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Breast Reduction

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Women with breasts that are too large in relation to the size of their bodies can endure physical as well as emotional pain. Neck and back pain, and sometimes the inability to breathe properly, are just some of the physical effects of large breasts; however, the emotional and psychological effects can run a lot deeper. In these cases, breast reduction surgery can offer many benefits and improve the quality of life significantly.

Men can also suffer from issues related to enlarged breasts, and male breast reduction surgery (gynaecomastia correction) is a common course of action. Whether you’re in Melbourne or Canberra, you can get the advice you need to make an informed decision. Should you require advice, our specialist plastic surgeon—Dr Vlad Milovic—will gladly discuss the options available to you. View examples of our successful procedures in our breast reduction gallery.

bna-sample Before
bna-sample After
19 yo patient underwent bilateral breast reduction, vertical scar ("lollypop") technique, performed by Dr Milovic.

Breast Reduction Techniques

Dr Milovic uses one of the following minimal scar techniques to achieve a female breast reduction, for suitable patients:

  1. Lejour or “lollypop” method
    The Lejour method, also known as the “lollypop” or “vertical scar lift” has two incisions, one around the areola and another vertically down from the lower edge of the areola to the crease under the breast (inframammary fold). It is very effective and produces a long-lasting result with minimal scarring.
  2. Periareolar Sampaio-Goes method
    This technique was pioneered by Dr Jaio Sampaio Goes, a Brazilian surgeon has produced excellent results in elevating the nipple and breast tissue, as well as less scarring than the traditional inferior pedicle method. This breast reduction involves only one incision around the areola and is suitable in selected cases, depending on your anatomy and goals.
  3. The inverted “T” or “anchor” method
    For women with extremely large breasts, the inverted T or anchor method may be more appropriate. The nipple-areolar complex can be suspended on the superior medial pedicle, and the skin and gland is re-draped with an anchor type closure. This technique results in a vertical and horizontal scar. Dr Milovic rarely uses this method of breast reduction, reserving it only for selected cases. Dr Milovic prefers the Lejour method for large breast reduction procedures, which results in minimal scarring, where appropriate.

Start a conversation with the staff at our Melbourne and Canberra clinics to find out if a breast reduction is suitable for you.

Frequently Asked Questions

Is it right for me?

As a highly qualified Plastic Surgeon, Dr Vlad will determine whether you are a good candidate for breast reduction surgery. If you have large and pendulous breasts that cause you pain, you are self-conscious and unhappy with them, you’re a non-smoker (or prepared to give up smoking for at least six weeks prior to and after your surgery), you’re mentally and physically healthy, and you understand the breast reduction surgical procedure, you should qualify. Dr Vlad will discuss all these factors with you prior to your decision on breast reduction surgery.

Will I need anaesthesia?

Breast reduction surgery is generally done as a day procedure under general anaesthesia.

Modern anaesthesia is safe and effective, but does have some risks. Ask Dr Vlad and your Anaesthetist for more information. You can be assured that Dr Vlad will engage the services of a qualified Anaesthetist who is a Fellow of the Royal Australian and NZ College of Anaesthetists (ANZCA) to perform your sedation or general anaesthesia.

Dr Vlad and/or your Anaesthetist will ask you about your general health, all the medications you are taking or have taken, and any allergies you may have. Please make sure you have an up-to-date list before the surgery.

Will I have scarring?

There will always be scarring after any surgical procedure–and there can be no guarantee for a perfect outcome. Your healing process will determine the outcome of scarring after surgery, but it is Dr Vlad’s objective to minimise the scarring as much as possible. After surgery, scars are typically reddish in colour but these fade in time to a light pink. After one or two years, the scars become barely noticeable.

If scarring is a concern for you after surgery, Dr Vlad will provide you with a scar treatment plan to expedite the healing of your scars. There are several treatment options including silicone gel and laser scar treatment.

We have the Palomar® Artisan laser system, which is proven to give excellent results for scar reduction. Laser offers a non-invasive solution that uses fractional laser technology to deliver rapid, reliable scar removal with minimal healing time, minimal infection risk, and little to no pain.

Where will the surgery take place?

Depending upon your general health and the extent of the procedure, breast reduction surgery is typically performed as a day procedure or alternatively with an overnight hospital stay. Dr Vlad will only perform your Breast Reduction surgery in safe, accredited operating facilities.

What is the recovery period after Breast Reduction surgery?

After your breast reduction procedure is completed, dressings or bandages will be applied to the incisions. You’ll need to wear your compressive bra to minimise swelling and support your breasts as they heal. You may be in pain for a few days after surgery; however, pain medication will help to reduce the discomfort if you need it.

Discolouration and swelling of the breasts are to be expected for a few weeks after surgery. Dr Vlad recommends that you take at least two weeks off post-surgery and avoid physical activity that requires lifting or raising the arms. Gentle stretching can prove beneficial and exercise, such as walking, can commence within seven days. Most patients return to work within ten days to two weeks unless their occupation involves strenuous movements – then a period of at least three to four weeks is recommended. You will be given post-surgery instructions to follow and if you have any doubts, please speak with Dr Vlad and/or his Practice Nurse.

Will I be able to Breastfeed after Breast Reduction?

Many women find that following a breast reduction procedure they are able to breastfeed and if this is important to you please discuss this option with Dr Vlad. Although he cannot guarantee breastfeeding success, he will make a decision on a procedure that will maximise this possibility.

Can my nipples lose sensitivity?

There is that possibility, as most breast lifts involve incisions around the nipples. Nerves do regain function, although the process is slow; therefore, expect a period of at least two years before sensitivity returns to normal or near normal. If this does not happen within that time, sensitivity will most likely not return. You should understand and discuss these limitations with Dr Vlad, before electing to have breast reduction surgery.

What are the costs?

Cost is always a consideration in elective surgery, but it should not be the only consideration. You have the right to be informed about the costs you can expect, before you have your surgery. This is called ‘informed financial consent’.

Costs associated with the procedure may include:

After your initial consultation with Dr Vlad, you will receive a written estimate of fees and an information pack to read before your second pre-surgery appointment. The second appointment is free of charge. Once you book your surgery, you will also see our staff who will take your pre-operative photos and measurements for your compression bra(s).

As Dr Milovic personalises each procedure for each patient, we are unable to provide you with a price estimate or “ball park” price range without first meeting Dr Milovic at an initial consultation and after he considers you to be a good surgical candidate.

Please note that your satisfaction involves more than just a fee. When choosing a surgeon for your cosmetic surgery, remember that factors such as the surgeon’s training, qualifications, experience, and your comfort with him or her are just as important as the final cost of the surgery.

Will I need revision surgery?

In most circumstances, breast reduction surgery does not need to be repeated; however, as with all surgical procedures, revisional breast surgery may be necessary to correct minor irregularities.