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Breast reduction.
Understand the change.

If breast weight or size affects comfort, clothing or activity, an assessment can help you understand the cause and the options. Explore surgery, its limits and the recovery involved.

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What is breast reduction?

A clinical drawing highlights selected breast tissue that may be removed during reduction.

Breast reduction, or reduction mammaplasty, removes selected breast tissue, fat and skin. The remaining tissue is reshaped to create a smaller breast, usually with a higher nipple position.

The aim may include easing discomfort from breast weight as well as changing size. The amount removed is planned around your anatomy, symptoms and goals; an exact cup size cannot be promised.

What would you like help with?

A covered chest diagram highlights shoulder strap pressure and irritation beneath the breasts.
  1. 01

    Weight and discomfort

    Some people experience neck, shoulder or back discomfort related to breast weight. Pain can have other causes, so it needs assessment before linking it to breast size.

  2. 02

    Skin irritation or strap pressure

    Recurring irritation beneath the breast fold or deep bra-strap marks can affect daily comfort. Tell the clinician about any rash or skin breakdown.

  3. 03

    Clothing and activity

    Difficulty finding supportive bras or taking part in exercise can also matter. Explain the practical change you hope surgery would make.

Reduction and a lift have different goals.

A simplified side cross-section distinguishes breast tissue from fat.

Remove breast tissue and weight

Reduction removes tissue and reshapes the breast. It may suit a size or weight concern as well as loose skin.

Breast-lift arrows represent changes to shape and position.

Reshape existing tissue

A lift mainly changes position and shape. It does not usually remove enough breast tissue to address a substantial weight concern.

Explore breast lift
A supportive bra represents one form of non-surgical help.

Consider other support

A well-fitting bra and care for skin irritation may help symptoms. Discuss these options, and whether weight changes or other treatment would affect your plan.

How is the reduction planned?

Example incisions go around each areola and vertically down to the breast fold.

Vertical incision

A line around the areola continues down to the fold. Sometimes called a lollipop pattern, it allows tissue removal and reshaping for selected breast sizes and skin patterns.

Example incisions also extend along the breast folds.

Anchor incision

A further incision runs along the breast fold. A wider skin and tissue-removal plan may need this pattern.

The incision pattern and the tissue that supports the nipple are separate parts of the surgical plan. Ask the surgeon to explain both.

What needs checking before surgery?

A checklist represents assessment of the concern, method and recovery.
  1. 01

    Health and breast history

    Discuss your symptoms, medicines, previous surgery and personal or family breast history. Any new lump, nipple discharge or unexplained breast change needs medical assessment.

  2. 02

    Healing and weight plans

    Smoking or vaping can impair healing. Discuss nicotine, diabetes and other health factors, along with any major weight change you are planning.

  3. 03

    Expectations and support

    Consider the likely benefit alongside permanent scars and recovery. A decision about surgery should reflect your own priorities, with practical help arranged at home.

Discuss nipple sensation and breastfeeding.

Breast tissue is shown in a simplified side cross-section.

Usually the nipple and areola stay attached to a section of tissue that carries blood supply and nerves while they are moved. With some very large reductions, a free nipple graft may be discussed instead. That has different implications for sensation, healing and breastfeeding.

Reduction can reduce or prevent milk production, and nipple sensation may change temporarily or permanently. Discuss future pregnancy and breastfeeding before deciding; no technique can guarantee these functions will be unchanged.

OUR PROCEDURE

Before, during and after surgery.

STEP 01

Agree the plan and prepare

  • Examination and consent

    The plastic surgeon examines and measures the breasts. Discuss symptoms, the proposed reduction, nipple technique and scars, as well as the surgeon, facility and aftercare.

  • Health checks and preparation

    Breast imaging or laboratory tests may be requested based on your age and history. Follow individual medicine, nicotine and fasting instructions. Arrange transport and someone to stay with you initially.

A surgical planning checklist.
STEP 02

Remove tissue and reshape

  • Anaesthesia and tissue removal

    Under the agreed anaesthetic, excess tissue, fat and skin are removed through the planned incisions. Liposuction may be added if appropriate.

  • Reposition and close

    The nipple position and remaining tissue are adjusted. The breast is supported with stitches and the incisions are closed and dressed.

Selected tissue areas are highlighted on a clinical breast drawing.
STEP 03

Protect the wounds while healing

  • Wound and support care

    A support bra is commonly used, and some patients have temporary drains. Get instructions for dressings, medicines, washing and any drain care.

  • Follow-up and movement

    Attend the planned checks and build activity back gradually. The team will tell you when lifting, driving and exercise are appropriate.

A front-opening support bra represents postoperative support.

Plan for a gradual return to routine.

A supportive garment represents care during healing.
  1. 01

    Early healing

    Swelling, bruising and soreness are expected at first. Keep to the wound-care and support-bra instructions and contact the team if symptoms worsen unexpectedly.

  2. 02

    Help with everyday tasks

    Arrange support for childcare, shopping and other lifting. Avoid strain, friction and strenuous activity while the incisions heal.

  3. 03

    Work and exercise

    Some people return to less physical work after a few weeks; heavier work and exercise may need longer. Your operation and healing determine the timing.

Scars are part of the decision.

Example anchor scars circle the areolas and extend to and along the breast folds.
  1. 01

    Know where the lines will sit

    Some incision lines follow the natural breast fold, while others remain on the breast surface. Ask to see the expected pattern before consent.

  2. 02

    Scars change but remain

    They may fade and soften over time, but do not disappear. Thick, raised or widened scars are possible.

  3. 03

    Wait for advice on scar products

    Focus first on wound healing. Use silicone, massage or other scar care only when your team says the skin is ready.

Understand the possible complications.

Healing problems

Bleeding, infection, fluid collections, wound separation and loss of skin or fatty tissue can occur. The nipple or areola can lose part or all of its tissue if blood supply is affected.

Shape and sensation

Breast asymmetry, contour changes, persistent pain or lasting numbness are possible. Breastfeeding can be affected. Further surgery may be needed for some problems.

Clots and anaesthesia

Blood clots and heart, lung or anaesthetic complications are serious surgical risks. Your medical history helps the team assess them.

Allow time for the change to settle.

A calendar represents follow-up as healing progresses.

Reducing breast weight may improve comfort and make activity or clothing easier. It cannot guarantee that every source of pain will resolve. Review your original symptoms as well as the appearance.

Swelling may hide the final size and shape for several months. Weight changes, pregnancy and ageing can change the breasts again; maintaining a stable weight supports the result.

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FAQs

Your questions, answered.

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01Is breast reduction the same as a lift?

No. Reduction removes breast tissue and weight as well as reshaping. A lift mainly changes skin, shape and position.

02Can I choose an exact cup size?

You can discuss the size and comfort you want, but anatomy, tissue safety and differences between bra sizing make an exact cup size difficult to guarantee.

03Will back and shoulder pain go away?

Surgery may help pain related to breast weight. Other causes of pain need their own assessment, and complete relief cannot be promised.

04Are the nipples removed?

Usually they stay attached to supporting tissue while being repositioned. A free nipple graft may be needed in selected very large reductions; discuss the implications beforehand.

05Can I breastfeed afterwards?

It may be possible, but reduction can reduce or prevent milk production. Your technique, amount of reduction and future plans need discussion.

06Should I wait until after pregnancy or weight loss?

Both can change breast size and the surgical result. Explain your plans so the surgeon can advise on timing.

07Is liposuction alone enough?

It removes fat rather than glandular tissue or excess skin. It may suit selected cases, but does not replace a skin-and-tissue reduction for everyone.

08When can I lift or exercise?

Wait for advice based on your healing and the activity. Everyday lifting, driving and gym exercise place different demands on the chest.

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Make an informed choice.

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