Your Breast Reduction Surgery Questions Answered by Dr Bish Soliman

Undergoing plastic surgery is a process, more than an event. Being prepared and knowing what to expect at every stage can make the whole process more straightforward and reduce the worry often associated with undergoing surgery.

Sydney Specialist Plastic Surgeon Dr Bish Soliman aims to provide valuable insights and answers to the most commonly asked questions about breast reduction surgery. From understanding the risks and benefits, to choosing the right surgeon, preparing for the surgery, and knowing what to expect during recovery, Dr Soliman’s goal is to guide you through the process with reliable information. He has compiled a series of detailed FAQs about Breast Reduction, each addressing different aspects of the surgery, to help you set realistic expectations.

Download Dr Bish Soliman Breast Reduction Guide

FAQs about Preparing for Breast Reduction Surgery

What happens at a breast reduction consultation?

During a consultation, Dr Soliman evaluates your medical history, conducts a physical examination, discusses your goals and expectations, explains the procedure’s risks and benefits, and may take photographs for medical records.

What dietary changes should I make before breast reduction surgery?

Prior to breast reduction surgery, it’s important to follow a balanced and healthy diet. This involves consuming a variety of fruits, vegetables, lean proteins, and whole grains. Staying hydrated is also crucial. Avoid excessive alcohol and caffeine, as these can impact your recovery process.

How long should I refrain from smoking before breast reduction surgery?

It’s recommended to quit smoking at least 6 weeks before breast reduction surgery. Smoking can significantly impair healing and increase the risk of complications. It’s also advisable to avoid smoking during the recovery period to ensure optimal healing.

Are there specific exercises I should do or avoid before breast reduction?

Before breast reduction surgery, moderate aerobic exercises like walking or light jogging can be beneficial. However, it’s important to avoid strenuous activities or heavy lifting that may strain your chest area. Consult with Dr Bish Soliman for tailored advice based on your current physical condition and the specifics of your planned surgery.

How should I manage my current medications before breast reduction surgery?

Managing medications before breast reduction surgery involves consulting with Dr Soliman and possibly your primary care physician. You may need to adjust or temporarily stop certain medications, especially those that can increase bleeding risk, like aspirin or anti-inflammatory drugs. Always follow the specific guidance provided by your healthcare providers.

How old do you have to be for breast reduction?

There’s no definitive age requirement for breast reduction, but it’s advised to wait until the breasts have fully developed, which is usually by the late teens or early twenties. However, exceptions can be made in cases of significant physical or psychological distress.

Should I lose weight before breast reduction?

It’s often recommended to be at or near your ideal weight before undergoing breast reduction surgery. Post-surgery weight fluctuations can affect the outcomes, leading to changes in breast shape or asymmetry.

Is it better to have breast reduction before or after having children?

Breast reduction before having children can impact the ability to breastfeed. Pregnancy and breastfeeding also change breast size and shape, which can alter the results of the surgery. Therefore, many opt to wait until after family planning is complete.

How do I prepare for breast reduction surgery?

Preparation for breast reduction surgery may include undergoing medical evaluations or lab tests, adjusting current medications or taking certain medications prescribed by your surgeon, stopping smoking to aid healing, and avoiding aspirin, anti-inflammatory drugs, and herbal supplements that can increase bleeding.

How big do your breasts need to be to get a reduction?

There is no universal size requirement for breast reduction. The decision is based on individual physical discomfort or health issues caused by the size of the breasts, not just on their size alone. Consultation with Dr Soliman can help determine if breast reduction is appropriate for your situation.

FAQs about What Happens During a Breast Reduction Surgery

What is the typical procedure for breast reduction surgery?

During breast reduction surgery, which usually lasts 3 hours, the patient is placed under general anaesthesia. Dr Soliman makes incisions, often around the areola and down each breast. Excess breast tissue, fat, and skin are removed to reduce the size of each breast. The nipples may be repositioned, and the areolas might be reduced in size. Finally, the incisions are closed with sutures.

How is the breast tissue removed during the surgery?

The removal of breast tissue during surgery involves Dr Soliman making precise incisions and carefully excising excess tissue, fat, and skin. The technique used depends on the patient’s anatomy and the desired outcome. In some cases, liposuction is employed to remove excess fat. The goal is to create a smaller, more proportionate breast size while maintaining a natural appearance.

What kind of anaesthesia is used for breast reduction surgery?

Breast reduction surgery is performed under general anaesthesia, ensuring the patient is asleep and pain-free throughout the procedure.

Are there different techniques for breast reduction, and how are they chosen?

There are several techniques for breast reduction, including the traditional ‘anchor’ incision, the ‘vertical’ or ‘lollipop’ incision, and liposuction-only methods. The choice of technique depends on the patient’s breast size and shape, the amount of reduction desired, skin quality, and other individual factors. Dr Soliman will choose the most appropriate method based on these considerations.

How is the nipple and areola affected during breast reduction surgery?

During breast reduction surgery, the nipple and areola may be repositioned to a more natural height and location on the breast. If necessary, the areola size can be reduced to match the new breast size. Dr Soliman takes care to maintain blood supply and sensation to the nipple and areola as much as possible, but some changes in sensation can occur.

Can breast reduction be covered by Medicare Australia?

Breast reduction may be covered by Medicare Australia if it’s considered medically necessary. This usually involves cases where large breasts cause physical issues like back pain or skin problems. A referral from a GP is required for Medicare coverage.

Can liposuction be used for breast reduction?

Liposuction can be part of a breast reduction procedure, especially when fatty tissue is a significant component of the breast. However, it’s not suitable for all breast reductions and is often used in conjunction with traditional surgical techniques.

Does breast reduction remove side fat?

Breast reduction surgery primarily focuses on removing excess breast tissue and skin. While some fat around the sides of the breasts may be removed to contour the shape, it’s not specifically targeted for side fat removal. Liposuction can be combined with breast reduction for more extensive fat removal.

How much weight is removed during a breast reduction surgery?

The amount of weight removed during breast reduction surgery varies significantly depending on the individual’s breast size and the desired outcome. It can range from a few hundred grams to a kilogram or more per breast. The exact amount is determined during the consultation process and depends on the patient’s goals and physical needs.

FAQs about Recovery after Breast Reduction Surgery

What should I wear after breast reduction surgery?

Post-surgery, it’s advisable to wear a supportive surgical bra or a soft, wireless bra to reduce swelling and support healing. Avoid tight or underwire bras initially to ensure comfort and proper healing.

When can I wear a normal bra after breast reduction?

A normal bra can usually be worn about six to eight weeks after surgery, once swelling has subsided and the breasts have settled into their new shape.

How does breast reduction surgery affect pregnancy and breastfeeding?

Breast reduction surgery can impact the ability to breastfeed, as it may involve cutting milk ducts or nerves. Pregnancy after surgery can also change breast size and shape, potentially affecting the surgical results.

Can you go braless after breast reduction?

Going braless after breast reduction surgery is generally not recommended during the initial healing period. After full recovery, which can take several months, whether or not to go braless depends on personal comfort and preference.

Do breasts grow back after reduction?

Breasts can potentially increase in size after reduction surgery due to weight gain, hormonal changes, or pregnancy. However, they typically do not return to their pre-surgery size. Maintaining a stable weight and a healthy lifestyle can help preserve the results of the surgery.

Why is my stomach bigger after breast reduction?

A perception of a larger stomach post-breast reduction may occur as a result of the changed proportions and contours of the body. The reduction in breast size can make the stomach area more prominent in comparison. This is a visual effect rather than an actual increase in stomach size.

Do breasts feel different after reduction?

After breast reduction, the breasts may feel different to the touch, especially in the initial months following surgery. Changes in sensation, including numbness or increased sensitivity, are common but usually temporary. The internal tissues and skin need time to heal and adapt to their new shape and size.

Is it easier to lose weight after breast reduction?

There’s no direct correlation between breast reduction surgery and ease of weight loss. Some patients find physical activities more comfortable post-surgery, potentially aiding in a more active lifestyle and weight management.

FAQs about Risks of Breast Reduction Surgery

Does breast reduction surgery affect breast cancer risk?

There’s no conclusive evidence that breast reduction surgery alters the risk of developing breast cancer. The removal of some breast tissue may make mammogram screenings easier and potentially more effective in detecting abnormalities.

What are the risks of breast reduction surgery?

Breast reduction surgery presents risks including infection, bleeding, scarring, and adverse reactions to anaesthesia. Specific risks related to this surgery include changes in breast and nipple sensation, asymmetry in the size and shape of the breasts, and potential difficulties in breastfeeding.

Is breast reduction surgery painful?

Postoperative pain is common following breast reduction surgery, but it’s generally manageable with prescribed pain medication. The level of pain experienced varies among individuals and reduces significantly within the first few weeks after the procedure.

Is breast reduction high risk?

Breast reduction surgery, like any surgery, carries inherent risks. However, when performed by a qualified and experienced plastic surgeon, the risks are minimised. It’s important to discuss potential risks and concerns with Dr Bish Soliman to understand the specific risk profile for your case.

FAQs about How to Choose the Plastic Surgeon for the Breast Reduction Surgery

What qualifications should I look for in a surgeon for breast reduction surgery?

When choosing a surgeon for breast reduction surgery, ensure they are board-certified (FRACS) in plastic surgery. Board certification indicates that the surgeon has completed specific training and passed rigorous examinations in plastic surgery. Additionally, check if they have experience in breast reduction procedures and if they are members of reputable surgical associations. This ensures they adhere to high standards of practice and ethics.

How do I assess a surgeon’s experience and track record with breast reduction surgeries?

To assess a surgeon’s experience and track record, start by asking about the number of breast reduction surgeries they have performed. Request before-and-after photos of previous patients to evaluate the outcomes. Finally, consider asking the surgeon about their complication rates and how they handle potential complications.

Should the cost of surgery influence my choice of surgeon for breast reduction?

While cost is an important consideration, it shouldn’t be the primary factor in choosing a surgeon for breast reduction. Opting for the least expensive option can sometimes compromise the quality of care and surgical expertise. Instead, focus on the surgeon’s qualifications, experience, and the quality of care they provide. Ensure you have a clear understanding of what the costs cover to avoid unexpected expenses.

Medical References about Breast Reduction

Breast Reduction – StatPearls
Reduction Mammoplasty: A Ten-Year Retrospective
Long-term outcomes of breast reduction surgery
Breast reduction surgery – Mayo Clinic
Study Supports Benefits of Breast Reduction in Teens and Young Women

FAQs about Breast Reduction (Reduction Mammaplasty)