. Dr Rubinstein’s dermal team also conducts follow-up treatments using special Lasers and Healite II to minimise your scars, with most scars being barely visible after 12 months.

Silicone strips and gels may also help minimise scars. Ask the Coco Ruby team. We will arrange weekly appointments with our specialist nursing team after the procedure to ensure everything is healing well and to monitor your progress. You will see your surgeon and/or nurse and/or care team six to eight weeks later.

 

How Much Does Breast Reduction Cost?

The cost of reduction surgery can vary across Australia and Melbourne. It depends on the skills of the surgeon you choose, the amount of surgery you need and where you have your operation.

Often websites that post the estimated cost of this surgery do not include all the related and necessary expenses. As a result, you may end up paying more than you expected.

Dr Rubinstein never recommends shopping for low-cost surgery as it is unlikely that a FRACS qualified and experienced specialist plastic surgeon will be performing the procedure. It is important to do your research before deciding on a plastic surgeon for your chosen procedure. Further, revision surgery is costly and is not guaranteed to fix the issue you experienced with your initial surgery if you chose to explore cheaper surgical options.

It is always important to pursue plastic surgery based on skill, not cost.

Does Medicare or Health Insurance cover Breast Reduction Surgery?

  • Some types of breast reduction surgery may be covered by Medicare and may be eligible for a rebate and Health Insurance coverage. However, most reduction procedures are classified as cosmetic and will NOT be covered. Please discuss this with Dr Craig or your Patient Liason for further information.

Will Breast Reduction Surgery affect Breast Feeding in the future?

  • Many women report successfully breastfeeding after breast reduction, however, there is NO guarantee.
  • Different surgical methods may increase your chances of breastfeeding. It is best to discuss your concerns during your consult.

Will the Breast “Grow Back” after the reduction surgery?

  • Breasts may return to a larger, heavier size due to life changes including pregnancy, weight fluctuation, genetics, and aging. Surgeons generally advise that you seek this surgery AFTER you have finished having children, you have finished breastfeeding and you have reached your stable, goal weight, to improve your overall, long term, outcome.  A revision breast reduction may be necessary in future. You can discuss this further in your consultation with Dr Craig.

 

Further Reading – Medical References