Breast reduction

Breast reduction removes excess breast tissue and skin to reduce weight and improve shape. It can relieve neck, shoulder and back pain, strap marks and activity limits – while making the breasts firmer and more proportionate.

Who is it for?

Relevant for large, heavy or asymmetric breasts, downward-pointing nipples, pain or limited activity. Stable weight and BMI around 25 is advised; around BMI 30 or above healing risk rises. Mammography may be required before surgery for women over 40 or with genetic predisposition.

How it works

Surgery is under general anaesthesia and typically lasts 2–3 hours. Excess skin and tissue are removed; liposuction may be included. The nipple is raised while milk ducts are preserved when possible. Scars are often lollipop or anchor-shaped. Drains are typically removed within 1–3 days; many stay overnight.

Risks

Risks may include bleeding, infection, swelling, sensation changes, asymmetry and visible scars. In very large reductions nipple grafting may be used. Sun protection of scars for 12–18 months is advised.

Recovery and maintenance

Avoid lifting arms above shoulder height and heavy lifting for the first month. The result lasts with stable weight. Scars fade over time; laser may be considered if needed.