More than a cosmetic change, breast reduction relieves pain, eases movement and helps you feel lighter, more balanced and confident every day.
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Breast reduction can be truly life changing if large breasts affect your comfort, posture or ability to find clothes that fit. It can ease back and neck pain, reduce bra strap discomfort, and improve confidence in how you move and feel.
Our consultant surgeons take a tailored approach to achieve lighter, balanced results that restore comfort and help you enjoy daily life with confidence.
Your breast reduction journey is carefully guided from consultation to recovery. We make sure you feel informed, supported and confident at every stage.
With a clear process and experienced surgeons by your side, you can focus on the transformation ahead, knowing every detail has been considered.
You'll meet your consultant surgeon, go through your medical history, and have a detailed examination. Together you’ll discuss expectations, what’s technically possible, and your options.
The surgeon determines how much tissue needs removing, the best incision pattern, nipple position, skin quality, and where minimal scarring is achievable.
Under general anaesthetic, excess tissue & skin are removed, breasts reshaped, wounds closed. Dressings applied; supportive bra worn. Usually day case (no drains), followed by rest at home.
You’ll have a follow-up about a week later for dressing changes. Rest, limit strenuous activity, gradually resume exercise. Results are long-lasting, though shape and size may vary with ageing and weight changes.
A breast reduction is distinct from a breast lift or mastopexy although many of thesurgical techniques are similar. Typically women who have always had large breasts or women whose breasts have increased in size following childbirth will request breast reduction. There is no minimum amount of tissue to be removed nor are there breasts too large to be reduced.
You will always be seen by the surgeon who will carry out your surgery and your surgeon will take a detailed history and carry out a careful examination before discussing what your options are for surgery.
There are many surgical options for breast reduction but all involve making an incision around the nipple, isolating the nipple on a segment of breast tissue to preserve it’s blood supply, removing excess breast tissue, reshaping the remaining breast tissue, removing any excess skin then carefully closing the wounds to leave an aesthetically pleasing breast shape.
Depending how far the nipple needs to be lifted and how much tissue needs to be removed, the final scar will be vertically downwards from the nipple to the crease under the breast with or without a horizontal scar extending into this crease. At TPSG our surgeons are skilled in all types of breast reduction and will make every effort to minimize the amount of final scarring.
Once the wounds are closed, dressings are applied and a supportive bra is supplied. We don not routinely use drains (tubes coming out of the wounds to drain blood and fluid) unless it is necessary.
On waking from surgery you will be reviewed by your surgeon who will check for any bleeding and that you are comfortable. Usually you will be able to go home the same day although some patients may choose to spend one night in hospital. After discharge you will need to rest at home, avoiding any strenuous activity and being looked after. We ask that you leave all dressings in place and return to the clinic for a review at 1 week at which time your dressings will be changed. You will need to have 2 weeks off work and can return to light exercise at 4-6 weeks.
Breast reduction has an immediate and permanent effect however breast shape and size can change throughout your lifetime with the influence of ageing and fluctuations in body weight.
Breast reduction is fairly low risk surgery. Possible complications include bleeding, delayed wound healing, fat necrosis (hard lumps under the skin that gradually fade), changes in sensation of the nipple and prominent scarring. All women have asymmetrical breasts to varying degrees and sometimes the asymmetry can be perceived after surgery too. Your surgeon will go through the risks of the operation in more detail at your consultation.
"I am six weeks post op and my breast reduction was the best decision I ever made. I was actually approved for the surgery via the NHS but I chose to go with Mr Dan Marsh after seeing some of his work on a Facebook group.
I had pain I didn't even realize was coming from my heavy breasts until after the surgery. It disappeared literally overnight. I am SO HAPPY I haven't stopped smiling since I woke up from the surgery."
Breast reduction surgery can sometimes affect your ability to breastfeed, as some of the milk ducts may be removed or repositioned during surgery. Many women are still able to breastfeed, but this cannot be guaranteed. If breastfeeding in the future is important to you, your surgeon will discuss techniques that aim to preserve this function wherever possible.
Breast reduction scars usually follow an anchor or lollipop pattern around the areola and down to the crease under the breast. While they are permanent, scars typically fade significantly over time. Our surgeons use meticulous techniques to keep scarring as discreet as possible and will guide you on scar care to help achieve the best possible healing.
The goal of breast reduction is to create breasts that are lighter, balanced, and in proportion to your frame. Your surgeon will discuss the amount of tissue to be removed based on your preferences, anatomy, and what is safe. Together, you will agree on a result that feels comfortable and restores confidence.
