Consultant Plastic and Hand Surgeon  
   
 
     
 

Breast Reduction

Breast reduction is a surgical procedure performed to reduce the size of your breasts and to enhance their shape, leaving them more in proportion with your body. Breast size and shape can affect a woman’s health, well being, self-image, psyche and lifestyle. The operation is one of the most commonly performed, the results are predictable and the women who have this operation are amongst the happiest in any plastic surgeon’s practice.

If you are considering a breast reduction operation, this information will give you a basic understanding of the procedure - when it can help, how it is performed and the results you can expect.

Who is suitable for breast reduction?
Ideally you should be of normal weight for height, not overweight, when the operation is done. Any woman with large breasts may be a candidate for the operation, especially if your breasts are causing you to suffer from any of the following:

• Neck, back and/or shoulder ache
• A feeling of heaviness in the breasts
• Bra strap grooves on the shoulders
• Rashes underneath the breasts
• Pins and needles in the hands
• Striae (lines) or dilated veins on the breast
• Enlarged areolas

A breast reduction operation can improve your self-image, self-confidence and self-esteem.

Usually the operation is not performed until a woman’s breasts are fully developed from late teens onwards. Occasionally, marked breast growth can occur in early puberty warranting the performance of the operation in the teens.


What to expect at the initial consultation?
At the initial consultation, Mr Fleming will discuss your thoughts and needs with you and elicit a past medical history. At this stage, Mr Fleming will assess whether breast reduction is suitable for you and whether the operation will meet your specific needs. Your breasts
will then be examined and measured.

It is important to bring to his attention any previous breast problems that you may have had. Such problems would include breast lumps, nipple discharge, breast pain, breast cancer and any other surgery you might have had on the breasts. You should also inform your surgeon if you have any family history of breast cancer, particularly in your mother or sisters. If you are on any long-term medication, if
you have any allergies, if you have a tendency to bleed or bruise easily, if you have had any previous surgery, if you have had any previous problems with local or general anaesthesia and if you have any chronic medical ailments, tell your surgeon.

Where does the treatment take place?
Your operation can take place at either Parkside Hospital Wimbledon, St Anthony’s Hospital, Cheam or The New Victoria Hospital, Kingston Upon Thames. You can expect to spend 1-2 nights in hospital recovering from the operation before going home.

What can go wrong?
In general, breast reduction is associated with a high degree of patient satisfaction and the vast majority of women are very pleased with their results. Nevertheless, no surgery is without risk, and Mr Fleming will explain the risks and possible side-effects of treatment with you at your consultation.

How long does it take to recover?
Recovery can take up to 3 weeks and you are not advised to return to work during the recovery period.

How satisfied can you expect to be with the procedure?
Because this is a common plastic surgery procedure, the results are quite predictable. After the operation, many women report a feeling of increased self-esteem and self-confidence and reduced self-consciousness. Physical discomfort from having large breasts is also greatly reduced.

Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy. Although every effort will be made to ensure that your scars are as inconspicuous as possible, it is important to remember that breast reduction scars are extensive and permanent. They may remain red and slightly prominent for months, before fading to thin white lines.


Mr Fleming can discuss the exact nature of your treatment, including procedure details, recovery times and any possible side-effects at a consultation. This will reflect your exact circumstances and needs. The information included here is provided for general guidance only.


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