Breast Reduction

What is Breast Reduction Surgery?

Breast reduction surgery, or reduction mammaplasty, is a procedure designed to reduce breast size and weight through removal of excess glandular tissue, fat and skin, while reshaping the breast for improved proportion and support.

It is commonly performed to relieve physical symptoms such as neck, back and shoulder discomfort, skin irritation and limitations with physical activity. In addition to functional improvement, the procedure restores balance and contour in keeping with overall body shape.

Suitability and expected outcomes are carefully assessed during consultation to ensure safe, proportionate and long-term results.

How is Breast Reduction Surgery Performed?

Breast reduction is performed under general anaesthesia, usually as a day-case procedure. Excess glandular tissue, fat and skin are removed, the remaining breast tissue is reshaped, and the nipple–areola complex is repositioned to restore proportion and support.

The most common incision pattern is the Wise pattern (anchor scar), which leaves scars around the areola, vertically down to the breast crease, and along the inframammary fold. In selected cases, shorter scar techniques may be appropriate depending on breast size, skin quality and the degree of lift required.

The surgical approach is tailored to achieve balanced contour, long-term structural support and symmetry.

Breast Reduction Risks and Considerations

All surgical procedures carry potential risks. With breast reduction, these include bleeding, infection, fluid collection, delayed wound healing — particularly at the ‘T-junction’ of anchor-pattern scars — and unfavourable scarring.

Changes in nipple sensation are common in early recovery and may occasionally persist. In rare cases, reduced blood supply can affect the nipple–areola complex. Minor asymmetry or contour irregularities can occur, and revision surgery is sometimes required.

These considerations will be discussed in detail during consultation to ensure informed decision-making and realistic expectations.

Breast Reduction Surgery Aftercare & Recovery

Aftercare: A supportive surgical bra should be worn day and night for the first 4–6 weeks. Dressings should be kept clean and dry until your first review. Drains are not routinely required but, if used, are usually removed before discharge. You will be prescribed appropriate analgesia and given detailed post-operative guidance.
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Recovery: Swelling, bruising and tightness are expected in the first 2–3 weeks. A review is typically arranged at around one week to assess wound healing. Light daily activities can resume gradually, but heavy lifting, strenuous exercise and upper body strain should be avoided for approximately six weeks.

Wound Care: Incisions should be kept clean and supported. Scar therapy — such as micropore taping or silicone-based products — is commonly recommended for several months. Underwired bras should be avoided during early healing. Scars will appear firm and pink initially and typically soften and mature over time.

What is breast reduction surgery?

Breast reduction surgery, also known as reduction mammaplasty, is a procedure that removes excess breast tissue, fat, and skin to reduce breast size and weight. It also reshapes and lifts the breasts to create a more balanced, proportionate appearance.

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Who is a good candidate for breast reduction?

Good candidates are individuals in good general health who experience physical discomfort such as back, neck, or shoulder pain due to large breasts, or who feel self-conscious about their breast size. A consultation with a qualified surgeon is essential to determine suitability.

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What problems can breast reduction surgery help with?

Breast reduction can relieve chronic back, neck, and shoulder pain, reduce skin irritation under the breasts, ease bra strap grooving, improve posture, and make physical activity more comfortable. It can also improve confidence and body image.

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How is breast reduction surgery performed?

The procedure involves removing excess tissue, fat, and skin, reshaping the remaining breast tissue, and repositioning the nipple. The exact technique depends on factors such as breast size, skin elasticity, and the degree of sagging.

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What is the recovery time after breast reduction?

Most patients return to light daily activities within one to two weeks. Strenuous activity and upper body exercise should be avoided for around six weeks. Swelling gradually improves over several weeks, with final results developing over a few months.

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Will breast reduction surgery leave scars?

Yes, scarring is a normal part of breast reduction surgery. The location and length of scars depend on the surgical technique used. Scars typically fade over time and can be managed with proper aftercare and scar treatment.

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Can I breastfeed after breast reduction?

Some women can breastfeed after breast reduction surgery, but it may be more difficult depending on the surgical technique used. If you plan to have children in the future, discuss this with your surgeon before the procedure.

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How long do breast reduction results last?

Breast reduction results are long-lasting. However, factors such as aging, pregnancy, weight changes, and gravity can affect breast shape over time. Maintaining a stable weight can help preserve results.

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