Breast reduction in Edinburgh

Back pain, shoulder grooves from bra straps, difficulty exercising — most women who ask about breast reduction have lived with the weight of heavy breasts for years. Breast reduction at Quaba Plastic Surgery is performed by consultant plastic surgeons on the GMC Specialist Register at Waterfront Private Hospital in Edinburgh. The consultant who assesses you plans and performs your surgery and reviews your result.

Anaesthetic
General
Length of surgery
3 Hours
Hospital stay
Day case at Waterfront Private Hospital, or overnight at our partner facility in Edinburgh
Recovery
1-2 weeks off work, 6 weeks before strenuous exercise
Guide price
from £10,000
Your consultant is one of
Bra strap groove on a patient's shoulder, a common reason for breast reduction
  • Consultant plastic surgeons on the GMC Specialist Register
  • Surgery at Waterfront Private Hospital, regulated by Healthcare Improvement Scotland
  • Your consultation and your operation with the same consultant

Contents

What patients say

Quoted word for word from Trustpilot. Read all our reviews

Is it right for me?

Breast reduction suits women whose breast size causes physical symptoms — back, neck, or shoulder pain, grooves from bra straps, skin irritation beneath the breasts — or who find their breast size out of proportion and restrictive. Surgery is carried out in women over the age of 18, once breast development is complete.

  • You have physical symptoms caused by breast weight, or longstanding discomfort with breast size.
  • You are at or near a stable weight. Results are better and complications fewer when weight is stable, and significant weight change after surgery alters the result.
  • You are a non-smoker, or willing to stop smoking well before surgery. Smoking increases wound-healing and nipple-related risks.
  • You understand and accept the permanent scars that breast reduction leaves.

Breast reduction may not be right for you if you are planning significant weight loss first, are pregnant or breastfeeding, or want to preserve every chance of breastfeeding in future. Timing and suitability are assessed honestly at consultation, and some women are advised to wait.

Unsure? Try the free AI consultation, or ask at your appointment.

What breast reduction involves

Breast reduction surgery (reduction mammaplasty) removes excess breast tissue, fat, and skin to make the breasts smaller, lighter, and better proportioned to your body. The breast is reshaped and lifted at the same time, and the nipple is moved to a higher position. Surgery takes place at Waterfront Private Hospital under general anaesthesia, takes around 3 hours, and involves either a day case or a one-night stay.

The pattern of incisions depends on your breast size and shape and on how much tissue is being removed. The two patterns used most often are described below, and the appropriate technique for your case is recommended at consultation. In a small number of patients with mainly fatty breast tissue and a minimal reduction, liposuction alone can be considered.

The consultant who examines you at consultation is the consultant who plans your surgery, performs it, and reviews you afterwards.

Anchor-shaped

An anchor-shaped reduction is the most common. The scars are around the nipple, vertically and along the breast crease. This procedure corrects heavy breasts and droopiness and gives the most consistent results.

Vertical scar

With a vertical scar reduction/ lift, the scar is described as a lollipop scar – around the nipple and vertically down below it towards the breast crease. This technique can be used for women with moderate breast enlargement.

What breast reduction can and can't do

Breast reduction takes weight off your chest, and for many people that brings real physical relief. It also leaves permanent scars and can change nipple feeling and breastfeeding, so it is worth weighing those before you decide.

It can

  • Make your breasts smaller, lighter and higher, in proportion to your frame.
  • Ease back, neck and shoulder pain caused by the weight of your breasts.
  • Reduce rashes and infections in the fold under the breast.
  • Make exercise, bras and clothes easier.
  • Reduce a difference in size between the two sides.

It can’t

  • Be done without scars. The anchor pattern leaves a scar around the areola, down the breast and along the fold. The scars fade but are permanent.
  • Guarantee you can breastfeed. Many people can afterwards, but some cannot. If you plan a family, you may want to wait.
  • Keep nipple feeling unchanged. Sensation often drops after surgery and does not always come back.
  • Stop your breasts changing. Weight gain, pregnancy and age can enlarge or reshape them again.
  • Promise complete relief from pain. Back and neck pain have many causes, and the weight of your breasts may be only one of them.

Your consultant will tell you at your consultation which of these apply to you.

View before and after gallery

What is the cost of breast reduction?

The full price for your individual case can only be confirmed after a face-to-face consultation with the consultant who will perform your surgery. Our consultation fee with a consultant plastic surgeon is £200. Where a further consultation would help you reach a decision, this is offered without additional charge.

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Questions before you book?

Ask anything about breast reduction, its recovery, risks or cost, any time and in plain language. If you would like, our team can contact you afterwards.

Start the free AI consultation

General information, not a substitute for a consultation.

Quick answers

Will the same surgeon plan, perform and review my breast reduction?

Yes. The consultant who assesses you at your first appointment is the consultant who plans your surgery, performs it at Waterfront Private Hospital, and reviews you afterwards. There are no handovers between consultants.

Who will perform my breast reduction?

Your breast reduction is planned and performed by one of our consultant plastic surgeons, Mr Ken Stewart, Mr Omar Quaba, Ms Ewa Majdak-Paredes and Mr Will Anderson, all on the GMC Specialist Register. You choose your consultant, meet them at your first appointment, and the same consultant operates and sees you afterwards.

Can I see results from your surgeons?

Yes. Our breast reduction before and after gallery shows patients treated at Quaba Plastic Surgery, shared with their consent. Results vary between people, and your consultant will show you what is realistic for you at your consultation.

What happens if I have concerns after my surgery?

Your Quaba consultant stays responsible for your care after surgery. A nurse sees you a week after your operation, more often if you need it, and your consultant reviews you at around six months, when the result has settled. If anything worries you before then, contact us and your consultant will reply directly and see you as soon as needed.

How much does breast reduction cost?

Breast reduction at Quaba starts from £10,000. The price covers the surgeon’s fee, the anaesthetist’s fee, the hospital and theatre fee at Waterfront Private Hospital, and all post-operative reviews until you are fully discharged. The full price for your individual case is confirmed after a face-to-face consultation.

All our guide prices are on our pricing page.

What is the best age to have a breast reduction?

Breast reduction surgery is only carried out in women over the age of 18. Some women choose to have the procedure before they have started a family; others have it after completing their families or much later in life. It is not unusual for older women who have had surgery to say they wished they had the operation years ago.

Will a breast reduction lift my nipples and breasts as well?

All reduction surgery involves a breast uplift and reshaping to raise the height of the nipple and give a better shape to the breast. The operation can also improve breast asymmetry when a size reduction is desired. The technique is tailored to your needs at consultation.

What if I am overweight?

You can expect better cosmetic results and fewer complications if you are at or near your ideal body weight. We can operate on women who are overweight, within reason, if they understand the limitations. For some women, exercise is difficult with large breasts, and they find it easier to exercise and lose weight after the procedure.

Can I breastfeed after breast reduction?

Several studies have indicated that women who have undergone breast reduction surgery have a similar ability to breastfeed as those who have not. However, it is important to be prepared for the possibility that you may not be able to breastfeed after the surgery.

How do you move the nipples up — do you have to detach them?

To move the nipples to a higher position on the breast, a cut is made around them and the areola is reduced in size, as it has usually been stretched. The nipple remains attached to the underlying breast tissue to keep its blood supply, and the tissue is repositioned with the nipple attached so it sits higher on the breast.

What is recovery like after breast reduction?

Your surgery may be carried out as a day procedure at Waterfront Private Hospital, or with an overnight stay at our partner facility in Edinburgh. You are seen in the dressing clinic one week after surgery. Take at least 1 to 2 weeks off work to rest. The wounds should be healed by two weeks, but small areas of delayed healing are common, so full healing can take longer. Light exercise can usually be resumed at four weeks, and you should feel recovered by six weeks.

How long do breast reduction scars take to settle?

Scars can take up to 18 months to mature, and sometimes longer. Before-and-after photographs typically show results at around six months, when the scars are still red; significant fading can be expected beyond six months. The degree and rate of improvement vary considerably between patients.

How long will it take for my breast shape to settle?

Initially your breasts will be tight and can look a little “boxy” in shape. By six months they will look much more rounded, and they continue to improve in form for up to 18 months.

Change in breast shape over the first six months after breast reduction

The surgeons who do this

You meet your consultant at your first appointment. The same consultant plans your surgery, carries it out and sees you afterwards.

Risks, and how often they happen

Every operation carries risk. Here they are in three groups. The figures come from UK national guidance and published studies, averaged across many patients, so your own risk may be higher or lower. Your consultant will go through what applies to you, and every risk is in your written consent.

  • Expected
  • Uncommon
  • Rare
  • For the long term

Expected Almost everyone, and they settle

  • Swelling and bruising for the first few weeks.
  • Discomfort for the first few days, eased by simple painkillers.
  • Reduced or altered nipple sensation, which often improves over months but can be permanent.
  • Scars around the areola, down the breast and along the fold, red at first and softening over about a year.
  • Small areas of slow healing where the scars meet, usually settled with simple dressings.

Uncommon Some patients, and some need further treatment

  • Wound breakdown where the scars meet (the T-junction), which can need dressings for several weeks.

    About 1 in 20

  • Bleeding that needs a return to theatre (haematoma), usually in the first day.

    About 1 in 50

  • Fat necrosis, firm lumps where fatty tissue has lost its blood supply. Most settle, and any new lump should be checked.

    About 1 in 50

  • Infection, usually settled with antibiotics.

    About 1 in 50

  • A minor revision, usually a scar or a small adjustment of shape, under local anaesthetic.

    Under 1 in 20

Rare but serious

  • Loss of part or all of the nipple if its blood supply fails. Smoking raises this risk, and it may need further surgery.

    Under 1 in 100

  • A blood clot in the leg or lung (DVT or PE). We assess your risk and take steps to prevent it.

    About 1 in 1,000

  • A serious reaction to the anaesthetic.

    Very rare

For the long term

  • Breastfeeding. With techniques that keep the nipple attached to the tissue beneath it, studies found about three in four women who tried were able to breastfeed. If it matters to you, tell your consultant at consultation. Very large reductions sometimes need a technique that moves the nipple as a graft, which stops breastfeeding; your consultant will tell you if this applies to you.
  • Pregnancy and weight change can enlarge the breasts again, so it may be wiser to wait if you plan a family.
  • Mammograms. If you are over 40 you need an up-to-date mammogram before surgery. Scars and fat necrosis can show on later scans, so tell the radiographer about your reduction.
  • The tissue removed is sent for analysis, as a matter of routine.
  • The breasts are tight and can look slightly square at first; by six months they look more rounded, and the shape continues to settle for up to 18 months.

More from BAAPS on breast reduction.

Where these figures come from

Aftercare and recovery after breast reduction

Recovery from breast reduction is steady rather than dramatic: most women are up and about within two days, back at desk-based work in 1 to 2 weeks, and feel fully recovered by six weeks. Light exercise can usually be resumed at four weeks; strenuous exercise waits until six weeks. A supportive non-wired bra is worn day and night in the early weeks.

A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available — if anything concerns you, they will respond directly and arrange to see you as soon as needed.

Discomfort/ Pain

Some discomfort is typical in the first few days after surgery. You may experience some numbness around your nipples and incision areas. You may experience temporary soreness, tightness, swelling and bruising, and discomfort in the incision areas. Your breasts may be sensitive to stimulation for a few weeks.

Bruising/ Swelling

Your breasts may feel tight and swollen for several days, and bruising is not uncommon.

Appearance

Most of the discolouration and swelling will subside in 4-6 weeks.

Scars may be red and angry looking for six months. In time, these usually soften and fade.

You may be up and about in 2 days, but it will be a few weeks before you are entirely up to speed.

Your mood may fluctuate after surgery – this is normal. A small amount of blood staining on the inside of your dressings is typical during the first few days.

Your final breast shape will not become apparent for six months.

Explore Breast reduction aftercare
Nurse reviewing a patient at Waterfront Private Hospital, Edinburgh

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