Merchant City Medical Group offers surgical and non-surgical cosmetic procedures, from our state of the art clinics throughout the UK & Europe.

Breast Reduction

If you’re dealing with back pain, shoulder aches, or discomfort due to large breasts, you’re not alone. Many women in Scotland turn to breast reduction surgery to find lasting relief and boost their confidence. At our Edinburgh clinic, our expert surgeons specialise in breast reduction procedures that not only alleviate physical discomfort but also deliver beautifully proportionate, natural-looking results. Whether you’re seeking relief from chronic pain or simply want to feel more comfortable in your own skin, we provide personalised care and support, ensuring a smooth, positive experience every step of the way.

Procedure overview

TYPE OF ANAESTHETIC

General

LENGTH OF SURGERY

1-2 Hours

HOSPITAL STAY

Day Surgery

RECOVERY

1-2 weeks off work, 6 weeks before strenuous exercise

The Breast Reduction Procedure

Breast reduction surgery (reduction mammaplasty) removes excess breast tissue, fat, and skin to create a more proportionate breast size. The procedure also includes lifting and reshaping the breasts to enhance their overall aesthetic appearance, creating a natural and balanced result.

Surgical Techniques

At Merchant City Medical Group, we offer a range of surgical techniques for breast reduction. The approach used will depend on your breast size, shape, and aesthetic goals, ensuring the most suitable and effective method for your needs.

This is the most common approach for significant breast reductions. The procedure involves three key incisions: one around the areola, one vertically down to the breast crease, and one along the crease itself. This technique allows for maximum reshaping and lifts the breast tissue, but it results in more noticeable scarring.

This method is used for moderate breast reductions. The incisions are similar to the anchor pattern but without the horizontal incision along the breast crease, reducing scarring. The incision circles the areola and extends vertically down to the breast fold, offering an effective lift and reshaping with less scarring compared to the anchor technique.

This technique is suitable for patients who have primarily fatty breast tissue and require only a modest reduction. Liposuction removes excess fat, providing a less invasive option. However, this approach is only suitable for a small number of patients and is not effective for significant tissue reduction or sagging breasts.

Why Choose Our Clinic for Breast Augmentation

  • Specialist Surgeons: Our surgeons are on the GMC Specialist Register and members of BAAPS and BAPRAS, offering expert care.
  • Personalised Approach: We take the time to understand your unique concerns and desired outcomes, tailoring each procedure to fit your needs.
  • Advanced Techniques: We use the latest surgical methods to minimise scarring, optimise results, and ensure your breast function is preserved.
  • Comprehensive Aftercare: Receive dedicated follow-up care to ensure optimal recovery, with support available whenever needed.
  • Natural-Looking Results: We are a trusted choice for patients across Scotland and beyond, known for our commitment to quality care.

Benefits

  • Relief from Physical Discomfort:Breast reduction surgery helps alleviate chronic back, neck, and shoulder pain caused by the weight of large breasts, offering significant relief and improved quality of life.
  • Improved Posture: By reducing the weight of the breasts, this surgery can help correct poor posture, which is often a result of compensating for the heaviness, and prevent future musculoskeletal issues..
  • Enhanced Physical Activity: Many patients find that they can engage in physical activities, including exercise and sports, with greater ease and comfort after surgery, as the reduction allows for better mobility.
  • Better Fitting Clothes: A more proportionate bust allows for a wider range of clothing options, with clothes fitting better and more comfortably, enhancing overall body shape.
  • Correction of Congenital Conditions: Address developmental issues like tuberous breasts or other structural abnormalities.
  • Boosted Self-Confidence: Many women experience a significant boost in self-esteem and body image, feeling more comfortable and confident in their appearance after breast reduction surgery.

What are the risks?

Breast reduction surgery is performed under general anaesthesia and typically lasts about 3 hours. It may be done as a day case or with an overnight stay. The risks associated with general anaesthesia include clots (deep vein thrombosis and pulmonary embolism), though we take precautions to minimise these. Other potential risks include chest infections, and the likelihood of severe life-threatening complications is extremely low, approximately 1 in 100,000.
Specific risks associated with breast augmentation surgery include:

Some bleeding may occur, which could require a return to the operating room (less than 1 in 20 patients).

Infection is rare and can usually be managed with antibiotics.

Some patients may experience delayed healing, particularly at the "T junction" of the scars.

This is a rare complication where some breast fat doesn’t survive, potentially resembling an infection. It may take weeks to resolve and can cause contour irregularities.

It’s common for nipple sensitivity to fluctuate, becoming either more or less sensitive, but it will change over time.

In rare cases, nipples may become inverted or experience excessive pulling when moved to their new position.

Though very rare, there is a risk of losing the nipple, particularly in smokers or those undergoing significant reductions.

Some women may have a reduced ability to breastfeed after surgery. However, studies show that many women who have had breast reduction are still able to breastfeed successfully.

Minor asymmetry is common, as perfect symmetry between the breasts is rare.

Scars from breast reduction are permanent, and while they may remain red for some time, they usually soften and fade over the months. You were shown images to help set realistic expectations for scarring.

It’s possible that too much or too little tissue may be removed, and the final breast size can’t be guaranteed. While rare, patients typically express satisfaction with the final result despite minor variations.

There is a theoretical risk that breast cancer could be detected in the tissue removed during surgery. If necessary, we will advise on preoperative screening.

  • A small number of patients (less than 1 in 20) may need a minor revision procedure, typically performed under local anaesthesia.

 

Commonly Asked Questions

Breast reduction surgery is typically performed on women over the age of 18. Some women opt for the procedure before starting a family, while others choose it after having children or later in life. It is not uncommon for older women to express that they wish they had undergone the surgery years earlier.

Yes, breast reduction surgery also involves a breast lift. The procedure raises the height of the nipples and reshapes the breasts for a more youthful and aesthetically pleasing appearance. It can also address breast asymmetry, especially if a size reduction is part of the surgery.

While being at or near your ideal body weight can improve cosmetic results and reduce complications, surgery can still be performed on women who are overweight, provided they understand the potential limitations. Some women find it easier to exercise and lose weight after the procedure due to the relief from the weight of large breasts.

Breast reduction surgery usually takes between 2 to 3 hours. It is a significant surgical procedure, and patients should be aware of the potential risks and scarring involved.

Studies suggest that women who have had breast reduction surgery can still breastfeed, although some may experience a reduced ability. It's important to prepare for the possibility that breastfeeding may not be possible after the surgery.

To reposition the nipples, a cut is made around the areola. The nipple remains attached to the underlying breast tissue to preserve its blood supply. The breast tissue is then reshaped, and the nipple is repositioned at a higher point on the breast. The areola is often reduced in size, as it tends to stretch during the procedure.

Recovery from breast reduction surgery typically requires 1-2 weeks off work to rest. Wounds usually heal within two weeks, though some areas may take longer to fully heal. Light exercise can typically be resumed after four weeks, and most patients feel fully recovered by six weeks.

Immediately after surgery, your breasts may appear tight and slightly "boxy" in shape. Over the course of the next six months, the shape will gradually round out, continuing to improve for up to 18 months as the tissues settle.

What to Expect and Breast Implant Aftercare

It's common to experience some discomfort in the first few days after surgery. Numbness around your nipples and incision areas may also occur temporarily. You may feel soreness, tightness, swelling, and bruising, especially around the incisions. Sensitivity to stimulation can last for a few weeks.

Swelling and bruising are typical after breast reduction surgery, and your breasts may feel tight for several days. Bruising is common but will gradually subside.

Most of the discoloration and swelling will reduce in 4-6 weeks. However, scars may appear red and raised for up to six months before they soften and fade. It's important to note that your final breast shape won’t become fully apparent until 6 months post-surgery, as the tissues continue to settle.

Excellence Record

Merchant City Medical Group is proud to be one of the leading providers of Hair Transplant Surgeries and Medical Aesthetics within the UK and Europe. With our extensive team of expert surgeons, nurse practitioners and consultants, you will be met with the utmost dedication and compassion throughout your journey with us.

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Cosmetic Procedure Screening Questionnaire

It can be used as a screening questionnaire to tell whether you might have BDD.

1) How often do you do you deliberately check your feature(s)? Not accidentally catch sight of it. Please include looking at your feature in a mirror or other reflective surfaces like a shop window or looking at it directly or feeling it with your fingers.
2) To what extent do you feel your feature(s) are currently ugly, unattractive or ‘not right’?
3) To what extent does your feature(s) currently cause you a lot of distress?
4) How often does your feature(s) currently lead you to avoid situations or activities?
5) To what extent does your feature(s) currently preoccupy you? That is, you think about it a lot and it is hard to stop thinking about it?
6) If you have a partner, to what extent does your feature(s) currently have an effect on your relationship with an existing partner? (e.g. affectionate feelings, number of arguments, enjoying activities together). If you do not have a partner, to what extent does your feature(s) currently have an effect on dating or developing a relationship?
7) To what extent does your feature(s) currently interfere with your ability to work or study, or your role as a homemaker? (Please rate this even if you are not working or studying: we are interested in your ability to work or study.)
8) To what extent does your feature(s) currently interfere with your social life? (with other people, e.g. parties, pubs, clubs, outings, visits, home entertainment)
9) To what extent, do you feel your appearance is the most important aspect of who you are?

Do I have BDD?

Body Dysmorphic Disorder

You have scored 0

When you score more than 40 points, this is an indication that you likely have Body Dysmorphic Disorder. However, this is not a formal diagnosis. This test can also be used after a treatment to see if symptoms have improved.

What now?

For more information on BDD and support, you can contact us.

If you are a UK resident, we suggest:

    • reaching out to your GP for more help
    • self-refer to NHS Talking Therapies.

When speaking to a health professional, you may present your clinic history or a printed form to clearly outline the symptoms you’ve experienced.