Breast Reduction

Consultations offered at our five convenient locations in Harley Street, London, Princess Margaret Hospital, (Windsor), Spire Thames Valley, (Gerrards Cross), Kings' Oak Hospital, (Enfield) and Refresh Medispa, (Amersham)

Breast Reduction Dr Maisam Fazel Harley Street, LondonAmershamEnfieldStoke Poges, BucksWindsor

Breast reduction surgery, also known as a reduction mammaplasty, is a procedure that significantly reduces the volume of a woman’s breasts to reduce pain, eliminate embarrassment, and achieve their ideal appearance. Large, disproportionate breasts can be an inconvenience for many women due to their size and weight. They can also result in significant neck and back pain over time.

At Refresh, Dr Maisam Fazel has countless hours of experience in breast reduction and augmentation procedures for both male and female patients, making him one of London’s most renowned surgeons in the field. He boasts a respected reputation for success and patient satisfaction across the country as well. If your breasts are bringing unnecessary physical and mental burdens into your daily life, then it is time to make a change.

Take the first step toward an improved life by scheduling your consultation with Dr Fazel. If you have any questions about Dr Fazel, breast reductions, or anything else, please do not hesitate to call us at 330 660 0979.

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Before and After Photos

About Breast Reduction

The discomfort and inconvenience associated with large breasts are well documented, and as such, breast reductions are highly refined procedures. Several factors can affect breast growth, but the most notable of these are weight gain and hormonal changes. In adolescents, puberty can create a condition of over-enlarged breasts called giant virginal hypertrophy. (1) Similarly, as hormones shift during menopause or pregnancy, many women experience a multi-cup increase in breast size. An increase in breast size can not only affect women mentally through self-esteem, image issues, and embarrassment, but it can also exert a physical strain on the body.

Reduction mammoplasty allows patients to resolve these issues with a personalised surgery. Each procedure is planned meticulously and specifically for each patient so that the results are satisfying and appear natural. Dr Fazel’s experience as a reconstructive breast surgeon allows him to tailor his surgeries so that patients achieve a breast size that is proportional to their frame, rather than based on an abstract cup size.

Benefits

Breast reduction can help overcome the negative impact large breasts can have on a woman both physically and emotionally, enhancing their health and overall happiness. Dr Fazel’s patients regularly report:

  • Corrected, proportional breasts
  • Elimination of neck, back, and shoulder pain
  • Improved hygiene between and under breasts and in armpits
  • Easier times finding properly-fitting clothing
  • Increased comfort in clothing
  • New opportunities in activities and exercise
  • Enhanced confidence and eliminated embarrassment
  • Fast, accurate, and efficient procedures
  • Swift, straightforward recoveries

Candidates

Any patient that has breasts that are either larger than they should be for their body or simply are larger than they would like can qualify for reduction mammoplasty from Dr Fazel. Teenagers and adolescents can receive these procedures if it is necessary, but they may need revisional procedures as they continue to grow. (1) In these cases, extra discussions, preparations, and collaboration will be required between the patient’s parents or guardians, the patient, and Dr Fazel. Ideal candidates are those who are in generally good overall health, do not have any complications or conditions that could hinder healing, do not smoke, are between the ages of 18 and 65, have realistic expectations about their results, and are ready to make a change about their breasts.

Personal Consultation

If you decide to proceed with a breast reduction, the first step in your treatment is meeting with Dr Fazel for a consultation. At this meeting, you will first discuss your experience with large breasts. Following this, you and Dr Fazel will discuss your goals for the procedure and what options are available for your treatment. Dr Fazel will take measurements and photos of your breasts to reference in his planning and to ensure natural-looking results and preservation of the nipples. You will also receive preparation instructions and prescriptions for antibiotics and pain medications to assist you in your recovery.

Preparation

It will be important to carefully follow Dr Fazel’s preparation instructions to ensure healthy and satisfying results from your procedure. If you are a smoker, you should quit for at least three weeks before your procedure and abstain from smoking at least until you are fully recovered. You will be placed under general anaesthesia, so you will need to fast for a period before your procedure. We also recommend arranging transportation to and from your procedure and filling any necessary prescriptions in advance. This significantly reduces mental stress and keeps pain at bay following your procedure and we find that most patients can relax better knowing these arrangements have been made.

Procedure

Breast Reduction Dr Maisam Fazel Harley Street, LondonAmershamEnfieldStoke Poges, BucksWindsor

During the breast reduction surgery, Dr Fazel removes excess fat, glandular tissue, and skin to produce smaller, lifted, natural-looking breasts. This surgery can be combined with an areola reduction and liposuction to create a more aesthetically pleasing appearance. For select cases, Dr Fazel can perform a scarless breast reduction using VASER liposuction alone. Dr Fazel does not use drains, so patients are mobile on the same day of their surgery and are typically discharged home the same or the next day.

When you arrive at your procedure and once you have been prepared, Dr Fazel will mark the incision sites on your breast. Dr Fazel may also employ or borrow methods from the inferior pedicle technique, which is the most common technique in breast reduction procedures. (2) This method is one of the best for preserving the nipple and areola tissue and its sensation, as well as promoting proper circulation and ensuring efficient healing. (1) He will make an anchor-shaped incision on and beneath the breast. The skin along these incision lines is then pulled back to give Dr Fazel access to the underlying tissue. This is then removed either by liposuction or surgical excision. Incisions and removal can also be done above the nipple (superior pedicle technique) or from the sides of the breast, but targeting the tissue from below offers the benefit of reduced scar visibility.

Recovery

Once you are discharged from your procedure, you can return home and begin your recovery. We recommend that you take time off from work and rest for at least 10 days. After this, you can work and engage in activities, but it is important to do so very slowly. Some patients will also require a night in the hospital after their procedure. (2) It will be important to change your dressings with fresh gauze regularly in the first 48 hours. (2) Dr Fazel will also provide you with a compression garment to reduce the swelling in your breasts. Patients over the age of 40 may require a mammogram at 6 and 12 months after their procedure to monitor their long-term healing. (2)

Results

Patients often report a dramatic transformation in both appearance and comfort following breast reduction. Results are evident shortly after surgery, with continued improvements seen as swelling decreases. Scarring, which tends to be inconspicuous, will fade over time. Many individuals experience renewed confidence and emotional well-being after achieving their desired breast size. Ultimately, successful breast reduction leads to countless benefits that enhance one’s quality of life.

Cost of Breast Reduction in London

The cost of all of Dr Fazel’s offered procedures can be found on our price list page. You will receive an accurate estimate quote for your procedure at your consultation with Dr Fazel. At Refresh, we offer various financing plans for patients. We want you to benefit from your procedure without financial strain. If you have any questions about prices or payment, please call us at 330 660 0979.

FAQ

Does a breast reduction also result in a breast lift?

Breast reduction surgery always includes a breast lift so that the new smaller breast is correctly positioned on the chest.

Who is suitable for scarless breast reduction (breast VASER liposuction)?

This is an excellent technique for women who have good skin tone who desire a small reduction. The liposuction helps to reduce some of the breast volume and to produce some skin tightening. It is unsuitable for women requiring a significant breast lift or those seeking a large reduction.

Can a breast reduction produce a specific cup?

Cup sizes tend to vary widely between brands and between bra ranges. They are a very poor way of judging breast size. Dr Fazel suggests that a much more accurate way to think about breast reduction is as it relates to the patient’s overall body shape and how the breasts match the frame. Another useful way to think about the degree of reduction is to think of how much smaller a patient wishes to reduce their existing breasts (reduce by half, by three-quarters, etc).

Is nipple sensation altered after a breast reduction?

If Dr Fazel repositions the areolas during a breast reduction, the nipple sensation may be altered. This is usually temporary.

What scars does a breast reduction produce?

Different skin types produce different degrees of scarring. In general, the scars from a breast reduction tend to fade with time, eventually forming a pale silver line. Dr Fazel will be able to advise on techniques to help minimise scarring post-surgery.

What is the downtime after a breast reduction?

Some discomfort is experienced in the initial period after breast reduction surgery, but it should be easily managed with over-the-counter pain medication. There will be some swelling, but this should also subside quickly over 3 months. Most patients are driving after a week and are back at work 10 to 14 days after surgery.

Will the results of a breast reduction surgery be permanent?

Breast reduction patients usually enjoy long-lasting results, but pregnancy, menopause and weight gain can all increase breast size again. Younger women may require a repeat procedure if they experience a regrowth of breast tissue. With the ageing process, breasts tend to sag as the skin and breast tissue become more lax.

References

  1. Purohit S. Reduction mammoplasty. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2008;41(Suppl):S64-S79. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2825129/
  2. Sachs D, Szymanski KD. Breast Reduction. PubMed. Published 2021. https://www.ncbi.nlm.nih.gov/books/NBK441974/