The purpose of having a breast reduction (Mammaplasty) is to reduce the size of the breast, giving them a more uplifted and firmer appearance.

What does the procedure involve?

Breast reductions are usually performed under general anesthetic, which is the preferred method for most surgeons, although in some cases local anesthetic (twilight surgery) may be used. In this instance the patient is heavily sedated.

With both types of surgery the surgeon makes an incision around the nipple and vertically down and under the crease of the breast (in an anchor-like shape). Excess fat and skin is then cut away and the nipple and areola is moved into a higher position. The incision is then stitched up. During surgery the nipples are, in most cases, still attached to their blood vessels and nerves when they are moved. If the woman has very large breasts the nipple and areolas may have to be removed completely from the breast and grafted into a higher position. This will lead to a loss of sensation in the area.

What are the benefits and what are the risks?

Benefits

After surgery, breasts will be smaller, firmer and more pert. Many women feel more confident and less self-conscious. Back pain and discomfort may be alleviated if this is the reason surgery has been performed. The results are permanent though your breasts will increase in size should you put on weight or with changes in your hormones.

Risks

Compared to a breast enlargement, a reduction will leave you with bigger scars. As with all types of surgery infection is a possible risk of having a breast reduction, though this can usually be alleviated with antibiotics. If this occurs your scars may become wider, redder and more prominent. Due to the nipple being separated from the milk ducts during surgery it will not always be possible to breastfeed afterwards. If therefore you are planning to become pregnant and wish to breastfeed then it is advisable to defer having a breast reduction until after having children. Another complication that may arise is a loss of sensation in the nipple area and some women may find that their nipple does not become erect following the procedure. In some cases the breasts may appear asymmetrical.

Is it the right procedure for me?

Many people opt for a breast reduction because they feel self conscious about the size and shape of their breasts. This may be because they feel that they are generally too big or may be a result of pregnancy, weight gain or the menopause. Alternatively, for some women who have very large breasts, a breast reduction is necessary to combat back ache, discomfort and poor posture. A breast reduction should be considered when exercise and diet have not been successful in reducing the size of the breasts.

How long does the procedure take?

The length of surgery depends on the extent of the work being done but can take between two and five hours.

What happens after surgery?

You will be required to stay in hospital at least overnight and you will need to take a couple of weeks off work to rest. You should avoid any physical exercise for six weeks, including anything that involves arm movements such as lifting and housework. You will also be expected to sleep on your back. When you go home you will be very sore, bruised and swollen. You will be wrapped with gauze bandage and have a surgical band over this. After approximately one week to fourteen days any stitches will be removed and you will have to wear a supportive, non-underwired bra for several more weeks after which the swelling will have gone down. Any scars may take several months for the pinkness to reduce.

How much is it likely to cost?

Prices can vary between £4,000 and £6,000