Understanding breast reduction complications | Considerations & recovery advice

Known also as reduction mammaplasty, breast reduction is a common type of surgery designed to remove excess breast tissue and reshape the breasts. Many people undergo a breast reduction for different reasons, including to alleviate discomfort around the shoulders and back, as well as to improve their overall quality of life (particularly for male breast reduction – gynaecomastia). While the cosmetic procedure is generally safe and effective, potential complications may arise before, during and after surgery.

This guide will identify the potential complications associated with breast reduction surgery, including ways to manage and avoid certain issues, and the importance of choosing a qualified plastic surgeon.

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Pre-surgical complications: What should you consider before breast reduction?
Are there any complications during breast reduction surgery?
What complications should you be aware of during breast reduction recovery?
Top tips for managing breast reduction and avoiding complications
Are there any complications with male breast reduction?
Stephen McCulley
Frequently asked questions

Pre-surgical complications: What should you consider before breast reduction?

One of the main concerns before surgery is ensuring that you are in good health. Pre-existing medical conditions such as diabetes, heart disease, or autoimmune disorders can increase the risk of complications during and after surgery.

Smokers are particularly at risk due to reduced blood circulation, which can impair healing and increase the likelihood of infection. If you smoke, you will typically be advised to stop several weeks before and after surgery to promote optimal recovery.

Significant weight fluctuations after breast reduction can also alter final results, leading to potential asymmetry or further revisions. Therefore, it is advisable to lose or gain a substantial amount of weight before undergoing a breast reduction.

For more information, read our full guide on what you should consider before breast reduction surgery here.

Are there any complications during breast reduction surgery?

One of the most common cosmetic procedures for women in the UK, breast reduction, is a routine plastic surgery that provides great results, both aesthetically and, in some cases, mentally. It’s important to be aware of potential complications with the surgery beforehand.

Excessive bleeding can occur during or shortly after breast reduction surgery. While surgeons take great care to minimise blood loss, occasionally, additional intervention may be required to drain. Infection is quite uncommon, but if it occurs, patients will be prescribed antibiotics as a precautionary measure.

Breast reduction involves working around delicate nerve structures to reposition the nipple-areola complex, and some patients may experience temporary or permanent changes in sensation. Loss or altered nipple sensation occurs in around 20% of patients, depending on the surgical technique used and individual recovery periods.

During your breast reduction consultation, you can speak in detail with your surgeon about any worries. They will walk you through the surgical procedure, ensuring you know what will happen, the potential risks, and how these will be avoided. Your surgeon will also provide post-surgery advice and recommendations for recovery for optimal cosmetic results.

What complications should you be aware of during breast reduction recovery?

Breast reduction recovery can be challenging, and being aware of possible complications can help you manage them effectively. One of the most common issues post-surgery is wound healing complications. Poor healing can result in delayed recovery, wound breakdown, or the formation of noticeable scarring. This is particularly a concern for smokers, people with diabetes, and individuals with poor circulation.

Swelling and bruising are expected in the initial weeks following surgery, but excessive swelling may indicate fluid accumulation, known as a seroma. In some cases, seromas need to be drained to prevent infection and promote healing.

While surgeons strive for balance and symmetry, no two breasts are naturally identical, and some variation in size and shape may persist post-surgery. In cases of significant breast asymmetry, a revision procedure may be considered.

After breast asymmetry – find out more about unequal breast sizes here.

Some individuals also develop hypertrophic or keloid scars, which are raised and more pronounced than normal scars. Proper wound care, silicone sheets, and scar management techniques can help minimise their appearance over time.

Read more about the common problems after breast reduction here.

Top tips for managing breast reduction and avoiding complications

Managing breast reduction recovery effectively involves following your surgeon’s post-operative instructions carefully. Here are some top tips:

Wear a supportive surgical bra to reduce strain on the healing tissues and prevent excessive swelling.
Avoid heavy lifting and strenuous activity for several weeks to prevent unnecessary stress on the incisions.
Maintain a healthy lifestyle by eating a balanced diet and staying hydrated to support the healing process.
Avoid smoking and alcohol consumption during recovery to reduce the risk of poor wound healing and infection.
Attend regular follow-up appointments with your surgeon to monitor progress and address any concerns early on.
Seek medical advice promptly if you notice excessive swelling, severe pain, or signs of infection to prevent more serious complications.

Read more about the best ways to manage pain and discomfort after breast reduction with our guide here.

Are there any complications with male breast reduction?

Male breast reduction (gynaecomastia) is performed to remove excess glandular tissue and fat for men with enlarged breasts. This procedure is often performed to define a chest and benefit certain men’s self-esteem and body image. Whilst less invasive than female breast reduction, complications may arise.

Some of the most common complications include bleeding, infection, and contour irregularities. Scarring is typically minimal, but raised or uneven scars can sometimes develop.

In some instances, a condition known as ‘dog ears’ can occur, where excess skin folds at the edges of the incisions. For optimal aesthetic results, this may require revision surgery.

Stephen McCulley

Stephen McCulley is a highly regarded plastic and reconstructive surgeon specialising in breast surgery, including breast reduction procedures. With extensive experience in both cosmetic and reconstructive surgery, he is known for his meticulous approach and commitment to achieving natural, balanced results for his patients.

If you are interested in undergoing breast reduction, contact Stephen McCulley and his team and request a consultation.

Frequently asked questions

Will I be able to breastfeed after breast reduction surgery?

After breast reduction, 50% of patients can still breastfeed, but this depends on the amount of breast tissue removed and whether the nipple and milk ducts remain intact. If future breastfeeding is a priority, it is important to discuss this with your surgeon during your pre-surgery consultation.

Can complications from breast reduction surgery be corrected?

In many cases, complications such as scarring, asymmetry, or minor wound healing issues can be addressed through non-surgical treatments or corrective procedures.

Choosing a highly skilled surgeon from the outset can help minimise the likelihood of complications and improve overall satisfaction with the results.

If you are interested in learning more, contact Stephen McCulley to book a breast reduction consultation.

0115 962 4535