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For many women with bigger busts, the weight of their breasts can have an impact on their quality of life. Bad posture, neck, back and chest pain are all realities that many women face every day – which is why breast reduction surgery is a great way to lessen this burden. On the other hand, some women simply want smaller breasts and use the surgery as a means to achieve this.

(1:53) | Breast Reduction Surgery - World Leading Sydney Plastic Surgeon Dr Ross Farhadieh
(1:00) | World Renowned Plastic Surgeon Dr Ross Farhadieh on Breast Reduction

Breast reduction is one of the most common breast surgeries in the western world, with some of the highest satisfaction rates no less. At Panthea Clinics, we strive to achieve the finest results for our patients. Focusing on care, consideration and attention to detail, our Sydney and Canberra clinics have achieved fantastic results for hundreds of patients.

Get in touch with us today for details or to book your initial consultation.


The breast has three integral components: the skin envelope, the breast parenchyma and the nipple–areolar complex. In breast reduction surgery, varying degrees of these components are resected and the nipple is repositioned as a way to reshape and reduce the breast size.

A wide variety of breast reduction operations are available, with various incisions and breast tissue reduction patterns. Each individual has different requirements and Dr Farhadieh will discuss, in detail, which would be most suitable to your needs. In general, there are two forms of incisions: the vertical incision and the ‘Wise pattern’ (inverted T). The vertical or minimal scar incision (the so-called ‘lollipop incision’) involves an incision around the nipple–areolar complex and then straight down from below the nipple to the lower breast crease. The Wise pattern incision is similar, with the addition of a horizontal incision at the lower breast crease (so-called ‘inverted T’ incision). In general, very large breasts require this incision, whereas moderately large ones are amenable to the vertical incision.

During the surgery, the nipple and areola remain attached to the underlying breast and are moved to their aesthetically ideal position. The operation takes around 3 hours.


During your first consultation with the team here at Panthea Clinics, Dr Farhadieh will review your medical history and note any regular medications or allergies. You will be asked about your specific concerns, expectations and your reasons for seeking breast reduction surgery. A physical examination will be completed and photographs taken as part of your confidential medical records.

Controlled weight reduction can be an enormous help in reducing perioperative complications, accelerating recovery and achieving a better overall surgical outcome. Smokers will be advised to cease smoking for 3-6 weeks both prior to and after the surgery is complete. All herbal remedies, medications or dietary supplements that cause increased bleeding must be stopped 2 weeks before surgery and for 1 week after. Depending on your age, medical and family history, you may need to have a screening mammogram prior to surgery.

The surgery may be performed as a day, or more often, as an inpatient procedure, in which case you should usually expect to be discharged the following day. On the day of surgery, Dr Farhadieh will meet with you and mark the areas on your breasts where the incisions will be made. Any final questions will be addressed prior to surgery and we will complete our preoperative checklist. Our anaesthetist will see you on the day of the surgery in order to discuss the anaesthetic procedure and pain relief options.


Immediately after the breast reduction surgery you will be taken to the recovery room for monitoring and after this to the surgical ward. During the immediate postoperative period local anaesthetic injected into the wound will keep you comfortable. Some discomfort may become apparent overnight, but this usually begins to subside over the course of the first few postoperative days. Sometimes you will have a drain inserted into the breast tissue during the operation; this will be taken out the next day.

The following day, after assessment by Dr Farhadieh, you will be discharged home with instructions to wear a soft sports bra or compression bra for the following 8-12 weeks. During this initial period, you may feel limited by the general postoperative state, although you are encouraged to increase your mobility as soon as practical. Your postoperative review will be organized for 7–14 days following surgery to ensure that everything is going smoothly.

During the first 2 weeks postoperatively, your breasts may look and feel bruised. This will gradually settle and your breasts will eventually find their most natural position within 6-8 weeks. You should avoid stretching, heavy lifting and strenuous upper body activity for 6-8 weeks following your surgery.

Complications may follow any surgery, including breast reduction surgery. Dr Farhadieh will discuss these at length with you during your consultation with reference to our own results and scientific literature, at our Sydney or Canberra locations.

Before proceeding make sure that you have read all the information sheets and have your questions answered.


Whether you’ve been thinking about getting a breast reduction, lift or augmentation, Panthea Clinics can ensure you receive the World Class care. With our team of medical experts by your side, you will have complete peace of mind knowing that you are in the safest of hands. After all the best trained hands are the safest hands.

Call our Sydney or Canberra clinics today to enquire about more information or to book your initial consultation with our team.

Frequently Asked Questions

There is some discomfort associated with surgery. Most patients report a ‘tightness’, rather than pain, due to the excellent pain control regime we use, which includes local anaesthetic for the immediate postoperative period as well as powerful analgesics.

The breasts will not only heal during the first 6 weeks, but will also gradually find their natural postoperative position. Gravity, healing and surgery drive this process. The incision scars will fade over the first 12 months and will often be barely visible beyond the first year.

Within 2 weeks you will be back at work and be able to resume most normal activities. During the subsequent weeks you will return to your pre-surgery levels of activity.

As part of the preoperative assessment Dr Farhadieh will discuss the positions of the incisions with you. The most common short scar technique involves an incision around the nipple with a vertical component extending towards the lower pole of the breast. The scars are not only camouflaged, but also fade considerably within the first 12 months after surgery.

Dr Farhadieh believes that the relationship between doctor and patient is sacred and privileged. Our practice is based on compassion, honesty, transparency and, above all, patient welfare. We pride ourselves on making sure that you feel supported at all times. We will be available during all stages of your journey and will schedule short-, medium- and long-term follow-up appointments as part of our overall practice.

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