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Women with very large breasts often experience skin irritation issues, difficulty exercising, and day to day discomfort. Additionally, overly large breasts can have a poor effect on a person’s posture due to the extra weight on the chest.

Breast reduction or mammoplasty is a common procedure that can rectify a number of aesthetic and health concerns related to large breasts. Every procedure is tailored to the patient’s personal situation and needs. Before your procedure, you will have a consultation with breast surgeon Dr Bish Soliman who will develop a personalised surgical plan in order to address your specific needs and concerns.

Breast Reduction Mammoplasty Who is a good candidate

Good candidates for breast reduction or mammoplasty are usually women who are seeking to alleviate heavy breasts for a more proportionate breast shape and size. If you have overly large, heavy breasts that are causing pain, discomfort, or are otherwise interfering with your daily life, breast reduction mammoplasty may be a good option for you. Ideal candidates are also in good physical health and do not have medical conditions that would interfere with the surgery. We will need to review your medical history in order to ensure you are suitable.

Breast surgery may not be for everyone. For example, smokers have a higher risk of complications, as well as people in the obese weight range. Additionally, breast reduction mammoplasty may impede your ability to breastfeed and reduce nipple sensation, particularly if a large amount of breast tissue is removed. If you are planning on becoming pregnant in the future, you should discuss this with your breast surgeon.

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Breast Reduction Mammoplasty Benefits of a breast reduction mammoplasty with plastic surgeon Dr Bish Soliman

Excess or disproportionate weight on the upper chest can lead to a number of aesthetic and health issues. Over time, the excess weight can cause poor posture, skin rashes, and difficulty moving and exercising. Some women also develop grooves in the shoulders and back from uncomfortable bras. Breast reduction mammoplasty surgery can significantly reduce these symptoms for many patients.

Benefits of a breast reduction mammoplasty procedure include:

  • Improved posture and comfort
  • More symmetrical appearance
  • Better mobility when exercising
  • Improved areola position
  • Reduced back, neck, and shoulder pain
  • Generally smaller and more shapely breasts
  • Improved self-confidence

Whether there are aesthetic or health issues caused by excessively large breasts, this procedure can help women achieve breasts that are proportionate to the rest of the body. Every surgery is tailored to the patient according to their needs and goals. However, patients should keep in mind that results are not a guarantee and may depend on individual factors.

Making sure that you choose a qualified specialist plastic surgeon will help you get the most out of the procedure. With the necessary skills, experience and qualifications, a specialist breast surgeon such as Dr Bish Soliman understands how to minimise risks and recommend suitable procedure options.

Your consultation

In Sydney or North Shore, you can book a consultation with Dr Bish Soliman. The purpose of your consultation is to discuss your aesthetic goals, health history, and current lifestyle factors. As well as this, it will provide you with preparation and recovery details, risks and complication information, and any further advice based on the personalised details of your individual procedure.

After determining whether or not you are a suitable candidate for the procedure, discussing your ideal results and creating a personalised procedure plan, your surgeon can then evaluate your total procedure costs and provide you with an individualised quote.

We will also be able to answer any questions you may have about the procedure. Your consultation should help you to feel prepared for and clear about your procedure, knowing what to expect and what plans to make before your procedure date.

Breast Reduction Mammoplasty The procedure

Breast reduction mammoplasty surgery can take three to four hours, depending on the complexity of the procedure. It is performed in an accredited private hospital using general anaesthesia.

Generally, the goal of surgery is to reduce the breast volume while lifting and reshaping the breasts and nipples


During the procedure, Dr Bish Soliman will manipulate the skin and breast tissue to alter the shape and breast size. He will make incisions in order to remove fat, skin, and breast tissue. The breast is reduced and lifted, and in most cases, the nipple is repositioned. Finally, your skin will be closed and secured with sutures, leaving you with smaller and more proportionate breasts.

The exact techniques employed may vary from patient to patient and will be discussed during your initial consultation. Any tissue removed will be sent for pathology review.

Incision types

A common type of incision is the “lollipop” shape, where incisions are made around the areola and vertically downwards. Another option is the T-shaped incision, which is made from the areola to the lower breast and along the breast crease. The right incision type for you can be decided upon during your consultation after discussing your personal aesthetic goals. It is also important to note here that scarring is a side effect of the procedure, and its appearance can depend on the chosen incision type.

Breast Reduction Mammoplasty After your surgery

Some patients may need to stay in the hospital overnight. Before you go home, you will be given post-operative instructions on how to care for your breasts during recovery. This will help optimise the healing process and help your breasts settle into their new shape. Your personalised recovery instructions will also help to minimise the chance of complications.

Firstly, it is recommended that you organise for someone to drive you home after your surgery. You should arrange this before your procedure date.

During recovery, you will be required to wear a surgical bra for six weeks to help support your healing breasts. You may also need to:

  • Avoid exercise and heavy lifting
  • Refrain from smoking and drinking alcohol
  • Sleep on your back with your head elevated
  • Take appropriate care of your incisions
  • Drink plenty of water
  • Limit movements, such as avoiding moving your arms above your head as this may be difficult throughout recovery
  • Follow a healthy diet
  • Get plenty of rest
  • Keep incision sites clean as instructed
  • Apply topical scar cream, if instructed
  • Attend any follow-up appointments required to monitor your recovery progress and the development of your results

Breast Reduction Mammoplasty Costs of a breast reduction mammoplasty in Sydney or North Shore

A breast reduction mammoplasty is a highly personalised procedure. Therefore, the costs of the procedure are individualised, varying per patient. Your procedure costs depend on the complexity of the procedure, duration of the procedure, and specific procedure details. They will cover surgeon’s fees, anaesthesia fees, hospital fees and any costs required during your recovery such as medication and any follow-up appointments.

To receive a personalised quote, you will need to book a consultation to discuss all of the information above and have your procedure plan created.

Medicare cover for breast reduction mammoplasty surgery

If your procedure is considered to be medically necessary, for example, to reduce back pain, prevent skin rash underneath the breasts or help to correct posture issues, you may be able to receive Medicare cover.

Your eligibility for Medicare cover can be discussed with your surgeon. The Medicare codes for breast reduction mammoplasty cover are:

45523— Breast reduction mammoplasty surgery, bilateral (both sides) under the following condition: For patients with macromastia who are experiencing pain in the neck or shoulder region; and not with insertion of any prosthesis (breast implant)

45520— Breast reduction mammoplasty surgery with surgical repositioning of the nipple, unilateral (for each single side) in the context of breast cancer or developmental abnormality of the breast

45522— Breast reduction mammoplasty surgery without repositioning of the nipple, unilateral (for each single side), excluding the treatment of gynecomastia; and not with insertion of any prosthesis (breast implant)

Private health insurance cover

Private insurance does sometimes cover breast reduction mammoplasty surgery. However, some criteria must be met to qualify. Cover from your private health insurance provider will only apply if your circumstances meet the Medicare item number criteria. This requires examinations, documentation and photographs.

Generally, insurance will cover some or all of the hospital fees. However, there will be out-of-pocket costs for the surgeon’s fee, anaesthetist’s fee and assistant’s fee, with a small rebate available for these costs.

Breast Reduction Mammoplasty Risks and complications

Even with a highly qualified and experienced plastic surgeon, a breast reduction, like any surgical procedure, can be associated with some potential risks and complications. Although choosing an experienced surgeon is an essential step in minimising the chance of these complications occurring, it is still important to be aware of the risks, so that you can make an informed and confident decision as to whether or not to undergo the procedure.

Even with a highly qualified and experienced plastic surgeon, a breast reduction mammoplasty, like any surgical procedure, comes with risks. Although choosing an experienced surgeon is an essential step in minimising the chance of these complications occurring, it is still important to be aware of the risks. This will allow you to make an informed decision as to whether or not to undergo the procedure.

You will also be provided with some individually tailored preparation and recovery advice that you can follow to reduce your risks. The potential risks and complications of a breast reduction mammoplasty can include:

  • Pain, bleeding and bruising
  • Infection or irritation
  • Swelling
  • Scarring
  • Fluid build-up
  • Skin discolouration
  • Asymmetrical or unsatisfactory results
  • Temporary or permanent changes in nipple sensation
  • Potential inability to breastfeed
  • Damage to deeper structures
  • The need for revision surgery to address complications
  • Issues caused by general anaesthesia

As a breast reduction mammoplasty may impact your ability to breastfeed. Although this is rare, you should let Dr Bish know if you are planning on having children after your procedure so that he can take this into consideration when creating your personalised treatment plan.

Learn More About Dr Bish Soliman

Dr Bish Soliman is a Sydney based Specialist Plastic and Reconstructive Surgeon specialising in complex microsurgical reconstruction including breast reconstruction, aesthetic surgery of the face, breast, and body as well as skin cancer surgery.

Learn More

Breast reduction mammoplasty FAQ

Should I lose weight before having breast reduction mammoplasty?

When can I return to work?

Can I wear a bra after breast reduction surgery?

Will I be left with visible scarring after my breast reduction mammoplasty procedure?

About Dr Bish Soliman

Dr Bish Soliman - Sydney Plastic and Reconstructive Surgeon, about us 01 2x
Specialist Plastic, Reconstructive and Cosmetic Surgeon
FRACS (Plas), MS (Plas), MBBS (Hons 1), BCom

AHPRA Registered Medical Practitioner MED 0001679053 Specialist Registration in Plastic Surgery

Dr Bish Soliman is a Sydney-based Specialist Plastic and Reconstructive Surgeon who performs aesthetic surgery of the face, breast, and body as well as skin cancer surgery.

He currently holds two consultant microsurgery positions in major Sydney hospitals performing complex microsurgical reconstruction including DIEP breast reconstruction.

After graduating from The King’s School, Dr Bish completed a Bachelor of Commerce degree at the University of Sydney. After working briefly at a major Sydney finance firm, he decided to pursue his passion and long-term goal of a career in medicine. He graduated from the University of Notre Dame at the top of his class, receiving First class honours and the prestigious Bower and Sherrard medal. He then went on to complete his junior medical training at Westmead Hospital during which time he was awarded Junior Medical Officer (JMO) of the Year, as well as a finalist for NSW Doctor of the Year.


Next Steps

Do your Research

  • All Surgery has risks and potential complications. Please read the risks and complications page
  • Visit our procedure pages and Blogs to learn more about your intended procedure

Making The Most Of Your Consultation

  • Please arrive slightly early for your in-person consultation with Dr Bish
  • Take notes during the consultation and review all the documents provided
  • You are welcome to bring a friend or relative to help consider your options
  • You may need to undress for a physical exam so wear comfortable clothes

Want more information before scheduling your consultation?

  • Call us to find out more about surgery pricing and how you can pay for your surgery
  • Request more information about your procedure – call or contact us.

How to Book Your Consultation

  • A GP Medical Referral is now essential to see Dr Bish Soliman for any type of surgery.
  • You can book your consultation with Dr Bish Soliman by paying the consultation fee in advance – when you make your appointment.

Contact Dr Bish Soliman’s team

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