Breast Reduction

Conveniently located to serve the areas of London, Manchester, Highgate and Birmingham

breast reduction harley surgery

Are your breasts a source of pain, frustration or embarrassment? Take back your body and your confidence with breast reduction at Harley Plastic Surgery.

Large, heavy breasts can have a negative impact on a woman’s comfort and quality of life. Don’t settle for backaches, neck pain, rashes, or poor posture. You deserve to love the way you look and feel! If your breasts are a source of unwanted attention and irritation or make it difficult to shop or exercise, breast reduction has helped thousands of women reclaim their lives with smaller, more manageable breasts.

Dr Riccardo Frati offers breast reduction surgery (mammoplasty) for women at Harley Plastic Surgery to help them look and feel more comfortable in their bodies. Our advanced, gentle surgical methods achieve the size and shape our patients want, safely and comfortably. If you have questions about breast reduction, contact our office today.

What is Breast Reduction?

Breast Reduction is an MHRA-approved surgery that safely reduces breast tissue and tightens the skin of the breast. The result is smaller, more lifted breasts that better compliment the patient’s proportions. Breast reduction reduces breast volume and alleviates the strain that the breasts exert on the back, neck, and rest of the body.

Patients receive breast reduction under general anesthesia. Liposuction may be incorporated to help reduce breast tissue.

During breast reduction, the breasts are reshaped and the nipples are repositioned to achieve a flattering, natural-looking breast shape. Excess skin will be removed and the remaining skin will be tightened into a lifted position. The surgical technique patients receive will depend on their desired look and the unique needs of their case.

Before and After Photos

Benefits of Breast Reduction

  • Achieve your preferred breast size and shape
  • Relief of physical pain or discomfort
  • Restore breast symmetry after mastectomy or breast reconstruction
  • Boosted confidence and self-image
  • Regain the ability to exercise
  • Look great in clothes and swimwear
  • Peace of mind in a safe procedure with high patient satisfaction

Surgical Method

The breast reduction method you receive will depend on your existing breast tissue and your goals for your breasts. Dr Frati will discuss your surgical method and incision placement with you during a private consultation at Harley Plastic Surgery.

Breast reduction is most frequently performed using the Inverted-T method or the Vertical Breast Reduction method:

Inverted-T Breast Reduction

Also known as the anchor incision method. In order to remove excess skin and reshape the breasts, Dr Frati will make an incision along the underside of the breast. Another incision will be made from the areola to the underside incision. A third incision will be made along the edge of the areola. Inverted-T Breast Reduction is an excellent option for patients with sagging or asymmetrical breasts they would like to reshape.

Vertical Breast Reduction

One incision will be made around the edge of the areola, while another runs from the bottom of the areola to the underside breast crease. This method accomplishes a moderate reduction in breast size. Due to the fact that the color of the areola conceals most of the incision, Vertical Breast Reduction produces minimal scarring. This method is also known as the lollipop technique.

Breast reduction surgery will be performed using a customized combination of these lateral, vertical, and circular incisions.

If necessary, liposuction may be performed to reduce breast tissue. Liposuction is a minimally-invasive fat elimination surgery performed with tiny incisions, a slim cannula, and tumescent fluid. Tumescent fluid is a solution of saline, epinephrine, and a local anesthetic. Tumescent fluid constricts blood vessels and makes fatty tissue easier to gently remove from the breast. The slim cannula will be inserted through the tiny incisions to remove fat and contour the breasts. Patients have the option of traditional liposuction, or power-assisted liposuction, which is performed using a vibrating cannula to improve gentle fat breakdown.


You are a good candidate for breast reduction if you experience any of the below conditions:

  • The weight of your breasts contributes to back, neck, or upper body pain.
  • Excessive sweating, rashes, or even infections around your breasts
  • Poor posture
  • Harassment or unwanted attention
  • Difficulty exercising
  • Difficulty finding clothes that fit

In order to receive breast reduction, candidates should be:

  • In overall good health
  • Free of pre-existing conditions that can lead to complications
  • Non-smokers
  • Optimistic but realistic about the outcomes possible with breast surgery


You will receive a private consultation with Dr Frati to make sure breast reduction is a safe, appropriate procedure for you. Dr Frati will perform a thorough assessment of your breasts, health history, and current medication use to make sure you are a good candidate for breast reduction surgery.

Breast reduction is a transformative procedure. Your confidence in the surgery and Dr Frati is important! Dr Frati will take the time to educate you about your procedure options. You will also have the opportunity to view photos of the beautiful results Dr Frati achieve for his patients.

If you have any questions about breast reduction, please do not hesitate to ask during your consultation.


You will receive instructions to help you prepare for your breast reduction surgery.

How to prepare:

  • You may be asked to discontinue the use of blooding-thinning medications, including non-steroidal anti-inflammatory medications (NSAIDs) like ibuprofen, aspirin, and naproxen. Certain supplements should also be discontinued, including garlic, St. John’s Wort, and fish oil.
  • Due to the negative effects of smoking on healing and blood clotting, patients who smoke will be advised to discontinue smoking two weeks prior to and two weeks following their surgery date.
  • Dr Frati recommends patients pick up any prescribed recovery medications prior to their surgery date. This will enable you to begin your recovery as soon as possible.
  • Dr Frati also recommends preparing an at-home recovery space ahead of time, complete with a comfortable space and entertainment materials.
  • You may want to plan for a friend or family member to stay with you for the first night of your at-home recovery to help you get your healing process off to a relaxed start.

Dr Frati will make sure you have a comfortable, enjoyable experience at Harley Plastic Surgery, from start to finish! If you have any questions prior to your surgery, please do not hesitate to contact Dr Frati.

Breast Reduction: What to Expect

Patients will be comfortable and closely monitored under general anesthesia.

Mammoplasty surgery is performed in hospital over the span of two to four hours. The breast reduction technique that Dr Frati performs will depend on the size of your breasts, your desired results, and Dr Frati’s professional recommendation. Dr Frati will make the appropriate incisions, remove your excess breast tissue, and remove excess breast skin before tightening the breasts into your preferred shape with fine sutures. Your nipples will be moved to a new position to complete your smaller, more elevated breast shape. Liposuction may or may not be implemented to help remove and shape the breast tissue.


Most patients stay overnight in the hospital after breast reduction surgery. The clinic team will observe you while you recover from your anesthetic and help you prepare for the at-home phase of your recovery. You will receive personalized aftercare instructions to help you complete a comfortable, successful home recovery. Instructions will include how to wear and care for your non-wired support bra, which you will need to wear over the weeks following your procedure. You will return throughout your recovery to have stitches removed and the progress of your healing assessed.

Dr Frati will let you know to expect from your personal recovery timeline. Patients are advised to avoid strenuous exercise and heavy lifting for six weeks. Most patients feel fully recovered from their breast reduction by this sixth week.


You will observe that your breasts are smaller immediately following your breast reduction. Your breasts will be swollen and tender after surgery: your personalized recovery instructions will cover approved methods of controlling post-procedure discomfort. Your breasts will continue to settle into their new position with each passing week. The swelling will be fully diminished within 8 weeks, revealing your smaller, more flattering breast shape.

Scarring will continue to fade over the next 12 to 18 months. The result will be more proportionate, lifted, natural-looking breasts!

Breast reduction is proven to have both physical and psychological benefits. Breast reduction alleviates women’s back and neck pain and restores their ability to move and exercise without issues. The transition from larger, heavier breasts to smaller, more manageable breasts has a consistently positive impact on the way women see themselves. Breast reduction has helped thousands of women fall back in love with their bodies and face the world with confidence!

If you are frustrated by the size of your breasts, safe, satisfying change is obtainable. Contact Harley Plastic Surgery to learn more about if breast reduction is right for you.


Breast reduction surgery is customized to the physique and aesthetic goals of each patient. Procedure pricing will reflect the details of a patient’s personalized treatment plan. Pricing will vary based on the extent and steps of the surgery, such as whether liposuction will be incorporated or not. Once you have agreed on the elements of your breast reduction surgery with Dr Frati, you will receive an appropriate cost breakdown.