Breast Reduction

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

breast reduction harley surgery

Breast reduction is a surgical procedure that reduces the size and volume of the breast caused by excess breast tissue and skin. Large, disproportionate breasts can hurt a woman’s quality of life. Neck pain, back pain, difficulty moving, and unwanted attention may make it difficult to enjoy everyday activities. [3]

A breast reduction addresses these concerns by excising redundant skin and tightening the tissue. As a result, you can look forward to smaller, lifted, better-proportioned breasts. If your breasts are becoming the source of discomfort and embarrassment, look to Harley Surgery to champion your ideal aesthetic. Dr Riccardo Frati’s offices in London, Manchester, Highgate, and Birmingham offer patients a pleasant experience with optimal results. Contact us today to schedule a consultation or phone +44 16 1327 2139 to reach our patient care coordinators at any office. 

Before and After Photos

About a Breast Reduction

For better or for worse, breast size can have a large impact on women’s self-esteem. Genetics, hormonal changes, weight gain, and even drug use can determine their size. Having overdeveloped breasts can be the source of physical and mental challenges. Pain, unwanted attention, and difficulty moving can make it hard to go on with life. Having breast reduction is a transformative surgery that provides women with a balanced and attractive proportion.

Dr Frati offers breast reduction surgery, or mammoplasty, for women at Harley Surgery to help them reclaim their lives and love how they look. Advanced surgical techniques and Dr Frati’s years of experience can give you breasts that are finally the shape and size you want. 

Excess fat, tissue, and skin are removed from the breast through surgical excision or liposuction. The remaining tissue is tightened, reshaped, and lifted into a smaller breast profile that befits you. The nipple may also be repositioned to achieve a natural look. [1] Many of our patients have noticed a profound difference in their posture, movement, and self-confidence after surgery. Surgical reduction is a customised process that employs two techniques. The one used for you will depend on the extent of the condition and the desired look.

Surgical Methods

Two surgical methods exist to cater to your specific aesthetic and goals. Dr Frati will discuss these options at your consultation. 

They include: [1] [2]

Vertical or “Lollipop” Incision

This method takes care of mild to moderate cases of enlarged breasts. An incision is made around each areola, and continued down the centre of the breast to the inframammary crease. 

Inverted-T or Anchor Incision

Dr Frati will make three incisions: one along the underside of the breast, a second between the areola and crease, and a third along the edge of the areola. This method is an excellent option for patients with significant sagging or asymmetrical breasts. 

Excess skin and tissue removal will begin once the incisions are made. Then, contouring of the breast will start. In some cases, liposuction may be performed to remove excess fat tissue. [3] To start, we will inject tumescent fluid, a solution of saline, epinephrine, and a local anaesthetic. This helpful mixture constricts blood vessels and makes fat tissue easier to extract. Then, a small cannula is inserted through the small incisions to suction out fat and contour the breasts.

Sutures will close all incisions once the ideal aesthetic is achieved. Within three hours, patients can achieve remarkable results for their breast profile.


After your breast reduction surgery, you’ll enjoy renewed levels of self-confidence. The procedure improves comfort, and patients can relish a body with better proportions. Patients will also see:

  • Eliminated physical pain from neck, shoulders, and back
  • Reduced excess skin and tissue in the breast area
  • Fluid movement when doing everyday activities
  • Better body proportions
  • Refined posture
  • Heightened self-esteem
  • Increased wardrobe options

Ideal Candidates

A breast reduction is highly beneficial to women experiencing physical or emotional problems caused by oversized breasts. Dr Frati recommends prospective candidates who find difficulty with the following consider reduction surgery: 

  • Discomfort performing everyday activities
  • Receiving unwanted attention
  • Have loose, stretched skin

Take an empowered step and schedule a consultation at any one of our offices in London, Manchester, or Birmingham. Or, you can also reach out by calling +44 20 3633 2619

Personal Consultation with Dr Frati

Dr Riccardo Frati is an internationally renowned plastic surgeon based in England. His revolutionary and cutting-edge techniques have been featured on ITV’s This Morning, GMTV, and the Daily Mail. His extensive background in the medical field has led him to grow his private practice to serve residents of London, Highgate, Manchester, and Birmingham.

Your consultation is a chance for you to tell us your desired results. It allows us to understand your expectations and outcomes. Next, we’ll examine your breasts and the skin laxity. This will aid in developing a treatment plan and estimated recovery time. After choosing the right approach for you, we’ll discuss how breast reduction surgery will provide optimised proportions. Finally, we’ll give a list of instructions to follow just before you go. These preparatory items are to be completed before your surgery to ensure a smooth procedure with optimal results. 

While you wait for your appointment, we highly recommend reading the empowering blog post “Breast Reduction Surgery for a More Confident You.” 

Preparation for Surgery

Harley Surgery will provide every patient with a personalised set of items to complete before their surgery. Below are a set of general guidelines to follow:

  • Stop smoking: Hold off on smoking for a few weeks during the pre-surgery, surgery, and recovery stages. Smoking can constrict blood and may prevent you from healing on time. 
  • Pause certain medications: Anti-inflammatories and other prescriptions may cause excessive bleeding. Please provide our office with a current list of medications that you may be taking.
  • Fill medications: Head to the chemist and pick up prescriptions ordered by Dr Frati before your procedure.
  • Arrange transportation: Select an adult to drive or accompany you home from our facility because anaesthesia will make you unfit to drive.
  • Prepare your home: Set up a comfortable recovery space ahead of time filled with essential items.
  • Arrive refreshed: Come to your appointment well rested and free of deodorant, perfumes, or makeup.

Breast Reduction: What to Expect

Your breast reduction surgery is performed in hospital over 2-4 hours. How your reduction procedure is carried out will depend on the extent of your condition, desired results, and treatment plan. Dr Frati will make the aforementioned incisions, remove excess breast tissue, and excise unnecessary skin before tightening the breasts to your preferred shape. Once the desired look is achieved, incisions are sutured closed. Liposuction may be implemented to remove and reshape the breast tissue. After your procedure, you will be given a surgical bra to support your results for a few weeks. 


Upon returning home, patients may feel symptoms such as swelling, tenderness, and bruising on the breast for the first few days. Please take this time to rest up. To offset the pain, take the prescribed medication as directed by Dr Frati. Most patients return to light activities and desk work within two weeks. You can progressively start physically demanding movements within six weeks. 


You will see your breasts are considerably smaller after surgery. Symptoms of scarring, bruising, tenderness, and discomfort will improve progressively with each passing week. Within eight weeks, you will notice your results of a smaller, comfortable breast shape.

Breast reduction is a transformative surgery that has both physical and psychological benefits. Transitioning to smaller, more manageable breasts will make a positive impact on your life.

Corresponding & Complementary Procedures 

Harley Surgery offers patients a variety of breast enhancement procedures. Each revision surgery is different but rewards patients with an optimised upper body. They can work in conjunction with your reduction surgery or be done separately. Dr Frati may recommend the following at your consultation: Advanced Breast Augmentation, Breast Augmentation, Breast Augmentation Revision, Breast Implant Refresh and Removal, Breast Reduction, Breast Uplift with Implants, Male Breast Reduction (Gynaecomastia), or a Natural Breast Augmentation


Breast reduction surgery is customised to address your physical goals. Pricing will vary based upon your individual treatment and any corresponding procedures added on. We’ll discuss financial details at your informative citation with Dr Frati.


Will losing weight take care of my breast size?

Weight is a contributing factor to breast size, but it isn’t a significant one. Losing weight is not always a solution to this complex problem. Surgical removal of excess tissue is an effective and proactive step in reducing the volume and projection of the breasts.

Can I still breastfeed after a breast reduction?

Patients may still be able to breastfeed, but since pregnancy and breastfeeding can impact the results of  this procedure, we recommend that women wait until they’ve completed their family to pursue a breast reduction.


  1. Hall-Findlay, E. J., & Shestak, K. C. (2015). Breast Reduction. Plastic and Reconstructive Surgery, 136(4), 531e544e.
  2. Hidalgo, D. A., Elliot, L. F., Palumbo, S., Casas, L., & Hammond, D. (1999). Current trends in breast reduction. Plastic and Reconstructive Surgery, 104(3), 806–815; quiz 816; discussion 817-8.
  3. Sachs, D., & Szymanski, K. D. (2021). Breast Reduction. PubMed; StatPearls Publishing.