procedures-default

Breast Reduction Surgery in Singapore

At Argent Plastic Surgery, female breast reduction is performed by Dr Lee Hanjing, a fellowship-trained plastic surgeon, at Mount Alvernia Hospital. The procedure removes excess breast tissue, fat and skin to relieve physical symptoms such as back, neck and shoulder pain. When clinical criteria are met, breast reduction surgery may be claimable under Medisave or insurance.

procedures-default

What Is Breast Reduction Surgery?

Some women develop breast hyperplasia (enlarged breasts) during their pubertal years, while others retain their breast hypertrophy after pregnancy and breastfeeding. Enlarged breasts can lead to breast pain, back pain, neck pain, shoulder pain, rashes, and infection under the breast from constant friction and difficulty finding bras and clothes. It can also cause emotional distress, which can take a real toll on confidence, daily comfort, and how at ease one feels in their own body.

Breast reduction surgery is a procedure to remove the excess breast tissue, fat, and skin to alleviate discomfort and provide patients with a breast shape and size that is more proportionate to their frame. The position and size of the nipple and areola will also be addressed during the surgery so that they sit in a natural position, in proportion with the reshaped breast.

Who Is Breast Reduction Surgery Suitable For?

Many women live with the physical and emotional burden of heavy breasts for years before seeking help. Breast reduction surgery can be considered when these symptoms begin to affect daily function and wellbeing.

Some patients may wish to postpone or reconsider surgery:

  • Smokers, or those unwilling to stop smoking before and after the procedure
  • Patients whose weight is not yet stable
  • Patients planning a future pregnancy or breastfeeding
  • Adolescents whose breasts are still developing
  • Patients with untreated breast disease or unexplained breast symptoms

Based on the volume of the breast tissue removed, this procedure may be considered medically necessary, and you may be able to claim it under Medisave or personal or company insurance plans.

If you are experiencing discomfort and wish to determine your suitability for breast reduction surgery, you may schedule a clinical assessment with Dr Lee Hanjing.

Consultation and planning

The initial consultation includes an in-depth discussion of your general health, symptoms and desired breast size after surgery, alongside a thorough examination and evaluation. During this visit, 3D pictures using a Quantificare 3D camera will be taken to aid with the evaluation and discussion.

It would be helpful to bring along any previous mammogram or ultrasound reports.

Every consultation is personalised and unhurried to ensure your safety and comfort. Reach out to our team to plan your visit. Book your consultation today.

How Breast Reduction Surgery Is Performed

Breast reduction surgery is performed under general anaesthesia. Most patients have the procedure as day surgery, though some prefer to be admitted overnight to rest and recover. The surgery typically takes about three hours, depending on breast size.

The surgery will involve:

  • Repositioning the Areola and Nipple: The nipple-areola complex is moved to a higher, more natural position on the reshaped breast.
  • Removing Excess Breast Tissue and Fat: Glandular tissue, fat and skin are removed to reduce breast volume.
  • Reshaping the Remaining Tissue: The remaining breast tissue is repositioned into a more proportionate shape.
  • Closing the Incisions in Layers: The incisions are closed in layers to support healing and minimise tension on the wound.

The incision pattern and resulting scar depend on the size of the breast and the volume that needs to be removed:

  • Periareolar (Circular) Scar: A circular incision around the areola, suitable for smaller reductions where minimal skin removal is required.
  • Vertical (Lollipop) Scar: A circular incision around the areola plus a vertical line down to the breast crease, used for moderate reductions.
  • Anchor (Inverted-T) Scar: A circular incision around the areola, a vertical line down to the breast crease, and a horizontal line along the crease, used for larger reductions where significant skin and tissue removal is required.
  • Liposuction Where Appropriate: Liposuction may be performed at the same setting to address accessory breast tissue or fat over the side of the chest.
image

Recovery After Breast Reduction Surgery

After surgery, you will be fitted with a supportive bra. Post-operative drains may be inserted for several days. You can return home on the same day or be admitted for overnight recovery. Pain medication will be provided to manage discomfort, and a follow-up appointment will be scheduled within the first few weeks to ensure your recovery is progressing as expected.

A typical recovery timeline:

  • First Week: Expect discomfort, swelling and bruising managed with prescribed pain medication, with dressings reviewed during this period and most patients resting at home.
  • Weeks Two to Three: Most patients return to office work and light daily activities, with a follow-up appointment scheduled in this window.
  • Weeks Four to Six: Exercise should be avoided for the first four weeks, after which light activity can resume and build up gradually.
  • One Month Onwards: New bras can be fitted once swelling has settled, and scar care guidance begins in this period.
  • Up to One Year: Scars continue to mature and gradually fade over the months following surgery.

The average recovery time before returning to normal daily activities is two to three weeks. We recommend taking at least two weeks off work so the body has time to rest and heal without the added strain of work.

Preparing for Your Surgery

A few practical steps make the first days after surgery easier:

  • Arrange for someone to take you home after the procedure.
  • Have someone stay with you for at least the first night.
  • If post-operative drains are used, we will teach you how to handle them before discharge.
  • Prepare comfortable front-button dresses or shirts to wear during recovery, as raising your arms will be uncomfortable.

Every patient's healing journey is unique. To discuss a personalised recovery and preparation plan tailored to your lifestyle and medical history, schedule a consultation with us.

Risks and Complications

As with any surgical procedure, there are risks to be aware of before deciding whether breast reduction surgery is appropriate for you:

  • Bruising and Swelling: Post-operative bruising and swelling are common and generally resolve over the following three to four weeks.
  • Wound Healing and Scarring: There is a risk of wound-healing issues, particularly with larger reductions that require an anchor-shaped scar. The resulting scars are permanent, though they soften and fade gradually over the course of a year.
  • Sensory Changes: A small proportion of patients experience changes in sensation in the breast or nipple-areola region, which usually improve with time.
  • Asymmetry: Some degree of asymmetry may remain after surgery, as breasts are not mirror images of each other to begin with.
  • Effect on Breastfeeding: In about 25% of women who undergo breast reduction surgery, the ability to breastfeed may be affected.

As the procedure is performed under general anaesthesia, there is also a small risk related to anaesthesia. This is discussed openly during pre-operative planning, so every patient feels informed and supported going into surgery.

Medisave and Insurance for Breast Reduction

Breast reduction surgery may be claimable under Medisave or insurance when specific clinical criteria are met. The most common requirement is that at least 250cc of breast tissue is removed from each breast during the procedure.

Whether you are likely to meet this threshold can only be estimated after an assessment by a certified plastic surgeon, who can evaluate your breast volume and discuss your potential suitability.

Learn more about the insurance partners we work with for reconstructive and medically necessary procedures.

Is Breast Reduction Covered? Cost and Eligibility

The cost of breast reduction depends on the degree of breast ptosis, the volume of tissue to be removed, and the complexity of the surgical approach. The price typically ranges from $6,000 to $18,000.

Where the procedure meets medical-necessity criteria, Medisave and eligible insurance plans may cover part of the cost, with eligibility determined on an individual basis during consultation. Our team can walk you through the criteria, the documentation required, and the steps involved in making a claim.

Frequently Asked Questions about Breast Reduction Surgery