Female breast size is determined by several factors, including genetics, body weight and hormonal influences. Unfortunately, larger breasts can often be associated with a variety of problems, ranging from self-consciousness and inconvenience (especially if you are particularly sporty, or if you struggle to find flattering, well-fitting bras and clothes), through to more serious discomfort. This can include back ache, neck pain and skin irritation.

A breast reduction (mammoplasty) is designed to reduce the volume of the breast, in order to make it smaller and – in some cases – more shapely. Rest assured that, during the procedure, care is taken by your highly skilled surgeon to retain connections between the remaining breast tissue and the skin, in order to preserve breastfeeding capability.

Our surgeons use virtual imaging software to help you visualise potential outcomes in your individual case. The advanced Crisalix application uses photographs of you to simulate different sized implants and help you make a more informed decision on potential options. 

Whatever your personal reasons, breast reduction surgery at the Cadogan Clinic will provide you access to leading UK consultants, techniques and facilities for your treatment. Our team are aware that the appearance of your body can affect your confidence and everyday happiness, and as such we handle each case with sensitivity and discretion. You can rest assured your breast reduction, performed at our purpose-built, central London clinic, will deliver the results you will be happy with.

Frequently Asked Questions

We use a variant of the general anaesthesia technique called TIVA (Total Intravenous Anaesthesia) that is delivered by our team of top anaesthetists. Intravenous delivery enables our anaesthetist team to monitor anaesthetic depth more closely via specialized computers to maintain an optimal level of anaesthesia. This means you will wake up feeling much better than with traditional alternatives and ready to go home shortly after.

Due to our specialism in liposuction, it is possible in some cases to perform breast reduction using liposuction techniques only. This technique is often known as ‘scarless breast reduction’ since the incisions required can be made in less prominent positions, such as under the arms, where they can not been seen.

More typically, however, following traditional techniques you should expect a small degree of scarring. There are different techniques for breast reduction and the scars created will depend on the technique employed, as well as the patient in question and the size of the breasts being reduced. Most commonly you should expect some scarring around the nipple, across the bottom of the breast fold, and a vertical scar linking the nipple scar to the breast fold scar giving rise to the so called ‘inverted T’ or anchor pattern.  Some surgeons prefer to perform the operation omitting the breast fold scar giving rise to the ‘vertical scar’ reduction.  Not everybody is necessarily eligible for this and it tends to be used for not such large breasts.

Regardless of which technique you undergo, Cadogan Cosmetics is able to provide each and every one of its patients with access to one of London’s most advanced scar minimization and prevention teams following their procedure. Our nurses have decades of experience and will provide you with the tools and techniques to support your healing process as effectively as possible.

General advice is to take two weeks off work following breast reduction surgery, since swelling is greatest during this time and it is advisable to give wounds time to heal.  During this period it is advisable to keep physical activity to a minimum or drive. It is, however, advisable to mobilise as soon as possible after breast reduction surgery.

If stitches need to be removed, this is generally carried out at about two weeks after the operation.  At this stage dressings are removed and women are encouraged to wear comfortable crop tops or sports bras for support until any swelling and discomfort has resolved, after which they can start wearing normal bras in their new size – this may take a few weeks longer.

Massage and moisturizing are a vital process of breast reduction aftercare and expert advice will be given on the best techniques from our dedicated team.

Breast reduction is usually performed under general anaesthetic as a day case procedure, meaning advanced sedation techniques are employed to enable you to recover more quickly after surgery and return home on the day of your procedure.

Whilst there are several breast reduction techniques, each essentially involves reducing a proportion of the breast volume via excision and reshaping the breast mound such that the nipple is lifted into a more normal position, while preserving the blood supply to the elevated nipple and areolar complex. The overall effect is a more ‘pert’ breast hanging in a more regular position.

Your surgeon will explain his or her preferred technique at your consultation and where the incision is to be placed accordingly.

All breast reduction techniques require an incision that will result in a scar that will likely be red and slightly raised in the weeks and months after your procedure, before fading completely.

Scar visibility can, however, be greatly impacted by the quality of the surgeon you choose, as well as the level of aftercare you receive. In the hands of a skilled surgeon the scar can be positioned very discreetly, whilst an expert scar minimization team can provide you with the tools and techniques to enhance the healing process. For example, scar the appearance can be reduced by regular moisturisation and massage techniques, all of which our dedicated team will advise our patients in the days following your procedure.

Due to our specialism in liposuction, it is possible in some cases to perform breast reduction using liposuction techniques only. This technique is often known as ‘scarless breast reduction’ since the incisions required can be made in less prominent positions, such as under the arms, where they can not been seen.

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What to expect

Free Consultation with a Patient Advisor

We offer a free, no-obligation 30-60 minute consultation with one of our Patient Advisors, including a virtual reality consultation to demonstrate the potential outcomes in your individual case. They will work with you to understand your objectives and the results you want to achieve, talk you through the procedure and answer any questions you may have. If you decide that you would like to proceed to the next step and see a surgeon, your Patient Advisor will be happy to arrange this for you. At this point, you will be required to pay a consultation fee. 

Surgical Consultation

The next step is for you to meet your chosen surgeon at the Cadogan Clinic. Your surgeon will use this time to make a comprehensive medical assessment of you, your condition, and your expectations before making a recommendation and personalised treatment plan for you. You will then discuss the outcomes you can expect to see and ask any questions.

The Procedure

On the day of your procedure you will be welcomed at the Cadogan Clinic by your Patient Advisor and dedicated nursing staff. Following a brief medical check, you will meet with both your surgeon and anaesthetist to run through the details of your procedure one final time and answer any last questions you may have.  


After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases, patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you. 

After Care & Support

Our care and support continues in the days and weeks following your procedure with our complimentary aftercare programme. This comprised of a series of appointments made with your surgeon and nursing team to monitor your progress and recovery. They will also introduce you to several scar minimization techniques and bespoke products to aid your progress. Our team are also on call to answer any questions you have around your surgery at any time you are concerned.

Find a Consultant


We only work with the best. Our consultants are at the very peak of their professions. All are registered with the General Medical Council (GMC) and their own specialist registers, so you can feel confident you’re in safe and trusted hands.
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Mr. R James Colville
Mr. R James Colville

Plastic Surgeon

A consultant plasticsurgeon specialising in all areas of cosmetic surgery and hand surgery, with over 20 years of surgical experience.             

Mr. Garrick Georgeu
Mr. Garrick Georgeu

Plastic Surgeon

Plastic and Aesthetic surgeon with an Aesthetic Surgical degree, specialising in all types of breast surgery, facial surgery, and body contouring.

Mr. William Van Niekerk
Mr. William Van Niekerk

Plastic Surgeon

A plastic, reconstructive, aesthetic and burn surgeon specialising in all areas of cosmetic surgery, non-surgical aesthetics and complex microsurgery