Breast Reduction Surgery in Sydney and the North Shore
Breast reduction surgery (reduction mammaplasty) reduces the size and weight of the breasts by removing excess tissue, fat and skin.
Breast reduction surgery can help relieve neck, back and shoulder pain, improve posture and skin irritation, and make exercise and clothing more comfortable.
Specialist Plastic Surgeon Dr Varun Harish (Fellow of the Royal Australasian College of Surgeon - FRACS) performs breast reduction procedures at accredited hospitals in Sydney’s North Shore, providing safe techniques, natural results and a focus on long-term wellbeing.
Understanding Breast Reduction
Who Is a Candidate for Breast Reduction?
You may be suitable for breast reduction surgery if large breasts are impacting your health, activity or confidence. You might have:
- Ongoing neck, back or shoulder pain and grooving from bra straps.
- Chronic rashes or skin irritation beneath the breast fold.
- Difficulty exercising, running or finding clothes and bras that fit.
- Self-consciousness or emotional distress related to breast size.
- Good general health, stable weight and realistic expectations.
- Willingness to stop smoking before and after surgery.
Women seeking large breast surgery in Sydney often report these symptoms, and breast reduction with or without a lift may provide relief.
BMI and Suitability for Breast Reduction Surgery
There is no strict BMI cut-off for breast reduction surgery in Australia. However, women who are closer to a healthy, stable weight generally achieve safer surgery and more predictable outcomes.
Higher BMI levels may increase the risk of wound healing problems, infection or anaesthetic complications. These factors are always considered during your consultation.
If you are considering breast reduction in Sydney or the North Shore, Dr Harish will provide an individualised assessment to help determine whether surgery is safe and appropriate for you.
Book a consultation at our St Leonards clinic to learn more about breast reduction.
Very Large Breast Reduction (Gigantomastia)
Some women have extremely large and heavy breasts — sometimes called gigantomastia — which can cause severe back, neck and shoulder pain, skin rashes, and difficulty with clothing and activity.
In these situations, breast reduction surgery removes a larger amount of tissue and skin to reduce symptoms and improve comfort. Scars may be longer.
Many women with very large breasts meet the criteria for Medicare item 45523, which applies if breast size causes pain, posture problems or skin issues that do not improve with non-surgical care.
If you live in Sydney or the North Shore and are considering surgery for very large breasts, book a consultation with Dr Harish to discuss your options.
Surgical Details
Breast Reduction Surgery Techniques & Scars in Sydney
The surgical method depends on your individual anatomy and goals:
- Anchor (inverted-T) pattern – often used for larger reductions, allowing maximum reshaping.
- Vertical or “lollipop” incision – suitable for smaller to moderate reductions, with shorter scarring.
- Liposuction – can be added in selected patients to refine shape and contour.
These approaches are carefully chosen to balance function, comfort, and aesthetics while ensuring scars are discreetly placed. These approaches also mean you can undergo breast reduction with lift surgery in Sydney tailored to your needs.
What Happens During Surgery?
Surgery is performed under general anaesthesia at an accredited Sydney hospital on the North Shore and takes 2–3 hours. Dr Harish marks the breasts before surgery while you are standing to guide incision placement. Excess tissue and skin are removed, the breast mound is reshaped, and the nipple-areola complex is repositioned higher. Fine sutures and internal stitches support the new breast. Some patients return home the same day; others stay overnight for comfort. Drains may occasionally be placed and are usually removed within 24–48 hours.
Dr Harish has also co-authored a peer-reviewed study published in the Australasian Journal of Plastic Surgery on the safety of breast reduction surgery with and without surgical drains. This research, involving 172 patients, found that routine drains may not reduce complications, supporting safer and more comfortable recovery practices. Read the study here.
Recovery & Results
Breast Reduction Recovery Timeline
First Few Days
Swelling, bruising and a sense of tightness are expected. Pain peaks around days 2-3 but is well controlled with medication. A supportive surgical bra is worn continuously after surgery. Sleeping on your back with extra pillows is recommended. Gentle walking is encouraged but rest is important. Drains are usually removed at this time.
Week 1
Most patients feel more comfortable and can manage light daily tasks. Dressings are reviewed at your first follow-up. Lifting and overhead arm movements are discouraged. Driving is usually avoided until you are comfortable.
By this stage, many women in Sydney and across the North Shore report improved back, neck and shoulder pain relief. However, recovery varies. Call us or email us to discuss recovery after breast reduction (reduction mammaplasty) with Dr Harish.
Weeks 2–3
Bruising fades and swelling settles further. Many patients return to desk work in this timeframe. Temporary changes in nipple or skin sensation are common but usually improve. Light household tasks can usually be resumed.
Weeks 4–6
Energy and activity improve during this phase. Gentle exercise may be introduced with clearance, but swimming, gym workouts and heavy lifting should still wait. Scar therapy with silicone or massage has usually started by this period.
Around 3 Months
Breasts soften and settle into a natural shape and contour. Scars mature and continue to improve. At this stage, women often notice their breasts feel lighter and everyday activities easier but results can vary.
6–12 Months
Final breast shape is established and scars fade further. Results are long-lasting when weight is stable and supportive bras are used for exercise.
Risks and Considerations
Breast reduction is safe in experienced hands, but like any surgery, carries some risks. Dr Harish plans surgery carefully and provides detailed aftercare instructions to minimise complications. Possible risks include:
- Bleeding, infection or delayed wound healing.
- Changes in nipple or breast sensation.
- Visible scarring (usually well-hidden under clothing).
- Minor differences between breasts.
Want to know if breast reduction is safe for you?
Book your consultation with Dr Harish in Sydney’s North Shore.
Expected Results and Life After Surgery
Most women report relief from shoulder, back and neck pain after surgery. Their posture improves, clothing fits better, and exercise feels easier. Many also describe feeling lighter and more confident. However, outcomes can vary. Results can be long-lasting, especially with stable weight and supportive bras.
Life After Breast Reduction
Breast reduction (reduction mammaplasty) can bring lifestyle improvements such as greater comfort during exercise and clothing fit. Women frequently describe the ability to exercise more freely, wear clothes they previously avoided, and feel more comfortable in social and professional settings. Improved sleep, reduced headaches and less skin irritation are also commonly reported.
Breast Reduction in Teenagers and Young Women
Breast reduction surgery can sometimes be considered for teenagers and young women if large breasts are causing pain, skin problems, or major difficulties with sport, clothing, or confidence.
In Australia, extra safeguards apply for patients under 18. A referral from a GP is required, at least two consultations must take place, and there is a cooling-off period before surgery can be booked. All patients are screened for psychological wellbeing, and if concerns are raised, an independent mental health assessment is arranged.
Each case is carefully assessed on an individual basis, with the involvement of parents or guardians. Surgery is only performed if it is safe, appropriate, and in line with national medical guidelines.
If you are seeking advice about breast reduction in Sydney or on the North Shore, arrange a consultation with Dr Harish.
Pregnancy, Breastfeeding and Long-Term Results
Some women are able to breastfeed after reduction, but this cannot be guaranteed. Future pregnancy or breastfeeding can also affect breast size and shape. Weight changes and menopause can also influence results.
For the best long-term outcome, Dr Harish advises maintaining a stable weight, wearing supportive bras, and following healthy lifestyle habits.
Practical Information
Breast Reduction Cost & Medicare Coverage in Sydney and the North Shore
The cost of breast reduction in Sydney varies depending on complexity, hospital and anaesthetic fees, and health insurance. Many patients also ask about Medicare breast reduction in Sydney. If you meet medical criteria—for example, pain, posture issues or rashes—your surgery may be eligible under Medicare item 45523. Private health insurance may then contribute to hospital and anaesthetic fees. Out-of-pocket costs are discussed in detail at your consultation, with a personalised written quote provided.
Preparing for Surgery
Good preparation helps recovery. Before surgery:
- Maintain a stable weight and stop smoking for at least 4–6 weeks.
- Review all medications and supplements with Dr Harish.
- Arrange support at home for the first few days.
- Prepare front-opening tops and a supportive, non-underwire bra.
Frequently Asked Questions
How painful is breast reduction?
Discomfort is moderate, peaking in the first few days, and well controlled with medication.
Will I have visible scars?
Yes. Scars are placed to be hidden by bras or swimwear and fade with time. Scar therapy is routine to achieve the best possible result.
When can I return to work and driving?
Most women return to desk-based work and driving after 1–2 weeks.
Can I breastfeed after breast reduction?
Some women can, but there is a risk of reduced supply. Your individual risk is discussed during your consultation.
How long until I see final results?
Breasts appear smaller immediately, but swelling settles over months. Final results are usually seen at 6–12 months.
Can breasts grow back after reduction?
Weight gain, pregnancy and hormonal changes can increase breast size, but otherwise results are long-lasting.
What’s the difference between a breast lift and breast reduction?
A breast lift reshapes and elevates the breasts without reducing much volume. A reduction removes tissue to decrease size and weight while lifting the breast. Reductions nearly always include a lift component.
Is the surgery covered by Medicare or insurance?
Yes. If criteria are met, Medicare item 45523 may apply, and private health insurance may cover hospital and anaesthetic fees.
About Dr Harish
Why Choose Dr Varun Harish
- Internationally published on breast reduction techniques (Australasian Journal of Plastic Surgery, 2019), contributing to best-practice guidelines on patient safety
- Dr Harish is a FRACS-qualified Specialist Plastic Surgeon and member of the Australian Society of Plastic Surgeons (ASPS).
- Operates at accredited Sydney hospitals on the North Shore, providing state-of-the-art care and modern techniques.
Thinking about surgery?
Book a consultation with Dr Harish to discuss your personalised breast reduction plan in Sydney or the North Shore.
Serving Sydney and the North Shore
Our breast reduction surgery services are available across Sydney and the North Shore, with many women travelling from surrounding suburbs for surgery.
Patients visit our St Leonards clinic from:
Lower North Shore
Crows Nest, North Sydney, Neutral Bay, Mosman
Central North Shore
Chatswood, Lane Cove, Ryde, Killara
Upper North Shore
Hornsby, Wahroonga, Turramurra, St Ives
Northern Beaches
Manly, Dee Why, Mona Vale
Inner West
Ashfield, Burwood, Newtown
North West
Castle Hill, Baulkham Hills
Central Coast
Gosford, Terrigal, Woy Woy
Our clinic is located near Royal North Shore Hospital, with simple access via Crows Nest Metro and St Leonards Station, and convenient parking options.
By choosing Dr Harish for breast reduction surgery in Sydney, you benefit from specialist care, delivered by a FRACS-qualified plastic surgeon.