Articles, Blog

Extreme Breast Reduction Surgery with Free Nipple Graft

October 15, 2019

bjbjLULU Hello, my name is Adrian Richards.
I’m the Clinical Lead of Aurora Clinics. In this video, I’m going to be taking you through
a breast reduction operation. Now, this is probably the biggest breast reduction I’ve
ever performed, and I do a number of these procedures. This lady has got an awful lot
of extra tissue on her chest. She’s getting rubbing underneath, and she’s having trouble.
The blood is having difficulty getting down to the nipple area, and she’s got sores on
her breasts as we’ll see in the pictures. So this lady is very debilitated by her breasts.
She won’t go out. She finds it very difficult to socialise. She has very bad neck and shoulder
pain. So we are going to perform breast reduction today. I’ll be taking you through each stage.
I’m going to use a free nipple graft technique, which is very unusual, and I’ll explain the
reasons for that in a minute. So we’re going to do a breast reduction on this lady, and
I think it’s probably the biggest breast reduction I’ve ever done. You can see this lady . . . how
tall is she? She’s 5’5″. I don’t know if you can see all these red marks. This is where
she’s got edema, and the skin is all breaking down on her breast because the blood supply
has got to get down there. It’s so far down. So I’ve got to remove all this tissue here
and then reconstruct the breast. I’m going to use the technique of a free nipple graft,
which is to take the nipple as a skin graft and replace it. As you can see on both sides,
you’ve got really massive reduction to perform. So, what I’ve done is I’ve actually removed
the nipple. Can you see there? So I’ve removed the nipple. I’m going to put it back as a
skin graft. So that’s where the nipple was. I don’t know whether you can see that. Can
you see that? So I’m going to put that back as a skin graft in a minute. This is called
a free nipple graft because you could walk out of the room with that nipple if you wanted
to. It’s free from the body. This is the tissue we’ve removed. As you can see, this is where
the nipple was there. That’s where the redness was. This is the tissue we’ve removed. I just
want to show you, compared to the breast here. Can you see? That tissue was there. It was
really quite heavy. This is another little bit I’ve removed here. So, that is quite heavy,
a few kilos I would imagine. We’ll weigh it in a minute. I’m halfway through the left
side here. Can you see the right side there? Abby, do you mind just pushing it. So you
can see how much smaller we’ve gotten. What was the weight? 4.6 kilos from the right side,
and I’m just going to do the left side now. This is all the tissue I’m removing, and I’ll
show you when I’ve removed it all. So, this is the end of the procedure. I think I removed
4.6 kilograms from this breast, and I’ve just done tie-overs on the nipples, and I removed
4.1 kilograms from that breast. I think it’s probably the biggest breast reduction I can
certainly remember doing. It’s all come together really well. I think overall she’s lost, I
think, 8.7 kilograms, which is a lot of weight, and the breast tissue was really heavy. Thanks
very much for watching the video and a big thank you to our patient for allowing us to
show it. 8.5 kilos is the biggest breast reduction I can remember doing. Normally, most reductions
are slightly under one kilo per side. Many patients who have such big reductions find
it slightly different to balance afterwards because they had such weight on their front
that they have to exercise their back, tense back to keep upright. So, immediately afterwards,
when they sit up and walk around, they tend to lean backwards quite a lot. It takes a
couple of days to get used to that. So, I would expect our patient is going to be a
lot more comfortable. She’s going to have all that weight removed. She’s going to find
it easier in clothes. She’s going to be able to go out socially much better, and hopefully
those red ulcerated areas on the breast, which I removed, are completely going to go. So
I think it was a really worthwhile operation to do for our lady today. If you’d like any
more information about breast surgery, breast reduction, any other type of surgery, we’ve
got a number of surgeons here at Aurora Clinics who specialise in different fields. Please
get in contact with us, either via phone or via email. We’d love to hear from you and
hear your story. Thanks very much for watching. Adrian: Hello, my name is Adrian Richards
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  • Reply 3Stefan February 21, 2012 at 5:02 pm

    I'm a med student and I'm really impressed by your amazing job! can you upload a longer version of this procedure? it's really interesting the free nipple graft technique!!

  • Reply mohamed sa February 21, 2012 at 7:47 pm


  • Reply chailinivalerio February 22, 2012 at 5:22 pm

    hi dr. richards.. i was wondering, what made this lady's breast to become this big?

  • Reply Bunnycoola May 2, 2012 at 9:57 pm

    Oh my goodness that's one big boob! I didn't know you could actually take the whole thing off like that… it was weird to see him carry around that big boob.. I am looking into reduction surgery myself.. although I'm only 18 and have size 34 DD (well somewhere around that cup size, I haven't bought a bra in three years) I really have trouble with neck pain, posture and shopping for bathing suits and dresses.. I learned something today from this video, thank you Dr. Richards! 🙂

  • Reply BryantFinlay May 23, 2012 at 7:07 pm

    sweet jesus!

  • Reply Arian Mallory September 1, 2012 at 5:43 pm

    I never ever want to see that again ugh!!! Ladies keep what you are born with!!!

  • Reply Miyuki200812 September 8, 2012 at 9:24 pm

    you my dear,
    must not have had health problems before due to large masses of flesh and tissue
    on your rib-cage causing back-pain, scars from bra straps, headaches, etc!
    if we want to lose the access baggage we will do it and I should know; I am a size H and am upset as hell!

  • Reply Lameisha Blue October 29, 2012 at 3:24 pm

    im a g i want a dd but this has me scared!!!!

  • Reply mdkonon December 5, 2012 at 5:29 pm

    very nice job!!

  • Reply eeev100 January 26, 2013 at 9:53 pm

    Try "keeping what you were born with" just in case someone else might like it … when it's the equivalent of carrying 2 bowling balls on your chest all day every day for years. It is nothing short of crippling.

  • Reply Mia Deering February 15, 2013 at 6:13 pm

    Bless her

  • Reply brian cone March 12, 2013 at 1:11 am

    THE GREAT !!!:)

  • Reply brian cone March 12, 2013 at 1:16 am

    THE GREAT !!!:)

  • Reply Mrscottydabody May 14, 2013 at 5:50 pm

    i agree but there are lots of fellas that are into her sort of look, is that not true?

  • Reply Samantha June 2, 2013 at 8:32 pm

    So essentially you're saying she should inflict daily pain upon herself to attract men? I think that's a tad sexist, and if she wants this operation, she should have it.

  • Reply Samantha June 2, 2013 at 8:34 pm

    If you are a G, that is not abundantly large, and I'm sure if you went to see Dr. Richards he would not be performing this technique on you. Meaning, he will not perform a free nipple graft, as your breasts will not have to be altered to that point. However, you may want to watch some of his other breast reduction videos, as he has several up with breasts that more closely relate to your size and will give you a better understanding of the operation.

  • Reply Aurora Clinics June 3, 2013 at 8:18 am

    slsrox1298 couldn't have been more accurate. Different techniques are used for different sizes, and you would be made aware of the technique during your consultation, but as a G, the nipple graft would probably not be for you as it is only used rarely and in the most extreme reduction cases.
    The Aurora Team

  • Reply [email protected] Seattle June 9, 2013 at 3:01 am

    Thanks for video; very helpful. Am in recovery from procedure and, with a competent surgeon, nothing to fear! I was so massive that the FNG was not optional. I had to lose a lot of weight first; hard to stay in shape when you are in such severe, constant pain you can barely walk! Still got a way to go.For those criticizing, don't knock it until you've tried carrying around bowling balls on your chest 24/7. I'm 6 wks post-op, feel as if I've been given back my life! Forever grateful to my surgeon

  • Reply keisha bless July 10, 2013 at 1:40 am

    thanks for the video I am searching for a surgent that is good

  • Reply Aurora Clinics July 15, 2013 at 11:20 am

    We have the highest quality surgeons who have years of experience and training in specific areas to give patients the best result possible.

  • Reply XxShadowvalkyriexX July 22, 2013 at 8:02 am

    does that mean she lost sensation in her nipples? 🙁

  • Reply Liz Felder December 27, 2015 at 6:46 am


  • Reply s a March 25, 2016 at 4:42 pm


  • Reply Kelebogile Motshoane May 24, 2018 at 1:48 pm


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