Breast reduction 1b

Your Predicament:

“My breasts are too heavy. They give me shoulder, neck and back pain. It is embarrassing and I can’t wear proper clothes”

Our Solution:

A breast reduction procedure will help reduce your burden, improve breast shape, returning nipples to where they belong! You will be able to wear clothes.

The “MAHAJAN BREAST REDUCTION MARKER” innovation and technique.

Mr Mahajan has innovated breast reduction surgery by designing a breast reduction marker that helps him achieve excellent results in his patients. He has presented his technique and its benefit at various national and international meetings*.

Both physical and psychological health can be affected in women with large breasts. The weight of the breasts can tell on your shoulders (grooving into them), neck and back. Although back pain can be from various reasons, maintaining a straight posture in the presence of heavy breasts does put a strain on the back. You can also get rashes and infections underneath the breasts. Large breasts can also come in the way of performing certain tasks or exercises. Often, patients find that they are unable to wear clothes properly as they end up with a wardrobe that has dresses that are large enough to accommodate their chest, but too large and baggy for the rest of their body.

A breast reduction procedure helps remove excess breast tissue to reduce them down to a size that is proportionate to the chest and rest of the body. Following the procedure, patients have a nice shape to their breasts and the nipples are elevated and placed in the right position on the new breasts. In the end, the breast are no longer heavy and are much more perkier and attractive. Some patients have a very large areola which can be reduced to a smaller, regular and well defined areola that is much more desirable.

Patients often come to us for this procedure after contemplating about it for years. After the procedure they wish that they had had the procedure done ages ago and not had to live with their heavy breasts for all those years.

WHO IS BREAST REDUCTION FOR

  • Large and heavy breasts
  • Breast that are stretched down with loss of shape – Droopy and saggy.
  • Breasts with large areola
  • Associated pain in neck, shoulder or back

BENEFITS OF BREAST REDUCTION

  • Reduces size, uplifts and makes them perkier
  • Reduction of associated symptoms of pain in neck/shoulder/back
  • Smaller and aesthetically pleasing areola
  • Breasts more proportionate with the rest of the body

BREAST REDUCTION METHODS

  • Wise pattern or Key hole pattern reduction
  • Vertical short scar reduction

BREAST REDUCTION NEED-TO-KNOW INFO

  • Duration of surgery: 3 to 4 hours
  • Anaesthesia: General Anaesthetic
  • Duration of inpatient stay: 1 to 3 days
  • Wounds healed in: 2 weeks
  • Scars matured in: Settle in 3 to 6 months, Fully matured in 12 to 18 months
  • Back to light work: 1-2 weeks
  • Back to labour intensive work / Exercise: 4 to 6 weeks
  • Sexual activity: 4 to 6 weeks
  • Able to drive: 2 weeks (Should be able to apply emergency stop)
  • Shower / bath: Keep dressings dry for 2 weeks
  • Sun bathe: Keep the scars covered or protected with a high factor sun protection cream until they mature in about a year or so.
  • Garments: Sports bra for 2 to 3 months
  • Post operative review: 2 weeks, 3 months (As often as necessary if clinically indicated)
  • Post Operative pain / discomfort: 2 to 7 days
  • Potential risks: (Every effort is made to reduce the risk of complications, but potential risks are) Bleeding, bruising, swelling, haematoma / seroma, infection, delayed wound healing, scars – hypertrophic, stretched, sensitive, not in the inframammary crease, No guarantee of cup size or cleavage, Altered sensation – decreased or increased, altered lactation and mammogram, asymmetry, nipple loss, fat necrosis, risks associated with general anaesthetic, blood clots in legs or lungs.
Before and after Images
Breast Reduction 1
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Breast Reduction 2
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Breast Reduction 1 Breast Reduction 2 Breast Reduction 3
Breast reduction testimonials

“After deciding to go for a breast reduction at the age of 23, it was all very daunting for me. After seeing Mr Mahajan in clinic who answered all my questions and explained everything I felt at ease. After my first date been cancelled due to the extreme snow we had, I was assured I would be rescheduled as soon as possible. Less than a month later I was scheduled for surgery. A year on from my procedure and I am very happy with the outcome, 34G down to a 34DD. I would recommend Mr Mahajan and his team to anyone considering this procedure.”

“Mr Mahajan is highly proficient, with an extremely professional and gracious manner – I always felt safe, and at ease. The work he has done is nothing short of a miracle for me. Thank you. 2 weeks in, and I already know that this will be a life changer. I have paid for this myself, and see it as an investment in my wellbeing, I’m 57 but could live another 25 years or more. Why put up with it when I don’t have to. It’s possible to get a loan over a number of months to help with payment. No more shoulder grooves, back ache, stooping and bra discomfort. Hello again to a style of clothes that I gave up on a long time ago. What joy. My posture feels different already. Why put put with the discomfort when you don’t have to. I only wish I’d done it years ago.”

Mr Mahajan will acquire a detailed history from you about your concerns and your medical history. He will take the time to understand your desires and discuss in details as to how he can achieve the results you want. A detailed examination involving assessment of the breast tissue and overlying skin envelope in relation to your chest and physique will be noted. Measurements will be taken to gauge the degree of the problem and any asymmetry.

Depending on your examination a treatment plan will be formulated tailored to your needs. Often patients desire a substantial reduction of volume of the breast. There can be a limit to how small breasts can be safely reduced. Mr Mahajan feels that the ideal reduction should be down to the volume that suits your chest wall. If you have a large chest diameter, reducing the breasts to a very small size may not be appropriate for you. Pattern of the incisions, procedure and subsequent scars will be discussed in detail and you will be given an opportunity to probe into any aspect of the proposed procedure.

Once you decide to go ahead following the consultation, you will be required to attend the pre-assessment clinic to ensure you suitability for the procedure under general anaesthetic. It is not considered safe to carry out a breast reduction procedure in a patient who is a smoker or has a very high BMI.

You will be admitted to the hospital on the day of the procedure. The operation will be done under general anaesthesia. It will be carried out according to the technique that was planned at the consultation. This will depend on the characteristics of your breast and will involve using the vertical scar technique or the wise pattern technique.

Mr Mahajan prefers to use his innovated version of the wise pattern technique that helps him achieve very good results as desired by the patient. The procedure may need to be combined with liposuction if there is significant fullness of the lateral chest wall. This can be discussed at the consultation prior to the procedure. The procedure can take 3 to 4 hours to do depending on the complexity of the case. Mr Mahajan will dedicate as much time is necessary to mould the reduced breasts into their new aesthetically pleasing form and achieve the results you desire.

Following your procedure, you will be taken to your room once you have recovered. You will be cared for to the highest standards by our well-trained nurses. Once you have recovered enough after the surgery, you will be encouraged to sit out of the bed and mobilise to reduce the risks of blood clots in your legs or lungs. You will have some pain and discomfort for 3 to 7 days, but we will ensure that you are comfortable will adequate analgesia. You will have drains in that will come out in one to three days depending on the drainage.

You can go home as soon as the drains have been removed and you are feeling well enough to go home. You will have dissolvable sutures and as a result you will not need to endure the discomfort of them being removed and also this will prevent you from getting any stich marks around your scars. Scars are unavoidable following any surgery, but Mr Mahajan aims to make these as neat as possible. Your breasts will be swollen, tense and appear prominent immediately following the surgery. Over the next few months the swelling will gradually go down and the breast will assume a more natural ptotic position. You are advised to wear a sports bra for 2 to 3 months. Once the swelling has decreased in 3 months or so you can consider investing in new lingerie!

You will be seen 2 weeks following the procedure to ensure that your wounds have healed well. After this initial follow up, you will be seen again in 3 months time to assess the results when the swelling has settled reasonably. Mr Mahajan will be available to see you at any time following the procedure should there be any unexpected problem.

Questions and Answers:

Is breast reduction for me?

If you have large symptomatic breasts that are out of shape, you will benefit from a breast reduction procedure.

What is the most important consideration prior to deciding to have a breast reduction procedure?

There will be scars following the surgery and one has to be accepting of these, but if you can accept this trade off for smaller and much more shapely breasts then you would have made the right decision.

How do I know if my surgeon is qualified in the field of Plastic Surgery?

MB BS, MB BCh or MB ChB is the basic medical degree of any doctor. Your plastic ‘surgeon’ should at least be a ‘surgeon’. Doctors who receive adequate ‘basic’ surgical training in the UK are awarded Fellowship (FRCSI, FRCS, FRCS Ed, FRCS Gl – in the older generation of surgeons) or Membership (MRCS – in the younger generation of surgeons) of the Royal Colleges in the UK. Doctors or Surgeons, who believe in having a scientific foundation to their practice, spend further years doing research in their fields and are awarded Research degrees such as MSc, MMedSc, MPhil, MD or PhD.  Surgeons who ‘train specifically in the field of Plastic surgery’ are awarded FRCS (Plast). These surgeons are then entitled to be on the “Specialist register for Plastic Surgery” with the General Medical Council (GMC).

How do I choose amongst the Plastic Surgeons who fit the above criteria?

‘Safe’ and ‘beautiful’ results are dependent on ‘experience’ and ‘expertise’ of your plastic surgeon. Mr Mahajan is a highly trained and experienced plastic surgeon who is a Consultant Plastic Surgeon at the Bradford Teaching Hospitals NHS Foundation Trust / Calderdale and Huddersfield NHS Foundation Trust and is the Director of the prestigious Plastic Surgery and Burns Research Unit (PSBRU) at the University of Bradford. He believes in practising “evidence based medicine” by engaging in research activities to help establish a scientific background to his / her clincial practice. He has a specialist interest in Breast surgery having worked in world-renowned centres for breast surgery in Belgium, Sweden and Switzerland in addition to his training in the UK. It obviuolsy helps if your surgeon has travelled the world to enhance his training in premier institutes to learn from leading surgeons in their fields. He is a full member of the British Association of Plastic Surgeons (BAPRAS), British Association of Aesthetic Plastic Surgeons (BAAPS), International confederation of Plastic Surgeons (IPRAS), American Society of Plastic Surgeons (ASPS), Association of Breast Surgeons (ABS) and is on the Specialist register for plastic surgery with the General Medical Council (GMC). Surgeons are only awarded membership of these associations if they are properly qualified and it is a reassurance for you that you are in safe hands.

Where will my surgery take place?

Your surgery will take place in ‘local’ reputed hospitals such as the Yorkshire Clinic or the Spire Elland Hospital, where you will be able to return to ‘anytime’ after the operation should there be any concerns.

How will a breast reduction procedure help me?

It will help reduce the weight of your breasts and hopefully relieve the strain on your back, neck and shoulders. The bra straps will no longer groove your shoulders. The breast will have a nice aesthetically pleasing shape to them with appropriately sized areola. The will be proud of your new wardrobe! The breasts will be proportionate to your body. It will help relieve any episodes of rashes under the breasts.  Your self-esteem will be hugely elevated and you will find that people speak to you rather than your breasts! You will be able to participate actively in sporting activities.

How much will the procedure cost?

Cost of breast reduction can be about £5200 depending on the procedure you need. Mr Mahajan will discuss this with you when you meet him. You may find cheaper deals with firms that consider cosmetic procedures as a business, but may end up compromising on safety, quality and convenience.  Although breast reduction is considered as a cosmetic procedure, it is a plastic surgical ‘operation’ and you do need to appreciate this and consider it with all the seriousness that it deserves. Medical tourism has certainly made costs cheaper, but the very fact that you are boarding a long haul flight puts you at risk of blood clots in your legs or lungs that can be life threatening. There are obviously other matters to consider such as qualifications, experience as expertise of your surgeon / anaesthetist apart from the ability to see your surgeon again should there be a problem and you have flown back home.

Will I have scars?

Scars are unavoidable following any surgery, but Mr Mahajan aims to make these as neat as possible. You will either have a wise pattern (inverted ‘T’ / Anchor pattern) or a vertical (lollipop scar).

Will my scars be visible?

The standard wise pattern or key hole pattern or inverted ‘T’ or anchor pattern incision results in scars around the circumference of the areola, a scar running along the crease under the breast and a vertical scar extending from the areola to the crease. The scar in the crease tends to be tucked away, the scar around the areola is not very conspicuous as the areolar skin tends to different from the breast skin, part of the vertical scar that is not tucked away under the breast is the most prominent part of the scar.

What is a scarless breast reduction?

Volume of breasts can be reduced by liposuction, but this would leave you with deflated looking breasts as although the volume is reduced, the skin envelope is not reduced. In a young person the skin is more elastic and can retract to some extent, but this may not be to the same extent as excising the excess skin and re-drapping the residual breast tissue.

Does breast reduction involve an uplift too?

Yes, the breasts will not only be reduced in volume but your nipples will also be lifted up to the appropriate position on the smaller breasts. Excess skin will be removed resulting in tightening up of the skin envelope.

Is the nipple removed in a breast reduction procedure?

In extreme cases of gigantic breasts this may be necessary, in which case they are replaced in their new positions as nipple grafts. However this is very rare and the nipple is not removed in standard breast reduction procedures.

How small will my breasts be after the procedure?

Following a detailed examination and consultation, you can discuss with Mr Mahajan and plan as to how small you would like your breasts to be. Although we would aim to make them as small as you desire, there is a limit to how small they can be made, safely. Also, they should ideally be reduced to a size that suits your chest.  If you have a wide chest, then reducing the breasts significantly would result in you having a wide flat breast as the footprint of your breast on your chest would be very wide.

Will my breasts look natural?

Unlike following breast augmentation procedures, breasts look and feel very natural following a breast reduction procedure. They will be swollen and look very full and perky immediately after a breast reduction procedure. As the swelling settles, the breast will assume a more natural ptotic shape and reduced size.

Will my breasts increase in size again – are the results permanent?

There will be residual breast and subcutaneous tissue that can fluctuate in volume with hormones and changes in bodyweight. Also, the reduced breasts will assume a more droopy position as the initial swelling settles down. In other words, the breasts will change in appearance, as natural breasts would do.

Will my nipples be less sensitive?

‘Complete loss’ of nipple sensation after breast reduction is surgical technique dependent and is rare if the procedure is done by an experienced, fully qualified plastic surgeon. Sensation can however be ‘decreased’ in about 10% of cases. This is generally temporary and most of the sensation returns to normal in about 3 months. Sometimes it can take about 12 to 18 months to fully recover, but at the end of this period there will be no further recovery of sensation. Even more rarely, the nipples can sometimes end up being hypersensitive.

Will the procedure affect my mammograms in future?

Mammograms are not affected following a breast reduction procedure. There might be some signs of scarring, but in general mammograms are easier to perform in breasts of smaller volume. Diagnosis of breast carcinoma is not affected.

Will the procedure affect my ability to breastfeed?

Not necessarily. Although breast tissue is excised in a breast reduction procedure, some of the breast tissue that is preserved is in continuity with the nipple and the patient can potentially breast feed afterwards in about 70% of patients.

Do I need to stop my medication?

If you are on the oral contraceptive pill, you will need to stop these 4 weeks before the procedure to reduce your risks of blood clots in legs or lungs. Also, you will need to stop any blood thinning drugs. Aspirin and Clopidogrel will need to be stopped a week prior to surgery.  Warfarin, Dabigatran etexilate, Rivaroxaban and Apixaban need to be stopped 4 days prior to surgery. Mr Mahajan will discuss this with you in the pre operative consultation.

Will I need to have a general anaesthetic?

Yes, you will need a general anaesthetic to undergo the procedure. It will take about 3 to 4 hours to do the operation for you. Your anaesthetist will be fully qualified and a member of the Royal college of Anaesthetists. He will ensure that you have a smooth anaesthetic procedure and are comfortable during your recovery.

Are there any risks?

Every effort is made to reduce the risk of complications, but potential risks are bleeding, bruising, swelling, haematoma / seroma, infection, delayed wound healing, scars – hypertrophic, stretched, sensitive, not in the inframammary crease, No guarantee of cup size or cleavage, Altered sensation – decreased or increased, altered lactation and mammogram, asymmetry, nipple loss, fat necrosis, risks associated with general anaesthetic, blood clots in legs or lungs.

How long will I have to stay in the hospital?

You will have surgical drains after the procedure and will need to stay in for 1 to 3 days depending on the drainage. You will be discharged only when you are comfortable enough to go home.

What position can I sleep in?

You will be most comfortable lying on your back immediately after your surgery. Sleeping on our side while wearing the support bra is okay, if you are more comfortable sleeping on your side. You may assume any sleeping position in four weeks time, but I would not recommend sleeping on your tummy for six weeks.

How long will it take for my wounds to heal?

It takes about two weeks for the wounds to heal up.  At times, wound healing can be delayed at the ‘T’ junctions of the wounds where the blood supply is the least and tension is the most. You will need dressings until the wounds are healed in two weeks, but if wound healing is delayed is some areas, you will need dressings here until the wounds are fully healed.

When can I shower or have a bath?

You should ideally wait for two weeks until your wounds are healed and dressing are removed before you have a bath. However, you can wash yourself and have a sponge bath keeping the dressing dry as soon as you are able to.

How long will it take for my scars to settle?

Scars tend to settle reasonably in 3 to 6 months. However, it takes about 12 to 18 months for scars to settle fully. Scars can at times be thickened (hypertrophic) especially in younger patients. This might require treatment with silicone creams or steroid injections.

When can I sun bathe?

It is always advisable to protect your skin in the sun. In particular, your new scars are susceptible to sun damage until they mature in about a years’ time or so. You should keep the scars covered or protected with a high factor sun protection cream until then.

What can I apply to my scars to help them settle better?

It is important to massage the scars once they are healed. This helps them settle better. Some patients claim that Bio oil helps scars settle better, but any moisturising cream should be good enough. If there is any indication of the scars becoming thicker, then silicone based creams should be considered.

When will I be seen again after I am discharged from the hospital?

You will usually be seen by Mr Mahajan 2 weeks following your procedure to ensure that the wounds have healed well. Following this initial review, you will be seen again in 3 months. However, if there are any concerns, you will be seen by Mr Mahajan as often as is necessary.

Is there any thing that I need to look out for?

Although you will only be discharged from the hospital when Mr Mahajan is satisfied that you doing well following your surgery, you do need to look out for sudden increase in swelling of the breast, disproportionate pain, any signs of infection such as feeling unwell, temperature, redness around the scars, discharge or foul odour from the wounds. Your nipples can be a bit bruised after the procedure, but should their colour change to purple or pale, it could be sign of compromised circulation and you should return to see Mr Mahajan.

Will I need to wear any special garments?

You will need to wear a lycra sports support bra that is not underwired following the procedure. My Mahajan will discuss the potential bra size with you during your preoperative consultation. It would be ideal to wear this for about eight to twelve weeks following the procedure. As the swelling goes down after this period you can invest in a new wardrobe of lingerie.

Will I be in pain?

Patients do tend to have some pain and discomfort for the first 1 to 3 days, but you will be kept comfortable with adequate analgesia. It is advisable to take Paracetamol six hourly on a regular basis for the first 24 to 48 hours and then as necessary after that.

Will my breasts be swollen?

Your breast will indeed be swollen immediately after the procedure. The swelling takes time to settle and it will be significantly less a month following the procedure. It takes about three months for it to settle reasonably. It continues to further settle gradually after that and can take up to a year for the end result to be apparent

Will my breast be bruised?

There will be some bruising present especially adjacent to the scars. This will gradually settle over in two to three weeks.

Will I be in pain?

Patients do tend to have some pain and discomfort for the first 1 to 3 days, but you will be kept comfortable with adequate analgesia. It is advisable to take Paracetamol six hourly on a regular basis for the first 24 to 48 hours and then as necessary after that.

When do my stitches come out?

Mr Mahajan uses absorbable sutures to close the wounds. This helps him achieve neat scars and prevent ‘hatch marks’ from external sutures. This also means that you will not have the discomfort of having your sutures removed.

What if I have a problem after I am discharged from the hospital?

You will be discharged from the hospital when it is safe enough to do so. However, in the event of any unexpected problems, you can contact us any time on 0800 246 5636.

When can I go back to work?

This depends on your job. If you have a desk job that does not involve lifting any things heavy, you can go back to work as soon as you are comfortable and this could be as early as 5 days to two weeks. However, if you have a more demanding job, you will need to take a break for four to 6 weeks. This can vary widely between patients, as patients tend to cope variably.

When can I pick up my baby?

You can lift your baby up as soon as you are comfortable to do so. This can be towards the end of the first week. But you do need to careful that you don’t strain yourself. Alternatively, your partner could give the baby to you to hold gently. Do not try to restrain an aggressive child as you would harm yourself.

When can I hit the gym again?

You will need to wait until your wounds have fully healed and you are comfortable to under take any labour intensive work. This could take 4 to 6 weeks following your surgery.  You could however return to light cardiac exercises sooner in about 2 to 3 weeks.

When can I drive?

You will need to wait until you are comfortable to do so. This might mean waiting till your wounds have healed in two weeks time. You should be able to apply an emergency stop and it is a decision that you will have to make.

When can I fly or go on holidays?

Holidays after surgery will do you good and give you time to recuperate. However, it is not advisable to go on long haul flights for 4 weeks after the procedure to reduce the risks of blood clots in your legs or lungs. Blood clots in your lungs can be life threatening and is a very compelling reason for you not to consider traveling across the globe in search of cheap deals. Short flights and travel by train or car, which does not involve prolonged periods of immobilisation, is not a problem although you should take precautions to wear flight socks when travelling.

Although I am not in any rush, when can I have sex again?!

You will need to wait until your wounds have fully healed and you are comfortable to engage in any sexual activity. This could take 4 to 6 weeks following your surgery. You certainly need to be careful for at least 2 weeks until the wounds have healed.

When can I drink or smoke?

There is no issue with having a social drink after the procedure. However, patients do need to refrain from smoking completely for at least three weeks following the procedure. You would have had to stop smoking for eight weeks before the operation. Smoking tends to reduce the circulation of blood, which is vital for wound healing. This applies to nicotine patches or electronic cigarettes too. Considering that you would have stopped smoking for about 3 months around the date of your procedure, you should take this as an opportunity to stop smoking completely!

Mr Mahajan’s publications and presentations on breast surgery

Book chapters:

Principles of free flap design and elevation
Phillip N Blondeel and Ajay L Mahajan
Operative Microsurgery, edited by Brian Boyd, MD and Neil Jones, MD. McGraw-Hill, New York, 2015.

Microsurgical Breast Reconstruction in Presence of Co-morbidities
Seidenstuecker, Katrin; Munder, Beatrix; Mahajan, Ajay L; Andree, Christoph
Breast Reconstruction; Art, Science, and New Clinical Techniques, edited by Shiffman, Melvin A. Springer, Switzerland 2015

Photography in Plastic Surgery
Ajay L Mahajan
Text Book of Plastic, Reconstructive & Aesthetic Surgery, edited by Karoon Agarwal, in Print

Articles:

  1. DIEAP flap for safe definitive autologous breast reconstruction
    Seidenstuecker K, van Waes C, Munder BI, Claes KEY, Witzel C, Roche n, Stillaert F, Mahajan AL, Andree C, Blondeel PN
    Breast 2015.12.005
  2. Morbidity of microsurgical breast reconstruction in patients with co-morbid conditions
    Seidenstuecker K, Munder B, Mahajan A L, Andree C
    Plast Reconstr Surg. 2011 Mar;127(3):1086-92.
  3. Are Pfannenstiel scars a boon or a curse for DIEP flap breast reconstructions?
    A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi
    Plast Reconstr Surg. 2012 Apr;129(4):797-805.
  4. Myosonographic Study of Abdominal Wall Dynamics to Assess Donor Site Morbidity after Microsurgical Breast Reconstruction with a DIEAP or ms-2 TRAM Flap
    K Seidenstücker, B Munder, P Richrath, U Legler, A L Mahajan, C Andree
    JPRAS in print
  5. DIEAP flap for safe definitive autologous breast reconstruction
    Katrin Seidenstuecker, Carl van Waes, Beatrix I Munder, Karel E Y Claes, Christian Witzel1, Nathalie Roche, Filip Stillaert, Ajay L Mahajan, Christoph Andree, Phillip N Blondeel
    The Breast in print
  6. The ECG dot as a pre operative marker for Nipple Areolar Reconstruction
    A L Mahajan, A J Hussey, C L Riordan, P J Regan
    Plast Reconstr Surg. 2003 Feb;111(2):955
  7. Preventing ‘T’ junction dehiscence in mammaplasty
    AL Mahajan, TWL Chapman, JG McDiarmid
    Plast Reconstr Surg. 2006 May;117(6):2100.
  8. Radiotherapy tattoo – a landmark for an underlying expander implant port in breast  reconstruction
    VA Mahajan, AL Mahajan, Morris RJ
    J Plast Reconstr Aesthet Surg . 2010 Feb;63(2):e171. Epub 2009 Apr 5.
  9. Attaining symmetry in breast reconstruction procedures
    J K Dickson, J M Taylor, R Rajan, A L Mahajan
    J Plast Reconstr Aesthet Surg 2010 Sept; 63(9): 1573-1575. Epub 2010 Mar 10.
  10. Pectoralis fascia grafts in breast reconstruction.
    Gran MV, Nicholson S, Mahajan AL.
    J Plast Reconstr Aesthet Surg. 2012 Apr;65(4):e104-5
  11. The inferior based pectoralis fascial flap for breast reconstruction.
    Mahajan AL.
    J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1599-601
  12. Breast Equalising Surgery following Breast Reconstruction
    A L Mahajan, L Rynn, A Grufferty, P J Regan
    Ir J Med Sci. 2002 July/Aug/Sept 171(3) S2: 21
  13. Sun burn from resting reading glasses on a reconstructed breast!
    AL Mahajan, TWL Chapman, M Mandalia, RJ Morris
    J Plast Reconstr Aesthet Surg. 2010 Feb;63(2):e170. Epub 2009 Jun 7.
  14. The Safety of the Deep Inferior Epigastric Artery Perforator Flap Procedure: A Prospective Analysis in 1036 Breast Reconstruction Patients.
    Waes, Carl Van; Seidenstuecker, Katrin; Mahajan, Ajay; Roche, Nathalie; Stillaert, Filip; Andree, Christoph; PN Blondeel.
    Plast Reconstr Surg. 128(4S):57, October 2011.

Presentations:

  1. Breast Equalising Surgery following Breast Reconstruction
    A L Mahajan, L Rynn, A Grufferty, P J Regan
    Sir Peter Freyer Meeting, Galway, September 2002
  2. Sun burn from resting reading glasses on a reconstructed breast!
    AL Mahajan, Chapman TWL, M Mandalia, Morris RJ
    Irish Association. of Plastic Surgeons Meeting, Galway, May 2007 (Poster presentation)
  3. ‘Custom made’ DIEP flap breast reconstructions
    A L Mahajan, R Rajan, A P Tregaskiss, A Perez, R J Morris
    Irish Association. of Plastic Surgeons Meeting, Galway, May 2009
  4. Attaining symmetry in breast reconstruction procedures
    J K Dickson, J M Taylor, R Rajan, A L Mahajan
    Irish Association. of Plastic Surgeons Meeting, Galway, May 2009 (Poster presentation)
  5. Attaining symmetry in breast reconstruction procedures
    J K Dickson, J M Taylor, R Rajan, A L Mahajan
    XXXIVth Sir Peter Freyer Surgical Symposium meeting, Galway, Ireland, Sept 2009. (Poster presentation)
  6. Attaining symmetry in breast reconstruction procedures
    J K Dickson, J M Taylor, R Rajan, A L Mahajan
    International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009
  7. Creating a template of the contralateral breast to aid DIEP flap reconstruction.
    R Rajan, A P Tregaskiss, A Perez, A L Mahajan, R J Morris
    International Plastic Reconstructive & Aesthetic Surgeons meeting, Delhi, Nov 2009
  8. Prospective dynamic myosonographic abdominal wall study to compare the donor site morbidity after ms-2 TRAM flap and DIEP flap
    K Seidenstücker, B Munder, P Richrath, U Legler, A L Mahajan, C Andree
    European Association of Plastic Surgeons meeting, Manchester, UK, May 2010
  9. Improving outcome in SGAP flap breast reconstruction
    A L Mahajan, R Sinna, B Vermeulen, K Van Landuyt
    British Asscn. of Plastic Aesthetic & Reconstructive Surgeons Meeting,, Sheffield, July 2010
  10. Are Pfannenstiel scars a boon or a curse for DIEP flap breast reconstructions?
    A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi
    World Congress on Controversies in Plastic Surgery & Dermatology (CoPLASDy) Barcelona, November 2010
  11. Aesthetic benefits of lipofilling in secondary shaping of microsurgical breast reconstructions
    K Seidenstuecker, M Hagouan, A L Mahajan, T Koeppe, B Munder, CAndree
    World Congress on Controversies in Plastic Surgery & Dermatology (CoPLASDy)
    Barcelona, November 2010 (Poster presentation)
  12. Complications in free autologous breast reconstruction – how often is surgical intervention warranted and to what degree?
    K Seidenstücker, B Munder, A L Mahajan, C Andree
    IInd Italian Meeting on Perforator Flaps and Aesthetic Refinements, Bologna, Italy.

“Best Paper Prize” November 2010

  1. Complications in free autologous breast reconstruction – how often is surgical intervention warranted and to what degree?
    K Seidenstücker, B Munder, A L Mahajan, C Andree
    International Plastic Reconstructive & Aesthetic Surgeons meeting, Vancouver, May 2011
  2. Microvascular architecture of a DIEP flap harvested from an abdomen with a Pfannenstiel scar.
    A L Mahajan, A Zeltzer, K E Y Claes, K Van Landuyt, M Hamdi
    European Association of Plastic Surgeons meeting, Mykonos, Greece, June 2011.
  3. Abdominal seroma formation following DIEP flap harvest –  analysis of influencing   factors and development of a predictive formula
    K Seidenstücker, B Munder, A L Mahajan, C Andree
    European Association of Plastic Surgeons meeting,, Munich, Germany May, 2012
  4. The SGAP flap
    A L Mahajan
    French Perforator Flap (ACRWP) course, Amiens, France, June 2012
  5. Technical refinements of Reduction Mamaplasty
    A L Mahajan
    BODY 2012 meeting, London, November 2012
  6. Autologous pectoral fascia in implant-based breast reconstruction.
    O’Neill TB, Mahajan A L
    IAPS Meeting, Galway, Ireland, May 2013
  7. Technical Refinements of Reduction Mammaplasty.
    Scheven D, O’Neill TB, Holmes W, Akhtar A, Mahajan A L
    IAPS Meeting, Galway, Ireland, May 2013
  8. Aesthetic Surgery – Dawn to a new you
    A L Mahajan
    ATMG Meeting, Alton Towers, UK September 2013
  9. Breast reduction innovations
    A L Mahajan
    Byron Bay Meeting, Australia, March 2015
  10. The Pectoral fascia flap in breast reconstruction
    A L Mahajan
    Byron Bay Meeting, Australia, March 2015
  11. The adjustable breast reduction marker
    Ajay L Mahajan
    BAPRAS meeting, Birmingham, November 2015