Breast Reduction and Mastopexy Consultation
Patients considering breast reduction surgery need to be aware of the adjustment that follows a significant change in appearance, as well as the reality of the post-operative recovery process and the potential risks involved in the surgery.
During your consultation, your surgeon will discuss with you your expectations and identify potential limitations for achieving your desired outcomes. Individual circumstances which can affect the outcome of your surgery include:
- skin quality
- breast anatomy
- scarring from previous surgery
Two or more consultations are often required prior to breast reduction surgery to ensure you understand:
- your estimated period of recovery
- the downtime required
- your procedure
- likely results
Only once your surgeon has thoroughly assessed your case and advised you on the risks and likely outcomes of your procedure will you be able to give consent to surgery.
It is crucial that your surgeon be made aware of any relevant medical history. In particular, your surgeon must be notified if you take any blood thinning medications or if you have a history of bruising or bleeding easily.
Your surgeon should be made aware of:
- any previous surgery
- history of scarring,
- allergies to anaesthetic agents, antibiotics and dressings
- tendency for easy bruising
- history of smoking
- tendency for excessive bleeding
- deep venous clots involving the legs
- all prescription and non-prescription medication
- psychological or psychiatric issues
- Raynaud’s Disease
If you take blood thinning medication or agents present in other medication, further medical consultation may be necessary to properly advise on how your dosage can be managed in the leadup to your surgery. It may also be necessary to cease the oral contraceptive pill.
Patients should avoid the following two weeks prior to and after surgery:
- Non-steroidal anti-inflammatory medication, such as Nurofen
- Herbal medications such as garlic, ginseng, ginko, arnica and fish and krill oils
If you are a smoker, you will need to cease six weeks prior to and after surgery to minimise the risk of surgical wound complications and complications from anaesthesia.
Nicotine-containing products can also affect wound healing and should be ceased two weeks prior to and after surgery.
In some cases, your surgeon may require you undergo a blood test in order to properly assess your suitability for surgery and fitness for general anaesthesia.
When considering breast reduction surgery, your surgeon will discuss the potential for:
- problem scarring around the areolar complex and breast
- wound complications including
- wound breakdown
- haematoma (collection of blood)
- seroma (collection of tissue fluid)
- further surgery to address such complications
Risks specific to breast reduction and mastopexy surgery include:
- numbness of the breast skin
- loss of sensation of the nipple areolar complexes
- necrosis of the nipple areolar complex
- contour irregularities
- dog ear formation (contour irregularities at either end of the scar)
Revisional surgery is necessary in approximately three to five percent of patients who undergo breast reduction and mastopexy surgery. Any revisional surgery will incur its own set of risks and potential complications and your surgeon will make you aware of these prior to your procedure.
Informed consent can only be given after:
- a thorough consultation process with a surgeon
- your specific questions and concerns have been addressed by the surgeon
- The costs of breast reduction surgery and revisional surgery have been discussed
In Australia, surgeons are strongly discouraged from advertising a set price for a medical procedure. This is in line with the Guidelines for advertising of regulated health services by the Australian Medical Board. For this reason, we do not include a cost per procedure on our website.
Part of your initial consultation will be to discuss the cost of the procedure.
If you would like to know in advance, we can provide approximate costs before your initial consultation including any applicable Medicare rebate. We are available by phone on 03 9088 5000
or via enquiry through our website.
There is a cost for an initial consultation at our Melbourne clinic, with the potential to receive a portion of this back via Medicare where eligible for rebate, provided you have a referral from your GP.