Breast Reduction Sydney

YOUR SYDNEY BREAST REDUCTION CONSULTATION WITH DR DONA

During your initial consultation at our clinic in Sydney, you’ll be able to inform Dr Eddy Dona why you want reduction mammaplasty and express any concerns that you have. Your medical history will also be taken where you should disclose any health problems, symptoms and concerns as well as a list of all medications you are currently taking and have taken in the past. Dr Dona will then perform a physical examination to assess and advise you on your options, taking into consideration your desires and expectations. Dr Eddy Dona will go discuss the procedure including the usual post-operative course and potential issues. During this time you will of course have the opportunity to discuss with Dr Dona any questions you have in relation to your breast reduction procedure.

PREPARATION FOR BREAST REDUCTION SURGERY IN SYDNEY

During your consultation with Dr Eddy Dona, you will be asked about your medical history. You should disclose any health problems, symptoms and concerns as well as a list of all medications you are currently taking and have taken in the past.

If you plan to lose a large amount of weight then we recommend that you stabilise your weight before breast reduction surgery.

If you have a family history of breast cancer Dr Dona may recommend a mammogram before surgery.

Do not take any blood thinning medication such as aspirin, any medicine containing aspirin, large amounts of vitamins or anti inflammatory drugs for two weeks prior to surgery.

Do not smoke for at least 2 weeks before surgery, as smoking increases surgical and anaesthetic risks and can lead to serious complications.

What Can I Expect on The Day of Breast Reduction Surgery?

The day before surgery, the hospital will call and advise you when you need to arrive at the hospital and the pre-surgical requirements, such as when to begin fasting prior to your surgery. Upon arrival at the allocated hospital, you will be required to check in with the reception staff. You will then be seen by a hospital staff member who will direct you to the pre-surgical waiting area, where you are officially “checked in” for your surgery. At this point you will be made comfortable while you wait to be taken into the operating room. We do our best to ensure that you are advised to come to the hospital as close to the scheduled surgery time; however, sometimes you may have to wait a little longer than planned before we can start your surgery.

Prior to your surgery, you will be taken into the theatre anaesthetic bay. This is where Dr Dona will see you, have a final chat about the surgery, and remind you about what to expect when you wake up. Dr Dona will also make his tentative surgical markings on you and explain the procedure.

The anaesthetist will also talk to you about the anaesthetic and the medications they’ll be giving you after surgery to keep you as comfortable as possible.

REASONS FOR HAVING A BREAST REDUCTION

Are you embarrassed by large breast or are your breasts restricting your day to day life? Having large breasts can have serious psychological and physiological impact on women which should not be taken lightly. Breast reduction surgery can:

• Reduce your breast size if your breasts are heavy and pendulous, or too large for your body frame
• Improve your posture
• Ease pain in your back, neck and shoulders, and relieve grooves in your shoulders from bra straps caused by heavy breasts
• Relieve pain in breast tissue
• Allow you to participate in sporting activity and exercise
• Raise position of downward pointing nipples and areolas (the skin surrounding the nipple)
• Balance the size and shape of unequal breasts
• Reduce skin irritation in the breast folds
• Improve your self esteem and self confidence if you are self conscious about your breast size

BREAST REDUCTION SURGICAL TECHNIQUES

Depending on the size and shape of your breasts, the amount of skin and tissue to be removed, quality of skin and positioning of the nipples, Dr Eddy Dona will recommend one of these methods.

Anchor Scar Technique

– Anchor shaped scar technique is the most common and involves an incision with the resultant scars extending around the areola, vertically down from the lower edge of the areola to the fold/crease of the breast and horizontally along the natural curve of the breast. After the excess skin, fat and breast tissue are removed the nipple and areola are moved to a higher position and stitched to reshape the breast. This is ideal for most moderate to large reductions.

Lollipop Scar Technique

– This technique does not include the scar running horizontally along the curve of the breast, but results in a vertical scar or “lollipop” type scar. This is ideal for most mild to moderate reductions.

Circumareolar Scar Technique

– Sometimes referred to as a Benelli or doughnut technique. This method results in one scar around the areola but can leave the breast looking flat. It also doesn’t allow for a significant “lift” of the breast tissue. This is most suitable for very minimal reductions.

In almost all breast reduction procedures the nipples and areolas remain attached to their blood and nerve supply while they are repositioned. However if the breasts are extremely large and the nipples and areolas are near waist level then they may have to be completely removed and repositioned. This will cause permanent loss of sensation in the nipple and you will not be able to breastfeed.

ADDITIONAL FACTS ABOUT BREAST REDUCTION SURGERY

Age – healthy women of any age can have a breast reduction. Whilst it is sometimes considered and performed in teenagers with extremely large breasts, we recommend you wait until your breasts have fully developed.

Permanency – the reduction in breast volume is permanent but will increase and decrease with lifestyle factors, such as weight gain or pregnancy.

Breastfeeding – prior to any surgery women with large breasts often have troubles breastfeeding as they tend to have a low milk output anyway.

WHAT TO EXPECT DURING YOUR BREAST REDUCTION RECOVERY?

Whilst in some cases you may be able to go home a few hours after surgery, it is likely we will recommend an overnight or longer stay. Some discomfort and pain is normal and pain relief medication will be prescribed if required. Do not drive while you are taking prescription pain relief or sedatives.

Do not take aspirin or other blood thinning drugs for at least two weeks after surgery as they increase the risk of bleeding.

During recovery, make sure you should get lots of rest, drink plenty of fluids and eat small and healthy meals regularly.

All surgery results in some swelling and bruising but should start to settle after a couple of weeks.

For the first two weeks it is recommended that you sleep on your back or side. Do not smoke for at least two weeks after surgery as it impairs wound healing.

Dr Dona will advise you when you can return to normal activities and work, however, avoid heavy upper body activities and sports for at least four weeks after surgery.

We will give you a post-operative surgical bra for support which you will need to wear for six weeks. Following this, you can go out and be fitted for your new bras!

Like any wounds, the surgical scar from the incision will be slightly red for a few months before it fades.

We will take photographs of you after your operation as part of your ongoing evaluation. You will need to come in for periodic check-ups so that we can observe the long term results of your surgery.
Learn More About The Breast Reduction Recovery Proccess

Breast Reduction Recovery Tips

After Breast Reduction surgery, allowing your body enough time to heal and recover is essential for achieving optimal results. It is important to follow your surgeon’s post-operative instructions and guidelines to ensure a smooth and successful recovery. Below are some general guidelines to ensure a smooth recovery.

• Carefully follow post-operative instructions. It is critical that you adhere to the post-operative guidelines provided by your surgeon. These instructions may include wearing a surgical bra, taking prescribed medications, avoiding certain activities, and attending follow-up appointments.
• Allow yourself enough time to rest and recover after surgery. Avoid strenuous activities, lifting heavy objects, and vigorous exercise during the initial healing period of four weeks. If you have young children, it is advisable to have a support system in place to assist with childcare duties while you prioritise your healing process. Most patients require two weeks off work to allow for initial recovery and rest. Sedentary or desk-based jobs may allow for a sooner return to work, possibly within a week. However more physically demanding jobs, that involve strenuous activities or lifting heavy objects, may require additional time off work to ensure a proper healing process. You can gradually reintroduce physical activities and exercises when advised by Dr Dona, at approximately four to six weeks, and increase the intensity over time. 
• Effective management of pain and discomfort. It is normal to experience some pain, swelling, and discomfort after Breast Reduction surgery for a couple of weeks. Take the prescribed prophylactic antibiotics and pain medications as directed by Dr Dona to manage pain and discomfort. These medications may lead to constipation as a side effect, so it is advised that you focus on hydration, consuming an adequate amount of dietary fibre, and, if necessary, using laxatives. For the first few weeks, it is recommended that you sleep on your back, prioritising comfort and avoiding stress on the surgical
• Ensure appropriate care for your surgical wounds. Dr Dona will provide specific instructions on how to care for your incision sites, including gentle cleaning, avoiding moisture and keeping them clear from bacteria. Following these guidelines helps Minimise the risk of infection and promotes proper healing.
• Wear the provided post-operative supportive bra. Dr Dona will provide you with a surgical bra to wear during the first six weeks of your recovery period. This bra will provide additional support and Minimise movement of the breasts, which will reduce swelling, alleviate discomfort and promote healing. Following these six weeks, you will be able to get fitted for your new bras.
• Make adequate nutrition and hydration a priority during your post-surgery recovery period. It is essential to provide your body with the necessary nutrients and fluids to support the healing process. Consuming or inhaling any nicotine-based products, such as cigarettes and e-cigarettes, should also be avoided for the two weeks prior to and after surgery as it impairs wound healing and increases the risk of complications.
• Reach out for both physical and emotional support. It’s important to understand that Breast Reduction recovery can be intense and involves not only physical healing but also emotional adjustment. Reach out to friends, family, or support groups to share your feelings and seek support if needed.
• Stay in touch with your surgeon. Regular follow-up appointments with Dr Dona are essential during the recovery period. These appointments allow Dr Dona to monitor your progress, address any concerns, and make necessary adjustments to your post-operative care. Communicate openly with Dr Dona and be prepared to report any concerns, unusual symptoms, or changes in your condition promptly.
• Remember that surgery recovery is a highly personal experience. Avoid comparing your recovery progress to that of others, as each individual’s healing journey is unique, so it is essential to be patient with your body and allow sufficient time for healing.

WHEN CAN YOU EXPECT THE FINAL RESULTS?

Breast reduction surgery patients are amongst some of the happiest. Not only will you find that a significant weight is literally lifted from your shoulders, but your breasts will now have a more youthful, perky appearance.

However, gravity, aging, weight gain, weight loss, childbirth, breastfeeding or hormonal factors will continue to affect the size and shape of your breasts.

WHAT ARE THE POSSIBLE COMPLICATIONS ASSOCIATED WITH BREAST REDUCTION SURGERY?

Whenever someone is having an anaesthetic, no matter what it’s for, then things can potentially go wrong. That is why no surgery should be considered “minor”. Of course, whilst the chances of the following potential problems occurring are extremely small, you still need to know about then:

• Anaesthetic issues – which can affect heart, lungs or cause strokes
• Allergic reactions – This can be very mild to life threatening.
• Clots
  • Superficial vein clots, which is a complication of the cannula or drip that’s placed in your vein
  • Deep vein clots – these can potentially spread to the lung and be life threatening. We do several things during surgery and after surgery whilst you’re in hospital to minimise the risk of you developing these.
• Wound problems – such as infection and breakdown
• Bleeding – early or late
• Death – whilst the chances of this is exceeding rare, any of the previous issues can result in this devastating complication.

All these potential problems are standard for any operation, although some operations and some patients have an increased risk of developing them.

Some of the specific complications include:

Scarring – It is impossible to avoid scarring with any surgery, and the scar itself can have an unpredictable healing response. Our aim is to provide the best possible scar.

Asymmetry of Breast Shape and Size – Prior to any surgery, all breasts have some slight asymmetry. Such slight asymmetry can exist post-operatively.

Loss of Sensation in Nipple and Areola – This can occur in a small percentage of women. If it does, it is usually temporary and feeling usually returns over a period of several months. In some cases the loss of sensation may become permanent. Sometimes the nipple sensation can become too sensitive and uncomfortable.

Loss of Nipple and Areola Tissue – Is fortunately rare. It happens when the nipple and areola loses its blood supply. Reconstruction can be performed at a later stage. Smoking (or any nicotine) significantly increases the risk of this happening.

Inability to Breastfeed – There is a reduction in the potential to breastfeed after surgery.

Breast Lumps – Uncommon and likely due to a small collection of blood or dead fat cells that are still healing. If it does occur it generally resolves on its own over time.

Excess Skin – in extremely large breasts sometimes an excess of breast tissue and skin remains under the armpits. These are referred to as “dog ears” and may warrant further minor surgery to improve.

Bottoming out – Due to the nature of the breast tissue and inherent heaviness, the natural breast tissue can continue to sag after surgery resulting in  very “bottom heavy” breasts with nipples sometimes pointing upwards. Dr Dona uses a number of advanced techniques to minimise this problem, however this can still occur.

Breast Tissue Softness and “Sagginess” – Whilst breast reduction surgery can reduce the volume and change the position of you breast tissue, it can never make “soft” breast tissue firm. Also, soft breast tissue does not maintain its shape as well as firm breast tissue. Therefore, maintaining a fuller upper half of the breasts in these situations is generally not possible.

WILL PRIVATE HEALTH INSURANCE OR MEDICARE  COVER BREAST REDUCTION COSTS?

Reduction mammaplasty is an elective surgery but is often carried out for health reasons, to ease the physical symptoms caused by excessively large breasts. Some of the fees may be covered by Medicare and your health fund; Dr Dona will advise whether this applies to you.

Learn More About The Breast Reduction Costs