Many women may see large breasts as something to envy, but in reality, having very large breasts can bring a range of problems: neck, shoulder and back pain from carrying too much breast weight. When severe, this pain can lead to chronic headaches, a permanently bent and misshapen back and shoulders, difficulty breathing, and having to give up activities that involve impact, which can be very frustrating for patients. Some women develop a hunched posture without realising it, which affects how they carry themselves. Large breasts also tend to draw other people’s stares, leaving women feeling self-conscious. These problems can be solved: at SLC Hospital, we reduce breast size through breast reduction surgery, also known as reduction mammaplasty.

In general, people who undergo breast reduction surgery fall into 3 groups:

1. Women with naturally large breasts due to genetics, made up purely of glandular breast tissue, with well-shaped, upright breasts and skin that is not very loose
2. Women whose breast augmentation was too large, causing the breasts to loosen and sag, who want their breasts made smaller
3. Women who have had children and older women, whose breast tissue has become soft, loose and less firm, making the breasts larger and droopier than normal. This can be corrected with breast reduction combined with a breast lift.

Breast reduction techniques and methods

• Donut technique: incision around the areola

The breast is reduced through an incision around the areola. At first, this method leaves puckered stitching around the areola, which improves and disappears within 3–6 months. Because the incision sits around the areola, the scar is not very visible, but the breast takes on a donut or tomato-like shape, with a slight dip in the centre. To correct the breast shape in some patients, a breast augmentation with implants may also be considered.

• Nipple relocation technique

When the breasts are very large and very saggy, almost all of the breast tissue may need to be removed, with the nipple and areola moved to a new position.

• Horizontal incision technique

Surgery that leaves a horizontal scar, suitable for those who do not want a vertical scar. The breast can be reduced through a horizontal incision.

• Vertical or lollipop incision technique

This technique is for those who do not want a horizontal scar. The surgeon trims away breast tissue as needed and then closes the wound without making a horizontal incision. With this method, there will be some puckering under the breast fold for about 2–3 weeks.

• Inverted-T (Anchor) technique

This leaves an inverted T-shaped scar on the lower part of the breast. An incision of this kind gives the breast a beautiful shape.

• Liposuction technique (Vaser Lipo Selection)

Suitable for those whose breasts are larger than normal but whose skin has good elasticity. Liposuction leaves very little scarring and gives good results, especially in younger patients.

Why choose breast reduction at SLC Hospital

• Experienced specialist surgeons
• Boutique Hospital-level rooms
• 1:1 anaesthesiologist care throughout the surgery
• Safe, with modern operating rooms and equipment that meet international standards
• Results that look full and natural, just like before
• Breasts in proportion to your body, for greater confidence

What makes the anaesthesiologists at SLC Hospital special

In surgery, it is essential to have an anaesthesiologist, a doctor who specialises in anaesthesia. At SLC Hospital, our customers’ safety is our number one priority, so an anaesthesiologist monitors your safety throughout the operation. Proper general anaesthesia cannot be given by a regular doctor or nurse; it must be an anaesthesiologist who administers anaesthesia during surgery and looks after you closely from start to finish. Whether or not you have general anaesthesia, SLC Hospital treats safety as a top priority.

Who is breast reduction surgery for?

• People with neck, shoulder, back or head pain from carrying too much breast weight
• People with spinal problems, such as herniated discs, from carrying too much breast weight
• People who feel self-conscious because their breasts are too large
• People whose breasts are uneven in size or out of proportion with their body
• People with stretch marks under the breasts because of their large size
• People with chronic rashes or irritation under the breast fold
• People who have trouble finding clothes that fit

Preparing for surgery

• Do not eat or drink for at least 8 hours before your procedure
• Tell your surgeon about your medical history, underlying conditions, drug allergies, and all medications and supplements you take. Patients with underlying conditions or anaemia in particular should consult the doctor who treats that condition, have blood tests, and take medication so the body is ready before the procedure.
• Avoid or stop blood thinners, aspirin, ibuprofen or any other medicine that affects blood clotting, such as sinus medicines and cough medicines containing these drugs, as well as vitamin E, fish oil, herbal remedies and all supplements, 1 month before surgery
• Avoid foods that affect blood clotting for 2 weeks before surgery, such as MSG, garlic, onions, soybeans, almonds, apples, berries, cucumber, ginger and tomatoes, as well as raw or undercooked food
• Do not smoke or drink alcohol for 2 weeks before surgery
• If you have a cough, fever or any illness, please inform our staff in advance so the surgery can be rescheduled
• Get enough rest, 8-12 hours before surgery, and prepare yourself physically and mentally. Try not to worry or feel stressed, as this can raise your blood pressure.

Preparing on the day of surgery

• Shower and wash your hair on the day of surgery. Do not wear contact lenses, make-up, nail polish, lotion, perfume or jewellery on the day of surgery. Please leave valuables at home.
• Wear loose clothing with a zip or buttons at the front. Do not wear tight-fitting clothes or trousers. Do not drive yourself or come alone; a companion or relative must accompany you on the day of surgery.
• Arrive 1 hour before your surgery time to prepare

Aftercare following surgery

• Follow the nurse’s instructions strictly
• Clean your body with sponge baths. After 1 week, the wounds will be dry and you can shower normally, with no need to dress the wounds yourself until your follow-up appointment with the doctor.
• Avoid lifting heavy objects for the first month
• Keep the bandage wrapped as your doctor applied it, at a tightness that still lets you breathe out comfortably, for 2 weeks
• Do not wear underwired bras for 2 weeks; you may switch to a sports bra instead
• Attend your follow-up appointments. If you notice anything unusual, tell your doctor immediately.

Who should not have breast reduction

• Smokers
• People with severe obesity
• People who do not want any scars on the chest
• People with underlying conditions that could be dangerous, such as diabetes or heart disease
• People planning to have children should wait until after the breastfeeding period
• People planning to lose weight through exercise, as the breasts may also get smaller with exercise

Review & Reality Live: breast reduction

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