Breast Reduction / Mastopexy surgery

1. What Is Breast Reduction / Mastopexy?

Breast reduction / mastopexy is a surgical procedure performed to reduce breast size and weight while lifting and reshaping the breasts. It involves removal of excess breast tissue, fat, and skin, and repositioning of the nipple–areola complex to a higher, more natural position.

This procedure is commonly performed to relieve physical symptoms such as neck, shoulder, and back pain, skin irritation beneath the breasts, posture problems, and limitations in daily activities. It may also improve breast shape, symmetry, and overall quality of life.

The goal of surgery is to create smaller, lighter, better-shaped breasts that are proportionate to the body while preserving nipple sensation whenever possible.

Breast reduction / mastopexy is typically performed as a day surgery, and most patients go home the same day.

2. How the Procedure Works

Before Surgery

You will meet with Dr. Alhalabi to confirm the diagnosis and discuss goals, expectations, and limitations of surgery. During this visit, the following will be reviewed:

· Medical history and physical examination
· Breast size, shape, and degree of sagging (ptosis)
· Incision pattern and surgical plan
· Medications to stop or continue
· Smoking cessation requirements
· Recovery timeline and time needed off work
· Factors that may affect healing (diabetes, smoking, obesity, vascular disease, etc.

During Surgery

· The procedure is performed under general anesthesia.
· Incisions are made on the breasts (commonly around the areola, vertically down the breast, and sometimes along the breast crease).
· Excess breast tissue, fat, and skin are removed.
· The nipple–areola complex is lifted to a higher position while maintaining blood supply whenever possible.
· The breasts are reshaped for improved contour and symmetry.
· Incisions are closed with sutures (which may or may not be dissolving).
· Dressings and a surgical bra are applied.
· Surgery duration varies but typically lasts 2–4 hours, depending on complexity.

After Surgery

· You will be monitored briefly in the recovery area before discharge.
· Your breasts will be covered with dressings and supported by a surgical bra.
· Pain, tightness, and pressure are common and managed with prescribed or over-the-counter pain medication.
· Antibiotics may be prescribed.
· Early gentle movement and walking are encouraged, but arm strain should be avoided.

3. Postoperative Expectations

Common postoperative symptoms include:

· Swelling of the breasts
· Bruising
· Pain or tightness
· Temporary numbness or changes in nipple sensation
· Fatigue
· Initial firmness or heaviness of the breasts

Recovery is gradual, and breast shape continues to evolve over several months.

Phase 1: Immediate Care (From Surgery Until First Follow-Up Appointment)

· Keep dressings clean and dry.
· Wear your surgical bra at all times unless instructed otherwise.
· Avoid lifting, pushing, or pulling with your arms.
· Sleep on your back with your upper body elevated.
· Watch for signs of infection (increasing redness, warmth, swelling, drainage, fever, or worsening pain).

Your first follow-up appointment is usually scheduled 5–10 days after surgery for wound assessment and dressing changes.

Phase 2: Early Recovery (Up to 6 Weeks Post-Surgery)

· Swelling and discomfort gradually decrease.
· Light daily activities may be resumed as tolerated.
· Avoid heavy lifting, strenuous activity, and upper-body exercise.
· Driving may resume once you are off narcotic pain medication and comfortable with arm movement.
· Continue wearing a supportive bra as directed (no underwire initially).

If dissolving sutures were used, redness around the sutures and small amounts of white discharge may occur as they dissolve. Gentle cleansing with clean water is encouraged unless otherwise instructed.

Phase 3: Long-Term Recovery (6 Weeks and Beyond)

Breast shape, softness, and sensation continue to improve over several months. Scar care is introduced:

· Scar massage
· Moisturizing creams
· Silicone sheets or gels if recommended

Return to full activity depends on healing progress and job demands.

4. Risks and Possible Complications

Breast reduction / mastopexy is generally safe and effective but carries some risks, including:

· Infection
· Bleeding or hematoma
· Delayed wound healing
· Poor or widened scarring
· Changes or loss of nipple sensation (temporary or permanent)
· Partial or complete nipple–areola compromise (rare)
· Breast asymmetry
· Fat necrosis
· Inability to breastfeed
· Persistent pain
· Need for revision surgery

5. Alternatives and Other Options

Depending on symptoms and goals, alternatives may include:

· Observation for mild symptoms
· Supportive bras and physical therapy
· Weight loss (if appropriate)
· Pain management strategies

These options do not remove excess breast tissue and may provide limited or temporary relief.

If you are unsure about proceeding with surgery or have further questions, you are encouraged to book an additional pre-operative appointment. You always have the right to seek a second opinion—please let us know if you wish to do so.