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Breast Reduction on African Caribbean Skin

Breast Reduction Surgery can be life-changing, easing back pain, improving posture, and increasing body-confidence. However, scars can be a significant concern for individuals considering Breast Reduction surgery, particularly those with darker skin. However, there are ways to minimise the risk of noticeable scars without compromising the surgery.

Breast Reduction Before and After

AT A GLANCE

results concept facelift

Treats

Large, sagging and heavy breasts

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Anaesthesia

General anaesthetic

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Duration

2-3 hours

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Hospital stay

Day case or one night in hospital

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Recovery

4-6 weeks. Return to work in 1-2 weeks depending on the job

MAKING YOU, MORE YOU

Surgery to decrease the size of the breasts and improve confidence and quality of life

MAKING YOU, MORE YOU

Breast Reduction Surgery can be life-changing, easing back pain, improving posture, and increasing body-confidence.

TREATMENT OVERVIEW

Overview

Breast Reduction or Reduction Mammoplasty is surgery to make the breasts smaller and reduce their weight. The procedure can also reshape and lift the breasts, so they are firmer and more pert.

Breast reduction surgery has the power to transform lives by relieving back pain, improving posture, and boosting body confidence. Scarring can be a significant concern for  prospective patients with dark skin tones. However, there are always ways to minimise the risk of noticeable scars without compromising the final results.

FAQs
What are the unique characteristics of darker skin?

Hyperpigmentation, which leads to more prominent scars, is a common risk for people with melanated skin tones, whether resulting from accidental injuries or surgical incisions. Furthermore, individuals with darker skin may have a higher susceptibility to keloid scarring and an increased risk of complications. However, this does not mean that surgery is off-limits for darker skin individuals; it simply highlights the need for increased care and awareness. There are always ways to minimise the risk of noticeable scars without compromising the surgery.

What are the scars like from Breast Reduction?

All surgery leaves scarring. Our surgeons will do their utmost to ensure the scar is as small and discreet as possible. Plastic surgeons, like the specialists at Bella Vou, are skilled in making incisions and suturing in ways that minimise scarring.

Individuals with darker skin tones have an increased susceptibility to developing keloid and hypertrophic scarring.

Keloid Scars are characterized by hard, smooth excessive scar tissue growth that can be larger than the original wound. These raised, reddish nodules form at the site of the injury and may take weeks or months to fully develop.

Hypertrophic Scars have a similar appearance to keloids but are more common. They do not grow as large as keloids and may fade over time. These scars are confined to the injury site and commonly occur on the knees, shoulders, abdomen, breasts, and breastbone.

The good news is that both types of scars can be effectively treated with monthly injections of long-lasting cortisone into the keloid. After several injections, keloids may become less noticeable and flatten within 3 to 6 months. Hypertrophic scars often respond well to this treatment. Your Consultant Plastic Surgeon, in collaboration with the in-house scar clinic, will create a personalized treatment plan to ensure the best possible outcomes are achieved.

Can I breastfeed after Breast Reduction?

Generally, if you haven't completed your family, then it’s sensible to avoid this surgery. During pregnancy, the breasts increase in size, therefore negate the effects of the operation.

Talk to your surgeon to fully understand the risks and benefits of surgery. It’s important to understand that Breast reduction surgery can damage nerves and milk-producing ducts and glands, making breastfeeding difficult. If your nipple and areola are still attached to the breast tissue beneath them, then there is a greater likelihood that you'll be able to nurse. However, if the nipple was removed and then placed on a reconstructed breast, damage to the nerves, milk ducts and breast tissue may diminish sensation in your nipples and limit your milk flow.

The nerve supply to the nipples is vital to breastfeeding, as they trigger the release of hormones that affect lactation and milk let-down. The overall length of time since surgery has an effect. With increasing time, you're more likely to regain nipple sensation and produce milk.

You won’t know how your milk supply will be affected until you start trying to nurse. If you still have sensation in the nipple, then you have a much better chance of having a full supply. There are several groups out there who help and guide women who have had breast reductions and are hoping to breastfeed.

Let your baby's doctor know about your surgery. They will need to keep a close eye on your baby's weight gain.

How long should I wear the surgical bra?

The surgical bra will support and protect your breasts as they heal. It's essential to wear it night and day for six weeks. At your six-week check, your consultant will check your wounds and your breasts and let you know if it's OK to return to your usual bra.

Will I lose sensation to my nipples?

There is a risk of nipple sensation changing following Breast Uplift and Breast Reduction Surgery. There is usually a temporary loss of sensation to the nipples, which may return as the swelling and bruising settles. Nipple sensation is generally derived from multiple sources from within the breast tissues. The reshaping and lifting of the breasts can interrupt the nerve supply, meaning that for some women, the change in nipple sensation can be permanent. Your surgeon will take time to answer all your questions and talk you through the risks and benefits of the procedures.

Pricing
Finance your treatment
We can offer a wide range of incredible finance solutions and payment plans to help you pay for your procedure or treatment, starting from as little as 0% APR!
Why Bella Vou prices reflect premium care.

Bella Vou is a specialist cosmetic surgery provider offering consultant-led care, performed in CQC-registered hospitals, with an uncompromising focus on safety, outcomes, and long-term patient wellbeing.

Our prices reflect the experience of our surgeons, the complexity of modern cosmetic surgery, and the fact that every procedure is delivered as a complete, fully inclusive package — not a headline price with multiple additional costs added later.
At Bella Vou we provide various payment options meaning you can spread the cost and enjoy a confident outlook at a price you can afford.

Please book a complimentary consultation to discuss your exact requirements with our cosmetic surgeons, but typically surgery prices start as shown below
Procedure Medical Director Consultant Specialists
Breast Reduction
Including all precare, aftercare and General Anaesthetic, areola reduction, skin and tissue excision, two compression garments and two manual lymphatic drainage (MLD) therapy sessions
£9,250.00 £9,250.00
Breast Reduction with Histopathology
Including all precare, aftercare and General Anaesthetic, areola reduction, skin and tissue excision, two compression garments and two manual lymphatic drainage (MLD) therapy sessions
£9,500.00 £9,500.00
Breast Reduction (weightloss or extensive tissue removal)
Including all precare, aftercare and General Anaesthetic, areola reduction, skin and tissue excision, two compression garments and two manual lymphatic drainage (MLD) therapy sessions
£11,050.00 £11,050.00

YOUR SIMPLE
5 STEP
JOURNEY

YOUR SIMPLE 5 STEP JOURNEY

1

Step 1. Free, no-obligation consultation

Bella Vou offers every client a free consultation with an accredited cosmetic surgeon. There is no obligation to proceed to treatment. The consultation is an opportunity to discuss the concerns you have with your body and the size you would like your breasts to be,

The expert aesthetic surgeon will evaluate your breast volume and position, your skin elasticity, the size and position of the areola, and your body shape. They will plan surgery to ensure the breast looks natural, in proportion, and correctly placed on the chest. Mr Amir Nakhdjevani says:

‘We make sure that we advise people correctly about whether surgery is right for them. We treat everyone as if they were our family. At Bella Vou, we never pressurise people or try to sell procedures. It's always about giving an honest opinion and honest advice.’

2

Step 2. Meet your surgeon

You will be offered a further appointment with your consultant before proceeding to Breast Reduction. This will give you a chance to find out more about the procedure and to ask any questions you may have.

The specialist surgeon will take your medical history, examine your breasts to check for lumps, and ensure you’re healthy and fit for surgery.

3

Step 3. Preparation for Breast Reduction

The Bella Vou team will give you individual pre-operative advice to reduce your chance of bleeding and infection. As soon as your operation time is set, they’ll also let you know when to stop eating and drinking in preparation for your general anaesthetic

It’s essential to tell the team if you're on any medications. You may be asked to stop taking aspirin or anti-inflammatory tablets, which can increase the risk of bruising. It's also important to stop smoking cigarettes and e-cigarettes before and after surgery because they can disrupt the healing process.

On the day of your surgery, you’ll be welcomed to Bella Vou, given a gown to wear and escorted to the state-of-the-art operating theatre.

4

Step 4. What happens during Breast Reduction?

Breast Reduction is carried out under general anaesthetic. You may need to spend one night in hospital to rest and recover.

The type of incision will depend on the size of your breasts, the look you want, and the amount of tissue to be removed. The surgeons usually use one of two types of incision:

The anchor incision is most frequently used. This is around the areola, extending vertically down to the natural breast crease and horizontally across the crease.

Lollipop incision results in smaller scarring. There is a circular scar around the areola, which extend in a downward vertical scar to the breast crease. Both scars heal well and usually fade to become unobtrusive.

The surgeon will excise excess fat, skin, and glandular tissue from the underneath and sides of the breasts. They will carefully measure the breast volume and plan the amount to be removed before your surgery, to ensure you get the results you want.

Your consultant will then lift and reshape the breasts to achieve a natural, youthful contour. They will also reposition the nipples and areola to enhance and rejuvenate the breasts. The size of the areola can also be decreased to suit the proportions and shape of your new breasts.

The surgeon will suture the incisions closed using absorbable sutures that don't need to be removed. Finally, a dressing and supportive sports bra are applied.

5

Step 5. Recovery from Breast Reduction

You may need to stay in hospital overnight following the operation. The staff at Bella Vou will offer safe and effective pain relief, carefully monitor your recovery, and provide support every step of the way

You will be given a supportive sports bra to protect the breasts and maintain your comfort as you heal. After one week, the nurse and wound care specialist will check your breasts and the scars. After two weeks, you will be able to increase activity gradually. However, excess arm movement and strenuous or repetitive activity should be avoided for up to six weeks, when you should be able to return to your usual routine.

At around six weeks, your surgeon will check your progress and ensure that you are healthy and happy with your results. The Bella Vou staff are always available if you have problems or questions at any time.

MEET OUR SURGICAL TEAM

Amir.N-

Amir Nakhdjevani

Amir.S

Amir Sadr

Hagen-

Hagen Schumacher

Rado

Radovan Boca

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Medically reviewed by

Amir Nakhdjevani

Medically reviewed by

Radovan Boca

Last Updated: March 11, 2026

Published On: June 27, 2023

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