Breast Reduction Sydney

The breast reduction procedure, also referred to as mammoplasty, is a cosmetic procedure to decrease breast size, restore symmetry and help to reduce neck and shoulder pain in patients who live with discomfort due to breast size.

Breast Reduction Sydney

Breast reduction (mammoplasty), is a specialised form of cosmetic surgery that holds both aesthetic and functional significance. The primary goal of this procedure is to decrease the size of the patient’s breasts, often in response to the individual’s personal preference or physical comfort needs. Often this procedure is not merely a cosmetic intervention but a health-oriented choice that has the potential to significantly improve the patient’s day-to-day living by reducing physical discomfort and enhancing their overall wellbeing.

What concerns can a breast reduction help to address?

It’s important to remember that every individual is unique and so too are their needs and desired outcomes for cosmetic surgery. If you’re considering a procedure, it’s essential to have a comprehensive consultation with one of our experienced surgeons. They can help you understand whether you’re a suitable candidate and what you can realistically expect from the surgery. The information provided here is meant to help guide you, but it’s not a replacement for professional medical advice. Always organise a consultation for personalised advice.

If you are concerned about the way you look or are thinking about cosmetic surgery for confidence reasons, there are alternatives. Talking to a counsellor or psychologist may help you overcome your concerns about your appearance.

Size Concerns: Breast reduction surgery might be an option for individuals who feel their breasts are disproportionately large for their body frame and this causes physical discomfort or dissatisfaction.
Physical Discomfort: The surgery can potentially alleviate physical discomfort caused by large breasts, such as back, neck, or shoulder pain, after a careful evaluation of the situation by a medical professional.
Skin Issues: It may address persistent skin irritation or infections underneath the breast crease caused by large breasts.
Activity Restriction: Large breasts can sometimes limit physical activity due to discomfort or self-consciousness. Breast reduction surgery could potentially help to alleviate these concerns, enhancing comfort during physical activity.
Asymmetry: The procedure can potentially correct significant asymmetry where one breast is noticeably larger than the other.
Bra Fit: The surgery might assist those having difficulty finding bras that fit comfortably due to large breast size.
Shoulder Indentations: It may help alleviate shoulder indentations caused by the weight of large breasts on bra straps.
Self-Image: Breast reduction may potentially improve self-image for those who feel self-conscious about having large breasts. However, it is essential to have a thorough discussion with a medical professional about the potential outcomes and set realistic expectations.

What to expect


The initial step in the breast reduction process is a detailed consultation with our skilled surgeon. This meeting involves discussions about your aesthetic goals, medical history, and the current size and shape of your breasts. The surgeon will examine your breast tissue, skin quality, and nipple position. This consultation provides an invaluable opportunity for you to voice any concerns or ask any questions you may have about the procedure.

Number and type of consultation

It is a requirement under the law, that a patient seeking cosmetic surgery must have at least two pre-operative consultations. The patient’s first consultation must be with the medical practitioner who will perform the surgery or another registered health practitioner who works with the medical practitioner who will perform the surgery (not a patient advisor or an agent). At least one of the two consultations must be in person with the medical practitioner who will perform the surgery. Other consultations can be in person or by video.

When consent can be given

A patient must not be requested to sign consent forms at their first consultation and cannot consent to cosmetic surgery until they have had an in-person consultation with the medical practitioner who will perform the surgery. The decision to have the surgery (provision of informed consent) must be made at a consultation with the medical practitioner who will perform the procedure (in person or by video).

Cooling-off Period

There must be a cooling-off period of at least seven days after the patient has had two consultations and given informed consent (signed consent forms), before the surgery can be booked or a deposit paid. 


Once the surgical plan is mutually agreed upon, you will receive specific preoperative instructions to prepare for your breast reduction. These instructions might include dietary guidelines, advice on smoking and alcohol consumption, specific instructions regarding medications or supplements, and skincare procedures.

Breast reduction surgery typically takes between two to four hours and is commonly performed under general anesthesia. The procedure involves making incisions on the breasts—often around the areola, vertically down to the breast crease, and horizontally along the crease. The surgeon then removes excess breast tissue, fat, and skin, reshaping the remaining breast tissue to achieve the desired size and contour. The nipples are repositioned to align with the new breast size and shape.


After the surgery, you’ll be closely monitored in a recovery room for a short period. Most patients can go home the same day, though occasionally an overnight hospital stay may be recommended. A special bra may be provided to support the breasts, reduce swelling, and aid the healing process.

Swelling, bruising, and discomfort are to be expected after a breast reduction but will begin to subside after a few days. Most patients feel ready to resume their daily activities and return to work or school within one to two weeks.

Regular follow-up appointments will be scheduled to monitor your healing and to ensure a smooth recovery. The final results of your breast reduction might not be fully apparent for several months, as it takes time for the breasts to fully heal and adjust to their new shape.

Surgery Time
2 to 4 hours
Hospital Time
Time off work
2 weeks
Cast Removal
Drains for up to 1 week - Garment for 12 weeks
Sponge bath after two days however incisions must remain dry
Take easy for 3 months
6 weeks and not while taking prescribed pain relief. We also recommend checking with your CTA insurer as to the post surgery exclusion period.
After 2 weeks for national and 4 weeks for international
Full Recovery
12 months for final results

Considerations Before Cosmetic Surgery

While we aim to provide accurate information about the different surgical procedures available, it’s important to understand that the content provided here serves as a general guide only. The specifics of each surgery, including the procedure detailed above, can and will vary significantly from person to person, depending on their unique circumstances and physical characteristics.

Undergoing cosmetic surgery is a serious decision that requires ample thought, careful consideration, and meticulous planning. It should never be taken lightly or treated trivially, as it can have profound impacts on one’s lifestyle and wellbeing.

Recovery from cosmetic surgery, too, requires time, support, and proper aftercare. We strive to present realistic and transparent information about the recovery process, but individual experiences may vary. It is typical for recovery to involve certain services or requirements, such as the use of compression garments or receiving therapeutic massages. It also often necessitates significant lifestyle changes, which may include a period of absence from employment and temporary restrictions on certain activities.

In light of these considerations, we strongly encourage potential patients to engage in comprehensive discussions with their GP and our surgeons. The goal is to fully understand the implications, requirements, and likely outcomes of any chosen procedure, and to make informed decisions about their health and aesthetics.

For more information on preparing for cosmetic surgery visit

General risks and complications of surgery include:

Substantial Hemorrhage: This involves severe blood loss from the area that underwent surgery, which may necessitate additional medical interventions.
Susceptibility to Infection: Post-surgery, the risk of infection can rise, potentially requiring either antibiotic treatment or subsequent surgical interventions.
Allergic Responses: Patients may exhibit allergic reactions to medical materials such as sutures, dressings, or antiseptic solutions used during and after the procedure.
Hematoma Formation: This involves the development of a sizable clot of blood beneath the incision site, which may necessitate medical drainage.
Post-Surgical Discomfort: Patients may experience pain, bruising, and swelling in the area surrounding the surgical site.
Scar Development: There's a risk of developing keloids or hypertrophic scars, which are elevated, red, and thickened scars over the healed incisions. Though they can be bothersome and aesthetically displeasing, they don't pose a direct health threat.
Delayed Healing Process: Healing can be sluggish, especially in patients with pre-existing conditions like diabetes or those who smoke.
Anaesthesia Risks: Patients may experience short-term nausea following general anaesthesia, along with other potential risks associated with anaesthesia.

Breast reduction risks and complications include:

Altered Breast or Nipple Sensation: Breast reduction surgery can lead to temporary or permanent changes in breast or nipple sensation, including numbness or increased sensitivity.
Asymmetry: Despite careful surgical planning, there's a risk that the breasts may not be symmetrical in size or shape after the surgery.
Dissatisfaction with Size or Shape: The patient might be dissatisfied with the size, shape, or feel of the reduced breasts, necessitating further corrective surgery.
Difficulty with Breastfeeding: Breast reduction surgery can potentially impact the ability to breastfeed in the future.
Scarring: Although surgeons aim to minimize scarring and place incisions as discreetly as possible, breast reduction surgery will result in scars that may be visible when the breasts are uncovered.
Loss of Breast Tissue: There's a small risk of loss of breast tissue due to changes in blood supply during the surgery, which may affect the aesthetic outcome.
Post-Surgical Hematoma or Seroma: Following surgery, there is a risk of developing a hematoma (a collection of blood) or seroma (a collection of serous fluid) that may require additional procedures.
Changes in Breast Skin Sensation: Some patients experience changes in the sensation of skin over the breasts. While this is often temporary, in rare cases it may be permanent.

Patient Results


Disclaimer: Photographs shown above are actual patients from our clinic, who have given their consent for the use of their images purely for informational purposes. It is important to note that the results observed are subjective, and will differ based on each individual’s unique characteristics and the specific surgical or non-surgical techniques implemented. As with all procedures, both surgical and non-surgical, there are inherent risks involved.

Despite our efforts to maintain standardisation in our before and after photos, certain inconsistencies, such as differences in lighting, posture, facial expression, hairstyle, and make-up, may still exist between images. For a more comprehensive understanding of potential results, additional surgical result photographs can be viewed during a private consultation at our clinic located in Double Bay, NSW.

Additionally, we wish to emphasise that individual outcomes can greatly differ. The results experienced by one person should not be viewed as an exact indication of the results that others may experience. Such variations are due to a multitude of factors, including an individual’s genetics, diet, and exercise regimen.

All photos are watermarked and hold the copyright of Dr Zacharia. Any unauthorised usage or distribution is strictly prohibited.

How Much Does Breast Reduction Cost?

Your personalised quote will be prepared following an in-depth evaluation by our expert surgeon. This includes a thorough assessment of your individual needs, detailed explanation of the procedure, and a tailored approach to best achieve the desired outcomes. The quote considers various elements including surgical supplies, hospital requirements, and the specifics of the surgery itself.

Potential rebates might be available if the procedure is deemed medically necessary by relevant health authorities. Conditions for this include providing evidence supporting the medical necessity of the surgery and a referral from a healthcare professional. Your private health insurance may also provide coverage, so it’s essential to discuss this with your provider.


Patients can expect to experience some pain and discomfort, along with swelling, in the days right after surgery. Patients will also not be able to lift their arms, and may have a limited range of arm motion.Prescription pain medications will be offered, with instructions that detail how patients can best control the pain. Bruising, stiffness and numbness can also often be experienced during the recovery phase.
There is no surgical procedure that can be considered to be free from risks and the potential for complications.The Breast Reduction surgery has very minimal risks and complications.The potential risks associated with the Breast Reduction surgery may include infection, excessive bleeding and blood clots. Every patient will be provided with postoperative instructions in order to minimise the risks of complications.
Each patient will heal from surgery at her own pace. Most patients will need to be on restrictive activity for six weeks after the surgery.A reduction in pain and discomfort typically occurs after the first postoperative week.By the sixth to eighth week patients will be feeling much improved and will be able to resume normal physical activities.The swelling and bruising from the surgery is typically drastically reduced by the twelve-week mark.
Unless your work requires a lot of physical activity and heavy lifting, most patients will be ready to return to work after one to two weeks of recovering at home.Patients will be cleared to return to physical activities after the sixth week of recovery
During your consultation with the surgeon he will discuss the techniques he uses for the Breast Reduction procedure. He will also discuss the breast reduction scars that may be possible after the Breast Reduction surgery.There will be scarring after the Breast Reduction surgery, and they may look very dark right after the surgery.They will fade as they heal, and there are also creams that can be used to further encourage scar fading.
The results of the Reduction procedure will be felt and seen almost immediately after surgery. Many patients report feeling an instant weight off of their shoulders and neck when they wake up after surgery. There is likely to be bruising and swelling after the surgery, but it will fade as the breasts heal. Once the swelling subsides, within a few weeks, the true results of the surgery will be seen.Are you ready to work with our team? Call to book your consultation for your Breast Reduction.

Self-Assess Your Readiness For a Facelift

Thank you for taking the Dr Zacharia self-assessment form to better understand how mentally and physically you are for achieving the best facelift possible. Please answer all questions below, and provide photos for a pre op screening by Dr Zacharia.

Disclaimer: Please note that Dr Zacharia has the same rights as a patient. If you choose not to go ahead with Dr Zacharia based on his recommendations, he also has the right to turn away patients who he feels may be too high risk for surgery or show a lack of compliance for surgery protocols.

Surgery is a serious decision, and we are striving for the best outcomes for all. However, all surgery comes with a risk of complication or revision. Follow your pre and post op instructions for your safety and best possible outcome. However, the human body is not an exact science and Dr Zacharia and his team can only use their extensive experience to help guide you through any issue that could arise.

Please complete the following information, so we can send you your results and contact you for further discussion later.

Dr ZACHARIA’s opinion will be based on your anatomy. If the budget you have specified does not meet his recommendations, we will highlight the limitations of lesser invasive treatments based on your budget/ anatomy.

Please provide a front on and profile photo of your face. Also, a photo of you on your profile looking down. Ideally stand in front of a plain wall or door and have someone else take the photos for the best pre op consult advise.

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