Breast Reduction

Disproportionately large breasts can overpower a woman’s figure and cause physical and emotional problems. Big breasted women often struggle with neck, back, and shoulder pain, bra strap indentions, skin chafing and infection, and the inability to perform certain tasks such as jogging. A breast reduction can balance your breasts and body shape and alleviate the issues you’ve faced due to macromastia (abnormally large breasts).

Is Breast Reduction Right for Me?

Debilitating pain and discomfort from overly large breasts can impact your ability to participate in sports and wear certain types of clothing. Many women are self-conscious of their large breast size, and breast reduction can alleviate many, if not all, of these symptoms.

Breast reduction can be useful for women of any age who have fully developed breasts.

Who Will Benefit from a Breast Reduction?

Women with large heavy breasts experiencing any of the following problems will benefit from a breast reduction:

  • Chronic shoulder pain
  • Neck and back pain
  • Severe skin irritation below and between the breasts
  • Poor posture
  • Difficulty to find clothes/underwear that fit properly
  • Low self-esteem
  • Normal life activities such as exercising and playing sports are negatively affected by large breasts.

The Breast Reduction Procedure

Breast reduction surgery begins with the removal of excess breast tissue from the top and sides of the breast through a series of incisions around the nipples (areolas) to reach the ideal size and shape. We then reposition and center the breast tissue and nipples to achieve a youthful, lifted placement. Some scarring will be concealed in the darker pigment of the areolas while others will fade over time.

The procedure is performed at our surgical facility and takes approximately three hours. No overnight stay is required.

As with any invasive surgery, there are some risks with breast reduction, including infection, bleeding, and poor scarring. The breast reduction procedure overall is a safe and effective way to reduce breast size permanently.

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Your IVF Fertility Journey

Scheduling a fertility consultation with one of our fertility expert gynecologists:

  • Dr Richard Joubert 013 7457605
  • Dr Pieter Steyn 013 7552106
  • Dr Wilhelm Combrink 013 7457988
  • Dr Jean Nel 013 7458054

*Your fertility journey timescale might differ from the one described here.

  • 1

    The fertility specialist will do all necessary tests and evaluations on you as a couple in order to make a fertility treatment diagnosis.

  • 2

    To start the treatment program you will call the fertility specialists rooms on the first day of your next menstruation.

  • 3

    You will see the fertility specialist on day 2 or day 3 of your cycle for a sonar examination to determine the state of the ovaries and uterus before you start taking the medication. The specialist will explain how the stimulation drugs are used henceforth on your own or with the help of your partner.

  • 4

    Your next appointment will be on day 8 or 9 of your cycle. The Doctor will again do a sonar to see how your ovaries have responded to the stimulation and he will start monitoring them in terms of count as well as diameter. You will also be sent for blood tests to correlate the hormonal value increase with the number of developing follicles on the ovaries.

  • 5

    Once the biggest follicle measures more than 20mm in diameter, the doctor will determine the day of aspirating the mature eggs and a trigger drug will be administered to mature the eggs.

  • 6

    In the meantime, you will be referred to Surgiclinic Fertility to open your file and hospital admission. Your eggs will be harvested 36 hours after taking the trigger drug. This is usually scheduled for 9pm at night so we can do the harvest around 8am 36 hours later. You need to be fasting from the previous night and report to Surgiclinic Private Hospital at 7am sharp to be ready for the aspiration procedure scheduled for 8am

  • 7

    The anesthetist will give you conscious sedation to not feel any pain or discomfort while the oocytes are harvested. This process is the same as when the doctor monitored your follicles in the rooms with the only difference that the aspiration needle is now attached to the sonar probe.

  • 8

    In the meantime, your partner needs to be available on the day of aspiration to give a very much needed sperm sample. He is usually expected to have 3 to 5 days of sexual abstinence to give a good sample by means of masturbation. There is a special private facility close to the IVF lab where he will find all that is needed to do his very important part in this procedure.

  • 9

    Once all the follicles are aspirated the doctor will put a small armband around your wrist with the exact number of eggs retrieved written on it. You will be served some tea and toast once you wake up.

  • 10

    You should be ready to go home at around 10am. Try to rest at home and do not plan any other activities as you might not feel up to it. There might be some lower abdominal discomfort as well as bleeding.

  • 11

    The embryologist will continue the preparation of both eggs and sperm sample to be able to do the fertilisation on the very same day the aspiration has taken place.

  • 12

    Each morning the embryologist will evaluate the development of the eggs starting with fertilisation to embryo development. You will receive a Whatsapp picture every day to explain what they look like at that time.

  • 13

    The fertility specialist will decide when the embryo transfer will be, either day 3 or day 5 of development.

  • 14

    You and your partner will be expected to report to Surgiclinic Fertility an hour prior to embryo transfer.

  • 15

    Your partner will sit next to you while the embryos are transferred by sonar guidance. The Doctor will give you a note to do a pregnancy test, usually 14 days after the oocyte harvest took place. This is a blood test and all values above 25 are considered positive and repeated within 48 hours to ensure an ongoing value.

  • 16

    When your test is positive, we will contact you for an appointment for the first scans at 7 weeks into your pregnancy. Celebrate and rest a lot.