Breast Surgery

A/Prof Mark Gianoutsos offers a comprehensive range of breast surgical procedures from his Randwick practice at Prince of Wales Private Hospital, including breast augmentation with Motiva or Mentor implants, breast reduction using inverted-T or vertical techniques, breast lift (mastopexy) as a standalone or combined with implants, breast asymmetry correction, and breast reconstruction following mastectomy. All procedures are performed under general anaesthesia with a specialist anaesthetist. Uninsured patients requiring breast reduction may benefit from a day surgery option, which is noted as a less expensive alternative to overnight admission.

Breast surgery at A/Prof Mark Gianoutsos's Randwick practice encompasses the full spectrum of aesthetic and reconstructive breast procedures, performed at Prince of Wales Private Hospital in Sydney — one of Australia's leading private surgical hospitals. For breast augmentation, A/Prof Gianoutsos uses Motiva or Mentor implants, available in smooth or nano-textured surfaces and in saline or silicone fill, with round or tear-drop (anatomical/biodimensional) shapes. Incision options include inframammary, periareolar, and transaxillary approaches, with implant placement in the subglandular, submuscular, or dual-plane position — each offering a different balance of aesthetic outcome, palpability, and long-term soft tissue coverage. Breast reduction surgery at the Randwick practice uses an inverted-T incision as the standard technique for significant volume reduction, preserving the nipple-areola complex on a vascular and nerve-intact pedicle to maintain sensation and breastfeeding potential. A vertical or lollipop technique is available for smaller reductions. The procedure removes excess breast tissue, fat, and skin while repositioning the nipple and tightening the breast envelope; concurrent liposuction to the lateral chest wall is performed as needed. Breast lift (mastopexy) addresses ptotic breasts commonly resulting from post-breastfeeding volume deflation and skin stretching, and is available as a standalone procedure or in combination with implants for patients seeking both lift and volume restoration. Breast asymmetry correction applies the relevant techniques from the augmentation, reduction, and lift toolkit tailored to each breast individually. Breast reconstruction following mastectomy is described by A/Prof Gianoutsos as a procedure vital to consider alongside the oncological surgery itself, and encompasses implant-based and autologous options. Patients in Sydney and NSW considering breast surgery benefit from A/Prof Gianoutsos's academic credentials — FRACS (Plast.), MD, Conjoint Associate Professor at UNSW — and his operating affiliations at Prince of Wales Private Hospital, Sydney Children's Hospital, St Luke's Hospital, and Sydney Surgical Centre. Recovery timelines vary by procedure: augmentation patients typically return to work within one week, while reduction and reconstruction patients generally require two to three weeks. Follow-up is scheduled at five to seven days, six weeks, six months, and twelve months post-operatively.