Breast Reduction Surgery in Sydney

Also known as breast reduction surgery, mammoplasty is a specialised surgical procedure that removes excess breast tissue, fat and skin to achieve breasts that are more proportionate to your body frame. Unlike regular cosmetic breast procedures in Sydney, reduction mammoplasty is generally performed to address significant physical and medical concerns that impact daily life and overall health.

This procedure has the potential to significantly change women’s lives, by providing relief for back, neck and shoulder pain – and keeping away unwanted attention to the breasts. If you have large, sagging breasts, breast reduction surgery can add more comfort and ease in your day to day life.

If you have large or sagging breasts, breast reduction surgery (mammoplasty) can not only alleviate the physical pain and discomfort you experience, but also improve your self-confidence by enabling you to wear outfits of your choice, and engage in exercise. The good part about this procedure is that the results are immediately noticeable, post-surgery. Interestingly, it is never too late to have this procedure, as the benefits are self-evident.

As a specialist breast clinic in Sydney, we understand that considering breast reduction surgery is a big decision for you. We’re here to guide you through the process, so that you feel informed and comfortable every step of the way.

Dr. Yunaev adopts a holistic approach, that addresses both the aesthetic and functional aspects of getting a breast reduction. Our Sydney clinics employ the latest surgical techniques and technology to ensure optimal outcomes for all breast reduction procedures. Our approach focuses on achieving three key objectives: reducing breast size, creating aesthetically-pleasing, natural-looking results, and maintaining breast function and sensation. Put simply, our goal is to help you feel comfortable, confident, and free in your own body.

Preserving Sensation and Function: The Pedicle Technique

A key consideration in breast reduction surgery is maintaining blood supply and nerve function. At the heart of most procedures is what we call the pedicle technique – a careful surgical approach that preserves sensation and natural breast function. The pedicles act as a lifeline, carrying essential blood supply and nerve connections to your nipple and areola. Various pedicles produce different results in aesthetic appearance. Based on your breast anatomy, tissue composition, and desired outcome, we may recommend different pedicle positions:

• Inferior Pedicle – Blood and nerve supply come from the bottom of the breast.
• Superior Pedicle – Blood and nerve supply come from the top of the breast.
• Central Pedicle – Blood and nerve supply come from the centre of the breast.
• Lateral Pedicle – Blood and nerve supply come from the sides of the breast.
• Bi-Pedicle – Blood supply comes from two locations, typically used in reconstructive surgery.

In the past, breast reduction mammoplasty was commonly performed using the inferior pedicle technique, where the blood supply to the nipple came from the lower part of the breast. While effective in reducing breast size, this approach often left the lower breast bulkier, leading to a boxy appearance and an increased likelihood of sagging over time.

Today, we use more advanced techniques such as the superior, superomedial, or superolateral pedicle methods, where the blood supply is preserved from the upper or outer regions of the breast. This allows for the removal of excess lower breast tissue, creating a more natural, lifted shape while also reducing the chances of future sagging.

No matter which option of the three above is chosen, nipples and areolas are never detached from their blood and nerve supply at any point. However, for patients with excessively large breasts, a Free Nipple Graft (FNG) procedure may be required. In such cases, the nipple-areola complex is detached and repositioned, which results in permanent loss of sensation and the inability to breastfeed.

Dr Yunaev will discuss all available options with you to ensure the best possible outcome.

Incision Methods to Minimize Scarring

At BB Clinic, we may choose from three specific incision methods based on the patient’s breast size and shape, the amount of skin or tissue that needs to be removed, position of the nipples and the quality of the skin. In each of these, a pre-determined amount of fat will be removed from your breasts to decrease their size, followed by the necessary reshaping to create the look you desire.

Vertical Scar (“Lollipop” Incision): A common technique for moderate breast reductions, involving an incision around the areola and vertically down to the crease. This method results in less scarring but may not be suitable for very large breasts.

Wise Pattern Scar (“Anchor” Incision): The gold standard for larger reductions, this incision allows for more tissue removal and reshaping while ensuring a natural, lifted appearance. Excess skin, fat, and tissue are removed with the nipple then being moved to a higher position with sticking that reshapes the breast. We now know that an anchor-type incision utilising a superior rotary pedicle internally achieves the best results for actual breast reductions.

Round Block / Benelli Technique (“Donut” Incision): A minimal-scar approach that involves an incision around the outer edge of the areola. This method is best for smaller reductions with minimal excess skin, and has been known to create a flat breast.

Mammoplasty isn’t a one-size-fits-all procedure, and every woman’s journey is unique. That’s why Dr Yunaev, an experienced breast reduction specialist in Sydney, takes the time to listen to your concerns without rushing, assess your physical discomfort, and develop a customized treatment plan that aligns with your health and lifestyle goals.

At BB Clinic, we also offer breast lift surgery in Sydney, to restore a youthful, perky appearance to sagging breasts by removing excess skin and repositioning the nipples. Alternatively, we also offer tummy tuck in Sydney and cosmetic surgery in Sydney to help you achieve your desired look.

When searching for a breast clinic in Sydney, many women quickly realize that not all clinics approach breast surgery the same way. They worry about being rushed into a procedure without really knowing what it entails.

Here is where we are different. Unlike high-volume cosmetic clinics that focus on quick procedures and one-size-fits-all solutions, BB Clinic is focussed on offering expert, empathetic care towards your long-term wellbeing.

Led by Sydney’s renowned breast specialist, we perform limited surgeries as we focus on quality over quantity. Here are some of the key things that set us apart:

• Licensed Clinic
• Tailored Surgical Plans
• Surgery in Accredited Hospital (for higher patient safety)
• Methods to Minimize Scarring
• Reduced Recovery Time
• Time and Attention at Every Step (even post-surgery)
• Multiple Appointments (Pre- & Post-Surgery)
• Natural Looking Results
• Flexible Payment Options

If you are looking for a breast reduction in Sydney that goes beyond aesthetic adjustments, BB Clinic is a preferred choice for expert-led, compassionate and high-quality surgical care.

Dr Yunaev is not a cosmetic or plastic surgeon – he is a highly trained specialist breast and general surgeon with over 12 years of dedicated expertise in Sydney. He received his accreditation through the Royal Australasian College of Surgeons (RACS), and has extensive training in:

• General surgery
• Specialist training in Breast Surgery
• A further four years of Aesthetic Surgery training

With his extensive background in breast health, function, and medical complications, he takes the effort to address both aesthetics, function and post-operative quality of life. His holistic approach balances surgical precision with aesthetic outcomes – with an intent to help patients feel lighter, comfortable and confident in the long-term.

If you have large breasts and would like to discuss your options, please don’t hesitate to consult with him at any of the BB Clinic locations. We provide services from various locations across Sydney, NSW and the Southern Highlands, such as:

• Potts Point
• Bella Vista
• Bowral
• Newcastle Breast Reduction
• Wollongong Breast Reduction
• Canberra Breast Reduction

Call us on (02) 9819 7449 and start a conversation about your body.