Breast Reduction

Women with large, heavy breasts may experience several health concerns related to their breasts: back pain, neck pain, grooves in the shoulders from bra straps, pain in the breasts, and rash under the breasts. Young women with large breast often do not develop proper poise and posture because of a conscious or unconscious attempt to minimise their apparent fullness. Poor posture can in later life result in arthritis. Women with arthritis of the spine and shoulders may have more symptoms than usual because of the added weight of heavy breasts. Some women are bothered by the psychological embarrassment of large breasts.

Aims of Surgery:

This operation is done to reduce the size of the breast and improve the shape of the breast. There are many ways to perform a breast reduction. A common method is to mark the new position of the nipple position. The nipple is then moved into its new position preserving its blood supply. The excess breast tissue is removed and the new breast shape reconstructed. During the procedure, incisions are made so that scars form around the areola, vertically below the areola, and in the crease beneath the breast. Scars are an unavoidable drawback to the procedure, but typically quite acceptable to most patients. The incisions are designed so that the scars will not be visible while wearing normal clothing. However newer techniques including one developed by Mr Kumar aims to reduce the scarring and avoid the scar in the breast crease.

Commonly asked questions:

Are there any complications?

Breast reduction is a major operation, but it is normally safe when performed by a qualified plastic surgeon. Potential complications of breast reduction include postoperative bleeding, infection and healing problems. These complications may result in more conspicuous scars. When the nipple and areola are transferred to their new position, it may not "take" or heal, and a portion or all of it may be lost. This is extremely rare. Smoking increases the risk of this complication.

Will there be perfect symmetry?

It is important to understand that no person is perfectly symmetrical from one side to the other, even before a surgical procedure. Every attempt will be made during surgery to minimise your side-to-side dissimilarities, but such differences are natural and always persist to some degree even after the most successful operation.

Is nipple sensation altered?

The technique of breast reduction that I use attempts to preserve the sensation of the nipple. Most patients retain the sensation to the nipple, in some there is a temporary decrease in sensation, in a few the loss of sensation is permanent.

Will I be able to breast feed?

With modern techniques the nipple is attached to a central segment of breast tissue and the nipple ducts are not divided. Thus breast-feeding is usually possible

What type of anaesthetic is used?

The operation is done under general anaesthesia (You are asleep). General anaesthesia is supplemented with local anaesthesia to reduce bleeding and for postoperative pain relief.

How long does the operation take?

The normal operating time is about two to two and half hours

When can I return to work?

Most patients arrange 2-3 weeks off work. However some are able to return to work sooner, especially if the occupation is sedentary.

Meet Your Surgeon

Mr Juma is a Plastic Surgeon with 25 years of medical experience who has a long established reputation within his field. He is a Senior NHS Plastic Surgeon, a Medical Examiner and Honorary Lecturer who is renowned for being a perfectionist.

For your peace of mind, Mr Juma is GMC registered and a member of the Plastic Surgery UK membership bodies BAAPS and BAPRAS.

Call us free on 0800 977 6841