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Dr Drielsma has over 35 years of extensive experience
in Lollipop incision Breast Reduction (Vertical Mammoplasty) in Sydney
with internal bra sling

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Women who undergo reduction form the happiest group of patients in Dr Drielsma’s practice. This is because breast reduction not only alleviates crippling symptoms associated with macromastia (large breasts). Lightening the upper body also allows for the possibility of better participation in sporting and recreational activities.

Should I get breast
Reduction Mammoplasty Surgery?

Breast reduction is the ideal procedure to reduce heavy breasts. It allows you to reduce your cup size, while also improving physical issues.

Unfortunately, larger breasts can cause many physical, social, and emotional problems. Women with large breasts may find it difficult to find bras that fit comfortably or that are big enough. Larger breasts can also cause grooves in the skin, where bra straps often cut into the shoulders. In addition, finding clothing that fits right and looks great, can prove difficult. As a result, every day social and recreational activities can be difficult or downright impossible to participate in. Oversized breasts may also lead to psychological stress due to embarrassment and low self-esteem.

As well as social issues, heavy breasts can cause physical discomfort and pain, often in the form of chafing, skin infections and rashes. Back, shoulder and neck pain is also common, due to weight dragging on these structures.

Large breast reductions can also help reduce skin irritation and infections under the breasts. Breast reduction always involves a lift which will give the added bonus of a perkier, better shaped breast. This may in some cases boost self-confidence and image.

Before and After Gallery

Lollipop (Vertical Mammoplasty) Breast Reduction Surgery in Sydney

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  • Breast Reduction Techniques

    There are a number of breast reduction techniques and the one used for your procedure depends on the surgeon and on your personal needs. The correct procedure for you is something you will need to discuss with Dr Drielsma during your consultation.

    The two methods most recognised in Australia are the “Lollipop” (Vertical Mammoplasty) technique and the Anchor or “Inverted T” incision technique. Also known as a LeJour Breast Reduction, the Lollipop (Vertical Mammoplasty) technique is Dr Drielsma’s preferred method.

    Dr Drielsma performs the Lollipop (Vertical Mammoplasty) technique in about 90% of cases and has performed thousands in his 35 years of surgical practice.

    The advantages of the “Lollipop (Vertical Mammoplasty)” Technique are:

    • It dramatically reduces scar load with no scar running along the crease under the breast.This equates to a scar length reduction of over 50%
    • The Lollipop (Vertical Mammoplasty) technique delivers a more natural rounded shape result.   This is due to the fact it does not constrict the lower breast pole skin envelope which means the remaining breast tissue can settle into a natural rounded shape.
    • The natural resulting shape of a Lollipop (Vertical Mammoplasty) reduction/lift tend to improve with time whereas an inverted T tends to deteriorate with time.

    Dr Drielsma also performs inverted T or “anchor” reductions where necessary when the breasts are just too large for the Lollipop (Vertical Mammoplasty) method. An anchor breast reduction does leave larger scars compared to the Lollipop (Vertical Mammoplasty) style Dr Drielsma prefers. In contrast to the long term rounded shape of a lollipop mammaplasty, inverted T techniques tend to produce squaring or boxiness to the lower poles of the breast.

    Dr Drielsma will discuss this with you following examination at consultation.

    Breast liposuction has been marketed recently as being a “scarless” breast reduction. Occasionally Dr Drielsma may use liposuction as an adjunct to a surgical breast reduction but liposuction has little role as a stand alone technique as it will cause loss of breast support and sagging.

     

  • Breast reduction Procedures

    Breast reduction surgery can help improve confidence, as well as physical pain and discomfort. It should only be performed by a fully qualified plastic surgeon, in an accredited hospital, under general anaesthetic.

    Dr Drielsma will perform your breast reduction operation in an accredited Australian hospital, with the highest of safety standards. He only works with Australia’s leading teams of surgical staff and anaesthetists in fully licensed facilities.

    The operation procedure time is generally 3 hours, though this time varies depending on the patient and the degree of surgery the patient needs to achieve the results required.

    During your procedure, Dr Drielsma will surgically remove the necessary amount of breast tissue to reduce your breast proportions and overall breast weight.  Dr Drielsma uses the Lollipop (Vertical Mammoplasty) technique in 95% of breast reductions (all except extremely large reduction cases).  Your breast size will determine the amount of tissue removed.  The larger your breasts, the more tissue that is removed.

    Many patients are concerned about their areola after breast reduction. Dr Drielsma repositions your nipples higher on the breast mound and adjusts the remaining tissue to form a perkier, firmer breast. This is part of the contouring and sculpting process to reduce sagging and create more natural looking breast contours.

    Dr Drielsma will customise your breast reduction procedure to suit your body and your needs. However, all breast reduction surgeries with Dr Drielsma will take the following into account:

    • Your existing breast tissue
    • The size and weight of your breasts
    • Position of the breast and nipple
    • The health and elasticity of your breasts
    • Your underlying chest muscles
    • The breast size you would prefer
    • Your preferred nipple size, appearance, and location

  • Are You a Suitable Candidate?

    Choosing breast reduction surgery is a deeply personal decision. It is important to have a private consultation with a fully qualified specialist plastic surgeon, like Dr Robert Drielsma, to determine if this is the right procedure for you.

    You may consider surgery to reduce breast size if:

    • You dislike having large breasts or feel they are out of proportion with the rest of your physique
    • Your breasts make you self-conscious or embarrassed in public.
    • Your breast size restricts your participation in social or recreational activities
    • You are suffering physical symptoms such as back, shoulder and neck pain
    • Your breasts are asymmetrical
    • You have difficulty fitting in bras or clothes because of your breast size
    • Your breasts cause skin infections and rashes
    • You are unhappy with changes to your breasts post-pregnancy or post-weight loss, including sagging

  • How Much Does Breast Reduction Mammoplasty Cost?

    The average cost of reduction is difficult to estimate as each procedure is customised to your unique concerns.

    Costs of surgery will vary from surgeon to surgeon and patient to patient.

    Price is a poor indicator of the training or experience of a surgeon. Always do your research to avoid dangerously under-priced surgery or ridiculously overpriced surgery. Shopping around based on price is a dangerous way to choose your surgeon.

    The more important issue, for you, is that you are satisfied the surgeon you choose will be doing your breast reduction safely, giving you the optimal aesthetic outcome. You should be happy with the quality of service and experience you are being offered for the price of your surgery.

    Seeing a cheap or overseas plastic surgeon will likely require breast reduction revision surgery. The cost of revision is far more than having a professional procedure the first time.

    Dr Drielsma is a Specialist Plastic Surgeon with over 35 years experience who will focus on you personally and give you all the information you need during your breast reduction consultation.  Dr Drielsma does not do cheap surgery, he fixes it!

    Medical Breast Reduction and Medicare

    In most breast reduction cases, your procedure will be medically necessary.   As a result, you may be able to claim back some of your procedure through Medicare.  I you are in a private health fund, you will likely also be able to have your hospital partially or fully covered.

  • Recovery

    There is generally little pain associated with breast reduction.  Most of Dr Drielsma’s patients are pleasantly surprised how comfortable and smooth the recovery process is.

    One night in hospital is all that is required following surgery. Drains are placed in each breast which are easily removed the next morning before discharge. Dressings on the breast Lollipop (Vertical Mammoplasty) stitch lines are kept dry for a week, following which they are simplified and showering is permitted.

    Swelling from your procedure can take up to 4 to 6 weeks and some 6 months or so to settle into their final size and shape.

    Most patients require about 2 weeks off work. We recommend patients do not return to normal physical exercise for around 6 weeks.

  • Breast Reduction Scarring

    It is important to remember that all surgery involves some scarring. Your ultimate level of scarring will depend on several factors, including the technique used.

    The huge advantage of the Lollipop (Vertical Mammoplasty) method is that scar load, or the length of scarring, is significantly reduced. The scar load can be reduced by over 50%, compared with anchor or “inverted T” techniques.

    Scars soften and fade in a maturation process that takes up to 2 years to complete after surgery. This results in very acceptable scars you will be satisfied with.

    Image of Before and Afters:

  • What Are the Risks of Breast Surgery?

    As with any surgical procedure, there are potential risks and complications when it comes to breast reduction surgery. These complications are unusual but can involve bleeding and infection.

    Breast Feeding

    In a significant number of cases it is possible that your breast reduction surgery may affect your ability to breastfeed. This is due to the removal of breast tissue and disconnection of remaining breast tissue from the nipple. It is important to discuss any future plans to breast feed with Dr. Drielsma during your consultation.

    Breast Growing Back

    Gaining weight, pregnancy and breast feeding can cause breast tissue to regrow, however this not a common issue. In these unusual cases you may wish to have a further reduction procedure years down the track.

    Surgeons can perform breast reduction for those who are overweight.  However, for the best surgical and aesthetic results – and lower risks – it is better to reach your goal weight before having surgery.

    Accepted Side Effects

    There are also surgical side effects that are expected but acceptable, such as scarring and sensation changes. Your surgeon will explain these all aspects of these side effects, in detail, during your consultation.

    The procedure requires a general anaesthetic and your anaesthetist will discuss the possible discomforts and any possible complications that may occur.

    Although every attempt is made to obtain symmetry and natural breast shape, as with all women and natural breasts, there may be some difference in the final size and shape of your breasts, and areola and nipple position. Treat you breasts as sisters, not twins.

    If you are considering getting a breast reduction, contact Dr Drielsma today. As one of Sydney’s leading plastic surgeons, Dr Drielsma will work with you to achieve your natural-look plastic surgery desires. Please visit our contact page or call 1800 180 777.

  • Resources

    Australasian Society of Aesthetic Plastic Surgeons. November 2018.  Breast Reduction. [online] Available: https://aestheticplasticsurgeons.org.au/your-surgery/breast-surgeries/breast-reduction/ (accessed November 28 2018)

    International Society of Aesthetic Plastic Surgeons. November 2018. Breast Reduction Surgery 101. [online] Available: https://www.isaps.org/blog/breast-reduction-surgery-101/ (November 28 2018)

    Australian Society of Plastic Surgeons. November 2018. Breast Reduction. [online] Available: https://plasticsurgery.org.au/procedures/surgical-procedures/breast-reduction/ (accessed November 28 2018)

    International Society of Aesthetic Plastic Surgeons. November 2018. Breast Reduction. [online] Available: https://www.isaps.org/procedures/breasts/breast-reduction/ (accessed November 28 2018)

Breast reduction Surgery Sydney

Dr. Robert Drielsma is a Sydney based Specialist Plastic Surgeon with extensive experience in the “Lollipop (Vertical Mammoplasty)”breast lift (mastopexy) and reduction mammoplasty technique. His aim is to create natural looking breasts for his patients.

Dr. Drielsma is available for consultations at Bondi Junction in Sydney, Camden, Wagga Wagga and Canberra.

If you would like to book a consultation or find out more about breast lift or mastopexy surgery,
please visit our Contact Page, call 1800 180 777

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Breast Reduction FAQ

  • What Should I Do Before Surgery?

    Be sure to discuss your desired outcome and realistic expectations with your surgeon prior to surgery.  Ensure you understand exactly what can and cannot be done in terms of your breasts and particular body shape.
    You will also need a referral from your general practitioner to Dr Drielsma.
    It is advisable to stop smoking at least 2 weeks prior to your surgical procedure, as well as stopping the use of aspirin and other NSAIDs (non-steroidal anti-inflammatory drugs) one week before surgery as these drugs can cause blood thinning complications.

  • How is a Breast Lift (mastopexy) Performed and what is the downtime?

    Breast tissue and excess skin are removed and the breast envelope tightened using  Dr Drielsma’s preferred Lollipop (Vertical Mammoplasty) method to reduce size and lift the breast back into a natural position.  The larger the breast, the more breast tissue is removed.  Generally a natural looking D cup results from breast reduction.

    Surgery is performed under general anaesthetic and takes around 3 hours to perform.  Generally one night in hospital post-op is recommended. You will be able to return to work after 2 weeks, and normal physical activity after 6 weeks.

  • What Happens During Recovery?

    You will be given specific instructions to follow during your recovery period.  Following these instructions will give you the best chance of a swift recovery and minimal scarring.  You will see some swelling and scarring immediately after surgery but this will begin to subside after 4-6 weeks.  Please remember that it can take up to 12 months for your breasts to settle into their final position and shape, and for swelling to completely subside. There will be visible bruising for up to 2-3 weeks. As part of your consultation with Dr Drielsma, you will discuss and customise individual pain management.

  • Is a Breast Lift (Mastopexy) Painful?

    Every patients experience of pain is different and some degree of pain and discomfort is expected.  However, most of Dr Drielsma’s patients undergoing breast reduction and lifting surgery are pleasantly surprised how little pain there they experience.  You will have access to appropriate pain relief, if required,  following surgery in hospital as well as at home after discharge.

  • How Long Does a Breast Lift (Mastopexy) Last?

    The results of an expertly performed breast reduction are long lasting.  The success of your breast reduction and lift depends on a variety of factors including future childbirth, weight fluctuations, and ageing.  Women who maintain a stable weight after their breast reduction report results that last decades!

  • Are There Risks?

    There are  risks with all forms of surgery.  Complications with modern plastic surgery and Breast reduction are uncommon but can include infection, unfavourable scarring, seroma (accumulation of fluid), bleeding or haematoma, delayed wound healing, nipple sensitivity changes, nipple loss or necrosis, and asymmetry.  Common side effects include swelling and bruising, but these will subside with time and correct recovery care.

  • Can I Breast feed After a Breast Lift (Mastopexy)?

    Breast reduction procedures may affect your breastfeeding ability. This is because your breast tissue and nipples may be readjusted as part of your procedure. If you have plans to breastfeed after your surgery you will need to discuss this with Dr Drielsma during your consultations.

  • Next Step
    • Next step: Book your Initial Consultation
      • To arrange your consultation with Dr Drielsma, obtain a referral from your general practitioner and call 1800 180 777 to arrange your consultation appointment.
      • A Referral from your GP or specialist is essential.
    • What to Bring to your Surgeon Consultation
      • Bring a friend or relative to help discuss further information and consider your choices
      • Take lots of notes and read the documents provided thoroughly
      • You may need to undress for a physical exam so wear simple” data-mce-style=”background-color: yellow;”>simple clothing
    • Want more information before scheduling your Surgeon consultation?
      • Request further information about the procedure – call or contact us
      • Book a patient Advisor chat – (FREE)

**Individual results may vary. All surgery carries risks.
You should seek a second opinion from an equally qualified Specialist Plastic Surgeon before proceeding with surgery.

Meet Our Plastic Surgeon

"The best choice a patient
can make is one that leads
to their own happiness"

MBBS, BSc(Med), FRACS
(AHPRA MED 0001073756)

Dr. Robert Drielsma

MBBS (Hons), BSc(Med), FRACS  (AHPRA MED 0001073756)

Dr Drielsma is an Australian trained fully qualified Specialist Plastic and Reconstructive surgeon specialising in aesthetic  surgery of the face, breasts and body.

His medical degree, (M.B.B.S Hons) was completed with honours at the University of Sydney in 1982. During this time he also completed a Bachelor of Science degree.   Dr Drielsma then completed specialist training in both general surgery and plastic surgery in Sydney attaining fellowship of the Royal Australian College of of Surgery (FRACS) in both disciplines.  Further training and experience was then attained internationally in London, England and Toronto Canada.

Dr Drielsma commenced his private practice in Canberra and Sydney Australia in 1997.  His practice is now based in Bondi Junction, Sydney and incorporates Camden in Sydney’s west, Wagga Wagga and Canberra.

Dr Drielsma is a Fellow of the Royal Australasian College of Surgeons (FRACS), member of the Australasian Society of Plastic Surgeons (ASPS) and member of the Australasian Society of Aesthetic Plastic Surgeons (ASAPS).   Dr Drielsma is also board Certified by the Australian and New Zealand Board of Cosmetic Plastic Surgery.

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Dr. Robert Drielsma

Specialist Plastic Surgeon

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