Breast reduction is a surgical procedure that reduces the size of the breasts. It is typically performed to alleviate the pain and discomfort associated with large, heavy breasts. Breast reduction surgery can be performed on those who have experienced significant weight loss, as well as women who are experiencing physical pain due to their breast size. The procedure may also be appropriate for adolescents who have developed large breasts early in life.
The operation can help to improve your self-esteem and confidence by taking inches off your bust line and resulting in a more proportional figure. The decision to undergo breast reduction surgery should not be taken lightly. You should discuss your concerns with an expert plastic surgeon before scheduling this procedure so that you can learn about all of your options for improving your body contour and shape.
You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Best place for breast reduction, breast implant safety. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about best breast lift. Read on to learn more.
Best place for breast reduction
Breast reduction is a major operation that can help make your breasts feel smaller, lighter and give them a better shape.
If you’re feeling very distressed about the size of your breasts, or they’re causing problems like backache, you might be able to have a breast reduction on the NHS.
If you’re thinking about breast reduction to change your appearance, rather than for health reasons, you’ll need to pay for it privately.
How much a breast reduction costs
In the UK, breast reduction surgery costs around £6,500, plus the cost of any consultations or follow-up care.
What to think about before you have a breast reduction
Before you go ahead, be sure about why you want a breast reduction. Take time to think about your decision.
Find out more about deciding whether cosmetic surgery is right for you
You could also speak to a GP about it.
Choosing a surgeon
If you’re having a breast reduction in England, check with the Care Quality Commission (CQC).
All independent clinics and hospitals that provide cosmetic surgery in England must be registered with the CQC.
Be careful when searching the internet for breast reduction surgery. Some clinics may pay to advertise their services on search listings.
Check the surgeon is registered with the General Medical Council (GMC). They should be listed on the specialist register and have a licence to practise.
Also, check the British Association of Plastic Reconstruction and Aesthetic Surgeons (BAPRAS) or the British Association of Aesthetic Plastic Surgeons (BAAPS) to see if the surgeon is a “full member” on the specialist register for plastic surgery.
Always book an appointment to meet the surgeon before the procedure.
Ask your surgeon:
- about their qualifications and experience
- how many breast reduction operations they have performed
- how many operations they have performed where there have been complications
- what sort of follow-up you should expect if things go wrong
- what their patient satisfaction rates are
What breast reduction involves
Breast reduction surgery is carried out under general anaesthetic. This means you’ll be asleep during the operation.
Generally, the operation involves:
- moving your nipple to its new position – usually while it’s still attached to the blood supply
- removing excess fat, glandular tissue and skin from your breasts
- reshaping the remaining breast tissue
The operation takes 2 to 3 hours, depending on the extent of the breast reduction.
You’ll usually need to stay in hospital for 1 or 2 nights.
When you wake up after surgery, you’ll have dressings on your breasts and plastic tubes may be attached to them to drain blood away.
After 1 to 2 days, the tubes will be removed and you’ll usually be able to go home.
You may have some pain for a few days, which can be relieved with painkillers.
It’s likely your breasts will be swollen, and may feel tender and lumpy after surgery. The swelling may last for around 3 months.
You will not see what your breasts look like until the swelling has gone down.
It can take 2 to 6 weeks to fully recover from breast reduction surgery.
You may need to take 2 to 3 weeks off work, and need help with housework, childcare and shopping.
You should not drive until it’s no longer painful to wear a seatbelt. This may be several weeks.
Avoid stretching, strenuous exercise and heavy lifting for up to 6 weeks after the operation.
Some surgeons suggest wearing a sports bra 24 hours a day for up to 3 months after breast surgery. Check with your surgeon.
The length of time you need to keep the dressings on depends on how quickly your wounds heal.
Stitches will need to be removed after a week or 2, unless they’re dissolvable.
You’ll probably have scars around your nipples.
You may also have a vertical scar running down your breast and a horizontal scar across the crease, below the breast (anchor-shaped).
Or you may only have a vertical scar running down your breast.
It depends on the type of surgery you have.
Scars are usually red for the first 6 weeks, but most fade over time and should be invisible under normal clothes, bras and bikini tops.
What could go wrong
Breast reduction surgery can sometimes result in problems, including:
- thick, obvious scarring
- unevenly shaped breasts or nipples
- wound healing problems
- loss of nipple sensation
- being permanently unable to breastfeed
- red or lumpy breasts if the fat dies (fat necrosis)
- excess skin left around the scars, which may need to be surgically removed
- bleeding inside the breast tissue (haematoma) – this generally happens within the first 24 hours after the operation
Also, any type of operation carries a small risk of:
- excessive bleeding
- an allergic reaction to the anaesthetic
- a blood clot forming in the deep veins
Your surgeon should explain how likely these risks and complications are, and how they’d be treated if you have them.
What to do if you have problems
Cosmetic surgery can sometimes go wrong and the results may not be what you expected.
Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as red skin, burning, or unusual swelling on or around your breast.
If you’re not happy with the results of your breast reduction, or you think the procedure was not carried out properly, speak to your surgeon at the hospital or clinic where you were treated.
You can contact the Care Quality Commission (CQC) if you have concerns about your care.
If necessary, you can make a complaint about a doctor to the General Medical Council (GMC).
The Royal College of Surgeons has more information and advice about what to do if things go wrong.
If you’re planning to have children
If you plan to have breast reduction surgery before having children (or more children), bear in mind that breasts can get larger again during pregnancy, which may affect the results of the operation.
There’s also a chance you will not be able to breastfeed after the operation.
Breast implant safety
If you have been thinking about having breast implants, the chances are you will already have learnt a great deal about the different types of breast implants, breast implant incisions and choosing the best size of the implant. We believe one of the most critical areas to bear in mind is ensuring the highest standards of breast implant safety. The vast majority of women who have this procedure are delighted with their breast implant results and have never encountered any issues during or after the procedure. Having said that, there are several potential breast implant risks to be aware of. Here at Centre for Surgery, we take patient safety very seriously, and we have emphasised the most important safety considerations concerning breast augmentation below. If you want to learn more about optimising safety in breast augmentation, please discuss this further with the surgeon at your consultation.
Why is it important to consider the safety of breast implants?
Deciding to undertake any form of surgery, including breast implant surgery, should not be undertaken lightly. Although breast augmentation is a straightforward procedure to carry out, there are several important factors to consider about the nature of breast implants themselves:
- Breast implants are not designed to last for the lifetime of an individual. Approximately 10 to 15 years after your first procedure, we recommend having a consultation with your surgeon to discuss breast implant removal or breast implant replacement. If you choose to have, your implants removed you may need to have a breast lift at the same time to correct saggy breasts that have developed over time.
- Breast implant rupture is rare with the latest generation implants but is still a potential risk with any type of implant. Although implant rupture is not a dangerous condition, it is essential to have corrective breast surgery to remove and/or replace the implant.
- Silicone breast implants require regular surveillance, and we would recommend undertaking high-resolution ultrasound scanning every two years. Centre for Surgery is one of the few clinics in London to offer this service to our patients.
- Breast cancer screening using mammography can sometimes be more challenging to interpret in the presence of breast implants. The doctor may need to carry out a different type of diagnostic imaging to view the breasts from different angles. These images could be more challenging to interpret. With improvements in x-ray technology, the risk of missing breast cancer in the presence of implants has markedly reduced over time.
Capsular contracture is used to describe excessively tight scar tissue that develops around the breast implant, which often results in pain and discomfort. Severe grades of capsular contracture can deform the underlying breast resulting in an abnormal breast shape. This is one of the most common risks associated with breast implants. Although capsular contracture it’s not a dangerous condition, it is a recognised complication of breast implant surgery and will require corrective breast surgery.
The reasons why capsular contracture develops are still uncertain. However, it is thought there are several factors which act in combination to increase the chances of the condition developing. Some studies have suggested it may be more commonly seen after revision breast surgery. Other studies demonstrate a link between patients who have had subglandular breast augmentation and the later development of capsular contracture.
Breast implant rupture
It is important to remember that breast implants are not designed to last for the lifetime of an individual patient. Breast implants have a finite lifespan with a small risk of implant rupture with the increasing age of the implant. Although breast implant rupture sounds dramatic, it is not a dangerous condition with no impact on health. Silicone breast implants have a highly cohesive gel; when implant rupture occurs, the gel remains inside the implant. Older types of silicone implants may be more prone to leakage, although any leakage is usually contained within the capsule or the pocket where the implant is placed. Silicone itself is chemically inert and is not known to result in adverse reactions if it comes into contact with body tissues. Saline breast implants are rarely used in the UK. When saline implants rupture, the internal say line will be safely reabsorbed by the body with no adverse consequences. With any type of implant rupture, revision breast surgery will be required to remove the old damaged implant and replace it with brand-new ones. Breast implants generally last between 10 to 15 years, with some potentially lasting for a lifetime.
BIA-ALCL is an extremely rare risk associated with breast implants. It is a form of non-Hodgkins lymphoma that most commonly develops in the scar tissue and fluid surrounding the implant. BIA-ALCL is most commonly linked with textured breast implants. The cause of the condition is still unknown, although many surgeons believe the surface texture can significantly increase the risk of developing BIA-ALCL.
Here at Centre for Surgery, we do not use highly textured breast implants. We only use FDA-approved Mentor implants and Sebbin implants, with both having an excellent track record of safety.
Corrective breast surgery
Breast implants will eventually need to be either removed or replaced with new ones. Revision breast surgery is commonly carried out at our Baker Street clinic in central London. Revision surgery is generally a very safe procedure, although, as with any surgery, there are always risks involved. The risk of complications developing is minimised as long as you are healthy without any significant chronic medical conditions such as diabetes, heart disease, high blood pressure or obesity.
Revision breast surgery may be associated with a slightly higher risk of capsular contracture. It is therefore vital to follow all your surgeon’s post-operative instructions in full to minimise the risk of this occurring. This includes avoiding alcohol and certain medications, which may increase the risk of bleeding. Breast massage should also be avoided, as should any activities that could increase the risk of excessive scars or bleeding, such as strenuous exercise within the first six weeks of surgery.
Breast implant illness or BII is another potential complication of breast augmentation. Plastic surgeons don’t generally view BII as a recognised disease. However, there have been anecdotal reports of women claiming they developed autoimmune conditions after breast implant surgery which subsided when the breast implants were removed. It is important to tell your surgeon if you have a personal or family history of autoimmune conditions or allergies. This information will be used to determine your suitability for breast implant surgery.
Best breast lift
The look and feel of the breasts can be affected by pregnancy, breastfeeding and significant weight changes. Women often notice their breasts lose volume and develop sagging, resulting in a less aesthetically pleasing appearance. A breast lift is designed to improve the shape of the breasts so that they appear perkier and have a firmer feel with a higher position on the chest for a more youthful appearance. Many women find specific items of fitted clothing, including swimsuits, fit much better after a breast lift.
Breast lift surgery is designed to remove excess skin and reshape the underlying breasts with surgical repositioning of the nipple and areola for a more youthful-looking breast mound. Breast uplift is commonly combined with breast augmentation for women keen to increase the size of their breasts with an improvement in breast shape. There are several different types of breast lift procedures, and the most appropriate one will be determined after a consultation with an expert breast surgeon.
A crescent lift is the least invasive type of breast lift and involves a half-moon incision located on the upper half of the areola. The procedure is often carried out on women with small breasts and very mild degrees of breast sagging. A crescent lift can also be performed simultaneously as breast augmentation for a subtle breast lift.
A doughnut breast lift is suitable for women who have mild to moderate degrees of breast sagging. The procedure involves making a circumferential incision around the areola. A doughnut breast lift is also known as a Benelli lift and is designed to reposition the nipple and areola higher up on the breast mound. Breast skin can be effectively tightened to get rid of breast sagginess. A doughnut lift is an excellent complimentary procedure to enhance breast implant surgery results for women with mild to moderate degrees of breast droopiness.
The lollipop lift involves incisions around the areola’s circumference and a vertical incision downwards from the areola to the lower breast crease. Lollipop lift is a well-established type of breast lift procedure, and it’s ideal for women who want to correct moderate degrees of sagging. The lollipop lift is not a suitable procedure for women with a severe amount of breast sagging from significant weight loss. A lollipop breast lift should also not be combined with breast augmentation surgery.
The anchor lift is most suitable for women with a large amount of breast sagging. The procedure shares similarities to the lollipop lift, although the anchor lift involves an extra horizontal incision which runs parallel to the breast crease. An anchor lift is commonly used as part of a breast reduction surgery for reducing the size of large breasts. The anchor lift is the ideal treatment option for women with significant degrees of breast sagging.
Breast lift recovery top tips
Women can speed up their breast lift recovery by following the tips below:
- Make sure to wear an appropriate support bra. Women should avoid wearing underwire bras for the first six weeks after breast lift surgery. Once you wake up from your surgery, the nursing team will apply a suitable compression bra to wear after your procedure.
- It would help if you tried to avoid getting your breast lift incisions wet as this may increase the risk of wound breakdown. We would recommend sponge bathing for the first few days until your surgeon allows you to start having a bath.
- Avoid sleeping on your front, as pressure on the breasts may increase pain and discomfort. You can use pillows on either side of your arms to help you remain on your back during sleep.
- Avoid doing too much physical activity during the first week after surgery. It is essential to take it easy and not to do too much too soon. You should avoid strenuous physical activities and heavy lifting for the first six weeks after surgery.
- We recommend wearing shirts that button up from the front as it can be challenging to lift your arms over your head for the first four weeks after surgery. The breasts are often swollen during recovery, and wearing loose-fitting clothing will help minimise any discomfort.
- We recommend having someone look after you for the first 2 to 3 days after surgery. If you have children, your carer can help with looking after them as well as helping with any household tasks.
What are the options for a non-surgical breast lift?
Several non-surgical breast lift treatments may result in a very slight breast lift without the need for surgery.
Breast thread lift
Thread lifts involve repositioning the Breskin upwards without the incisions or scars of a breast lift surgery. Barbed threads are used to anchor the soft tissue. This procedure is considered to be non-surgical, and results may last between 18 and 24 months. There are no scars, and the threads naturally dissolve by themselves over the first two years. Treatment results are generally temporary, with a need to have repeat treatment after two years. Here at Centre for Surgery, we do not recommend thread lifts for a breast lift as there are several significant complications, including skin puckering and rippling of the skin.
Laser skin tightening
Although laser treatments are most commonly carried out for facial rejuvenation, they can also be carried out on the chest. Several treatments spaced a few weeks apart will be necessary to stimulate collagen and elastin formation. The increased firmness of the breast may result in a very subtle breast lift effect.
BodyTite is a minimally invasive treatment designed to stimulate collagen and elastin production by applying radio-frequency thermal energy beneath the skin. The surgeon will use the device with a local anaesthetic, and the desired result is firmer breast skin. A breast lift with BodyTite may improve the firmness of the breasts, which can result in a small amount of breast lift.