Address both excessive volume and drooping — lifting the nipple-areola complex while reducing tissue for a lighter, more youthful breast shape.
Reduction mastopexy combines breast reduction with mastopexy (lift). It is indicated when patients need both smaller breast volume and correction of nipple position relative to the inframammary fold.
Pedicle choice, scar pattern, and degree of resection are personalised to tissue characteristics and safety considerations.
Women with large, ptotic breasts seeking a smaller size and improved nipple position may be ideal candidates. Stable weight and completed family planning discussions often factor into timing.
Medical fitness and smoking cessation are essential for reliable healing along incision lines.
Single-stage improvement in both size and breast position
Symmetry-focused planning and photography documentation
Comprehensive aftercare for scars and support garments
Discussion of sensation and breastfeeding trade-offs as relevant
Design & consent
Markings, pedicle planning, and review of scar acceptability.
Resection & lift
Volume reduction with repositioning of nipple-areola complex.
Contour refinement
Final shaping checks and layered closure.
Recovery programme
Bra use, wound care, activity limits, and staged reviews.
Expect tightness and visible incision lines that mature over time. Sleep elevated initially and avoid underwire bras until advised.
Follow scar care instructions and sun protection. Contact the clinic for spreading redness, separation, or fever.
Next step
Arrange a confidential consultation to review options, alternatives, and a personalised plan with Dr. Manandhar.
