Breast Reduction/Reduction Mammoplasty FAQs With Specialist Plastic Surgeon Dr Gary Kode

Breast Reduction surgery (Reduction Mammoplasty) is a procedure that reduces breast size and weight while reshaping the breasts to suit an individual’s frame. It is often considered by women experiencing physical symptoms or functional concerns related to heavy breasts. When researching Breast Reduction surgery, patients often have questions around suitability, the procedure itself, recovery, long-term outcomes, costs and potential risks. To support individuals considering this surgery, Specialist Plastic Surgeon Dr Gary Kode has compiled a detailed list of frequently asked questions (FAQs) to help patients determine whether surgery may be appropriate for them. Dr Kode offers consultations in Melbourne and Launceston, with surgery performed in accredited hospitals in Melbourne.

This page provides general information only and does not replace personalised medical advice. A consultation is required to assess individual anatomy, symptoms and suitability for surgery.

General Breast Reduction FAQs

What Is Breast Reduction Surgery?

Breast Reduction (Reduction Mammoplasty) is a surgical procedure that aims to reduce the size and weight of the breasts by removing excess breast tissue, skin and fat. It may be considered when large breasts are associated with physical symptoms such as neck, shoulder or back discomfort, skin irritation, or difficulty with physical activity. 

The procedure also reshapes the breasts and repositions the nipple–areola complex where required.

Why Do Women Consider Breast Reduction Surgery?

Women may consider Breast Reduction due to physical discomfort and pain including neck, shoulder or back discomfort, skin irritation or rashes beneath the breast fold, posture concerns, difficulty with physical activity, or challenges finding supportive clothing.

Which breast size is considered heavy? 

There is no single breast size that is medically defined as “heavy.” Breast weight is assessed relative to an individual’s body frame, height, posture and overall anatomy. 

Breasts may be considered heavy when their size contributes to physical symptoms such as neck, shoulder or back discomfort, bra strap grooving, skin irritation beneath the breast folds, or difficulty with physical activity. Clinical assessment focuses on symptoms and functional impact rather than cup size alone.

Do breasts get heavier with age?

Breasts can change over time due to factors such as hormonal variation, pregnancy, breastfeeding, weight fluctuation, and changes in skin elasticity. While breasts may not necessarily increase in weight with age alone, these factors can alter breast composition and position, sometimes leading to a sensation of heaviness or discomfort. Gravity and reduced skin support can also influence how breast weight is experienced over time.

Am I a Suitable Candidate for Breast Reduction Surgery?

Suitability depends on individual anatomy, breast size, symptoms, overall health and expectations. Other factors include being in good general health, not smoking or being willing to stop prior to surgery, understanding the risks of surgery, having stable breast development and maintaining a stable weight prior to operation. 

A consultation with a Specialist Plastic Surgeon like Dr Kode is required to assess each patient’s health history, goals and anatomy to determine whether Breast Reduction is appropriate.

Who shouldn’t get a Breast Reduction?

Breast Reduction surgery may not be appropriate for everyone. Individuals who are not suitable candidates can include;

• Those with unmanaged medical conditions that increase surgical risk
• Individuals who are unwilling to quit smoking prior to surgery
• Those planning significant weight changes or future pregnancies
• Individuals with unrealistic expectations or those seeking surgery for reasons unrelated to physical symptoms.

Suitability is determined during consultation following a full medical assessment.

Can Breast Reduction Be Performed With Other Procedures?

In some cases, Breast Reduction may be performed alongside other breast procedures, depending on anatomy and surgical planning. This is assessed during consultation with Dr Kode.

Is Breast Reduction considered major surgery?

Yes. Breast Reduction (Reduction Mammoplasty) is a significant surgical procedure performed under anaesthesia in an accredited hospital.

What symptoms can Breast Reduction help with?

Breast Reduction can help alleviate physical symptoms associated with larger breasts, including neck, shoulder and back discomfort, difficulty with certain physical activities and skin irritation beneath the breast fold. It may also help posture and make everyday tasks more comfortable.

Is Breast Reduction only performed for medical reasons?

While Breast Reduction is often sought to address physical discomfort or functional limitations, some individuals may consider it for personal or aesthetic reasons. Eligibility for Medicare rebates depends on medical necessity and documented symptoms; purely cosmetic procedures are generally not eligible for rebates.

Can Breast Reduction help with skin irritation under the breasts?

Yes, reducing breast size and reshaping the tissue can relieve skin irritation, rashes or infections that may occur in the breast fold due to excess tissue. Surgical intervention often reduces friction and moisture accumulation, which can increase comfort.

Breast Reduction Procedure FAQs

Are There Different Techniques Used in Breast Reduction?

Yes, the technique selected depends on breast size, degree of tissue descent, skin quality and the amount of tissue to be removed. Approaches include:

• Wise-Pattern (Anchor) Technique: Involves incisions around the areola, vertically to the breast crease and horizontally along the fold; allows comprehensive reshaping.
• Vertical (Lollipop) Technique: Uses incisions around the areola and downward but not horizontally; may result in shorter scars than other techniques.
• Peri-areolar (Donut) Technique: Involves a circular incision around the edge of the areola. This technique may be suitable for mild to moderate reduction with limited excess skin.

Each method is tailored to the individual’s anatomy and surgical goals. 

What Type of Anaesthesia Is Used for Breast Reduction Surgery?

Breast Reduction surgery is typically performed under general anaesthesia in an accredited hospital.

What Does Breast Reduction Surgery Involve?

The procedure involves removing excess breast tissue, fat and skin to reduce breast volume and weight, while reshaping the remaining tissue to alter the appearance and volume of the breasts. 

During the procedure, the nipple areola complex is usually repositioned to a higher location to suit the new breast shape, while preserving blood supply and sensation where possible. Once the excess tissue has been removed and the breasts reshaped, the incisions are closed and dressings applied. 

A supportive post-surgical bra or garment is typically used to assist healing. Patients are usually monitored in hospital after surgery, with the length of stay depending on individual circumstances.

How Long Does Breast Reduction Surgery Take?

Surgical time varies depending on complexity but typically takes several hours.

Are nipples repositioned during Breast Reduction surgery?

In most Breast Reduction procedures, the nipple is repositioned to sit higher on the breast in proportion with the new breast shape and size. This is done while maintaining its blood supply and nerve connections. The degree of repositioning depends on the amount of tissue removed, breast anatomy and the surgical technique used. Dr Kode discusses this in detail during consultation so patients understand how the procedure is planned for their individual anatomy.

Can Breast Reduction Surgery affect breast sensation?

Changes in breast or nipple sensation can occur following Breast Reduction surgery. Some patients experience temporary numbness, reduced sensation or heightened sensitivity, particularly in the early stages of healing. In most cases sensation will gradually return over time, though this can take several months. However, in some cases, changes may be long-lasting.

Can Breast Reduction Surgery affect breastfeeding?

Yes, Breast Reduction surgery can affect the ability to breastfeed. It depends on how the breast tissue, milk ducts and nerves are managed during surgery. In some cases, breastfeeding may still be possible, while in others it may be reduced or not possible. If the ability to breastfeed in the future is important it should be discussed with Dr Kode during consultation so it can be factored into surgical planning where possible.

Will Liposuction be used during Breast Reduction?

Liposuction may be used as part of a Breast Reduction procedure in some select cases. It can assist with shaping certain areas of the breast or surrounding tissue, such as the outer chest or underarm region.

Liposuction alone is not suitable for most Breast Reductions, particularly when significant reshaping or skin adjustment is required. Whether it is used depends on breast composition, skin quality and the overall surgical plan.

Breast Reduction Recovery FAQs

What Can I Expect Immediately After Breast Reduction Surgery?

Swelling, bruising, tightness and discomfort are to be expected in the early recovery period. These symptoms are usually managed with prescribed and over-the-counter medication. A supportive garment is typically worn to assist with swelling and provide support to the breasts. Most patients remain in hospital overnight after surgery and are reviewed by Dr Kode before being discharged. 

How Painful Is Recovery From a Breast Reduction Surgery?

Pain tolerance varies between individuals, however in the first few days, many patients experience sensations of tightness, pressure, or mild to moderate discomfort rather than sharp pain. These symptoms are generally more noticeable early on and tend to lessen over time as healing progresses. Pain relief and supportive care can assist with comfort during this phase.

Will I Need to Wear a Support Garment After Breast Reduction Surgery?

A surgical bra or support garment is typically recommended to support healing tissues and manage swelling.

How Long Is Recovery After Breast Reduction?

Recovery following Breast Reduction Surgery is a gradual process with the initial recovery generally occurring over several weeks. Patients will be advised to take time off work and prepare themselves prior to surgery. Dr Kode will advise you on individual timelines prior to surgery to help you prepare. 

How Long Does Swelling Last After Breast Reduction Surgery?

Swelling is an expected response after surgery and typically reduces progressively over weeks. However, some degree of swelling may persist for several weeks or months as the tissue settles. Final breast shape may continue to evolve as healing continues.

When Can I Resume Exercise After Breast Reduction Surgery?

Return to physical activities depends on individual healing and surgical advice. Light daily activities may be resumed relatively early, but strenuous exercise involving the upper body, heavy lifting and impact sports are usually avoided for several weeks until cleared by Dr Kode. Progress is guided by healing and comfort levels.

How long do I need off work after Breast Reduction?

Time off work varies depending on the type of work and how the body heals. Most patients with desk-based or light duties take around 2 weeks off work.

Roles that involve physical labor, lifting, or prolonged standing may require 3 to 6 weeks or longer before returning. Dr Kode assesses recovery progress during follow-up appointments and can provide guidance tailored to your role and healing.

Can I sleep on my side after Breast Reduction surgery?

Patients are generally advised to sleep on their back during the early recovery period to avoid pressure on the breasts and incisions. Side sleeping may be gradually reintroduced once swelling and tenderness have reduced and comfort allows.

When can I drive after Breast Reduction surgery?

Most patients can resume driving once they are no longer taking prescription pain medication and can move comfortably without restriction. This generally occurs around 1 to 2 weeks after surgery, though timing varies.

How long do scars take to heal after Breast Reduction?

Incisions typically heal over the first few weeks, but scar maturation is a longer process, often continuing for 12 to 18 months. During this time, scars usually change in colour and texture. While scars are permanent, their appearance often softens and fades with time.

What activities should I avoid during Breast Reduction Recovery?

During the early recovery phase, patients should avoid: heavy lifting, strenuous exercise, repetitive arm movements and activities that place tension on the chest or incisions.

Dr Kode urges patients to start slowly and adjust activity levels according to comfort levels.

Breast Reduction Appearance & Long-Term Outcome FAQs

Will There Be Scarring After Breast Reduction?

Yes. All surgical procedures result in scarring. The location and appearance of scars depend on the technique used and individual healing. Scars may initially appear raised or red and typically soften and fade over several months to a year or more. They can reduce in visibility over time and clothing can usually conceal them. Dr Kode provides guidance on scar care during follow-up.

Will Breast Reduction Change My Breast Shape?

Yes, the procedure reshapes the breasts in addition to reducing size. The final appearance will develop gradually as swelling settles.

How Long Do Breast Reduction Results Last?

Results are generally long-lasting, however it does not stop the ageing process or the affects of gravity. Changes in weight, pregnancy and ageing can affect breast appearance over time.

Will my breasts change again after Breast Reduction?

Breast Reduction surgery removes excess breast tissue and reshapes the breasts at the time of surgery. While the changes are long-lasting, breasts can continue to change over time due to factors such as ageing, hormonal changes, pregnancy, and weight fluctuation. Surgery does not stop the ageing process, and some degree of change is expected over the years.

How does weight change affect Breast Reduction results?

Significant weight gain or loss after surgery can affect breast size and shape. Weight gain may lead to an increase in breast volume, while weight loss can reduce breast fullness and contribute to laxity. For this reason, patients are generally advised to aim for a stable weight before undergoing Breast Reduction surgery.

Will my breasts feel different after surgery?

Breasts can feel different following surgery, particularly during the recovery period. Patients may notice changes in sensation, firmness or sensitivity as swelling dissipates and tissues heal. Changes can continue for several months and while they may be temporary, long-term change is possible.

Can Breast Reduction address breast asymmetry?

Breast Reduction surgery can be used to reduce differences in breast size or shape. Surgeons can remove different volume amounts from each breast to increase symmetry, though some asymmetry will likely remain.

Breast Reduction Cost, Medicare & Insurance FAQs

Why Do Breast Reduction Costs Vary Between Patients?

Costs vary due to surgical complexity, hospital fees, anaesthesia time, surgeon experience and individual anatomy.

Does Medicare Cover Breast Reduction Surgery?

Medicare rebates may apply when the procedure meets strict criteria for medical necessity, including documented physical symptoms related to breast size. During consultation, Dr Kode can advise whether criteria may be met and whether private health insurance might contribute to hospital costs. 

Will Private Health Insurance Cover Breast Reduction?

If the procedure is item-numbered through Medicare as medically necessary and the patient holds appropriate hospital cover, private health insurance may contribute to some hospital costs. Coverage varies by insurer and policy, so patients should confirm details with their fund. 

How much does Breast Reduction cost in Melbourne?

Exact figures cannot be published on this website due to regulatory guidelines. The total cost of Breast Reduction surgery in Melbourne varies depending on factors such as the complexity of the procedure, hospital or facility fees, anaesthesia costs and any additional services included in your care plan. Quotes are provided after a consultation, where Dr Kode will assess your individual anatomy, goals and surgical requirements to prepare a tailored estimate.

Are consultations for Breast Reduction covered by Medicare?

Medicare may provide a rebate for the consultation if the referral and item number criteria are met. The rebate applies to the appointment with the Specialist Plastic Surgeon and is unrelated to the surgical procedure. However, this rebate does not cover the surgery. Coverage depends on factors such as having a valid referral and Medicare eligibility at the time of the consultation.

Breast Reduction Risks & Complications FAQs

Does Breast Reduction Surgery Have Risks?

All surgical procedures carry risks. Potential risks after Breast Reduction surgery may include infection, changes in nipple sensation, asymmetry, bleeding or haematoma, poor scarring, and potential impact on breastfeeding ability. Dr Kode discusses individual risks during consultation.

For more information visit Risks of Cosmetic Surgery and Complications page.

Are complications expected after Breast Reduction?

As with any surgical procedure Breast Reduction Surgery has potential risks and complications such as; infection, bleeding, or delayed wound healing. These risks are uncommon and are typically managed effectively with appropriate medical care.

Can Breast Reduction require revision surgery?

Yes, Breast Reduction surgery may require revision surgery if there are issues with asymmetry or healing. Revision procedures are considered on a case-by-case basis.

What is delayed wound healing?

Delayed wound healing refers to the slower than expected closure and recovery of the surgical incisions. This can occur due to factors such as individual healing response, tension on the skin, or complications like infection.

How are complications managed if they occur?

If any complications arise after Breast Reduction surgery, Dr Kode will assess the issues and provide appropriate care. Management may include medications, dressings, additional procedures, or closer monitoring to support healing. Prompt communication with Dr Kode is important to address concerns early and reduce the likelihood of long-term issues.

How Do I Find a Qualified Breast Reduction Surgeon?

Choosing a qualified surgeon is an important part of preparing for Breast Reduction surgery. In Australia, Breast Reduction procedures must be performed by a suitably trained and accredited medical practitioner. There are several steps patients can take to help make sure they are selecting an appropriately qualified professional. Key considerations when researching a Breast Reduction surgeon include:

• Verify qualifications: Look for a surgeon with AHPRA (Australian Health Practitioner Regulation Agency) registration and holds specialist recognition in plastic surgery (Specialist Plastic Surgeon). This indicates they have extensive surgical training and have the necessary qualifications to perform cosmetic and reconstructive breast procedures.
• Check hospital accreditation: Breast Reduction surgery should always be performed in an accredited hospital to support patient safety and appropriate standards of care. They follow strict guidelines relating to sterile facilities, infection control, equipment quality and staff training. These standards help reduce risks associated with anaesthesia, surgery, and the post-operative period.
• Review experience in Breast Reduction procedures: Different surgeons have different areas of focus. It may be helpful to choose a surgeon who regularly performs Breast Reduction surgery and can explain how the procedure may apply to your individual anatomy.
• Look for clear communication: A qualified surgeon should provide thorough consultations, explain risks and possible complications, outline expected recovery steps and answer questions without pressure. Transparent communication is a key aspect of surgical care.

Further Reading

• Australian Health Practitioner Regulation Agency
• Breast Reduction Surgery Melbourne
• Risks of Cosmetic Surgery and Complications
• Breast Surgery Before and After Photos

Disclaimer

This information is general only and does not replace a consultation with a qualified medical practitioner. Surgical outcomes, risks and recovery experiences vary. All surgery carries risks, and patients should seek personalised medical advice. Decisions regarding surgery should only be made after a full consultation, assessment and discussion with a Specialist Plastic Surgeon.