Breast Reduction Surgery
List of possible risks & complications:
Boxy or Flat Breast (normally occurs post-operatively as a temporary condition)
Change in nipple color
Dissatisfaction with breast size (too small or too large)
Hematoma (pooling of clotted blood; risk is 3-4%)
Infection (signs of infection: warmth, redness, soreness, swelling)
Irregularities in position of nipples and areola
Keloid (heavy scar)
Nipple loss (1%)
Reactions to medications
Sensory change (4-7%)
Seroma (pooling of watery blood)
Small differences in shape or size of the breasts are not uncommon following breast reduction surgery.
"Fat necrosis is more common in larger resections. A study by Strombeck reported a 16% incidence of fat necrosis in obese patients having resections of more than 1000 g. However, the incidence of fat necrosis has been reported as low as 0.8% in 371 patients undergoing an average resection of 870 g per breast."
Source: Daane SP, Rockwell B, Breast Reduction Techniques and Outcomes: A Meta-Analysis. Aesth Plast Surg 1999;19:293-303; Mandrekas AD, Zambacos GJ, Anastasopoulous A, Haspas DA. Reduction mammaplasty with the inferior pedicle technique: early and late complications in 371 patients. Br J Plast Surg 1996;49:442–6; 35. Strombeck JL. Reduction mammaplasty by Strombeck technique. In: Goldwyn RM, editor. Plastic and reconstructive surgery of the breast. Boston: Little, Brown & Co; 1976:195–209.
Most patients will have some change in nipple sensation following mammoplasty. This is usually temporary but could take months to return.
Sometimes the incisions will pull apart. This does not require additional surgery. It is treated with moist dressings. However, if this occurs, recovery time is much longer.