Breast Reduction

The breasts are reduced in size by removing a lower segment of breast and repositioning the nipple, so that it matches the new shape. Sometimes an uplift is combined with a reduction to give the best cosmetic effect. An uplift is often done after having children, to improve the position of the breasts and to correct any ptosis (droop) that childbirth and /or breast feeding may have caused.

What is breast reduction/uplift with ‘internal bra’ mesh?

Many ladies will unfortunately develop further sagging of the breast some years after a normal breast uplift or reduction, due to the effect of gravity. The internal bra mesh support prevents this subsequent sagging in the vast majority of cases. Although this is suitable for many women in addition to a breast uplift or reduction, it is not suitable for everyone. It would not normally be considered for those who have not completed their family, or who have had previous breast implant surgery. 

Ladies who have had breast reconstruction for cancer often consider having the normal breast lifted or reduced to match. The internal bra procedure can be used in the normal breast to ensure longer lasting symmetry. 

The breast stays soft, so it is still easy for ladies to self-check for abnormalities. Importantly, the mesh does not interfere with breast checks and other diagnostic tests such as mammograms, MRI scans, ultrasounds and biopsies.

What does surgery involve?

Surgery involves a standard breast reduction/uplift. Once performed, an internal bra like support is inserted under the skin of the breast. The soft shaped support is made of polymer mesh and is similar to the material that has been used for more than 40 years to perform hernia surgery. 

The procedure is carried out under a general anaesthetic and usually requires a one night stay in hospital.

When will I recover?

It is normal to experience some discomfort, swelling and bruising in your breast/s. This should subside after a few weeks. The shape of the breasts can take several months to settle. 

Your anaesthetist will prescribe painkillers to reduce any potential discomfort. It is important to discuss any discomfort with our nursing team. 

Your surgeon will advise when to wear your support bra and for how long. It’s important that you do not wear an under-wired bra until advised to do so. 

You must avoid strenuous exercise, heavy lifting, swimming and vacuuming for four to six weeks after surgery. The length of time you will need to be off work will depend on the type of work you do. Your surgeon will advise, however a minimum of two weeks is usual.

What are the risks involved?

Breast reduction/uplift is a commonly performed and generally safe procedure. Nonetheless, all surgery and anaesthetic have some risk associated. Risks to all surgeries include infection, excessive bleeding, adverse reaction to anaesthetic or blood clotting. 

Your surgery will result in scarring, however it should gradually soften and fade over several months. 

Changes in sensation, including increased or decreased sensitivity may occur in different parts of the breast, including the nipple. These changes are usually temporary, lasting up to six months, however in some cases numbness is permanent. 

In some cases it is not possible to breast feed following surgery.

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