Reducing discomfort, restoring balance, and enhancing confidence

Breast Reduction in London

Breast reduction surgery is designed to reduce the size, weight, and volume of the breasts to create a lighter, more balanced shape. For many women, this procedure is life-changing, relieving physical discomfort, improving posture, and restoring confidence in their body’s proportions.

At her London practice, Dr Nicki Bystrzonowski performs breast reduction with a focus on natural results and patient wellbeing. Her approach combines advanced surgical precision with an understanding of how physical symptoms, self-image, and confidence are often deeply connected.

Patients often choose breast reduction to ease back or neck pain, improve comfort in clothing and exercise, or achieve better balance between the upper and lower body. Every treatment is carefully planned to meet the patient’s individual needs and lifestyle, ensuring results that feel as good as they look.

What Is Breast Reduction Surgery?

Breast reduction, or reduction mammoplasty, involves removing excess breast tissue, fat, and skin to reduce the overall size and reshape the breasts. The nipple and areola are repositioned higher on the chest to create a lifted, more youthful contour that fits naturally with the body’s frame.

The procedure is highly personalised, taking into account height, build, and proportion to achieve the most comfortable and harmonious result. Dr Nicki places great emphasis on preserving natural shape and sensitivity wherever possible.

Beyond the physical benefits, many women describe a significant improvement in confidence, posture, and mobility following surgery. The procedure can also make everyday activities, from exercise to choosing clothes, noticeably more comfortable.

Key Information

DetailSummary
Procedure Time2.5 – 4 hours
AnaestheticGeneral anaesthetic
Hospital StayUsually 1 night
Recovery TimeLight activity after 10–14 days; full recovery in 6–8 weeks
ScarringAround the areola and beneath the breast fold; fades with time
Results VisibleImmediate improvement, with refinement as swelling subsides
LongevityLong-term; breasts remain smaller and lighter even with natural ageing
Follow-UpRegular postoperative checks with Dr Nicki for recovery and support

How Breast Reduction Works

Consultation and Planning

The process begins with a detailed consultation with Dr Nicki Bystrzonowski, who will discuss your concerns, goals, and expectations. She’ll review breast size, skin elasticity, and overall body proportions to plan the most suitable technique.

Anaesthetic and Preparation

Breast reduction is performed under general anaesthetic. Before surgery, the new nipple position and incision lines are carefully marked to achieve symmetry and a natural lift.

The Procedure

During surgery, excess fat, tissue, and skin are removed. The remaining breast tissue is reshaped and lifted, and the nipple-areola complex is repositioned to its new, elevated position. The aim is a lighter, well-proportioned breast with a natural contour.

Sculpting and Symmetry

Dr Nicki pays meticulous attention to balance and proportion between both breasts. The technique used ensures even volume, natural slope, and symmetrical nipple placement.

Recovery and Healing

Patients usually spend one night in hospital and return home the following day. Swelling and mild tightness are common during the first few weeks and managed with pain relief. Most patients return to daily activities within two weeks, with full recovery in six to eight weeks.

Long-Term Results

Once healing is complete, the breasts feel lighter, more comfortable, and proportionate to the body. Most patients experience significant relief from back and neck strain, improved posture, and renewed confidence in their appearance.

Frequently Asked Questions

Who is suitable for breast reduction surgery?
Breast reduction is ideal for women who experience discomfort from large or heavy breasts, such as back, neck, or shoulder pain, skin irritation, or difficulty with exercise and clothing. Candidates should be in good overall health and have realistic expectations about the outcome. During consultation, Dr Nicki carefully assesses breast size, shape, and skin quality before recommending a tailored approach.
Will the results look natural?
Yes. Dr Nicki’s technique focuses on achieving a natural, proportionate shape that complements the patient’s frame. The breasts are lifted and reshaped to create a softer contour while preserving sensitivity and maintaining harmony with the rest of the body.
What will the scarring be like?
All breast reductions involve some scarring, typically around the areola and vertically down to the breast fold. In some cases, there is also a small horizontal scar along the crease. These fade significantly over time, becoming lighter and less noticeable. Dr Nicki plans every incision carefully to ensure discreet placement and smooth healing.
How long does recovery take?
Most patients return to light activity within 10–14 days. Swelling and bruising settle gradually over the following weeks, with final results visible by three to six months. Supportive garments are worn during recovery to maintain shape and comfort.
Will breast reduction affect breastfeeding?
It may have an impact, depending on the technique used and the extent of tissue removal. Dr Nicki discusses this in detail during consultation to ensure you’re fully informed before proceeding. Whenever possible, she uses methods designed to preserve breast function.
Are the results permanent?
Yes. Once breast tissue is removed, it does not return. However, natural ageing, hormonal changes, and weight fluctuations can still affect breast size and shape over time. Maintaining a stable weight helps preserve results for many years.
Can breast reduction be combined with other procedures?
Yes. Many patients choose to combine breast reduction with breast uplift, liposuction, or body-contouring surgery to achieve balanced proportions across the body. Dr Nicki plans all combination procedures with safety, recovery, and long-term outcomes in mind.