Female Breast Reduction - Proportional Breast Size

Daniel Lanzer has retired. He is no longer a registered medical practitioner. This website is currently under review

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Case Study

Breast Reduction For Middle-Aged Women


This patient is a middle aged patient who presented with a complaint of back pain due to the size of her breasts.


This is the patient one year post Breast reduction Liposuction procedure. Note that the skin has contracted nicely, even in a middle aged patient.

Case Study 2: Female Breast Reduction Surgery

When a patient thinks about undergoing breast reduction, there are usually some things of concern to them. One of the common concerns is the anaesthetic used by the doctor during breast reduction or a reduction mammoplasty.

To address some of the common concerns patients have about cosmetic surgery, we have created an overview with some commonly asked questions in this case study. So, if you would like additional information about this surgical procedure, or the reduction mammoplasty where the surgeon removes excess breast tissue and skin, please read the guide below.

What Anaesthetic Is Used During Surgery Procedure Such As Breast Reduction By Liposuction?

Dr Lanzer has been using Tumescent anaesthetic for many years; this is for his procedures in Melbourne as well as his other clinics.  The tumescent anaesthetic has three main properties, which have made it so successful to use during breast reduction for heavy breasts. These include; maintaining a fluid balance in the body, numbing the area being treated and reducing blood loss.

The fluid balance is important during liposuction because when performing the procedure on large breasts, we may be taking up to 4 litres of fat from a patient; this would be a large amount to remove without replacing it with something and would leave the patient feeling very unwell and lead to further complications.

Tumescent fluid contains local anaesthetic, with acts as a numbing agent. So, whilst the patient is having a local anaesthetic procedure, they are able to tolerate it quite comfortably. Discomfort the patient experiences after the procedure can also be managed easier.  The tumescent fluid also reduces blood loss because it contains adrenaline which constricts the blood vessels, reducing the amount of bleeding.

Is Tumescent Fluid Used In Other Surgical Procedures?

Dr Lanzer is now utilising the advantages of tumescent fluid in other procedures including the tummy tuck, mini facelift, and breast augmentation.

When performing a tummy tuck, Dr Lanzer first performs tumescent liposuction.  By injecting tumescent fluid into the stomach prior to the tummy tuck procedure, the blood vessels are already constricted, so blood loss is kept to a minimum; this is much better for the patient both during the procedure and recovery.  

During mini facelifts, Dr Lanzer injects a smaller amount of tumescent fluid into the area, reducing bleeding and providing anaesthetic to the area. The patient wakes up with less pain post-procedure than when no fluid is used. The need for stronger pain relief post-procedure is reduced, therefore also reducing nausea and vomiting.

Which Anaesthetic Is Used Most Often For Breast Reductions?

Breast reduction is usually performed under general anaesthetic in most cases. In some cases, when the reduction is only small, the surgeon may opt for local anaesthetic with sedation depending on your individual circumstance.

In some cases, a general anaesthetic will be required for a procedure; this is usually the case for a reduction mammoplasty. If the surgeon is looking not to solely reduce the breast size but also change the size and shape of the breast simultaneously, a general anaesthetic may be required. During this procedure, the surgeon can also move the nipple and areola.

What Are Common Problems Indicating Heavy Breasts?

Back pain is a common problem in female patients suffering from enlarged breasts, which was the case for the patient in the case study above. By reducing the size of the breasts, there is less pressure on the back and pain symptoms may improve. However, the patient may need to do some back-strengthening exercises to long term take care of the problem and strengthen the back muscles overall. It is recommended to do these exercises under the supervision of a physiotherapist, especially if you have a history of back problems. Naturally, other pain symptoms are also possible; this includes neck and shoulder pain.

Most women who experienced back problems due to enlarged breasts report that this problem reduced greatly after the procedure. There are also other physical discomforts a patient can experience due to enlarged breasts and that can be improved by obtaining a breast reduction; this can go from rash underneath the breast to problems with bra straps because of the heaviness of the breasts.

When you visit the Dr Lanzer Clinic for a possible breast reduction, it is vital to report any physical problems you are experiencing. By reporting the problem, Dr Lanzer can evaluate the problem better and provide you with the options that are best for you. Of course, the final decision lies with you. While breast reduction could provide a solution, a patient must always consider surgery carefully before they have the procedure.

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    Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by the surgeon. It is a good idea to understand your surgical procedure well, and to obtain further advice from another medical professional.

    All photographs represent one person's experience, and results may vary for each patient. All photographs are of actual patients. The visible change in these photographs has occurred as a result of the procedure/s undertaken.

    Some before and after photos shown are not exact, in that they vary in light, contrast, clothing, background, distance from camera, hairstyle and make-up.

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      Daniel Lanzer has retired. He is no longer a registered medical practitioner. This website is currently under review.









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