Breast Reduction in Marylebone, London

Breast reduction surgery is carried out under a general anaesthetic, taking 90 – 120 minutes to complete. Excess fat, glandular breast tissue, and loose skin is removed from the breasts. The remaining breast tissue is expertly reshaped by Mr Khoda, for a pleasing, pert outcome, and the nipple is moved to its new position without disrupting the blood supply.

Most patients stay in hospital for 1 night, allowing us to monitor the initial phase of their recovery.

Breast reduction surgery removes excess breast tissue, as well as fat and loose skin, leaving you with breasts that are not only smaller but perkier too. Mr Khoda will bring his surgical skill to bear to leave you with smaller, shapelier, and more pert breasts.

Mr Khoda’s approach is to carry the nipple-areolar complex (brown part of the breast) on some breast tissue to keep it alive, which usually protects nipple sensation. It is possible for the blood supply to the nipple to be compromised, in which case surgical intervention would be necessary.

Occasionally, patients with heavy, pendulous breasts need the nipple areolar complex (NAC) to be raised by a greater than average distance. In this group of patients, the NAC is removed/detached and replaced as a graft. This is dressed for 2 weeks to allow the graft to survive and take its blood supply from the breast tissue. The NAC will be pink, and pigment returns with time. In some patients, not all of the pigment returns, and micropigmentation may be necessary.

Most patients require up to 3 weeks off work. Intensive activity, exercise, and lifting should be avoided for 6 weeks, though milder forms of exercise can be resumed after 4 weeks. Driving is to be avoided too, until you are safe to perform an emergency stop. A post-surgery bra should be worn for 3 months to promote healing.

If you are overweight or planning to become pregnant, Mr Khoda might suggest delaying your operation. If you have significant health issues or are a heavy smoker, Mr Khoda will discuss your options during consultation.

All surgeries can lead to complications, but Mr Khoda works in a safe and consistent manner to minimise any risks. He uses the non-touch technique, avoiding skin contact with any part of the wound or any substance or surface that will come into contact with the wound, such as the inner surface of dressings. The most common complications with surgery are areolar scar stretch, nipple necrosis, asymmetry, no guarantee of cup size, bleeding, haematomas, infection, numbness, alteration in nipple sensation, and the need to return to theatre for further procedures. Surgery also presents a risk of deep vein thrombosis and pulmonary embolism.