Breast Reduction (Reduction Mammaplasty)

The operation of Breast Reduction can be done in many ways. Each patient is different, as is each surgeon. It is because of this that this can only be an outline guide to the procedure. (For more detail about Breast Reduction please go to the links page.)

This is why the initial consultation is so important. Mr Burge will hear from you what you find a problem and will compare it will what he can physically find. He will then explain to you the options available along with their pros and cons. Only after all this will he propose a surgical plan, tailored to you as an individual and not as part of a production line.

It is important to realise that it is this very variability between individuals that makes this as much an art as a science. Results can never be absolutely guaranteed (at least by honest practitioners) and adverse results are always possible.

All surgery carries some risks. It is Mr Burge’s responsibility to explain, minimize and, if necessary, deal with these risks.

There are 6 main reasons for breast reduction:

1 Hyperplasia (always too large)
2 Post partum (after children)
3 Weight change
4 Hormonal (e.g. menopause or HRT)
5 Ptosis (drooping, classically after children)
6 Asymmetry (either congenital or after surgery on the other side, e.g. for cancer)

The classical symptoms are physical (back/neck/shoulder pain), difficulty with exercise, psychological (unwanted attention) and social (clothes, swimming, social events etc.)

There are a variety of techniques available.

Mr Burge has a very wide experience of tailoring the procedure to the individual requirement. The amount removed typically varies from 250 – 1,000 grams per side.

The procedure is performed under general anaesthetic. It usually involves a one night stay at the Bristol Nuffield Hospital at the Chesterfield, Clifton, Bristol.

Various incisions are possible but the commonest is around the nipple, a short vertical scar downwards and a longer transverse scar in the crease under the breast. Postoperatively the patient is put into a bra and mobilised as quickly as possible.

Dissolving stitches are used and showers encouraged after a day or two. Most patients are advised to avoid activities such as work and driving for 10 – 14 days. During this period Mr Burge will check that everything is okay.

Things will settle down over the next few months. During this period minor wound problems are common but not usually of any great significance. These problems are more common in smokers.

Risks include bleeding, infection, tissue loss, nipple loss, loss of sensation, poor scars and asymmetry. In the unlikely event of any of these problems happening Mr Burge is on hand to help manage them. Even when these problems do occur they can be dealt with and the vast majority of breast reduction patients are very pleased with the outcome.

Following the procedure Mr Burge will see you regularly, both while you are in hospital and in the weeks and months afterwards.

Due to the Data Protection Act etc. our supply of pre/post operative pictures is currently limited.

Back to procedures


© Clifton Plastic Surgery, 2005