What is Breast Reduction Surgery?
Breast reduction surgery, or mammaplasty, removes breast tissue, fat, and skin to reshape and reduce breast size. In doing so, the surgery aims to provide women with a more proportionate figure and alleviate any discomfort caused by overly large breasts.
A breast reduction can offer an array of transformational benefits. For many women, a breast reduction can improve capacity for exercise, make clothing more comfortable, and help promote healthier sleep patterns. As such, a mammaplasty treatment can make considerable improvements to your quality of life.
The CREO Clinic’s medical director and senior body plastic surgeon, Dr. Omar Tillo, specialises in reconstruction surgery and breast reductions. As a result, he has extensive experience performing successful breast reductions on women with a variety of needs, including women with very large breasts looking for a drastic reduction.
Having completed breast reduction surgeries of various levels of complexity, Dr. Tillo has the skills and expertise necessary to design a bespoke surgical procedure according to the patient’s unique anatomy and requirements, producing breast reduction results that look and feel natural.
If you are considering breast reduction surgery in London, book a consultation with Dr. Tillo to discuss your cosmetic concerns, desired outcome, and suitability for the procedure.
Overview of Breast Reduction Procedure
Surgery time2-3 Hours
Hospital time0-1 day
Full recovery6 weeks
Benefits of Breast Reduction (Mammaplasty)
Breast reduction surgery benefits include the improvement of a patient’s self-confidence, quality of life, and overall health by providing both aesthetic and functional benefits.
Aesthetically, breast reduction surgery can help women achieve their ideal figure by providing them with smaller breasts that are more proportional to the frame of their body.
Functionally, there are many medical benefits of breast reduction, such as alleviating the discomfort associated with back pain, numbness, and the other issues (mentioned in the ‘physical symptoms’ section below), thus allowing women to lead a healthier and more active lifestyle.
Who is a Candidate for Breast Reduction Surgery?
Any woman struggling with the negative effects of larger breasts can benefit from breast reduction. The surgery works to sculpt a more proportionate breast size, improving physical comfort and greater confidence in your silhouette.
If you are experiencing back pain, poorly fitting clothing, or skin rashes such as intertrigo as a result of large, cumbersome breasts, a breast reduction can provide ample relief to these uncomfortable symptoms.
At the CREO Clinic, a BMI of 30 or under is a prerequisite for any patient looking to have a breast reduction. To find out whether you meet this criteria, use our helpful BMI calculator.
Physical Symptoms of Large Breasts
Large breasts are not always purely an aesthetic concern for patients. In many cases, breasts that are disproportionately larger and heavier for a woman’s frame can give rise to a range of physical symptoms. If you have any of the following, these could be signs you need a breast reduction:
- Pain in the back, breasts, neck, and shoulders.
- Numbness in the breasts that sometimes extends to the arms, hands, and fingers as a result of excess weight and poor posture.
- Rashes and skin infections beneath the breasts caused by trapping heat and moisture.
- Deep grooves in the shoulders caused by the straps of the bra carrying the heavy weight of the breasts.
- Difficulty exercising and performing other physical activities which can give rise to other health issues.
Shortness of breath due to having too much weight on the chest. This is most common in cases where the breasts are particularly large.
Breast Reduction Cost in London
In general, the cost of breast reduction surgery in London at the CREO Clinic starts from £8,900. As a bespoke surgery, the cost of a breast reduction procedure varies depending on the surgical needs of each patient.
Therefore, the exact price of your treatment and any available breast reduction financing options will be determined following a consultation with Dr. Tillo. You will also receive answers to your other breast reduction questions.
Types of Breast Reduction
Our plastic surgeon, Dr. Tillo, may perform one of three breast reduction incisions depending on the nature of your breasts:
This breast reduction technique requires an incision around the areola (the pigmented skin encircling the nipple). As the least invasive of the three techniques, it also leaves behind minimal breast reduction scars. The circular incision approach is suitable for removing a small amount of breast tissue, and therefore provides a minimal reduction in breast size.
Lollipop or Keyhole Incision
A lollipop breast reduction surgery involves making a circular incision around the areola as well as a vertical incision from the base of the areola down to the crease of the breast, thus resembling the shape of a lollipop. With this method, the surgeon can remove a larger amount of breast tissue and fat, resulting in a more prominent reduction and reshaping of the breasts.
Anchor-Shaped or Inverted-T Incision
This breast reduction technique involves three incisions that resemble the shape of an inverted-T or an anchor. In addition to the circular and vertical incisions of the lollipop technique, a third incision is made along the crease underneath the breast. An anchor breast reduction surgery is ideal for patients that have asymmetrical breasts with significant drooping.
Breast Reduction Surgery Steps
Your breast reduction surgery will be performed under general anaesthetic. On average, a breast reduction surgery lasts between two and a half and three hours. Here is a breakdown of the most important steps:
General anaesthetic is administered. Once you are fully unconscious, your surgeon will make the incisions to allow access to the breast tissue. Which incisions are used can differ according to your needs – you can see examples of these different incisions in the ‘types of breast reduction’ section above.
Excess fat, skin, and glandular tissue is removed from your breasts so as to create an overall reduction in size. How much tissue is removed will depend on the extent of the reduction required.
The areola is reshaped by trimming away any excess tissue, then repositioned to match the proportion of your new breasts and create the desired aesthetic appearance.
Once sufficient breast material has been removed, the incisions are closed with dissolvable sutures. This means your sutures harmlessly disappear over time, avoiding the need for post-surgery removal.
Once you are awake and rested, a compression garment is provided to help reduce inflammation at your incision sites. Painkillers are also prescribed, if necessary. Alongside any medication, Dr. Tillo will provide thorough after-care instructions to keep you as comfortable as possible in the initial stages of recovery.
Breast Reduction Recovery
Immediately after the breast reduction surgery, you may experience swelling and tenderness in the affected area. These post surgery side effects gradually dissipate over the next 2-3 weeks, after which you will be able to carry on with most of your normal daily routine. However, you may be advised to avoid strenuous exercise and heavy lifting for up to 6 weeks after your surgery.
Most patients feel comfortable returning to work after one week of recovery from breast reduction surgery.
During the first few weeks after your breast reduction surgery, your breasts may feel tight and appear higher than expected. However, as your body heals, the breasts will settle into their intended position and feel natural. The final results will become visible as the post-surgical swelling completely subsides, which can take at least 3 months.
The time it takes to recover and see the final results of your breast reduction are also reduced if patients lose weight prior to surgery.
Breast Reduction Results
How large your breast reduction is depends entirely on your preference – a large breast reduction can take your breasts down by three or more cup sizes, whereas smaller reductions may reduce your breast by just one cup size. During your consultation, Dr. Tillo will discuss your desired breast reduction results with you and set your expectations for the exact breast size that can be achieved from the surgery.
Dr. Tillo has performed many breast reduction procedures aimed specifically at decreasing the size of very large breasts, so you can feel safe knowing that he has extensive experience operating on women whose breast reduction needs are substantial.
Breast Reduction FAQs
How many cup sizes can you go down with breast reduction?
During your breast reduction consultation, the surgeon will determine the extent to which your breasts can safely be reduced. In most cases, the breasts can be reduced to any cup size the patient likes. However, this varies depending on a range of factors, such as the size and composition of your breasts.
Do breasts grow back after reduction?
For most women, breast reduction surgery permanently reduces the size of their breasts. However, there is a rare possibility that your breasts will grow back after the surgery, usually as a result of hormonal changes or weight gain. Therefore, in order to maintain results, it’s important to avoid fluctuations in your hormone levels and weight by maintaining a healthy lifestyle.
Does breast reduction affect pregnancy?
A breast reduction does not affect your ability to get pregnant. However, there’s a small chance that the surgery can disrupt your milk glands and prevent you from breastfeeding. Furthermore, you’re advised to wait at least three months before trying to conceive in order to allow your body enough time to heal.
Who should get a breast reduction?
In general, a breast reduction is a good option for women who are dissatisfied with the appearance of their disproportionately large breasts or are experiencing physical symptoms such as neck pain, back pain, and skin infections as a result. The CREO Clinic does require that patients have a BMI of 30 or under before undergoing breast reduction to reduce the risk of complications.
Is breast reduction worth it?
Many women who have a breast reduction procedure are happy with the outcome and consider it to be a worthwhile procedure as it provides significant aesthetic and functional advantages. Breast reduction surgery corrects both their aesthetic concerns by improving the proportions of their body and greatly improves their quality of life by relieving the pain and discomfort associated with having overly large breasts.
Will I have to wear a garment after breast reduction surgery?
The CREO Clinic will provide you with a compression garment that you will need to wear for six weeks after your breast reduction surgery to minimise inflammation. This works to aid the healing process and reduce the discomfort you may feel post surgery.
When can I wear a normal bra again after breast reduction?
After the six-week period is over, you can stop wearing your compression garment and start to wear a normal bra again. It is advisable to avoid underwire bras until three months after your surgery as this can irritate your skin while it is still healing.
What is the best sleeping position during breast reduction recovery?
After your breast reduction the best way to sleep is on your back with your chest and head slightly elevated so as to take pressure off your chest and help enhance circulation. Try to avoid sleeping on your stomach or your side.
What is the scarring like after breast reduction?
Your breast reduction scars will depend on the type of incision used during your surgery, but in general, your scarring will take the form of a thin, pale line that encircles the areola and continues vertically down towards the breast crease. Across the crease there may be another thin, horizontal line. Breast reduction scars are subtle and become less prominent over the course of your recovery.
Can breast reduction cause focal asymmetry?
Breast reduction performed by a skilled surgeon is unlikely to cause focal asymmetry (a perceived imbalance in the appearance of your breasts) and generally works to actually improve the symmetry of your breasts, as well as decreasing their size. However, although rare, it is possible that the breasts can become asymmetrical following a reduction.
Should I lose weight before a breast reduction?
It is advisable to be as close to your ideal weight as possible and have a BMI of 30 or under before undergoing your breast reduction surgery. This will help you see the most transformative outcomes and allow you to enjoy the many benefits a breast reduction can bring.
A breast reduction often forms an important part of a mummy makeover – a combination of surgeries that aim to restore areas of the body most affected by childbearing. As well as remodelling the breasts through a breast reduction, breast augmentation and/or a breast lift, a mummy makeover also addresses the abdomen via a tummy tuck, and works to improve the appearance of your waist, hips and thighs through targeted liposuction.
As an expert in body contouring techniques, Dr. Tillo has successfully performed the holistic mummy makeover procedure many times, and its effects can be transformative, tackling a variety of issues in one surgery. For women who are feeling discomfort with the changes childbearing has made to their body, a mummy makeover can be a crucial step towards feeling more at home with your post-pregnancy physique.
Breast Reduction and Lift
A breast lift, also known as a mastopexy, is a surgery that elevates and repositions saggy breasts for a more contoured figure. During a breast lift, the surgeon removes excess skin and reshapes the breast tissue. However, the surgery doesn’t alter the size of your breasts.
For some patients, the surgeon may recommend both a breast reduction and lift in order to produce an optimal result. These two procedures are commonly combined. In the hands of a skilled surgeon, a breast reduction and breast lift provide significant aesthetic and functional advantages due to the procedures’ capacity to complement one another. Most breast reductions include some degree of breast lift.
The combination of a breast reduction and lift is ideal for patients that have saggy breasts that they want to raise and disproportionately large breasts that they want to reduce.
Breast Reduction, Lift, and Augmentation with Implants
Breast augmentation with implants is a cosmetic surgery that addresses aesthetic concerns about the size and shape of the breasts. The surgery aims to produce larger breasts and fuller upper poles (the region of the breast mound that is above the nipple).
Breast reduction with augmentation may sound contradictory. However, this niche procedure, sometimes called the “addition-subtraction” procedure, has a unique role in a group of patients that have relatively large and droopy breasts with deflated upper poles. A breast reduction and breast augmentation is an ideal combination for patients who want to achieve smaller pert and perky breasts, with fuller and rounder upper poles.
Many patients and inexperienced surgeons often fail to appreciate that breast reduction alone may not fill the upper pole of the breasts to give a perky round shape. In these cases, the only way to achieve that shape is by reducing and lifting the breasts and adding implants to provide a long-lasting fullness to the upper poles.
To create natural-looking breast proportions and symmetry, your surgeon may adjust the size and position of your areola, adapting to your new and reduced breast size. Areola reduction will also take your aesthetic goals into account, always mindful to reflect the desired appearance outlined in your personalised treatment plan.
Schedule a Consultation
To experience the many benefits of breast reduction surgery, book a consultation today with Dr. Omar Tillo, the CREO Clinic’s double board certified cosmetic surgeon in London.
Dr. Tillo has performed countless successful breast reductions on women with a variety of physical and aesthetic needs, particularly in severe cases where drastic reductions are necessary. Dr. Tillo will use his surgical skill and knowledge to create a bespoke treatment plan specifically designed to put you on the path to achieving your unique body goals.