Breast reduction

Is a breast reduction right for me?

If you have any of the problems above because of large breasts, you’re likely to be suitable. A reduction involves longer incisions, so if you’re prone to keloid scars, which become red and raised rather than flattening and fading, you may want to take this into account.

Your age and whether you might have children in future are also worth considering. A reduction before having children is possible, but it’s impossible to predict how pregnancy will affect the shape of your breasts. Putting on a lot of weight will also affect your result, so it’s important that your weight is stable first.

If the extra volume is mainly fat rather than breast tissue and your skin tone is good, I may recommend liposuction alone, which needs only tiny incisions in the armpit.

The operation

The operation is done under a general anaesthetic, takes about three to four hours depending on the extent of surgery, and usually needs an overnight stay.

Which incisions I use depends on the size of the breasts and how much they’ve dropped. Typically there’s an incision around the nipple and down the middle of the breast, and sometimes also along the crease underneath. Excess fat, breast tissue and skin are removed, the nipple is moved up if necessary, and the remaining tissue is reshaped.

Recovery

There may be some discomfort afterwards, and most people find it takes a couple of weeks before they can return to normal daily activities or work. If your job is very physical, you may need longer. I’ll give you clear instructions on how to look after yourself during your recovery.

Risks and possible complications

As with any operation, risks include infection, bleeding and fluid collecting under the skin. If the nipples have been moved, there may be a loss of sensation in them that may never return.

Results

Scarring is an important factor to consider, but breast reduction patients are usually very happy with their results.

Common questions

Page last updated October 2026.