Villa 898, AL RAAJI Street, Al Wasl Road 40453 Dubai, UAE
Phone: 971 4 3884589

Breast Reduction

Hi, I’m Dr. Sanjay Parashar; an aesthetic and plastic surgeon with over 25 years’ experience. I have performed more than 10,000 surgeries overall, which include 1000+ breast surgeries.

Here I will provide you all the information you need to make an informed decision regarding breast reduction, and to prepare yourself for it. If after this, you still have more questions, I’d be delighted to answer them in an in-person consultation. Read on…

Note: This page is for breast reduction in women; for details about breast reduction in men, known as “gynecomastia surgery”, please click here.

Breast Reduction – Not just an aesthetic surgery, but may even be medically needed

BREAST REDUCTION surgery, also known as reduction mammoplasty deals with the reduction of breast size in women. Very large breasts can cause discomfort in different ways, and for women facing this issue, a breast reduction surgery makes their breast size more proportionate to their body contours.

Breasts are always an important element in a woman’s overall appearance. Well-contoured and proportionate breasts add to a woman’s personality and confidence. Whatever your reason, before you decide to undergo this surgery, you should have adequate knowledge of the pros and cons.

Here are the 3 stages that will take you towards the aesthetic breast contours you desire:

Stage 1: About Breast Reduction - What you need to know before your initial consultation

There’s a certain degree of information you should have regarding breast reduction even before your initial consultation with me. This information will help you be better prepared and have a more meaningful consultation session.

Breast Reduction, also known as reduction mammoplasty, is a surgical procedure to reduce and reshape your breast contours, making them smaller and more proportionate to your anatomy. This is achieved by removing excess fat, tissue and skin from the larger breast, followed by adjustments to the size and position of the areola and nipple in line with the reduced breast size.

Often, a breast lift is also combined with breast reduction in order to elevate sagging breasts, which is usually a common problem in women with large breasts.

I always tell my patients that the ultimate goal of any breast reduction surgery should be natural and proportionate body contours. Breast reduction is a procedure that needs to be artistically and meticulously balanced with your specific anatomy and desires.

Breast Reduction is usually done as an outpatient procedure, under twilight anesthesia, and the patient can go back home the same day.

A breast reduction surgery may be medically necessary to correct postural issues, or may be done for aesthetic reasons to give you more self-confidence, and flexibility in your choice of attire.

Breast Reduction is a good option in the following cases:

  • Disproportionately large breasts causing back, shoulder or neck pain
  • Concerns about playing sports or being appropriately active due to large breast size
  • Correction of natural breast asymmetries
  • Correction of asymmetry following significant weight loss, pregnancy, or breast feeding
  • Inability to wear desired attire due to oversized breasts

It is very essential for me that you are clear on why you are considering breast reduction. So, even before your initial consultation, you should reflect on some questions:

  • Are you clear about what is wrong with your breasts?
  • Are you experiencing back, neck or shoulder pain?
  • Are you thinking of breast reduction as a life-changing procedure?
  • What are your goals and expectations from the surgery?
  • Will you be comfortable and confident with the changes from the surgery?
  • Do you understand that the correct size for you is specific to your body contours?
  • Do you accept that minor flaws are likely to remain?

I will be asking you these questions in my initial consultation, and your answers will help me to assess whether you are a right candidate for this surgery.

If you are an adult woman, who has very large breasts which cause discomfort, is in generally good health, not currently pregnant or breast-feeding, ideally a non-smoker, have a positive attitude, and have realistic expectations from the surgery, you are potentially a good candidate for breast reduction.

I will be keenly assessing your suitability for breast reduction through your answers in our initial consultation, and will proceed only if satisfied that you are a good candidate.

Breast reduction can be done in various ways depending upon your specific circumstances – volume of reduction to be achieved, the existing shape and slope of your breasts, and the desired outcome.

The different types of breast reduction techniques have the incisions and scars in different places, but none of the scars would be visible with regular attire:

  • Breast Reduction via Liposuction/ Periareolar Reduction Type
  • Vertical or “Lollipop” Type Reduction, with Lejour Technique
  • Inverted-T or Anchor Type Reduction

Breast Reduction via Liposuction

Breast reduction can be achieved via liposuction alone, in cases where only a moderate reduction in breast size is required, the candidate does not have drooping breasts, and has good breast skin elasticity. The incision in this case is just around the areola. The advantage of breast reduction through liposuction are: shorter procedure, less-invasive, minimal scarring, and long-lasting results.

Vertical or “Lollipop” Type Reduction

This breast reduction technique is used for moderate reduction in breast size and moderate sagging correction. The technique requires 2 incisions. The cut starts around the areola, goes straight down to the crease under the breast.

A variant of the vertical type reduction is the Lejour technique, which is best accomplished only by skilled breast surgeons. The incision starts around the areola, and goes down the breast, but not under it. This technique permits small, medium or large adjustments to breast size, and allows to maintain better shape and fullness, and helps counteract the effect of gravity.

Inverted-T or Anchor Type Reduction

This method of breast reduction is used when considerable breast size reduction or sagging correction is required, as it permits maximum flexibility in excess fat and tissue removal and reshaping. This technique requires 3 incisions. The first cut starts is around the areola, the second goes straight down to the breast crease, and the final one is under the breast. Visually, the cut looks like an inverted-T or the anchor of a ship, hence the name.

The technique I will use for you will be determined after a complete evaluation of your anatomy and based on your desired aesthetic goals. I specialize in the Lejour technique of breast reduction, and that is usually my preferred choice for its flexibility and advantages.

It is quite possible that you will be unable to breastfeed after a breast reduction, so you should carefully consider that in your decision-making process. In some cases, women are able to breastfeed even after the surgery, but there is no guarantee.

I will discuss your maternity plans during our consultation and determine the right technique for you based on those discussions and other pertinent factors. If you have motherhood plans, I would suggest that you defer your surgery until after you have finished nursing your child.

A Breast reduction surgery has lasting results. If you do not gain weight, you will retain your reduced breast size. Pregnancy and breast-feeding could also impact the size of your breasts.

The surgery itself takes 2-3 hours, is usually an outpatient one, and you can go home the same day. Most women are able to resume work within 7-10 days, and might need just 1 week leave from work along with 2 weekends.

I will prescribe what exercises will need to be done to aid recovery, medication, etc. Heavy exercises should only be resumed after my consent.

Every surgery carries some risks, but at this stage of my experience and expertise, the risks that my patients have are minimal. Standard risks include:

  • Anesthesia risks
  • Bleeding
  • Infections of any kind
  • Scars (though these will fade over time)
  • Reduction/ loss of sensation in nipple or breast
  • Damage to milk glands, nerves, ducts – inability to breastfeed

Risks are minimized in the hands of an expert surgeon, by doing the surgery in a good, licensed clinic or facility, following proper protocols; and by the patient carrying out all given instructions – both before and after surgery.

Breast reduction cost varies based on the following factors:

  • Type of surgery and the extent of reduction needed
  • Whether the procedure is being done under general or local anesthesia
  • Whether it involves overnight stay
  • Hospital/ Clinic used for the surgery
  • Skill & expertise of the breast surgeon

When breast reduction is done as a cosmetic procedure, insurance does not cover the cost. If, however, it is done for medical reasons, all or part of the cost may be covered by insurance. Please check with your insurance provider about your policy entitlement.

Another significant aspect to take into consideration, besides just the initial surgical costs, is your comfort factor with the breast surgeon, and your faith in the surgeon’s expertise. Pay a bit more – but be sure, and be comfortable with your surgeon.

To know the cost applicable for your specific case, please book a consultation.

The choice of your breast surgeon is a decision to be made with due care. While cost is a relevant consideration, there are other more important factors that should determine your decision:

  • Qualifications and certification, specifically plastic surgery related certifications and memberships, such as membership of American Society of Plastic Surgeons (ASPS)
  • Years of experience as a plastic surgeon, number of surgeries done
  • Number of breast surgeries done
  • Proof of work – before/ after images
  • Patient testimonials
  • Surgeon reputation
  • Your comfort factor with the surgeon, his manners, his patience in answering your questions
  • Surgeon’s philosophy regarding patient safety

You are planning a significant surgery, and one that requires very specialized training and even artistic flair, so it’s extremely important that you decide wisely. Pay more if needed, but choose a surgeon who has an extensive portfolio of successful breast surgeries. Make sure that you are fully comfortable with your surgeon.

I have done many over 1,000 breast surgeries, including revision breast surgeries for patients unsatisfied with results of prior surgeries done elsewhere. You can read my full profile here.

The clinic or hospital for your breast reduction surgery done should be carefully chosen. Ensure that the facility is licensed. A hospital is not necessary for a breast surgery, an accredited/ licensed clinic is just fine.

The clinic should have a licensed anesthetist on board, competent nursing and operations staff, and the surgical room should be clean and hygienic.

Ministry of Health (MOH), Dubai regularly conducts inspection of all medical and surgical facilities in Dubai and license is granted or renewed only if the prescribed conditions regarding hygiene, safety, etc. are met.

My medical center – Cocoona Center for Aesthetic Transformation, Dubai is an MOH-licensed clinic, and we are permitted to perform surgeries under local anesthesia. We also have competent anesthesiolgists on board, and a full team of caring and professional nurses, patient counselors, and other support staff.

If your surgery needs to be performed under general anesthesia, we can do it at another licensed facility of your choice, or where we have a tie-up.

Now that you have all the base information regarding breast reduction, you should take the next step of booking the initial consultation.

Stage 2: Initial Consultation – My questions to you, Breast examination, Explaining the procedure, Your residual questions

During our initial consultation, I will first ask you certain questions, conduct a breast examination, then explain the breast reduction procedure to you, and finally answer all your remaining doubts and concerns.

At the end of the consultation session, my goal is to have clarified to you fully and clearly what you can realistically expect from your surgery, assessed your eligibility for the surgery, satisfied all your concerns and doubts, and assured you of my capability to provide you the best results. Having done that, I will connect you with my patient counselor, who will handle the routine aspects of preparing you for your prospective surgery.

  • What aspects of your breast are bothering you the most?

This is a very specific question that helps me identify what is bothering you and I can compare your concerns with actual physical findings. If it matches, I am confident of giving you a good result.

  • What is your present cup size and what size are you expecting?

It is very important for me to understand your expectations. I will than analyze if they are realistic or unrealistic. I will explain to you what to expect, and whether I will be able to meet your expectations.

Many people are not aware of cup sizes. Read further to understand it.

  • Measure your band size – Place a tape around your body just underneath your breasts and take the measurement in inches. Make sure the tape measure is horizontal and fairly snug. Bra band sizes are usually an even number. If this measurement is an odd number, then you should try out bras in both the size below your measurement and the size above. If you measured 31 inches, your band size could be 30 or 32.
  • Determine your cup size – Your cup size is not an absolute measure — it is measured in proportion to your band size. Bend over so that your chest is parallel to the ground. Measure around your chest with the tape over the most prominent part of the breasts. Now to calculate your cup size, you will need to subtract your band measurement from the cup measurement you just took. The difference between the two numbers determines your cup size:
    • Less than 1 inch = AA
    • 1 inch = A
    • 2 inches = B
    • 3 inches = C
    • 4 inches = D
    • 5 inches = DD
    • 6 inches = DDD (E in UK sizing)
    • 7 inches = DDDD/F (F in UK sizing)
    • 8 inches = G/H (FF in UK sizing)
    • 9 inches = I/J (G in UK sizing)
    • 10 inches = J (GG in UK sizing)

Some people prefer minimal changes that will not be hugely obvious, others prefer radical changes. Some patients ask for natural results, which I am happy and skilled to provide.

At the end of the day, your breasts need to be proportionate to your anatomy and look realistically aesthetic.

  • What is your medical history?

I will inquire about any past surgeries, pregnancies, medical illnesses, allergies, ongoing medications, motherhood plans, etc., to gauge your suitability for surgery, and which technique of surgery will be best for you.

After I’m through with my initial questions to you, and upon getting an idea of your expectations from the surgery, I will do a breast examination. I will evaluate the following:

  • Breast proportions – size, symmetry, nipple height and position
  • Breast footprint
  • Volume and quality of breast tissue
  • Skin elasticity

I use computer morphing to display and discuss the final post-procedure possibilities. That gives a visual idea of the possible outcome. I discourage extensive computer morphing, as it can be unrealistic and causes misunderstanding between patient and doctor.

Based on my findings from the examination and our earlier discussion, I will determine which method of breast surgery would be most suited for your specific case.

The basic breast reduction process involves making incisions at specific places, based on type of surgery and other factors, under the breast crease, and/ or, around the areola; removing excess fatty tissue through the incision, repositioning the areola and nipple, if needed; and then closing the incisions.

Your surgery will be done either at an accredited day care surgical facility such as my medical center in Dubai – Cocoona or a hospital, depending upon your choice, and anesthesia considerations.

Understanding the process involves knowing about anesthesia, basic surgery steps, post-procedure recovery, return to normalcy, risks involved, and expected results.

  • What anesthesia is used?

The procedure involves some form of anesthesia. Depending on the incision type, the surgery can be done under local anesthesia with sedation, though it is usually done under general anesthesia with sedation.

  • What type of breast reduction will be done for you?

The type of breast reduction technique that will be followed for you is a decision that I will arrive at based on your anatomy. the extent of changes that are needed to achieve the desired shape, your cosmetic expectations from the surgery, and your motherhood plans.

There isn’t one best approach and technique – I will customize your surgery plan exclusively for you.

  • How is a natural looking shape attained?

The key to performing a natural looking breast reduction surgery is to understand the proportions of the breast in relation to the rest of the anatomy – which is both a science and an art, correct the aesthetics, and have minimal visible scarring.

It’s also important to understand that a breast size or height that looks beautiful and natural in another person, might look out-of-place in your body, as each person’s natural anatomy is differently proportioned.

As a surgeon who takes immense pride in his work, I always strive for results that look perfectly natural relative to my patients’ body contours. That objective is best achieved, not by excessive changes, but by proportionate changes. It is for this reason that I restrict computer simulations, and refuse to do excessive structural modifications.

At this stage, you are likely to have few more questions for me to clarify. Some such questions are covered herein. I will be glad to answer these and any other concerns you have.

  • What is the recovery phase immediately after the procedure? 

After the surgery, you will be taken to the recovery room for 2-3 hours. Once awake, you will be asked to stretch and move your hands. You will have an IV fluid drip, and a urinary catheter.

Following the surgery, your breasts will be bandaged. There will be swelling, bruising, pain, and soreness for 2-3 weeks, which will be minimized through medication. You will be prescribed ointments, pain medication and antibiotics to help recovery. You will be given instructions on changing your bandages, keeping your wounds clean, and bathing.

Most of my patients return to normal activities in 4-8 weeks after surgery. Intensive exercise can be undertaken only after my express consent, and could take many more weeks.

  • What should be done post-surgery to improve the results? 

Strictly follow the recommended post-surgery plan for faster recovery – including taking your medications, and keeping your follow-up appointments schedule. The surgical wounds will require regular dressings and you will be given the schedule.

You will be provided a special bra to provide comfort to your breasts.

Keep a generally healthy lifestyle to retain your results. Do regular breast mammogram or ultrasound to check your breast health and condition.

  • When will the results be visible? 

Your new breast shape will be visible within 3-5 weeks once the swelling has subsided, and the skin around the breasts has settled.

Stage 3: The Next Steps …

After our detailed initial discussion, almost all matters would have been clarified. You will then get a handbook that explains the details of before and after care, medications to avoid, risks and complications, financial agreement, consent and permission forms, medical history form, etc. Please spend some time reading the booklet completely.

My patient coordinator will get back to you with cost details applicable to your surgery, and the booking protocol, and will also answer any questions you may have in the run-up to the surgery.

Then a pre-operative appointment will be arranged wherein we will do a complete medical checkup, measurements, surgical planning, photographic documentation, and other necessary paperwork.

You might also be required to get a breast mammogram or ultrasound before proceeding for the surgery.

Finally, on the appointed day, I will perform the breast reduction surgery, transforming your breast shape to the desired one.

It is advisable to have a family member or friend to drive you back home after the surgery.

Have a look at some of the testimonials from my patients, and here are some ‘Before & After’ pictures too. You might also want to spend a few minutes watching the video below to better understand the breast reduction process.

You can also access my full profile here.

Do not hesitate to get in touch with me in any of the following ways:

Call: 800 362636 or +971 4 394 1090

Contact Form: Please complete the appointment form.

Email: info@drsanjayparashar.com

I look forward to hearing from you.


BREAST REDUCTION surgery, also known as reduction mammoplasty deals with the reduction of breast size in women. Very large breasts can cause discomfort in different ways, and for women facing this issue, a breast reduction surgery makes their breast size more proportionate to their body contours.

Breast Reduction