Breast Reduction Gold Coast

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Breast reduction surgery in Gold Coast, model 01

Breast Reduction Gold Coast

“Large breasts or ‘macromastia’ can be quite disabling.”

Breast reduction, also referred to as reduction mammoplasty, is a reconstructive surgery designed to remove excess breast fat, glandular tissue, and skin to reduce the size of significantly large breasts. Patients with overly large breasts tend to suffer from upper back, neck and shoulder pain, bra strap indentations, skin irritation under the breast and other symptoms such as headaches and migraines. Posture changes tend to occur, especially if the breasts are asymmetric, and can lead even to lower back symptoms. Clothing tends to be a significant issue, and the size of the breasts can even affect daily activities, including exercise.

Breast reduction patients are some of the happiest patients seen in plastic surgery practices after their surgery. The instant relief or weight lifted often camouflages the pain from the surgical incisions, and post-op recovery tends to be faster than other breast procedures. In some cases, where a patient has significantly large, low-positioned breasts, a breast lift may be required in combination with a reduction to reposition the nipple and prevent breast sagging.

ALL ABOUT BREAST REDUCTION

Women with very large breasts may experience a variety of medical problems caused by the excessive weight. Breast reduction surgery can alleviate issues such as back and neck pain, skin irritation, skeletal deformities, and breathing problems. To find out all you need to know about Breast Reduction click below.

quick enquiry

What can you expect from breast reduction?

reshaped breasts

reduced back pain

less skin irritation

improved respitory function

increased confidence

Before and After Breast Reduction

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Breast reduction, model 02, Dr Sawhney Plastic Surgery

Breasts can become significantly large early in life, and plastic surgeons try to allow complete breast development before considering breast reduction surgery. Dr Raja Sawhney prefers not to perform this surgery on patients under 18.

In the young, liposuction alone may alleviate some of the problems, but usually, the skin has stretched and needs reduction for shaping and lifting the nipple and areola. Macromastia can reoccur after breast reduction surgery, especially in patients under 18, and the risk remains high in a patient’s early 20s. Normal breast enlargement during pregnancy can be a cause in some patients who do not shrink after their pregnancy.

Benefits of breast reduction surgery

There are considerable benefits to breast reduction surgery for potential patients, including:

  • Diminishes and eliminates chronic back, shoulder, and neck pain caused by large, heavy, sagging breasts.
  • The procedure creates firmer, rounder, and lifted breasts for a more aesthetically pleasing appearance.
  • Physical movements and activities that were once restricted due to heavy, hanging breasts are restored, contributing to a better quality of life.
  • Improves back posture by lessening the weight of significantly large breasts pulling on the back, which causes rounded, slumped shoulders.
  • Boosts confidence and self-esteem as patients feel more comfortable with their reduced breast size and experience quality of life improvements.
  • Patients find it easier to shop for clothing and bras that fit their new breast size without causing discomfort or making them feel uncomfortable.
  • Relives skin irritation from the friction and rubbing of the skin caused by large, drooping breasts, especially in hot or humid weather.
  • Patients sleep more comfortably without the need to wear a bra or worry about potential suffocation in severe cases of enlarged breasts.

Breast reduction candidates

Ideal candidates for breast reduction surgery will meet the following:

  • Have considerably large breasts that cause emotional issues and physical issues, including chronic pain, skin irritation, and restricted movements.
  • Have reached full breast development before receiving a reduction, as underdeveloped breasts that receive the procedure can change the results over time.
  • Have finished childbirth and ceased breastfeeding, as the surgery has an associated risk of interfering with breastfeeding capabilities.
  • Have attained their ideal maintainable weight, as sudden weight changes can influence the results of reduction surgery.
Sculpted Clinic, breast reduction model 03

Consultations at Sculpted Clinic

During your initial consultation with Dr Raja Sawhney at our Gold Coast clinic, you will discuss your breast concerns, reasons for wanting a breast reduction, your expectations of the surgery, and what outcomes you hope to achieve. This includes your medical history, including any medical conditions, medications you are currently taking, and previous surgeries you may have undergone. If your family has a history of breast cancer, mention this, including your current health and lifestyle. Dr Sawhney will then explain the options and the relative risks and benefits of each before deciding with you on a plan for your chosen procedure, which will consider your concerns and desired outcomes. Photos will also need to be taken of your breasts during the consultation, but these are kept strictly confidential on your medical records and are only shared with your immediate medical team. Once Dr Sawhney has devised a treatment plan with you, he can provide you with an estimate of the costs.

Cost of a breast reduction on the Gold Coast

The cost of your breast reduction surgery depends on various factors, such as the complexity of the procedure, surgeon fees, anaesthetist costs, hospital fees, and aftercare costs. These factors can vary for every patient based on their needs but will generally include:

Surgeon’s fees
This is the fee Dr Sawhney charges for performing the surgery, depending on the amount of breast tissue and skin needing to be excised, breast sagging, nipple position, and the time it will take to complete the procedure. Your plastic surgeon’s experience, knowledge, and accreditation are also a factor in surgeon’s fees. You should always ensure that your doctor has the correct certifications and experience in breast reductions, even if the cost is dearer, as serious risks can occur when an unqualified surgeon performs any procedure.

Anaesthetist costs
Your anaesthetist is responsible for administering anaesthesia and monitoring your vitals during the surgery. Therefore, your anaesthetist must be highly qualified and skilled, as there are risks associated with anaesthesia. If any occur, your anaesthetist will have the correct knowledge and experience to treat you.

Hospital fees
This fee covers hospital use, including the time spent in the operating theatre and your recovery afterwards from the anaesthesia. In some cases, an overnight stay at the hospital may be required. Although it is not always essential, you must be aware and prepared should the need arise, influencing the estimated costs.

Post-operative care costs
Recovery and aftercare from a breast reduction can include post-operative costs, including compression garments, medications, creams, and any supplies you might need during your recovery. You must ensure you have someone to care for you during this time, taking on your usual chores and tasks for several weeks. These can incur costs which you should factor into your estimates.

Medicare covers breast reduction surgery under an item number, but you must meet specific criteria to qualify. You must demonstrate that your enlarged breasts have adversely affected your health, such as chronic back, shoulder, or neck pain. When getting a referral for surgery, these symptoms will need to be documented by your GP, which will help you qualify for Medicare coverage. If you have private health insurance, you may be eligible for coverage of costs, but you will need to check with your provider.

Model 04, breast reduction plastic surgery, Dr Raja Sawhney Gold Coast, QLD

Breast reduction procedure

Breast reduction procedures are performed under general or local anaesthetic and are typically performed as a day procedure, taking up to three hours. However, a variety of factors can influence the extent of the surgery, including the amount of time it takes and the techniques used to achieve your desired outcome. Every patient’s breast reduction surgery is different and is customised to your specific concerns and body type. Patients with excess breast fat may need liposuction to remove the unwanted fat deposits and achieve their reduced size and aesthetic desires.

Breast reduction incision types

VERTICAL/LOLLIPOP INCISION
This technique involves an incision around the areola’s perimeter and a second incision from the areola to the bottom of the breast. Excess breast fat and glandular tissue are excised, and the skin tightened, with liposuction performed if needed. This method is a modified anchor technique for patients wanting mild to moderate breast reduction and is the preferred approach as it is less invasive and provides long-lasting results.

INVERTED-T / ANCHOR INCISION
This technique is the most common for breast reduction procedures, and suitable for substantial breast correction. It is similar to the vertical/lollipop incision, except this technique has an added incision along the bottom breast crease, forming a distinct t-shaped pattern. This method allows for maximum tissue, fat, and skin removal whilst correcting any asymmetry and sagging. The downside is that this technique can cause the most scarring.

DONUT INCISION
This method uses two concentric incisions made around the outside of the areola, and only allows for limited access to breast tissue, meaning it is only suitable for minor reductions in breast size. The incision locations allow for scarring to be somewhat hidden by the areola’s darker pigmentation.

In the case of severe sagging or low nipple placement, the nipple may require repositioning via a skin graft to enhance your breast size and shape. However, this is not always the case, as not all breast reductions require this step.

Your recovery

Following your surgery, you will experience some pain, bruising, swelling, and numbness around the breasts and surgical sites, which can last for two to three weeks. During this time, you will be fitted with a compression garment to support your breasts as you recover and minimise any discomfort, swelling, and bruising. Pain medication can also be prescribed to help with comfort levels.

To help in your recovery, Dr Sawhney will provide you with a specific aftercare plan for optimised healing and to reduce scarring where possible. General aftercare instructions include:

  • Take sufficient time off from work for up to two weeks.
  • Wear your prescribed compression garment.
  • Take all prescribed creams and medications.
  • Avoid strenuous activities and exercise for several weeks, although light exercise such as walking can be permitted one to weeks after your procedure.
  • Do not drive until the pain is manageable and you no longer require pain medication.
  • Avoid smoking entirely for six weeks before and after your surgery, as smoking causes a much higher rate of wound breakdown, nipple and fat necrosis/death and other complications.
  • Try to sleep only on your back during the first week of recovery.
  • Attend all post-operative appointments to monitor your healing.
  • Maintain a healthy diet with lots of fluids.

Risks & complications

Any medical, cosmetic, or reconstructive procedures patients undergo have risks and complications associated with them, and patients need to be aware of them before proceeding with any surgery. Associated risks and complications of breast reduction surgery are as follows:

  • Infection
  • Poor wound healing
  • Poor scarring, such as hypertrophic or keloid scars
  • Changes in breast and nipple sensation
  • Excessive bleeding
  • Fluid accumulation
  • Difficulties with breastfeeding
  • Blood clots

Frequently asked questions

This is something to consider, but if you are having significant problems, it is reasonable to want to have it treated before childbirth. Pregnancy will undoubtedly cause your breasts to regrow, and they may not shrink back to where they were before the pregnancy. This may mean you need a further reduction if your symptoms or pain recurs. It is a matter of weighing up your symptoms with your plans for childbirth.

Not all women can breastfeed, even without surgery and of those who can, a significant proportion needs to supplement it with commercial formulas. After breast reduction surgery, approximately one-third of patients can breastfeed sufficiently, and one-third can breastfeed but only partially and need to supplement this with formula. The remaining one-third cannot breastfeed at all. The size of reduction and residual breast volume may affect your ability to breastfeed sufficiently.

Regarding nipple sensation, a significant proportion of patients with large breasts have reduced sensation due to the weight pulling on the nerves. Some even have no feeling at all. It’s not unusual in these patients for the sensation to improve after reduction surgery and can even become hypersensitive after surgery (requiring desensitisation with massage). This, however, tends to settle with time. Those with normal sensation may have transient or, less often, permanent reduction or loss in sensation. The loss of sensation can be in general feeling, erotic sensation or both. The amount of reduction required and residual tissue left in the area of the nerves have a bearing on potential nipple sensation after this surgery.

Suppose you have significant excess fat in the armpit areas. In that case, you may benefit from liposuction as surgically removing tissue in this area can be hazardous because vital nerves and lymphatic channels traverse here, including the nerves that supply the nipples.

Slight to moderate reductions can be performed with some scarring around the nipple and running vertically below the areola. Removing larger volumes of breast tissue tends to leave more skin laxity; therefore, the incision is extended as a curve towards the outer part of the fold beneath the breast. It may need to be extended in that fold towards the midline, giving a full anchor incision. If you need an entire anchor incision, the junction of the vertical scar and the scar in the fold under the breast can take some time to heal as the incisions join together at a T-junction.

Despite that, Dr Sawhney takes every precaution during surgery to ensure that scarring is minimised or in less visible areas usually covered by a bra. Your aftercare plan provided by Dr Raja is also designed to minimise potential scarring, and you should adhere to this to lessen scarring and provide optimal healing for your body.

Breast
Reduction

Will my nipples need to be repositioned?

When the distance that the nipples need to be moved exceeds 12-15cm, the blood supply to the nipples can get compromised by the reduction in breast tissue, and it may mean that the areola needs to be taken off the breast tissue and grafted to their new position to take like a skin graft. This is relatively uncommon, and Dr Raja will discuss this with you if he thinks the need may arise during your surgery.

Ask a question or book your consultation

Please fill in the online enquiry form to ask a question or book your consultation. The friendly team at Sculpted Clinic look forward to seeing you in our clinic soon!