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Breast Reduction

Breast Reduction

Breast Reduction Surgery

Breast reduction surgery is a highly sought-after procedure designed to alleviate the discomfort associated with overly large breasts. This surgical intervention not only aims to reduce the size and weight of the breasts but also to enhance their overall appearance, ensuring they are in proportion with the rest of the body. Patients opt for breast reduction for a variety of reasons, ranging from physical ailments such as neck and back pain to psychological distress and difficulty in finding appropriate clothing or engaging in physical activities. By carefully removing excess breast tissue, fat, and skin, Consultant Plastic Surgeon Anca Breahna can offer you relief from these issues, significantly improving the quality of life.


Download Anca Breahna’s Breast Reduction Guide

Breast Reduction Guide

At a glance

Length of breast reduction surgery
2-3 hours
General anaesthetic
Length of stay
7-10 days
6 weeks

Table of Contents

About the Breast Reduction Procedure

Breast reduction surgery is a procedure aimed at reducing the size and weight of large breasts to alleviate discomfort and achieve a breast size in proportion with the body. It can significantly improve the quality of life for women experiencing physical and emotional discomfort from overly large breasts. The process involves careful planning and execution by Miss Breahna, as outlined in the steps described below.

Before surgery, the breasts will be drawn on to show where the incisions and nipple will be placed. Incisions will generally be around the nipple and vertically from the nipple downwards to the crease below the breast. The nipple will be supported by a stalk of breast tissue (the pedicle) while the operation is taking place, and repositioned upwards in accordance with the markings made on the breast.

Anca Breahna uses a supero-medial pedicle with either an ‘inverted T’ or a vertical scar technique, depending on the individual characteristics of the breast. Due to the nature of this surgery, an overnight stay in hospital will be required. After your surgery, you will need to wear a surgical supportive bra for up to 6 weeks, to support the healing process and reduce the discomfort from early mobilisation.

Who Needs Breast Reduction Surgery

Breast reduction surgery is not solely a cosmetic procedure but often a necessary intervention for patients facing physical and emotional challenges due to overly large breasts. Candidates for this surgery usually experience a range of symptoms and conditions that significantly impact their quality of life:

  • Physical Discomfort: Many seeking breast reduction suffer from neck, back, and shoulder pain attributed to the weight of their breasts. Skin irritation and indentations from bra straps are also common.
  • Restricted Activity: Large breasts can hinder physical activity and exercise, limiting participation in sports or even daily activities due to discomfort or self-consciousness.
  • Psychological Impact: The psychological toll, including decreased self-esteem and body image issues, can be significant. Many individuals feel objectified or unable to wear clothing of their choice, impacting their social and personal lives.
  • Health Concerns: In some cases, large breasts can lead to chronic respiratory problems, skeletal deformities, and other health issues.

Ideal candidates are those in good general health, non-smokers, or willing to quit, with realistic expectations about the surgery’s outcome.

Benefits of Breast Reduction Surgery

The benefits of breast reduction surgery extend beyond aesthetic improvements, offering substantial physical and emotional relief:

  • Alleviation of Physical Discomfort: Reducing breast size can significantly relieve the neck, back, and shoulder pain commonly experienced by patients with large breasts.
  • Increased Activity: Post-surgery, many find it easier and more comfortable to engage in physical activities, leading to a healthier lifestyle and improved fitness.
  • Improved Proportion and Appearance: Breast reduction surgery helps achieve a breast size in harmony with the body’s proportions, enhancing overall appearance and boosting self-confidence.
  • Expanded Wardrobe Options: A more proportional figure allows for a wider variety of clothing options, freeing patients from the limitations they previously faced.
  • Psychological and Emotional Well-being: Many patients report a boost in self-esteem and well-being, stemming from a more positive body image and freedom from the unwanted attention or stigma associated with large breasts.


Before & After

See the difference Breast Reduction
has made for our clients

Types of Breast Reduction

Traditional Breast Reduction (Anchor Incision)

The traditional method, also known as the anchor incision technique, is the most common approach for breast reduction. It involves three incisions: one around the areola, another vertically down to the breast crease, and a third along the natural curve of the breast crease. This method allows for significant removal of breast tissue and skin, making it ideal for women with very large, pendulous breasts. Despite its effectiveness, it results in more noticeable scarring compared to other techniques.

Vertical Incision Breast Reduction (Lollipop Incision)

The vertical or lollipop technique involves two incisions: one around the areola and another running vertically from the bottom of the areola to the breast crease. This method is suited for women with moderately large breasts and allows for good reshaping with less scarring than the traditional anchor incision. It’s known for providing a more significant lift to the breast.

Scarless Breast Reduction

Though not completely scarless, this method uses liposuction to remove excess fat from the breast. It’s best suited for women who need a slight reduction, have more fatty tissue than glandular tissue, and wish to avoid scars as much as possible. However, it does not address issues of sagging skin or reshape the breast significantly.

Horizontal Scar Technique

Less commonly used, this technique involves an incision along the breast crease and is typically reserved for specific cases where the breast shape allows for effective reduction with minimal scarring above the crease.

How Is the Procedure Performed

Breast reduction surgery is performed under general anaesthesia and can take between two to five hours, depending on the extent of the reduction and the technique used. Here are the details of how the procedure is carried out:

  • Preparation and Anaesthesia: Before the surgery, you will undergo a thorough physical examination and discuss your medical history with Anca. On the day of the procedure, you will be prepared for surgery, and general anaesthesia is administered to ensure comfort throughout the operation.
  • Making the Incision: Based on the predetermined surgical plan, Anca makes the incisions according to the chosen technique (anchor, lollipop, or scarless). The incision pattern is carefully planned to minimise visible scarring and achieve the desired breast size and shape.
  • Removing Tissue and Reshaping: Anca removes excess breast tissue, fat, and skin to reduce the size of the breasts. The remaining tissue and nipples are then reshaped and repositioned to create a more aesthetically pleasing breast contour. In some cases, liposuction may be used to remove excess fat from the armpit area.
  • Closing the Incisions: Once the desired shape is achieved, Anca sutures the incisions, using layers of sutures within the breast tissue to support the newly shaped breasts. The skin is closed with sutures, skin adhesive, or surgical tape.
  • Recovery: After the surgery, you are taken to a recovery area where you are closely monitored. Drainage tubes may be placed to remove excess fluid, and the breasts are wrapped in gauze or a surgical bra. Most patients are able to go home the same day or the following morning.

The exact procedure details, including the incision technique and the approach to tissue removal and reshaping, will vary based on your unique anatomy and goals. Post-operative care is important for a successful recovery, with specific instructions provided by Anca to manage discomfort, reduce the risk of infection, and ensure proper healing of the incisions.

Breast reduction surgery can be performed through various techniques, each tailored to your specific needs and desired outcomes. Choosing the right technique depends on various factors, including your breast size and shape, skin elasticity, and desired outcome. A detailed consultation with Anca is essential to determine the most appropriate method for you.

Recovery and Aftercare

Recovery from breast reduction surgery varies among patients, but detailed care and following Anca’s instructions can promote healing and ensure the best possible outcome:

  • Immediate Post-Op: You may experience soreness, swelling, and bruising, which can be managed with prescribed medications. It’s important to wear a support bra and avoid strenuous activities.
  • Follow-Up Visits: Regular check-ups with Anca are essential to monitor healing and address any concerns. Removal of sutures and drainage tubes is typically done within the first two weeks post-surgery.
  • Activity Restrictions: Patients are usually advised to avoid heavy lifting and strenuous exercise for at least 4-6 weeks. Gradual reintroduction to regular activities should be guided by Anca’s advice and your comfort level.
  • Long-Term Care: Scarring is a part of the healing process, with scars typically fading over time but not disappearing entirely. Adhering to a healthy lifestyle, maintaining a stable weight, and following sun protection guidelines can help manage scars and maintain results.


Patient satisfaction is the top priority for Anca. You can find how patients feel about her work below.

How Much Is Breast Reduction in the UK

The cost of breast reduction surgery in the UK varies widely depending on several factors, including the complexity of the procedure, the surgeon’s experience, and the location of the surgery. On average, prices can range from £5,500 to £7,000, but it’s essential to note that this is a rough estimate, and costs can be higher or lower based on individual circumstances. This fee typically covers the plastic surgeon’s fee, hospital charges, anaesthesia, post-surgery garments, and follow-up care. However, additional costs may arise from pre-surgical tests, medication, and any potential need for post-operative treatments or interventions. It’s important for you to have a thorough consultation with Consultant Plastic Surgeon Anca Breahna to understand all possible expenses. Some private health insurance plans may cover breast reduction surgery, but this is generally only the case when it’s deemed medically necessary, so you should check with your insurance provider.

When considering the cost, you should also weigh the long-term benefits of breast reduction surgery against the initial financial outlay. The relief from physical discomfort, improved ability to engage in physical activities, enhanced self-esteem, and better quality of life can significantly outweigh the monetary cost. Additionally, investing in a highly qualified and experienced plastic surgeon and a reputable clinic can ensure safer outcomes and satisfaction with the results, making it a worthwhile investment.

Further Reading


Medical References



Frequently asked questions

If your breasts are large and heavy and cause pain in your neck, shoulders and back, then you may be a suitable candidate for this treatment.

There will be some minor pain associated with having a surgical procedure, but this is well managed with pain relief. Although activities should be kept to a minimum after surgery, it is important to resume some movement at regular intervals.

You should allow 5 – 7 days before socialising with friends and family and take up to 10 days off work.

This procedure may incur a period of 2 weeks recovery time to allow for successful healing, and time off work may be required. Driving will be possible after 2 weeks.

You may need up to 3 weeks before travelling abroad and up to 12 weeks before returning to the gym.

All surgery presents a degree of risk, although in general, this treatment is considered to be safe.

You may experience: bruising, swelling, change in nipple sensation and temporary numbness.

Infrequent complications are: infection, delayed wound healing, bleeding (haematoma) nipple necrosis, asymmetry and poor scarring.

About Anca Breahna – Consultant Plastic Surgeon

top UK cosmetic surgeon anca breahnaMs Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of breast, body and face surgery and minor skin procedures.

As one of the very few female Plastic Surgeons in her region, she is able to offer that unique female perspective, with empathy, attention to detail and personalised care.

Anca Breahna’s surgical training has been largely undertaken within the United Kingdom. She began a rigorous training programme in Plastic and Reconstructive Surgery in 1999, after achieving her medical degree from the University of Bucharest. Miss Breahna attained her PhD degree at the same university in 2007 for her medical research. She then relocated to the UK to further extend her qualifications and training.

Anca’s NHS practice is now focused on Breast Reconstructive Surgery, Skin Cancer Surgery, Hand Surgery and soft tissue reconstruction. Over the last 15 years, through her pursuit of further training and education, Anca has developed a special interest and expert practical experience in a range of Aesthetic Breast and Body Surgery.

It is Anca’s true dedication and commitment to her field, that sets her aside from her peers. Her extensive surgical training means that you are in safe hands. She is renowned for providing exceptional care, support and helping achieve realistic goals for her patients.

Anca will treat you in a straightforward manner, with respect, consideration and empathy to ensure you are comfortable with your choice.



Your Next Steps

Do your Research

  • Please read our website pages and blogs to learn more about your intended procedure.
  • All Surgery has risks and potential complications. Please read more about the risks of your surgery.

Making The Most Of Your Consultation

  • A Medical Referral from your Doctor before your consultation is not compulsory however  it is recommended.
  • Please arrive slightly early for your in-person consultation with Anca – Car parking is available on-site at all hospitals.
  • You are welcome to bring a friend or relative to help consider the information and discuss your options.
  • Please be aware you may need to undress for a physical exam so wear simple clothes.
  • Ensure you also take a lot of notes during the consultation and thoroughly read all the documents provided.

Want more information before scheduling your consultation?

Please call to find out more about availability, pricing and medical payment plans or to request more information about the procedure, contact us.

How to Book your Consultation with Anca Breahna – Plastic Surgeon

You can book your consultation with Anca by paying the £150 cosmetic consultation fee when you make your appointment. This fee covers further consultations about the same concern.

Contact Anca’s Team

Call Claire on 0800 080 6026 or Joedy on 03332 244111 to arrange your consultation or email us for more information.

We look forward to hearing from you soon.

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    Chester Wellness Centre
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    Nuffield Health
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