Breast Reduction Surgery (Reduction Mammoplasty) with Dr Bernard Beldholm FRACS
Book Online NowReduction mammoplasty (breast reduction surgery) is a surgical procedure that removes excess breast tissue, glandular tissue and excess fat to help patients achieve a breast size that better suits their body and addresses medical symptoms associated with excessively large breasts.
It may also reduce skin irritation, discomfort from bra straps, and neck or shoulder pain caused by heavy breasts. Some patients seek treatment after significant weight loss or changes in breast development.

What Breast Reduction (Reduction Mammoplasty) Aims to Address
Breast reduction (Reduction Mammoplasty) aims to reduce physical symptoms such as:
- Physical discomfort or physical pain from large breasts
- Skin irritation beneath the breast crease
- Pressure from bra straps
- Neck pain, shoulder pain, or combined neck and shoulder pain
- Functional limitations when breast size restricts activity
It may also address certain aesthetic concerns; however, no outcome can be guaranteed.
Who Is Suitable for Breast Reduction (Reduction Mammoplasty) Surgery?
Suitability is determined after reviewing your medical history, breast size, symptoms, tissue composition and personal goals.
A GP referral is required for all consultations.

Your Consultation with Dr Beldholm
Your initial consultation (approximately 1 hour) includes:
- Review of your medical history
- Examination of breast tissue, glandular tissue, remaining breast tissue, and excess skin
- Clinical photography
- Discussion of surgical options and surgical risks
- Explanation of recovery expectations and cost structure
A second consultation is encouraged before surgery.
Telehealth may be available for distant patients. An in-person consultation is required before surgery.
Book Online NowSurgical Techniques

Vertical Breast Reduction
Often suitable for patients requiring moderate removal of tissue and skin.
Wise-Pattern Breast Reduction
Used when a larger amount of glandular tissue and skin must be removed.
Free Nipple Graft
Considered in limited cases, typically with extremely large breasts. This method may lead to reduced or permanent loss of nipple sensation.
Hospital, Anaesthesia & Recovery
- Performed under general anaesthesia at Maitland Private Hospital.
- Patients usually stay overnight.
- Frequent early post-operative reviews are provided, including dressing care and use of a surgical bra to aid healing.
You will receive guidance on wound care, medications and when to seek urgent help.
Risks, Side Effects & Complications
All surgery carries risks. These will be discussed during consultation.
Common or Expected Effects
- Temporary swelling and discomfort
- Temporary changes in nipple sensation
- Skin irritation or permanent pigmentation changes
- Minor wound issues or delayed healing at incision sites
Specific Complications
- Fat necrosis (areas of tissue or fat that may not survive)
- Issues affecting blood vessels or deeper tissue layers
- Infection or breathing difficulties
- Deep vein thrombosis or blood clot
- Potentially fatal cardiovascular complications (rare)
- Need for further surgery or revision surgery
If you experience concerning symptoms such as fever, difficulty breathing, or unexpected swelling, seek medical attention immediately.
Frequently Asked Questions

What is a reduction mammoplasty?
A surgical procedure that removes excess breast tissue, glandular tissue and excess fat to achieve a breast size more appropriate for your body and symptoms.
Is breast reduction (Reduction Mammoplasty) a major surgery?
Yes. It involves incisions, tissue removal and structured recovery.
What is the ideal age for reduction mammoplasty?
There is no universal ideal age. Surgery is usually considered once breast development has stabilised.
What are the side effects of breast reductions?
Side effects may include swelling, changes in nipple sensation, scarring, asymmetry, fat necrosis, bleeding, infection or healing delays.
Can private health insurance apply?
Eligibility depends on symptoms and MBS criteria. Private health insurance may apply for medically-indicated cases.
