A Breast Reduction is performed under General Anaesthetic in hospital. This procedure is generally performed as a day surgery. However, very large reductions may require 1 night in hospital.
We recommend two weeks off work (more if your role is very physical). You will wear a garment (like a soft bra) for 6 weeks and have bruising and swelling for two weeks.
There is a Medicare item number for a Breast Reduction (45523). Read more in the FAQ section below.
To explore what a breast reduction may look like on your own body, you can book a $100 Vectra 3D surgery simulation with our Practice Manager Jessica. This simulation is not perfect for all reductions, but is a good chance to talk about rebates, choice of hospital, and review of previous patient case studies.
For our Specialist Plastic Surgeon
The fees below are the total out of pocket costs These include the surgeon’s fee, hospital fee, anaesthetist’s fee, garment, LED light therapy for scar minimisation and follow up visits.
Patients must be able to demonstrate clinical need, including neck, shoulder and back pain and/or chronic skin irritation. It is worth discussing these symptoms with your GP to ensure that the clinical need is documented in your referral for surgery.
More FAQs about reduction costs are on our blog here.
Dr Moncrieff's fees:
$18,000 for a privately insured patient seeking a standard reduction or from $20,000 when combined with liposuction which takes additional theatre time.
For patients without insurance, total out of pocket fees start at $23,500.
Costs quoted above are total out of pocket costs - meaning the final cost to patients after rebates (if applicable) are applied. Patients are required to pay in full prior to surgery and then claim any applicable rebates.
Yes, with the Medicare Item Number: 45523.
Are you with NIB?
For patients insured with NIB, please note they are advising a number of their patients that they will not guarantee cover until after the operation to ensure it was truly non-cosmetic. NIB patients should simply ensure they confirm that their level of cover includes the item number 45523, as Dr Moncrieff only quotes this number when he believes a patient has the clinical need required for that Medicare number and therefore meet the standards required if you have cover for breast reductions. You may also consider changing funds and this article may assist.
Yes we do. We understand that surgery is a serious investment. To help you understand your payment options you may like to read our dedicated article here.
Breast reduction surgery has come a long way over time. Our surgeon uses a modern anchor incision breast reductions with internal bra, which is the use of internal sutures to provide strength to the new breast shape, rather than just relying on external stitches.
This technique allows for volume reduction, reshaping of the breast, nipple/areola reduction and a breast lift all in the one operation. This is achieved with only a short vertical scar up the breast, incision around the areola and another under the breast fold.
The nipple is not 'removed' in the vast majority of cases, as the risk of graft failure is too high. Instead it remains attached to the blood supply and moved upwards.
A breast lift is performed in an identical way, but with less focus on reducing the volume of breast tissue.
For more information on breast reduction, please see our narrated 3D Animation above.
All surgery is serious and you need to weigh up the potential benefits with the risks.
There are two main categories of risks to consider when considering breast reduction surgery.
The first category of risks apply to all forms of major surgery and include: infection, bleeding and an adverse reaction to the anaesthetic.
The next category of risks which are more specific to breast reductions include: change in sensation or loss of sensation in the nipples, delayed wound healing (including death of tissue), asymmetry and in rare cases, loss of the nipple.
Your surgeon will discuss these risks, and how you can reduce them before and after surgery, in your consultation. You will also be given written material covering these risks.
More information about the risks of plastic surgery and broader general surgery can be found on our dedicated risks page.
As a specialist plastic surgeon and a father of three, I recognise that being able to make the choice to breastfeed is very important for women and their families! That’s because when I perform this surgery, I invest the time to protect the milk ducts, nerves and breast tissue as much as possible.
As a result, many women I operate on go on to successfully breastfeed after a breast reduction or lift surgery.
And while many women think the nipple is removed in a breast reduction, the technique I use does not involve removal. Instead, I reshape the areola and position it with the nerves and milk ducts intact to the new position on the chest wall.
Some patients of mine who have had breast reductions between babies have actually reported that they weren’t able to feed the first time around due to the excessive size of their breasts, but were able to breast feed the second baby after their reduction.
But of course, there are no guarantees! Just as with women who have not had surgery, some women are not able to breast feed at all and others will need the assistance of a lactation consultant to help manage early feeding issues.
To read the full answer, visit this article.
We understand there is no access to public training hospitals for breast reductions in the Hunter.
And Dr Moncrieff is not able to offer no-gap reductions as the cost of providing 5 star care in our practice far exceeds the nominal amount the private health funds are willing to pay for this procedure.
For more information on these topics, please visit the dedicated article here.
Your weight can make a big difference to the safety and outcome of your surgery – so we can’t ignore it.
In this article, Dr Moncrieff outlines why it matters and the weight range to aim for before starting the surgical journey.
A BMI at or under 28 is required for most patients for surgery, with a BMI of 30 being the maximum that Dr Moncrieff will accept due to increased risks of surgery. An easy BMI calculator is here.
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