Breast Reduction Surgery in London: Recovery, Results & Cost
- Admin
- Nov 6
- 4 min read
Updated: Nov 17

(By Dr Shweta Aggarwal — Consultant Plastic & Reconstructive Surgeon, London)
Am I Suitable for Breast Reduction Surgery?
Large, heavy breasts can cause physical and emotional distress. Many women develop neck, shoulder and back pain, difficulty exercising, or chronic rashes under the breast fold. You may be a good candidate if you:
Have persistent discomfort or posture strain
Experience bra-strap grooves or skin irritation
Struggle to find clothing that fits comfortably
Feel self-conscious about breast size or asymmetry
Ideal candidates are healthy, at a stable weight, and non-smokers. Breast reduction can be is best delayed until after full breast development and (if possible) child-bearing, as pregnancy may alter the result.
How Much Smaller Will My Breasts Be After Reduction?
Most patients go down two to four cup sizes, though results vary with body frame and tissue composition. Your surgeon’s aim is balance, not a specific number: lighter, uplifted, and proportionate breasts that match your shoulders and torso.
It’s normal for the final size to settle gradually over six months as swelling resolves.
How Long Is Recovery After Breast Reduction?
Week 1: expect swelling, tightness and mild bruising. Wear your post-surgical support bra continuously and rest with the upper body slightly elevated.
Week 2–3: most people return to desk work and light household activity.
Week 4–6: avoid lifting, gym workouts or swimming until cleared.
After 6 weeks: scars soften and normal activity resumes.
Most women describe an immediate sense of lightness and better posture, with confidence improving steadily as shape stabilises.
Breast Reduction Scars and Long-Term Results
Scars depend on incision type:
Anchor pattern for larger reductions
Vertical (lollipop) for moderate reshaping
Periareolar (donut) for small adjustments
Initially pink, scars fade over 6–12 months and respond well to silicone gel, laser therapy or professional scar-care protocols. Results are permanent so long as your weight remains stable, though natural ageing or pregnancy can change the contour.
Breast Reduction Complications and Risks
Complications are uncommon but can include:
Temporary nipple numbness or hypersensitivity
Minor wound-healing delay
Asymmetry or residual size difference
Rarely, reduced nipple circulation
Infection, bleeding or deep scarring are rare in qualified hands.
Will I Be Able to Breastfeed After Breast Reduction?
Modern vertical-pattern and superomedial pedicle techniques preserve key milk ducts and nerves, meaning many women can still breastfeed, though milk volume may be reduced. If future pregnancy is planned, inform your surgeon so duct-sparing methods can be prioritised.
Breast Reduction NHS Criteria in the UK
NHS funding is available in limited circumstances, and vary widely across different hospital trusts:
Symptoms (pain, rashes, functional limitation) are documented by your GP
A minimum tissue weight (typically > 500 g per breast) will be removed
BMI is within the local policy threshold (often < 27–30)
Breast Reduction Cost in London (Private Price Guide)
Private fees in London range £10,000 - £12000, depending on complexity, hospital, and anaesthesia. This includes surgeon and facility costs, post-operative bra, and follow-up appointments.
When comparing quotes, check that:
Your surgeon is GMC-registered and performs reductions regularly
Aftercare and scar-management reviews are included
The facility is CQC-registered for surgical procedures
Tip: Price alone should never be the deciding factor — surgical skill and safety history matter most.
How to Choose a Breast Reduction Surgeon in the UK
Look for surgeons who:
Are listed on the GMC Specialist Register for Plastic Surgery
Hold membership with BAAPS or BAPRAS
Can show real patient examples and explain realistic outcomes
Offer a thorough, unhurried consultation and clear written information
Trust your instincts — you should feel informed, supported and confident in their care.
Summary
Breast reduction is one of the most satisfying aesthetic surgeries, providing lasting relief from physical discomfort and renewed body confidence. By choosing a qualified surgeon and following a structured recovery plan, you can expect smaller, uplifted and natural-looking results that align with your lifestyle.
Dr Shweta Aggarwal, Consultant Plastic Surgeon (London), offers personalised breast reduction and lift procedures with meticulous attention to comfort, safety and symmetry. Book a confidential consultation to discuss your personalised plan.
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FAQs
How much smaller will my breasts be after reduction?
Most patients reduce by 1–3 cup sizes, depending on tissue removed and body proportion.
How long is recovery after breast reduction ?
Return to light activities within two weeks; full exercise around six weeks.
Is breast reduction available on the NHS?
Yes for severe symptoms meeting local criteria — otherwise private care is available in London.
Will I be able to breastfeed after surgery?
Often yes; techniques that preserve ducts and nerves maintain some breast-feeding ability.
References
Khavanin N et al. Outcomes and Complications in Breast Reduction: A Meta-Analysis. Plast Reconstr Surg. 2021;147(4):729-741.
NHS England. Clinical Commissioning Policy: Breast Reduction Surgery. 2023.
Brown R et al. Predictors of Satisfaction After Reduction Mammaplasty. Aesthet Surg J. 2020;40(11):NP628-NP636.
BAAPS Guidelines 2024 — Breast Reduction Safety and Standards.
Reviewed by Dr Shweta Aggarwal, MBBS, FRCS(Plast)
Consultant Plastic & Reconstructive Surgeon (London)
Last reviewed: November 2025





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