After Surgery – what to expect

Patients will be mobile immediately and can resume driving, light activities and light exercise such as walking with two weeks. They can usually return to normal activities and exercise within four to six weeks. Most patients are recommended to take around one to two weeks off work after the operation depending on the physical demands of their job.

Whilst scars are not completely predictable, most are barely visible and easily concealed in time.  They may appear pink and slightly thickened for a few weeks to months after the surgery but will usually fade to be pale and soft by around three to six months.  Their final appearance may take up to eighteen months to achieve.  Most patients experience very minimal scarring in the longer term.

Dr Hanikeri will usually recommend topical scar therapy such as silicone tape to be used from around the fourth postoperative week, until around three months after surgery

Breast reduction often makes a dramatic change in appearance as well as physical comfort.

Traditional ‘anchor’ scar

This is the most common type of incision resulting from breast reduction.  It results in a scar, starting around the areola, travelling vertically down and then horizontally across the fold under the breast.

Circumvertical scar (lollipop scar)

Patients who are suitable for this technique end up with a scar around the areola and a scar that travels vertically down, but with no scarring underneath the breast. The vertical pattern is less effective for large breasts with significant droop or excess skin under the nipple. Also, because there is no excision of skin under the breast, the skin around the vertical scar can appear gathered or puckered for a few weeks after the operation. The appearance of this puckering will improve as the incision heals and the breasts settle into their new shape however, the final result may not be visible for up to one year after the procedure.

Circumareolar technique

The only scar is from a circular incision is around the areola. This technique is only suitable when a very small amount of tissue needs to be removed such as when only one breast needs to be reduced to match the other breast for mild breast asymmetry.

​Liposuction may be used to reduce breasts and to improve the contour on the side of the chest however some patients who are overweight may still have an excess of fat arising from their back which may become more visible after breast reduction.

Risks of breast reduction

All surgical procedures carries some risk. These are discussed in detail during the second consultation and a written list of the main things to consider will usually be given to you at the initial consultation.

Changes in nipple or breast sensation may occur and whilst they may be temporary, they can also be permanent though this is rare.

Pregnancy and weight fluctuations can alter breast size in an unpredictable way and could affect the results of breast reduction

Patients are instructed to wear a postoperative compression garment for the first four weeks

Incision lines result in scars which will fade over time.  These will be permanently visible; however, they are usually easily concealed. Occasional poor healing of incisions may lead to necessary revision surgery.

Breasts may not be perfectly symmetrical and nipple height and shape may vary slightly. Minor adjustments can be made if required, usually sometime later but patients should remember that natural breasts show some variation.

Gravity and the effects of ageing and weight fluctuations will alter the size and shape of every woman’s breasts.  Some patients may choose to undergo a second breast reduction procedure, though this is uncommon. If you would like to know more, or to request an appointment, please contact us today.


Can you still breastfeed after a breast reduction?

Yes but you cant assume this will occur in all cases and should be prepared to bottle feed or supplement bottle feed if you have breast reduction before pregnancy.  Most women who want to can produce some milk and breast feed after breast reduction.  Some women struggle top feed before breast reduction if they have very large breasts.

Dep[ends on your build and the size of your original breasts.  Generally the more tissue that is removed, the harder it is to produce a shapely breast with acceptable risks to the nipple blood supply and the blood supply of the residual tissues.  Most women can comfortably be made a large C to D cup.  Some will be a DD if they have a larger frame and start out with very large breasts.

Once drains are out, patients can shower immediately and dry dressings with a hair dryer if they get wet.  Some surgeons ask the patients to sponge bathe for up to two weeks.