Can I have a Breast Reduction with Implants?

cosmetic-breast-reduction-surgery

Breast Reduction with Implants – for perkier full breasts and more upper pole volume

While undergoing the two surgeries in combination seems counterintuitive, with one increasing size and the other reducing breast size; there are cases where using implants after a breast reduction provides you with the best aesthetic result. The combined procedure involves undergoing breast reduction first followed by implant placement no sooner than 3 months afterwards.

Breast reduction surgery is a plastic surgery procedure done to reduce the size of breasts by removing excess glandular and fatty tissue to achieve the desired size.

Breast augmentation surgery using implants is a surgical procedure which uses prosthesis to change the size, shape, and contours of the breast.

Am I a good candidate for a combined Breast reduction and implant placement surgery?

You are a good candidate if you:

  • Have fully developed breasts.
  • Want to reduce the size of your breasts but still want to maintain a firm appearance
  • Are unhappy with the result of your breast reduction
  • Are in good physical health with no underlying chronic health issues
  • Have realistic goals for the surgery
  • Don’t smoke or are willing to quit smoking before the surgery

If you believe you fit the above criteria book a consultation today.

Consultation-coco-ruby-plastic-surgery

Find out what happens at your first consultation with a Plastic Surgeon

What are the Benefits of Combining Breast reduction and breast implant Surgery?

Benefits of combining these two procedures include;

  • Helping reduce breast size by reducing glandular tissues of the breast yet helps keep the breasts full and round.
  • Gives impressive upper pole fullness to your breasts which cannot always be achieved with a reduction alone.
  • Helps increase shape and size to improve results following a sub-optimal breast reduction surgery.
  • Improve self-confidence and issues that are a direct result of how you look and feel.
  • Helps improve posture and mobility.

You should discuss your condition and the benefits of undergoing the surgery before going through with the procedure to see if you require implant placement in addition to your breast reduction.

Breast-Reduction-Implant-Procedure

The Procedure

The Procedure involves two phases. Phase one is breast reduction which is followed by implant placement (phase two) no sooner than 3 months post-reduction surgery.

Phase I: Breast Reduction Surgery

Breast reduction surgery:

  • After the general anaesthetic is given, your surgeon will make an incision around your nipple.
  • Liposuction may be used to break up and remove fat.
  • The surgeon will then continue the incision in a straight vertical line extending up to your breast crease. Sometimes, you may need an extra incision in your breast crease. However, if this is the case you will be advised of this in your consultation.
  • It is through these incisions, that your surgeon will remove excess fat and glandular tissues from the breast.
  • After removing the excess your surgeon will put internal sutures and then seal the incisions on the outside.

After the procedure, your surgeon will dress the incision site using bandages, if necessary they may also insert a drain. This is done in cases of excessive bleeding or fluid collection.

Your surgeon will organise for you to receive antibiotics and pain killers. This is due to the fact that pain, swelling and tenderness around the site of surgery are common in the first few days following surgery, and we want to minimise your discomfort and risk of infection. Furthermore, we tell all our patients to ensure they wear their compressive garments(for about 4-6 weeks). Physical activities should be restricted for about 2-4 weeks and counselling should be continued with your surgeon for the second phase of surgery and before carrying out any heavy exercises.

Phase Two

Phase two of the surgery involves implant placement to the now reduced breasts. It helps give a fuller and rounder appearance. The implant is placed no sooner than 3 months after the reduction surgery as performing the surgeries together can result in sub-optimal results.

Implant placement is done under general anaesthetic. The procedure involves the following:

  • First of all, a small incision is made in the area of your lower breast fold.
  • Then, the implant is inserted using a no-touch technique through the incision into a pocket
  • After this, the site of incision is sealed off using fine absorbable sutures that dissolve over time.

Get the Breast Reduction Surgery guide!

Breast Reduction Guide Download

Read more about Breast Reduction

Risks and Complications associated with Breast reduction and implant placement surgeries

The procedure involves undergoing two surgeries in two phases and involves the risk of both the surgeries.

Complications of breast reduction surgery include:

  • Asymmetry of result in breasts
  • Bruising, swelling, and/or infection
  • Seroma formation
  • Necrosis
  • Bleeding and/or haematoma formation
  • Complications related to anaesthetic

Possible complications of breast implant surgery:

breast-implant-surgery-melbourne

Your Breast Reduction with implants Patient journey

Consultation

Consultation forms the first phase of the journey. Here you will have an in-depth discussion with your surgeon about the procedure to see if you meet the criteria to undergo the surgery and if you require implant placement in addition to breast reduction. Your surgeon will take a detailed medical history. They will also ask you about your goals for the procedure. Here it would help if you were honest and reasonable about your issues and expectations. This can help you get the outcome you desire.

They will also take the time to explain the procedure in full, including the complications and risks. Should you have any queries, concerns or doubts this is the time to voice them.

  • You will need to refrain from using aspirin or other blood-thinning medication prior to surgery.
  • Furthermore, you will need to avoid smoking, alcohol and drugs.
  • You will be told to ensure you are within 8-10kg of your desired weight to ensure optimum results.
  • The breast is a common area for women to experience increases and decreases to breast size when either losing or gaining weight.

The procedure

The surgery is conducted in two phases over a period of time. Breast reduction is done in the first phase and then no sooner than 3 months the surgical implants can be inserted.

Recovery

After phase one of the procedure, your surgeon will dress the incision site using bandages. You may or may not need a drain. This is in case of excessive bleeding or fluid collection.

Pain, swelling and tenderness around the site of surgery are common in the first few days following surgery and you will receive antibiotics and pain killers to help minimise your discomfort. Furthermore, you will need to wear your compressive garment for about 4-8 weeks.

During the first week following surgery, you should make sure that your upper body is raised by about 30 degrees while sitting and sleeping. This helps early wound healing and the remission of swelling. We also advise patients to sleep on their backs as it prevents the implants from slipping.

  • Physical activities should be restricted for about 2-4 weeks and you should consult with your surgeon before resuming any serious exercises.
  • You may resume normal activities once your surgeon has given you the all-clear. However, you need to avoid strenuous activities for about a month.
  • You can use a fitting and supportive sports bra.
  • You can resume driving 2 weeks after your surgery if your pain has subsided and you are out of pain medication.

Further Readings:

Can I have a breast reduction and implants? (hunterplasticsurgery.com.au)

Breast Reduction versus Breast Reduction Plus Implants: A Comparative Study with Measurements and Outcomes (nih.gov)

Frequently Asked Questions

How is breast reduction and implant placement done?

  • The surgery will be complete in two phases. Phase one is the breast reduction, you will then have a minimum break of 3 months before phase two (the implants) can be completed.

Will my insurance cover breast reduction and implant placement?

  • The reduction may be claimable but not the implants.  You will still have out-of-pocket costs and every fund differs so you will need to discuss it with your fund directly.  We give you a quote with any item numbers applicable after your consultation.
Last updated: 23/02/2021
Author profile image
Dr Craig Rubinstein - MBBS, FRACS (Plast)
Dr Craig Rubinstein MBBS, FRACS (Plast), a Specialist Plastic Surgeon, is one of Australia's most respected Melbourne Surgeons for Breast Augmentation, Breast Lift (Mastopexy), Breast Reduction surgery and Abdominoplasty procedures. Using advanced surgical techniques to gain better body contouring and natural-looking surgical results, Dr Rubinstein is highly regarded by peers and patients for best-practice Clinic Patient-care and patient education strategies. He published a chapter on corrective surgery for Breast Asymmetry. Qualifications/Training Fellow of the Royal Australasian College of Surgeons (FRACS) The Australasian Society of Aesthetic Plastic Surgery (ASAPS) The Australian Society of Plastic Surgeons (ASPS) The Australian Medical Association (AMA) American Society of Plastic Surgeons (ASPS) The International Society of Aesthetic Plastic Surgeons (ISAPS) Founder: Cosmetic Surgery for Women and Men - Plastic Surgeons Group Bio Page: https://cocorubyplasticsurgery.com.au/dr-craig-rubinstein-plastic-surgeon/