Breast reduction surgery is a procedure designed to reduce breast volume and reposition the breast tissue and nipple. It is often considered by people who experience physical symptoms such as neck, shoulder or back discomfort, bra strap indentations, difficulty exercising, or recurring skin irritation beneath the breast fold. Some patients also find that very large breasts make it challenging to find supportive clothing or participate comfortably in work, sport or daily activities. The operation is planned individually, taking into account your body frame, symptoms, and personal goals for size and shape.
Dr Mark Kohout is a Specialist Plastic Surgeon based in Sydney with extensive experience in breast reduction surgery. He offers a structured consultation process that includes a detailed medical history, examination of your breast anatomy, and discussion of your reasons for seeking surgery. During this appointment, he outlines potential surgical options, likely scar patterns, expected recovery, and possible risks or limitations, so you have a clear understanding of what the procedure can and cannot achieve. You are encouraged to ask questions and take time to consider whether surgery aligns with your preferences and circumstances.
Candidacy and Suitability FAQs
Am I a suitable candidate for breast reduction surgery?
You may be a candidate if you have large, heavy breasts that contribute to physical discomfort, rashes, bra strap indentations or activity limitations. Suitability also depends on your general health, breast anatomy and expectations, which are assessed during a consultation.What symptoms do people commonly report before breast reduction?
Many patients describe shoulder and neck discomfort, grooves from bra straps, difficulty exercising and problems finding well-fitting clothing. Some also report skin irritation in the breast fold and a feeling of heaviness across the chest.Does my age matter for breast reduction surgery?
Breast reduction is generally considered once breast development has stabilised. There is no single “right” age, but your overall health, breast stability and life stage are important factors in planning surgery.Do I need to be at a stable weight before surgery?
A stable weight helps with planning the amount of tissue to remove and may support more predictable outcomes. Significant weight changes after surgery can alter breast size and shape over time.Can I have breast reduction surgery if I smoke or vape?
Smoking and vaping nicotine are linked to reduced blood supply and higher risks of wound healing problems. Patients are usually advised to stop nicotine use well before surgery and during recovery to reduce these risks.Can I have breast reduction if I plan to have children in the future?
Pregnancy and breastfeeding can change breast size and shape, regardless of previous surgery. Breast reduction can still be performed, but it is important to understand that future pregnancies may alter the result.Will breast reduction affect my ability to breastfeed?
Breastfeeding may still be possible after some breast reduction techniques, but it cannot be guaranteed. The impact depends on the surgical method used and your individual breast anatomy.Is breast reduction suitable if my breasts are uneven in size?
Breast reduction can be used to reduce size and also to address asymmetry. While perfect symmetry is not possible, surgery can often reduce noticeable differences between the breasts.Can I have breast reduction if I have a medical condition such as diabetes or high blood pressure?
Many patients with well-managed medical conditions can undergo surgery, but careful assessment is required. Your GP and surgeon may work together to ensure your condition is appropriately controlled before proceeding.Is there an age at which I am too old for breast reduction?
There is no strict upper age limit, but overall health, medications, mobility and healing capacity are important considerations. A thorough pre-operative assessment helps determine whether surgery is appropriate and safe for you.Preparation for Breast Reduction Surgery FAQs
Do I need a referral to see Dr Mark Kohout about breast reduction?
A referral from your GP or another specialist is required to see a Plastic Surgeon in Australia. It ensures your medical history and symptoms are clearly documented. A valid referral may also be needed if Medicare or private health insurance benefits apply to your situation.What happens at my first consultation?
At your consultation, Dr Kohout will take a medical history, examine your breasts and discuss your symptoms and goals. He will outline potential surgical options, likely scars, risks and recovery, and answer your questions.Will I need imaging or tests before surgery?
Pre-operative tests may include blood tests and, depending on your age and history, breast imaging such as a mammogram or ultrasound. These tests help identify any issues that need attention before surgery.Should I stop smoking, and if so, when?
Patients are usually advised to stop smoking and nicotine vaping well before surgery, often several weeks in advance. Continuing to avoid nicotine during recovery can help lower the risk of wound healing problems.Do I need to stop any medications or supplements before surgery?
Some medications and supplements can affect bleeding or interact with anaesthesia. Dr Kohout and the anaesthetist will advise which medicines to continue, adjust or pause, in consultation with your GP if needed.How should I prepare my home for after surgery?
It is helpful to arrange a comfortable resting area with pillows, easy access to medications, and commonly used items within arm’s reach. Preparing loose, front-opening clothing and pre-cooked meals can make the first days at home easier.Do I need to arrange time off work or caring responsibilities?
Most patients need a period away from work, study and heavy household tasks to focus on recovery. The length of time depends on the nature of your job and your healing, but time off should be planned in advance.What should I bring to hospital on the day of surgery?
You will usually be asked to bring comfortable, front-opening clothing, supportive underwear or a surgical bra if advised, and any regular medications as instructed. Hospital admission paperwork and identification will also be required.How is my planned breast size discussed before surgery?
During consultation, you can discuss your preferred breast size in terms of proportion, clothing fit and symptom relief. Dr Kohout will explain what is realistically achievable based on your body frame and breast tissue.Are there alternatives to surgery that I should consider first?
Some patients trial physiotherapy, posture exercises, professionally-fitted supportive bras or weight loss if appropriate. While these measures do not reduce breast tissue, they may provide some symptom relief and are often considered before surgery.Risks, Limits and Likely Outcomes FAQs
What are the main risks of breast reduction surgery?
All surgery carries risks such as bleeding, infection, delayed wound healing and scarring. There are also procedure-specific risks including changes in nipple sensation, difficulty breastfeeding and differences in breast shape or size.Are there risks related to anaesthesia?
General anaesthesia has its own risks, which vary with age, medical history and the length of surgery. The specialist anaesthetist will discuss these with you and monitor you closely throughout the operation.Will I have visible scars after breast reduction?
Breast reduction leaves permanent scars, typically around the areola and extending vertically and sometimes in the breast fold. Scars usually soften and fade over time, but their final appearance varies between individuals.Can nipple sensation change after surgery?
Changes in nipple and breast skin sensation are common after surgery and may be temporary or long term. Sensation can become reduced, altered or, less commonly, increased, and the degree of change cannot be predicted with certainty.Can breast reduction affect mammograms or breast cancer screening?
Breast reduction changes breast anatomy, but screening can still be performed. It is important to inform the radiographer and radiologist about your surgery so they can interpret images appropriately.Is there a risk of infection or delayed wound healing?
Infection and slow-healing areas can occur, particularly where there is tension on the wound or in patients with risk factors such as smoking or certain medical conditions. Most issues are managed with dressings, antibiotics or minor procedures if required.How often do complications happen?
Serious complications are uncommon but can occur with any operation. Your individual risk depends on factors such as your health, smoking status, weight and the complexity of the surgery, which will be discussed during consultation.What result can I reasonably expect from breast reduction?
Breast reduction is designed to decrease breast volume and reposition the breast and nipple to a higher point on the chest. While outcomes vary, many patients report reduced physical symptoms and improved comfort in clothing and daily activities.Will my breasts change again over time after surgery?
Breasts continue to respond to ageing, gravity, hormonal changes and weight fluctuations. Over time, this can alter breast shape and position, even after a reduction.Can I have another breast reduction in the future if needed?
Revision or further reduction can sometimes be performed but may carry higher risks due to changes in blood supply and scarring. Careful assessment is necessary to determine whether additional surgery is appropriate.Breast Reduction Operation FAQs
Where is the surgery performed?
Breast reduction is usually performed in an accredited hospital or day surgery facility under general anaesthesia. This allows for appropriate monitoring, sterile conditions and access to specialist staff.How long does the operation usually take?
The procedure commonly takes several hours, depending on the technique used and the amount of tissue to be removed. Time in theatre also includes preparation and immediate recovery.What type of anaesthetic is used?
Breast reduction is typically performed under general anaesthesia so you are asleep and comfortable throughout the operation. Local anaesthetic is often used as well to assist with pain control after surgery.What incision patterns might be used?
Common incision patterns include a circular incision around the areola, a vertical line down the lower part of the breast, and sometimes a horizontal incision in the breast fold. The choice depends on your breast size, shape and the degree of reduction needed.Is liposuction ever used during breast reduction surgery?
In some cases, liposuction is used alongside tissue removal to reduce fatty tissue in specific areas and refine contours. Whether this is appropriate for you will be discussed during your consultation.Will I need to stay in hospital overnight?
Some patients go home the same day, while others may stay one or more nights, depending on the extent of surgery and individual needs. This decision is made in consultation with you, your surgeon and the anaesthetist.What will my breasts look like immediately after surgery?
Immediately after surgery, breasts are often swollen, firm and sit higher on the chest than they will once healed. Bruising and tape or dressings over the incisions are also common in the early period.Are drains used, and when are they removed?
Drains may be placed to remove excess fluid or blood from the surgical area, depending on the technique and surgeon preference. If used, they are usually removed within the first few days.Will I need to wear a special bra after surgery?
A supportive, non-underwired bra is usually recommended for several weeks after surgery to support the breasts while healing. Your surgical team will provide guidance on the type of bra and how long to wear it.Who will I see on the day of surgery?
On the day, you will see nursing staff, the anaesthetist and Dr Kohout before going to theatre. They will confirm the plan, answer any last questions and mark the surgical sites as needed.Recovery, Healing and Long-Term Care FAQs
How long does it take to return to everyday activities?
Most patients can manage light daily activities within days, while more strenuous tasks need to be delayed. The exact timing varies, and you will receive individual advice based on your progress.How much discomfort should I expect, and how is it managed?
Discomfort, tightness and heaviness in the chest area are common in the first days after surgery. Pain relief medicines, supportive garments and rest are used to keep symptoms manageable.When can I drive again after breast reduction?
You should only drive once you are off strong pain medication, can move your arms comfortably and feel able to react quickly in an emergency. This timeframe differs between individuals, so you should follow your surgeon’s guidance.When can I return to work or study?
People with desk-based roles may return sooner than those with physically demanding jobs. Your surgeon will suggest a timeframe based on the type of work you do and how your recovery is progressing.When can I exercise or lift heavy items again?
Gentle walking is usually encouraged early, but heavy lifting, gym workouts and high-impact exercise after breast reduction need to be delayed. You will be given specific instructions about gradually resuming activity to avoid stressing the healing tissues.How do I care for my wounds and scars?
You will receive instructions on showering, dressings, and when to avoid getting incisions wet. Once healed, scar care measures such as moisturising, massage or silicone products may be recommended to support scar maturation.What signs of complications should I look out for?
Warning signs can include increasing redness, swelling, significant pain, fluid leakage, fevers or sudden changes in breast appearance. If you notice any concerning symptoms, you should contact the clinic or hospital promptly.When will swelling and bruising settle?
Bruising generally improves over the first couple of weeks, while swelling can take several weeks to months to fully settle. The breasts gradually soften and assume a more settled shape over time.Will I need follow-up appointments after surgery?
Follow-up visits are scheduled to check wound healing, remove any sutures if needed and monitor breast shape and scar development. These appointments also give you an opportunity to discuss any questions or concerns.How long do results generally last?
The reduction in breast volume is long-lasting, but breasts will still change with time, gravity, hormonal shifts and weight fluctuations. Maintaining a stable weight and good overall health can help support longer-term shape.Understanding Breast Reduction Surgery
Breast reduction surgery involves removing breast tissue and skin, reshaping the remaining tissue and repositioning the nipple and areola on the chest. The aim is to create a smaller, better-supported breast that is more in proportion with your body frame and may help address physical symptoms related to breast size. The procedure usually includes tightening of the breast envelope and repositioning of the nipple-areola complex, while preserving as much blood supply and tissue viability as possible. Careful planning is required to balance tissue removal with maintaining a stable breast shape.
The specific technique used depends on factors such as your breast size, degree of droop, skin quality, nipple position and any asymmetry between the breasts. Common approaches include different incision patterns (for example, around the areola, vertically down the breast, and sometimes along the breast fold), each with its own advantages and limitations. During consultation, Dr Kohout will explain which methods may be suitable for you, how much size reduction is realistic, and what scars you can expect. This discussion also covers how your breasts may change over time with ageing, gravity, hormonal shifts and weight fluctuations, even after surgery.
Planning Your Breast Reduction Consultation
If you are considering breast reduction, an initial step is often to speak with your GP about your symptoms, medical history and any non-surgical measures you may have tried. Your GP can provide a referral for a specialist plastic surgery consultation and may arrange baseline investigations such as breast imaging if appropriate for your age and risk profile. A referral can also assist with documentation if Medicare item numbers or private health insurance benefits may apply in your situation. It can be helpful to write down your questions and goals beforehand so you can discuss them clearly at your appointment.
At your consultation with Dr Mark Kohout in Sydney, you can talk through your concerns, have your breasts assessed and explore whether breast reduction is a suitable option for you. Topics typically include surgical technique, anticipated scars, hospital stay, recovery timeline, and possible risks or complications, as well as fees and any applicable rebates. You may wish to bring information about your medications, previous operations, and any relevant test results to support a thorough assessment. After the consultation, you can take time to review the information, seek further clarification if needed, or obtain another opinion so that any decision to proceed is well considered and aligned with your personal priorities.
Further Reading
- Read more about Breast Procedures
- Read more about Mastopexy – Breast Lift Sydney
- Read more about Breast Revision Sydney
- Read Dr Kohout’s Blog on Healing and Recovery After Breast Reduction Surgery
- Read Dr Kohout’s Blog on Can Breast Reduction Surgery Help with Back Pain?
- Read Dr Kohout’s Blog on Return To Exercise After Breast Reduction
- Read Dr Kohout’s Blog on Breast Reduction Medicare Cover – Will Medicare cover Mammoplasty?
Related Blog Posts
Return To Exercise After Breast Reduction
Breast reduction surgery, also known as reduction mammoplasty, is a surgical procedure designed to reduce breast size by removing excess tissue, fat, and skin. Many people in Sydney choose this…
Reducing Back Pain with Breast Reduction…
The Connection between Back Pain and Overly Large Breasts For some women, overly large breasts can be a source of discomfort and pain, particularly in the back region. The weight of…
Healing and Recovery After Breast Reduction…
Comprehensive Guide to Healing and Recovery After Breast Reduction Surgery Download Dr Mark Kohout’s Breast Reduction Surgery Guide Healing and Recovery After Breast Reduction: Timeline and Tips Breast reduction surgery,…
Experienced Plastic Surgeon
Dr. Mark Kohout
A qualified plastic surgeon who operates with care and integrity, based in central Sydney with over 20 years of experience in the cosmetic field. His extensive training and experience assures patients they are in highly trained surgical hands. Dr. Kohout is a dedicated, friendly professional who is committed to providing the high quality care, support and results, alongside his compassionate team.
Dr Mark Kohout (MED0001133000)
Specialist Plastic Surgeon
Specialist registration in Surgery – Plastic Surgery