Common problems after breast reduction | How to reduce the risk of post-surgery complications
Also known as reduction mammoplasty, breast reduction is a common surgical procedure aimed at reducing the size and weight of the breasts by removing excess fat, glandular tissue and skin. There are many reasons why somebody would want to reduce their breast shape and size, such as asymmetry, self-esteem issues, and severe neck, back and shoulder pain. While the benefits of breast reduction surgery can be substantial, it is essential to understand the potential risks and complications that may arise.
This guide will explore common problems a breast reduction patient may face during the recovery period after surgery , and preventive measures to minimise surgical side effects.
Click on one of the links below to jump to that section:
- What will happen during and after breast reduction surgery?
- Are there any potential complications with breast reduction?
- How can you prevent problems after breast reduction from happening?
- Frequently asked questions
What will happen during and after breast reduction surgery?
Breast reduction surgery is performed under general anaesthetic, with the operation taking between an hour and a half to three hours, depending on the technique used and breast size. For male breast reduction (gynaecomastia), this often involves removing a small marble-sized lump of breast tissue and fat, where the procedure can take between 45 minutes and two and a half hours.
Find out more about breast reduction surgery here.
To find out more about what happens during breast reduction surgery, including the different surgical techniques and scarring to expect, read our expert guide here.
After the cosmetic surgeon removes the breast tissue and excess skin, reshaping it into a smaller and desired aesthetic size, breast reduction patients can expect some degree of pain, swelling, bruising, and scarring around the incision area. The scarring will be quite red after the procedure and for the first six weeks, before becoming purple, then fading to white over time. You may be asked to spend up to two nights in the hospital.
Once you return home, it’s important to take it easy. Recovery times vary, but often, it takes up to six weeks for you to return to your normal activities.
Are there any potential complications with breast reduction?
While breast reduction is an extremely popular cosmetic surgery in the UK and has a high success rate, like any surgical procedure, there are still certain risks and potential complications to be aware of.
Nipple loss
Nipple loss is extremely rare, occurring in less than 0.5% of breast reduction procedures. During the surgery, the nipple may be detached and repositioned when reshaping the breast. This can, in turn, disrupt the blood supply.
As mentioned, this is very uncommon. The risk of nipple loss can be increased, however, if the patient smokes or has certain health conditions, such as diabetes and obesity.
If you are concerned that your medical history includes any of these, your cosmetic surgeon will discuss this complication during your consultation and provide alternative surgical techniques to avoid the risk.
Loss or altered nipple sensation
Sensitivity in the nipple area is mainly due to the nerves in the breast tissue, which can be affected during surgery. This complication occurs in 20% of patients, and often those with large breasts. If you are looking to remove a large portion of breast tissue, there is a higher risk of impacting the nerves that cause nipple sensation.
Stephen McCulley is an experienced aesthetic, cosmetic, and plastic surgeon who believes in an honest and open approach to his patients. During your breast reduction consultation, Stephen and his team will assess your circumstances, breast size, and how much tissue you are looking to remove. With years of experience, he will give you realistic and achievable options, helping you make the best decision for your needs, and inform you of any risks and ways to prevent these.
If you are interested, contact Stephen and his team today to book your breast reduction consultation.
Remaining asymmetry
Most women have different-sized breasts, which is one of the many reasons why they may undergo a breast reduction. This procedure often improves symmetry. However, there is a risk that one breast or nipple may be marginally different after surgery.
so, your surgeon may suggest a revision surgery to rectify this.Wound breakdown
Breast reduction patients may also experience problems with wound healing during recovery, which can occur in up to 40% of patients according to literature. Wound breakdown (or dehiscence) can happen if the incision site does not heal properly, and may be caused by infection, wound tension, or blood supply issues. Mr McCulley audits his results and has very low wound healing problems with significant issues occurring in less than 0.5% of cases.
To address this complication, ensure you are following your cosmetic surgeon’s post-breast reduction guidance, such as keeping the area clean and avoiding any strenuous exercise.
Bleeding
Your surgeon will take measures to minimise the risk of bleeding; however, breast reduction patients may experience haematoma—a collection of blood under the skin causing swelling, bruising, and discomfort. After the procedure, you may require draining to remove any unwanted blood or fluid remaining in the surgical area for 24 to 48 hours.
Blood clots occur in approximately 1% of patients. If this happens, the patient will be re-entered into the theatre operating room for removal.
Breastfeeding issues
Breast reduction surgery may impact the ability to breastfeed in the future, particularly if the milk ducts are affected during the procedure. This is one of the more common complications, and occurs in about 50% of women.
If breastfeeding is a priority for you, discuss this with your surgeon during your consultation. They may be able to factor this in when determining the surgical technique and employ a method that maximises the potential of breastfeeding post-breast surgery.
How can you prevent problems after breast reduction from happening?
While it is impossible to completely prevent all complications, certain measures can help reduce the likelihood of post-surgery problems:
- Maintain a healthy lifestyle: Smoking, for example, can significantly impair healing. Quitting smoking and maintaining a nutritious diet, can promote better blood flow and expedite the healing process. Consider beneficial nutrients, such as vitamins A, C, and E, which play a role in tissue repair and collagen formation.
- Staying hydrated: Ensure you drink plenty of water throughout the day. Water helps maintain skin elasticity and supports overall healing.
- Wearing a compression or surgical bra: For at least eight weeks, you should not wear an underwired bra. Consider supportive compression or a sports bra to help support your breasts in their new position for healing. This can also help manage bruising and swelling and decrease the risk of haematoma.
- Follow post-operative care instructions: Adhering to your surgeon’s recovery guidelines, including physical activity, avoiding heavy lifting, and taking prescribed medications, can help reduce signs of infection, wound breakdown, and other complications.
- Attending follow-up appointments: Regular post-surgical check-ups with your surgeon allow them to monitor your healing and address any issues early before they develop into more significant complications.
For more information, read our here.
One of the most effective ways to reduce complications is to select a board-certified plastic surgeon with extensive experience in breast reduction. They will use the safest techniques and have the skills to handle complex cases.
Look for credentials, such as members of the British Association of Plastic, Reconstructive, and Aesthetic Surgeons (BAPRAS) or the British Association of Aesthetic Plastic Surgeons (BAAPS), as well as patient testimonials.
This is just the most amazing outcome. Stephen was recommended to me. My breasts look amazing, clothes fit me, neck better. Cannot say thank you enough.
– AD, Nottingham
Stephen McCulley works extensively as a cosmetic and reconstructive surgeon, offering private patients the latest plastic surgery techniques for various treatments. Stephen and his team have all the required credentials and have written several scientific articles exploring the cosmetic industry.
Book your initial consultation with Stephen McCulley here.
Frequently asked questions
Will my breasts change over time after surgery?
Yes, between two and four weeks, your breasts will be firmer and higher than expected. Between four and six weeks, they will become softer and into the desired shape, improving between six and 12 months. Maintaining a stable weight and a healthy diet can help preserve the surgical results.
How long will the scars take to heal?
Scarring is a natural part of the healing process, becoming purple over three months after the surgery, and then fading to white. Without proper aftercare, scarring may never fully heal, so keep the area out of direct sunlight and consider using a cream to help improve skin tone.