Breast reduction, also known as reduction mammoplasty, is a surgical procedure that reduces the size of excessively large breasts. Very large breasts can cause health issues, physical pain, discomfort and embarrassment. Surgery can often improve symptoms dramatically. For more information click here.

This cosmetic procedure aims to enhance the shape, size and symmetry of your breasts, using implants, fat transfer, or a combination of both. It can be incorporated with a breast lift to enhance sagging breasts, giving you a more feminine, youthful shape. This is especially beneficial for women wanting to replace volume loss or reshape sagging breasts after weight loss or breastfeeding. For more information click here.

Breasts can droop and sag with age, weight loss and breastfeeding. This procedure can restore the youthful appearance of your breasts and can often be combined with breast implants (augmentation mastopexy) to enhance your femininity. For more information about a breast lift click here.

Breast augmentation combined with breast lift surgery, also known as augmentation mastopexy, is a procedure that lifts, enlarges and reshapes the breasts achieving a more youthful, fuller appearance. For more information about a breast lift with implants click here.

This procedure is often performed as the final step of breast reconstruction after cancer, using your natural skin and/or medical tattooing to recreate the nipple and areola. For more information click here.

Nipple inversion can occur naturally or can be related to an underlying medical problem. This causes an uneven appearance that can be bothersome or embarrassing to some individuals and can be corrected with a short procedure to evert the nipple. For more information click here.

Breasts are often subtly asymmetrical, but larger variations are more obvious, either naturally or following surgery. For patients concerned with any degree of asymmetry, balance can be achieved through augmentation, reduction, mastopexy or fat transfer. For more information click here.

Breast reconstruction is performed on women who are undergoing or have undergone treatment for breast cancer. Whether immediate or delayed, we specialise in a variety of implant-based and autologous (natural) free tissue transfer (free flap) surgery. Our goal is to create a natural-looking breast and restore our patient’s appearance and self-confidence.

Click here to learn more about the different approaches to breast reconstructive surgery.

  1. Implant-based reconstruction – a breast implant or tissue expander is used to re-create the original breast, either during initial cancer surgery, or once cancer treatment is completed.
    1. Expander-based reconstruction – a temporary expansion device is implanted to stretch the overlying skin over weeks, to accommodate a subsequent breast implant of appropriate size.
    2. Direct-to-implant (DTI) – a silicone implant in conjunction with an ‘acellular dermal matrix’ (ADM) is used immediately after mastectomy. This type of surgery is usually carried out in those patients who do not require further radiotherapy treatment.
  2. Pedicled flaps – a flap of tissue is rotated into position on the chest wall to recreate the breast mound.
    1. Latissimus Dorsi (LD) pedicled flap – the LD muscle is lifted, passed through the armpit and shaped over an implant to create a natural-looking reconstructed breast.
    2. Extended Latissimus Dorsi (ELD) flap – the LD muscle is lifted along with additional fat pads in the back, avoiding the need for an implant. The muscle is passed through the armpit and shaped to create a natural reconstructed breast.
    3. Thoracodorsal Artery Perforator flap (TAP) or mini-LD flap – a small portion of fat and muscle from the back is transferred to the chest to help fill a smaller defect. Used particularly in women who have had a wide local excision of breast cancer and require a small amount of tissue replacement.
  3. Free flap – the pinnacle of reconstructive plastic surgery, free flap surgery, also known as autologous free tissue transfer, involves lifting the patients’ soft tissue (muscle, skin or fat) on its own natural blood supply (vein and artery), and transplanting that tissue to a completely new site (usually the chest), where microsurgical techniques are used to link the tissue to a new blood supply.
    Examples of free flaps include the Deep Inferior Epigastric Perforator flap (DIEP), Muscle Sparing- Transverse Rectus Abdominis Myocutaneous flap (MS-TRAM), Inferior Gluteal Artery Perforator flap (IGAP) and Transverse Upper Gracilis flap (TUG)
  4. Lipofilling (Fat transfer) – fat is transferred from the abdomen, thighs and hips to the remaining breast tissue. Useful in filling a smaller defect after wide local excision of breast cancer and/or following radiotherapy.

For more information about breast cancer and breast reconstruction click here.

Excess breast tissue in men (gynaecomastia) is reduced by surgically removing breast tissue and/or utilising liposuction, creating a more toned and natural appearance.

For more information click here.