Breast reduction surgery, or reduction mammoplasty, is a surgical procedure that involves the removal of excess breast tissue, fat, and skin. It is typically considered by individuals who experience discomfort related to the size or weight of their breasts, including neck or shoulder strain, skin irritation, or restricted physical activity. The aim of the procedure is to reduce the volume of the breasts while maintaining proportion with the rest of the body.
Dr Mark Kohout is a Specialist Plastic Surgeon with over two decades of experience in plastic and reconstructive surgery. He completed his medical training at the University of Sydney and undertook further specialist training in both Australia and internationally. His qualifications include Fellowship of the Royal Australasian College of Surgeons (FRACS), and he has a long-standing interest in breast procedures, including breast reduction.
Dr Kohout consults from his main clinic in Sydney and also sees patients in Orange, NSW. For individuals living in Orange and the Central West region, this offers access to specialist surgical care with the convenience of local consultations and follow-up appointments. While all surgeries are performed in fully accredited hospitals, most often in Sydney, patients are supported before and after surgery through Dr Kohout’s regional clinic.
Breast reduction surgery is often considered by individuals who experience ongoing physical symptoms that may be associated with larger breasts. While outcomes vary between individuals, the procedure is commonly sought for reasons related to physical comfort and daily function.
Some of the concerns that patients may discuss during consultation include:
Others may seek surgery for personal or lifestyle reasons, including a desire to move more freely or take part in activities that previously felt limited.
Dr Mark Kohout provides personalised consultations in Orange to help patients understand the procedure, ask questions, and explore whether surgery may align with their individual needs.
Breast reduction surgery may be suitable for individuals experiencing ongoing physical symptoms linked to breast size. Eligibility is assessed during a consultation based on health, anatomy, and surgical goals.
Common reasons patients consider breast reduction include:
Patients are generally in good overall health, are non-smokers (or willing to stop smoking as advised), and have completed breast development. Future plans for pregnancy or breastfeeding should also be discussed, as the procedure may affect these areas.
At his Orange clinic, Dr Mark Kohout provides one-on-one consultations to help determine whether breast reduction is a medically suitable option based on individual needs and clinical factors.
Breast reduction surgery involves the removal of excess breast tissue, fat, and skin to achieve a smaller, more balanced breast size. The technique used depends on the amount of tissue to be removed, the shape and position of the breasts, and individual anatomy.
Dr Mark Kohout commonly uses the following clinically established techniques:
Each method is designed to safely remove tissue while reshaping the breast and repositioning the nipple. Surgical planning is personalised to suit the patient’s frame, skin characteristics, and goals discussed during consultation.
All breast reduction procedures are performed by Dr Kohout in accredited hospital settings under general anaesthetic. Patients from Orange typically attend consultations and follow-up appointments locally, with the surgery itself completed in Sydney.
Breast reduction surgery is performed under general anaesthesia in an accredited hospital. Dr Mark Kohout removes excess breast tissue, fat, and skin, then reshapes the remaining tissue and repositions the nipple for better balance with the body.
Depending on the size of the reduction, either a vertical (lollipop) or anchor (inverted-T) incision is used. The surgical plan is tailored during the consultation based on anatomy and patient goals.
The procedure typically takes a few hours. Most patients stay overnight in hospital and are discharged the next day. Those from Orange travel to Sydney for surgery and return home once cleared. Post-operative care continues at Dr Kohout’s Orange clinic for convenience and local support.
Recovery is gradual and varies between individuals. Most patients return home the day after surgery with dressings and a support garment in place.
Key points in the recovery process:
Patients from Orange can attend follow-up care at Dr Mark Kohout’s local clinic, making wound checks and post-operative reviews more convenient.
Clear recovery instructions are provided after surgery and discussed during consultation.
Breast reduction surgery is considered a permanent procedure, though natural changes can occur over time due to ageing, weight fluctuations, or hormonal shifts.
Key long-term considerations include:
Patients in Orange can continue follow-up with Dr Kohout locally, ensuring access to long-term care and guidance as needed.
Preparing for breast reduction surgery involves several important steps to support patient safety and understanding. During the initial consultation, Dr Mark Kohout will review your medical history, perform a physical examination, and explain what the procedure involves. This discussion includes incision options, the expected recovery process, and potential risks.
Before surgery, patients may be asked to:
On the day of surgery, patients are admitted to a private hospital where the procedure is performed under general anaesthetic. Most stay overnight before returning home.
After surgery, patients wear a surgical garment to support healing. Follow-up appointments are scheduled at Dr Kohout’s Orange clinic, allowing for wound care and recovery monitoring without needing to travel back to Sydney.
The full outcomes of breast reduction develop gradually as swelling settles and tissues heal. The recovery process and expected timeline are explained in detail during consultation, with written instructions provided.
The cost of breast reduction surgery depends on several factors, including the complexity of the procedure, hospital and anaesthetic fees, and the surgical technique used.
During your consultation with Dr Mark Kohout, you will receive a written quote outlining all associated costs. This allows you to review the financial details before proceeding.
Patients in Orange can access this information during their local consultation without needing to travel to Sydney for cost discussions.
For more information, visit the Cost and Pricing page.
Yes. Follow-up care is available at Dr Kohout’s Orange clinic, so you don’t need to return to Sydney for routine checks unless clinically necessary.
During recovery, you’ll need to wear a surgical support garment under your clothes. Once healed, most patients return to wearing their usual seasonal clothing comfortably.
Yes, we recommend bringing a support person to your first consult. There is a lot of information to cover and it is helpful to have someone else hear the information.
This should be discussed during consultation. Planning for extra support in the first week is essential, especially if you live remotely or have limited access to transport and assistance.
Some patients prefer spring or early autumn when it’s milder, as very hot or very cold conditions can affect comfort during recovery. However, surgery can be safely performed year-round.
No. You will need someone to drive you home, as you cannot operate a vehicle after having general anaesthetic or surgery. Driving restrictions will be discussed before your procedure.
Heavy lifting should be avoided in the early recovery phase. After six weeks, many patients return to physical work, but this depends on how you’re healing. Your clearance will be given at follow-up.
No. The elevation in Orange is not high enough to impact surgical recovery. What matters more is rest, hydration, and proper wound care.
Swimming should be avoided until your incisions have fully healed. This usually takes several weeks. Once cleared, there’s no issue returning to the pool or water-based activities.
Yes. Dr Kohout’s Orange clinic sees patients from across the Central West, not just Orange. Many travel from nearby towns for consultations and follow-up care.
Dr Mark Kohout is a Specialist Plastic Surgeon with over 20 years of surgical experience. He holds a Fellowship of the Royal Australasian College of Surgeons (FRACS) and has completed advanced training in Australia and the United Kingdom, focusing on plastic and reconstructive surgery.
For patients in Orange and the wider Central West, his regional clinic offers the opportunity to attend consultations and follow-up appointments locally. This reduces the need for multiple trips to Sydney and allows for a more accessible care pathway.
Dr Kohout performs all breast reduction procedures in fully accredited hospitals. His approach is centred on detailed planning, informed decision-making, and continuity of care before and after surgery.
This model supports patients seeking specialist-level surgery while remaining connected to their local community throughout much of the process.
Dr Mark Kohout’s Orange clinic is easily accessible for patients across the Central West and surrounding regions.
Orange is about 3.5 hours by car from Sydney, with train services available via NSW TrainLink. Flights also operate between Orange and select cities, depending on the season.
Most patients attending a consultation or follow-up in Orange do not require an overnight stay. However, accommodation is available nearby for those travelling from further out.
Choosing the Orange clinic allows many patients to access specialist care locally, reducing the need for frequent trips to Sydney.
If you are considering breast reduction surgery and live in Orange or the surrounding Central West region, you can schedule a consultation with Dr Mark Kohout at his local clinic.
During the appointment, Dr Kohout will assess your individual needs, review your medical history, and provide information about the procedure, including surgical techniques, expected recovery, and associated risks. You will also receive a written treatment plan and fee estimate following the consultation.
📍 Orange Specialist Clinic – Suite 5, 1521 Forest Rd, Orange NSW 2800
📞 Phone: 1300 55 11 51
🌐 Online Enquiries: drmarkkohout.com.au/contact
Consultations in Orange offer regional patients access to specialist care closer to home. Dr Kohout also consults at his Sydney clinic.
📍 Sydney Clinic – Suite 2, 37 Bay Street, Sydney NSW 2037
Experienced Plastic Surgeon
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
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Dr. Mark Kohout is a dedicated qualified plastic surgeon based in central Sydney with over 25 years of experience in the cosmetic field. With his extensive training and experience, patients can be assured they are in the hands of a highly accomplished surgeon. Dr. Kohout is a fully committed, friendly professional who is devoted in providing the optimal care, support and results, alongside his compassionate team.
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