Reduction Mammaplasty (Breast Reduction)
with Dr Georgina Konrat
Dr Georgina Konrat (MBBS, FACCSM) performs breast reduction surgery at her Bondi Junction clinic, tailoring the surgical approach to each patient's anatomy and symptoms.
Key Facts
Breast reduction, or reduction mammaplasty, removes excess breast tissue, fat and skin to reduce breast size and weight. It may also involve repositioning the nipple-areola complex. Dr Georgina Konrat performs breast reduction at her Bondi Junction clinic.
Procedure Duration
2–3 Hours
Recovery
1–2 Weeks
Anaesthesia
General
Reviewed by Dr Georgina Konrat (MBBS, FACCSM) — Last updated March 2026. AHPRA Registration: MED0001407863.
A Surgical Procedure for
Comfort & Proportion
Breast reduction, or reduction mammaplasty, is a surgical procedure designed to reduce the size and weight of the breasts by removing excess tissue, fat and skin. The procedure may also involve repositioning the nipple-areola complex to a higher position on the chest wall.
For some individuals, large breasts can contribute to ongoing physical discomfort that does not respond to non-surgical measures such as physiotherapy, supportive bras or weight management. In these cases, breast reduction surgery may be considered as an option to address the underlying cause of symptoms.
Risks & Complications
All surgical procedures carry risks. Potential risks and complications of Reduction Mammaplasty (Breast Reduction) are outlined below and will also be discussed in detail during consultation.
For broader information about surgical risk, visit the General Risks and Complications page.
Reasons Patients Consider
Reduction Mammaplasty (Breast Reduction)
Back, Neck or Shoulder Pain
Chronic discomfort that may not respond adequately to conservative treatments such as physiotherapy or pain management.
Skin Irritation
Rashes, chafing or fungal infections beneath the breast crease caused by moisture and friction.
Difficulty with Physical Activity
Limitations during exercise or daily movement due to breast size and weight.
Bra Strap Grooving
Deep, painful indentations in the shoulders from supportive bras required to manage breast weight.
Posture Issues
Postural changes that may develop over time as a result of carrying excess breast weight.
Consultation Assessment
During consultation, Dr Konrat will assess your medical history, examine your breast anatomy and discuss whether breast reduction may be appropriate for your circumstances.
Breast Reduction
Techniques
The technique used for breast reduction depends on the amount of tissue to be removed and the individual's anatomy. The two most common approaches are:
Anchor Incision (Inverted T)
Involves an incision around the areola, a vertical incision from the areola to the breast crease, and a horizontal incision along the crease. This technique is commonly used when a larger volume of tissue needs to be removed.
Vertical (Lollipop) Incision
Involves an incision around the areola and a vertical incision downward to the breast crease, without the horizontal component. This may be suitable when a moderate reduction is required.
Dr Konrat will recommend the most appropriate technique based on your anatomy and the degree of reduction being considered. She will explain the rationale for her recommendation during consultation.
Nipple-Areola
Repositioning
In most breast reduction procedures, the nipple-areola complex is moved to a higher position on the breast mound. This is typically achieved by keeping the nipple attached to a pedicle — a stalk of tissue that aims to maintain blood supply and may help preserve some degree of sensation.
In cases where a very large reduction is required, a free nipple graft technique may be necessary. This involves completely detaching the nipple-areola complex and reattaching it at the new position. With this technique, nipple sensation is typically lost and breastfeeding is not possible afterward.
The approach used will depend on the extent of the reduction and will be discussed during your consultation.
Your Reduction Mammaplasty (Breast Reduction)
Process
Consultation & Referral
A GP referral is required. Two consultations with Dr Konrat (at least one in person) are needed before surgery. Mandatory 7-day cooling-off period applies.
Pre-Operative Preparation
Detailed pre-operative instructions provided including fasting guidance, medications to avoid, and what to bring. A responsible adult must be available to drive you home.
The Day of Surgery
Performed under general anaesthesia at an accredited surgical facility. Takes approximately 2–3 hours. A responsible adult must stay with you for the first 24 hours.
Recovery & Follow-Up
Rest for 1–2 weeks. Light activity at 4 weeks. Full activity at 6 weeks subject to clearance. Follow-up appointments to monitor recovery.
What to Expect
After Surgery
Recovery varies between individuals. Most patients experience swelling, bruising, and discomfort in the first one to two weeks. A supportive surgical bra is worn during the healing period.
Rest & Initial Healing
Initial rest period. Most patients take this time off work. Drains may be in place for the first few days. Pain medication will be prescribed.
Light Activity Resumes
Light activity and desk-based work may typically be resumed. Avoid lifting anything heavy during this period.
Return to Full Activity
Full activity including exercise can generally be resumed, subject to Dr Konrat's clearance. High-impact activities should be avoided until cleared.
Final Results Emerge
Swelling and bruising gradually subside over several months. Scars typically fade over twelve to eighteen months but will not disappear completely.
Important: Contact the clinic immediately if you experience excessive bleeding, severe pain, or signs of infection. Detailed aftercare instructions will be provided before and after your procedure.
Preparing for Your Consultation
- Bring your GP referral letter
- Prepare a list of medications, supplements, or medical conditions
- Write down any questions you would like to ask Dr Konrat
- Wear comfortable clothing to your appointment
How Much Does Reduction Mammaplasty (Breast Reduction)
Cost?
Dr Georgina Konrat is a cosmetic doctor. Medicare rebates and private health insurance rebates do not apply to procedures performed through her practice.
A detailed quote including practitioner, anaesthetist and facility fees will be provided after your consultation. Payment plans may be available.
Ready to discuss your options?
Personalised fee estimate after consultation
Have questions? Contact our clinic or call 02 9188 1949.
Before & After
Gallery
View before and after photographs from Dr Konrat's practice. All photographs are shared with patient consent and are intended for educational purposes only.
Photographs are intended for persons aged 18 years and over. Individual results vary. All surgical procedures carry risks. AHPRA: MED0001407863.
Frequently Asked Questions
The information on this page is general in nature and does not replace medical advice. All surgical procedures carry risks, and outcomes vary between individuals. A consultation with Dr Georgina Konrat is required to determine whether this procedure is appropriate for you.
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Ready to Book a Consultation?
The first step is a confidential consultation where Dr Konrat will discuss your concerns, explain the procedure in detail, and answer any questions you may have.
A GP referral is required for surgical procedures. Please note the mandatory 7-day cooling off period applies to all cosmetic surgery consultations.