If you are fed up with shoulder pain, bra straps digging into your skin, and difficulty exercising, you may be a good candidate for breast reduction surgery (also known as reduction mammaplasty). This procedure provides relief from a number of symptoms associated with large breasts. But you will be making an investment of time and money in your surgery, so you are wise to investigate the risk of future changes that could affect your breast reduction results.

In this guide, we review the aspects of Hormone Changes After Breast Reduction, common problems after breast reduction surgery, weight gain after breast reduction, and how many stitches for breast reduction.

The fact is, your breasts can get bigger again after breast reduction surgery, but it rarely happens (and this doesn’t mean that breast reduction isn’t for you). Below, we outline how this can happen, and how to prevent unwanted changes to your breast size.

What happens during breast reduction surgery?

During your breast reduction surgery, Dr. Hess will make a “lollipop” or “anchor” shaped incision. The lollipop incision encircles the areola, with a line that extends to the bottom breast fold, and an anchor incision involves the same with an additional incision along the breast base. Through your incision, a portion of the glandular breast tissue, fat, and excess skin is removed. Dr. Hess uses the superomedial pedicle technique to minimize risk of complications and ensure the upper pole of the breast remains round and “full” looking, to help give you natural-looking results and avoid a deflated appearance.

With Dr. Hess’ years of experience achieving gorgeous results with breast reduction, he is careful to plan your results to appear natural in proportion with your other features. Before surgery, you will have worked with Dr. Hess to determine your ideal “look” that is in proportion with your overall figure.

Dr. Hess will talk with you during your breast reduction consultation about your family medical history, your age, and any other factors that may affect breast regrowth.

How long after breast reduction will I know my size?

Breast reduction surgery is a common procedure that many women undergo to alleviate physical discomfort and improve self-esteem. While the immediate results of smaller breasts are apparent right after surgery, it is important to note that the final outcome may take some time to fully manifest. According to medical experts, it typically takes several months for the swelling to go down completely and for the breasts to settle into their new shape.

During the first few months following breast reduction surgery, patients may notice some subtle changes in their breast size and shape. This is normal as the body continues to heal and adjust to the changes made during the surgical procedure. It is not uncommon for minor fluctuations in breast size to occur up to a year after surgery. This is why it is recommended to wait at least a full year before assuming that your breast size has completely settled.

To support the healing process and ensure optimal results, it is crucial for patients to follow their surgeon’s post-operative care instructions diligently. This may include wearing a supportive bra, avoiding strenuous activities, and attending follow-up appointments to monitor progress. It is also important to maintain a healthy lifestyle, including a balanced diet and regular exercise, to promote overall well-being and enhance the outcome of the surgery.

In the meantime, there are a variety of products available on Amazon that can help support the healing process and enhance the results of breast reduction surgery. Some popular items include:

– Post-operative bras, designed to provide support and compression to the breasts during the recovery period.
– Scar treatment products, such as silicone sheets or gels, to help minimize the appearance of surgical scars.
– Vitamin E oil or cream, known for its healing properties and ability to improve skin elasticity.
– Arnica montana supplements or creams, which are believed to reduce bruising and swelling following surgery.

By following the recommendations of your plastic surgeon and utilizing supportive products, you can ensure a successful breast reduction surgery outcome. Remember to be patient and allow your body the time it needs to fully heal and adjust to its new size and shape. Trust in the process and know that ultimately, you will achieve the results you desire.

What does it mean if my breasts look bigger soon after surgery?

Hormone Changes After Breast Reduction

For many women who elect to undergo a breast reduction procedure, the last thing they expect is the possibility that their breasts might again increase in size, requiring them to undergo a second reduction procedure. Although this particular scenario is not very common, there are some particular circumstances under which this can happen. Our staff at Jefferson Plastic Surgery has dealt with several instances in which women needed another breast reduction procedure. What can cause this to happen, and how can you possibly lower your chances of having your breasts revert back to their size after surgery?

Dramatic Hormonal Shifts

Any dramatic change in hormone levels, particularly in your estrogen levels, might stimulate the production of breast tissue. Such surge in hormone levels can be caused by onset of menopause, particularly if you start hormone replacement therapy to reduce its effects. Conditions such as a hyperactive or hypo-active thyroid may also have an effect on the hormone balance that may stimulate growth of breast tissue. Certain medications that affect the endocrine system can also cause this type of hormone shift.

Pregnancy after Surgery

Our surgeons strongly suggest that you wait until after you are certain that you are done with pregnancy and breastfeeding before undergoing a breast reduction cosmetic surgical procedure. However, we understand that in some cases, you may become pregnant following your reduction surgery. Because your breasts will grow larger as a result of the hormonal changes necessary for lactation, you may end up with your breasts becoming the same size that they were prior to your reduction surgery.

Dramatic Weight Gain

If you are looking to have your breast reduction surgery covered by insurance as medically necessary, you may be required to lose a certain amount of weight before undergoing the surgery, but also maintain a steady weight prior to surgery. The reason for this is that one of the first places where women often lose or gain weight is in their breasts. If you gain a substantial amount of weight following your breast reduction surgery, there is a good chance that your breast tissue will grow back again. Our surgeons suggest sticking to the routine of regular exercise and a balanced, low fat diet that you followed to lose weight before your breast reduction surgery.

Physical Growth in Adolescents

Almost all of the breast reduction surgeries that we perform are for adult females. However, there are cases in which adolescent girls require such a procedure, usually in medically necessary circumstances. Although our surgeons do try to wait until the girl is in late adolescence, when most of the growth spurt has passed, there is still a chance that the breasts are still developing and may continue to grow larger after breast reduction surgery. If this occurs, a second reduction surgery may be needed once the breasts have stopped growing.

Fortunately, cases in which your breasts might grow back to their size prior to reduction surgery are very rare. Our surgeons recommend working to maintain your weight prior to surgery in order to minimize the chances of this happening.

common problems after breast reduction surgery

Common Problems After Breast Reduction Surgery

Undergoing breast reduction surgery can be a life-changing procedure for many women. While the surgery can provide relief from physical discomfort and improve self-confidence, there are also common problems that some patients may experience post-operatively. It is important to be aware of these potential issues and know how to manage them effectively.

1. Pain and Discomfort

After breast reduction surgery, it is common for patients to experience pain and discomfort in the days and weeks following the procedure. This can be managed with prescription pain medications provided by the surgeon, as well as over-the-counter pain relievers such as ibuprofen. It is important to follow the surgeon’s post-operative care instructions to help minimize pain and promote healing.

2. Swelling and Bruising

Swelling and bruising are also common side effects of breast reduction surgery. This is a normal part of the healing process and should subside over time. Patients can help reduce swelling by wearing a supportive bra as recommended by their surgeon and avoiding strenuous activities that could exacerbate the swelling.

3. Scarring

Scarring is inevitable after breast reduction surgery, but there are ways to help minimize its appearance. Proper wound care, including keeping the incision sites clean and moisturized, can help promote healing and reduce scarring. Patients may also consider using scar creams or silicone sheets to further improve the appearance of scars.

4. Changes in Sensation

Some patients may experience changes in sensation in their breasts after surgery, including numbness or hypersensitivity. These changes are usually temporary and should improve over time. It is important to communicate any concerns about changes in sensation to the surgeon during follow-up appointments.

5. Infection

While infection is rare after breast reduction surgery, it is still a potential complication that patients should be aware of. Signs of infection include redness, swelling, and increased pain at the incision sites. Patients should contact their surgeon immediately if they suspect they have an infection.

6. Asymmetry

Some patients may experience asymmetry in their breasts after surgery, where one breast may appear larger or sit higher than the other. This can be addressed through revision surgery if necessary, but it is important to wait until the breasts have fully healed before considering any additional procedures.

7. Psychological Effects

While breast reduction surgery can have many positive physical benefits, some patients may experience psychological challenges such as body image issues or feelings of regret. It is important for patients to seek support from a mental health professional if they are struggling with these emotional effects of surgery.

Popular Products on Amazon:

• ScarAway Silicone Scar Sheets


• Post-Surgery Support Bra


• Pain Relief Medication

What are the risks of breast reduction surgery?

The decision to have breast reduction surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks of breast reduction surgery and potential complications are acceptable.

Your plastic surgeon and/or plastic surgery staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

Possible breast reduction surgery risks include:

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single breast reduction procedure and another surgery may be necessary.

Where will my surgery be performed?

Breast reduction procedures may be performed in your plastic surgeon’s accredited office-based surgical facility, an ambulatory surgical facility or a hospital. Your plastic surgeon and the assisting staff will fully attend to your comfort and safety.

When you go home

If you experience shortness of breath, chest pains or unusual heartbeats, seek medical attention immediately. Should any of these breast reduction complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

Be careful

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself and minimize breast reduction surgery risks.

Be sure to ask questions: It’s very important to address all your questions directly with your plastic surgeon. It is natural to feel some anxiety, whether excitement for the anticipated outcome or preoperative stress. Discuss these feelings with your plastic surgeon.

weight gain after breast reduction

“What happens if I put on weight after plastic surgery?” is a common question that we receive from our patients, especially after indulging over the holiday period!

We know just how much work it takes to reach your goal weight prior to surgery, but just as important to achieving an incredible long-term surgical result with Dr Moncrieff is maintaining your goal weight after surgery.

Fallen off the bandwagon? It’s okay, life happens! Here is what you need to know about weight gain after plastic surgery.

Will weight gain impact my surgical results?

In most cases, yes. It is important to remember that plastic surgery is not a substitute for weight loss, and weight gain or major weight fluctuations after surgery can have an impact on your surgical results.

Here are the answers to some of the most common questions we are asked about weight gain.

First of all, have you really put on weight?

If you are less than 12 weeks post-op, and you have been careful with your diet, it is less likely that you have ‘put on’ much actual weight – you are more likely experiencing post-surgical bloating and swelling (click for more about this and how to manage it here).

Swelling, bloating, stomach discomfort and distention are all very common after breast and body surgery, and may even impact the scales – but it will subside significantly by the 12-week mark and continue to improve in the months following.

What will my tummy tuck look like if I gain weight?

While it is completely normal to fluctuate in weight by 5kg or so, major weight gain or pregnancy after a tummy tuck surgery can significantly impact your surgical results. Weight gain following tummy tuck surgery essentially places internal pressure from fat under the muscles against the suture line and tightly repaired muscles. Not only can this cause a ‘barrel’ like appearance to the abdomen, but you may also notice your hips and back begin to look fuller in comparison to your tight tummy.

What about weight gain after breast surgery?

Significant weight gain or fluctuation can also impact your breast surgery.

For breast reduction patients, weight gain will often increase the overall size of the breasts – the total opposite of the objective we are hoping to achieve with breast reduction surgery!

For breast augmentation patients, often weight gain results in the breasts ‘drooping’ or ‘sagging’ over time as the skin is forced to stretch even further to accommodate for the increased fat cells.

Can fat return after liposuction?

Dr Moncrieff regularly includes liposuction in his tummy tucks, breast reductions and fat transfer. But it is important to note that the fat cells removed during liposuction are gone for good, the remaining fat cells will increase and decrease in size with weight fluctuation. So it is not a ‘get out of jail free’ card!

What happens to my scars if I put on weight after surgery?

Rapid weight gain will create extra tension on the suture lines which can compromise healing and lead to stretched scars. Another reason to try to keep your weight stable.

Getting back on the bandwagon

Maintaining a healthy, active lifestyle is key to maintaining your surgical results. Ensuring your nutrition and exercise regime reflect your weight loss goals will be key to working your way back to your pre-surgical weight. It may be worthwhile to speak to your GP or a qualified dietician about weight loss management to aid you on your journey.

Struggling to return to exercise after plastic surgery?

Most patients will receive full clearance to return to exercise at 12 weeks post-op. For some patients, returning to exercise can be difficult following major breast or body surgery. Even if you were a certified gym-junkie prior to surgery, your body will be deconditioned from taking time off during your recovery period.

If you are struggling to return back to your regular exercise regime, you may consider utilising physiotherapy to help get you back on your feet. Many of our surgical patients work with the amazing team at Next Gen Physio Kotara in both their pre and post-operative period.

Will I require revision surgery to correct my results after weight gain?

If your surgical outcome has been impacted by weight gain and you are now seeking revision surgery, Dr Moncrieff will ask you to return to your pre surgery weight, less the amount removed in surgery, in order to assess the surgical results accurately.

As an example, Patient X underwent a tummy tuck with her weight sitting at 70kg. During surgery, Dr Moncrieff removed 5kg of excess fat and skin. After surgery, Patient X’s ‘true weight’ is then 65kg.

Six months post-surgery, Patient X attends her follow-up appointment with Dr Moncrieff and advises she has put on about 10kg since surgery, so now weighs 80kgs. However, since Dr Moncrieff removed 5kg of fat and skin during her operation, really she has put 15kg – enough weight gain to significantly impact her surgical results.

In majority of cases like these, revision surgery is not required – weight loss is required in order to revert back to the original surgical result.

how many stitches for breast reduction

A breast lift, or mastopexy, is performed as an outpatient procedure under general anesthesia. The procedure typically lasts one to three hours. After one or two hours in the recovery room, the patient is discharged to home. Patients are instructed to relax, but bed rest is not necessary. In fact, we prefer that you move around some. You may eat anything you want right after surgery. You may shower that day or the next day. There is very little wound care needed.

The incisions are covered by strips of 1″ paper tape. There is a large clear plastic dressing over the lower half of the breast. All of this will be removed approximately 10 days after surgery. There are usually only one or two sutures that need to be removed. The rest are buried under the skin and will eventually dissolve. Drains are typically not necessary. A surgical bra is worn for four weeks around the clock. Patients typically are off work for three to seven days. There are no restrictions after three weeks postoperatively. It usually takes 6 to 12 weeks for the breasts to achieve their final shape.

As one of the main concerns with mastopexy is scar quality, we have a special protocol that we use for the breast scars. When you are seen 10 to 14 days after surgery, we will remove the paper tape that we placed on the incisions in the operating room. Then, we will apply a clear plastic dressing called Tegaderm to the scars. You will be instructed to leave this on as long as possible. We would like for you to use the Tegaderm for a total of three months. Usually it will require changing every three or four weeks. The Tegaderm applied to the scar at the fold beneath the breast may require changing more frequently than the Tegaderm applied around the nipple. We have found that the use of Tegaderm for three months after surgery significantly improves scar quality.

Pain after mastopexy is usually very moderate. Often non-narcotic analgesics are all that is required. This allows for a faster recovery and reduces the side effects that are often seen with narcotics such as Demerol and codeine.

Outcome

Early after surgery, the breast skin will be tight. The upper portion of the breast will be full, and perhaps rounded. The bottom portion of the breast will be flattened. This shape is temporary and as time goes on the upper portion will flatten and the bottom portion will fill out. As it does so a more desirable shape will be achieved. Unfortunately, the skin may continue to stretch and the breast may continue to sag beyond this desired endpoint. However, it will not return to the position and shape that it started from before surgery.

Tightening the breast skin forces the tissue into a smaller volume. It becomes more dense or firmer. This firmness is due to the external compression by the skin instead of a gain of internal cohesiveness by the breast tissue. Since the skin is weak to begin with, the early tightness is only temporary. If an implant is used the resulting tightness of the breast will depend on how much of the final breast comes from natural tissue and how much comes from the implant.