Breast Reduction with AA Plastic Surgery

Many women are embarrassed by the weight or volume of excessively large and pendulous breasts. This may run in the family, follow the adolescent growth spurt, or accumulate slowly over the years, with or without having children or breast-feeding. The breasts may simply get in the way, invite undue attention, or lead to a constellation of gravitational issues such as upper back, neck or shoulder ache, bra straps digging in, and odour, rashes or infections where skin rubs against skin (Intertrigo) at the bottom of the breasts.

Although professional bra fitting is always advisable, discomfort may persist and lead to self-consciousness at public gyms and swimming pools, and inability to engage fully in exercise or in certain professions. Losing weight can help (ideally BMI should be less than 30), but the breasts themselves may remain heavy and disfiguring. If this is the case, breast reduction is an excellent option, and will also appropriately reduce the diameter of the coloured disc around the nipple (called areola). Women who have thought about it for years and then undergo surgery invariably comment that they should have had the operation long ago. The techniques have been refined to consistently produce safe, symmetrical and predictable outcomes in the vast majority of women, whilst simultaneously uplifting and enhancing the youthfulness of the breasts.

breast reduction in preston




In July 2017 I consulted Mr Agarwal regarding the possibility of a breast reduction procedure. I have suffered the inconvenience, embarrassment and physical discomfort of having a bra size that was totally out of proportion with my body from being a teenage girl. I suffered from pains in my back, shoulders and neck and also had very disrupted sleep due to the difficulty in finding a comfortable position in bed.

I was also unable to buy flattering clothing that fitted well – basically if an outfit fit my upper body it was much too large for my lower body. Shopping for clothing was never an enjoyable experience. Prior to my operation I was 32HH cup size, I am 5 foot 2 inches tall and have a small body frame .

My appointment with Mr Agarwal was very reassuring, he explained the operation to me and discussed the outcome and I decided to proceed .

Following the pre operative checks I was admitted very quickly on a Saturday morning, Mr Agarwal came to see me very quickly and once again explained the procedure to me. Following his measurements and very detailed drawings ! I was introduced to the anaesthetist and other staff that would be looking after me, a very civilised and reassuring experience. I was soon in theatre and my operation underway.

Following the operation I had no pain at all, the feeling I would describe as no more than the kind of dull ache in the chest that you might experience with a cough.

The after care I received was superb. All the staff were attentive, friendly and made my stay as comfortable as possible. Mr Agarwal came to see me several times before my discharge the following day.

I had my operation in late July and in September I attended a family wedding and wore a fitted dress that I would never have considered pre operation. I did not experience any inconvenience or discomfort from the surgery, I followed Mr Agarwal’s guidance and took time out of work and driving but was soon doing everything that I did before – and much more .

I sleep better and the pains I experienced before the surgery are gone.I now enjoy shopping for clothes, an experience that I dreaded previously.

In fact my only regret is that I did not see Mr Agarwal years ago! It really is a life changing procedure and I would definitely say to you – don’t wait, just do it.

And to Mr Agarwal, a very big Thank you" – Mrs K.K

I have been considering a breast reduction since my early 20s and whilst I went for an initial consultation I was not brave enough to take the plunge.

30 years on I made the decision that my large breasts were having a detrimental impact on my back and the way I lived my life and I wanted a breast reduction. I did some research on plastic surgeons and went to see my GP. Both pieces of research confirmed that Mr Agarwal was the right plastic surgeon for me.

I made an appointment and Mr Agarwal made we feel really relaxed and confident that surgery was the right thing to do and that it would be life changing. After asking many questions I made the decision to have the surgery. Throughout the whole process Mr Agarwal, his staff and the medical staff at Fulwood Hall were all amazing.

The surgery went really well and it has indeed changed the rest of my life for the better. I was never in too much pain and just followed the guidance of Mr Agarwal re recovery, medication and wearing the appropriate supportive bras/clothing.

Mr Agarwal and the medical staff at Fulwood Hall were all at my disposal should I be worried about anything which was really reassuring. I returned to work 2 weeks after the operation wearing an under wired bra.

I am absolutely delighted with the results of the surgery, it has made me feel so much better about myself and my body now looks much more in proportion.

- truly amazing!

Breast Reduction Information

Nevertheless, breast reduction is major surgery under General (full) Anaesthesia requiring at least 2 weeks off work and driving, sometimes more. During surgery the circulation to the nipple-areola is maintained by keeping it attached to the body on a stalk, the excess fat is removed (and biopsied to check for cancer), the remaining gland is stitched together into a pleasing shape, and then the skin is re-draped over the gland after appropriate trimming. Depending on the starting size and amount to be removed, the scars can take 1 of 3 forms:

(a) Around the nipple only (Circum-areolar, peri-areolar or Benelli scar): appropriate for small reductions and uplifts. All breast reductions will have this circular scar camouflaged discreetly at the junction of the coloured areola with normal skin.

(b) A further vertical scar from the nipple to bottom of breast (Lollipop scar): useful for moderate reductions and uplifts, usually in younger patients with elastic skin.

(c) A still further horizontal scar in the fold at the bottom of the breast (anchor or inverted-T scar): needed for all larger reductions and uplifts where a lot of extra skin has to be removed. Rarely in the very largest of reductions, the nipple cannot be reliably kept alive on a stalk and will need to be detached and put back as a skin graft.

Since all scars are permanent, I obviously limit them to the bare minimum necessary. Scars generally fade nicely with time and massage, but can rarely become thick, lumpy, itchy or stretched out, and then require further attention. Occasionally pointy end-scars (dog-ears) in the anchor operation may require a minor tidy up under Local Anaesthetic months after surgery; this is not charged for at all if surgery was undertaken as a hospital package.

As expected, nipple-sensation can be altered in the initial months after surgery, but generally returns to normal or near normal within 6 months. Permanent numbness is rare except after the nipple graft operation. The ability to breast-feed after reduction surgery is unpredictable, and despite a number of successful breast-feeding reports, it is best to assume that this may not be possible.

Complications have been significantly reduced by pre-operative control of smoking, obesity and contraceptive pills predisposing to blood clots in the legs (DVT or VTE). Infection and bleeding are uncommon, and it is quite rare to have to return to theatre or transfuse blood after this type of surgery. Occasionally stitch breakdown (especially at the T of the anchor scar) will need dressings to heal, but loss of areas of skin or nipple is rare. Likewise, lumpiness (firm, hard or painful lumps- fat necrosis) is rare. If it does occur, it can require further surgery and interfere with future mammograms. Otherwise breast reduction does not interfere with the detection of breast cancer; self-examination and mammograms can be normally carried out.

Breast Reduction with AA Plastic Surgery – Before and After Results

breast reduction images
breast reduction images

The operation relies heavily on careful tailor-markings prior to surgery, and the desired and mutually agreed final cup size is always aimed for but cannot be completely guaranteed. In fact, minor differences between the 2 breasts of an individual are common both before and after surgery. Special situations arise in adolescent patients, in significant breast asymmetry, and in pendulous (droopy) breasts with sufficient volume needing only uplifting (Mastopexy). These circumstances can be quite complex and involve a combination of enlargement (implant) and reduction techniques tailored to the individual.

Breast reduction is associated with the usual postoperative discomfort, and no significant pain is expected. Surgery involves a 1 to 3-night stay depending on the magnitude of surgery and individual recuperation. A well-fitting sports bra will be provided as it greatly aids recovery, and many women can drive, board an aeroplane or resume light office work after 2 weeks. However, please be aware that it is normal to feel tired and to need help at home for up to 6 weeks. After this period, all normal activities including swimming, contact sport and normal underclothing (including underwired brassieres) can be resumed.

For further information on Breast Reduction please consult the following excellent short descriptive links:

BAPRAS (British Association of Plastic Reconstructive & Aesthetic Surgeons) patient information page at BAPRAS

BAAPS (British Association of Aesthetic Plastic Surgeons) information page at BAAPS