Breast Reduction
Breast reduction surgery is one of the most powerful cosmetic procedures that Mr Titus Adams performs. Large breasts can cause significant problems due to a combination of physical symptoms such as painful or aching neck, shoulder and back, bra strap grooves, or rashes for example; social problems such as finding suitable clothing to wear or not being able to entertain exercise or swimming the way that you would like; through to underlying psychological concerns with body image or shape, which can interfere with relationships or with intimacy, for example. Collectively, this can have a huge bearing on one’s confidence and self-esteem.
Breast reduction surgery aims to reduce the size of the breast and nipple (including the areola), as well as lift the breasts into a more youthful and attractive position for your frame. With many ways to perform breast reduction, Mr Titus Adams will discuss the most effective method with you when you book a consultation.
Photographic and video examples of this surgery will be available to patients during the consultation to aid in decision-making.

Before and After Gallery












20 year old, before and 6 months after breast reduction


18 year old, before and 6 months post op breast reduction with lift
Breast Reduction
What You Need to Know
Breast reduction surgery is performed under a general anaesthetic, and is accompanied by at least one hospital night stay. Smokers and very over-weight women are at greater risk of wound healing problems. Women should be at their desirable weight pre- operatively. Smoking should stop at least two weeks before and after surgery. Smoking can affect both wound healing and the vascular supply to the nipple. Aspirin and related anti-inflammatory medication (ibuprofen, naproxen, diclofenac) should be avoided for a similar period of time to reduce the risk of bleeding. Patients taking the oral contraceptive pill (not HRT) should stop taking this for 4 weeks before surgery, as there is a slight increased risk of thrombosis. Alternative forms of contraception would be required during this time.
On return to the ward, an intravenous fluid drip is used until patients are able to eat and drink. Drainage tubes are often placed into each breast to prevent accumulation of ooze or bleeding in the breast. These drains are removed prior to leaving hospital the next day. Painkillers are provided, but significant pain is not a usual feature following breast surgery. Micropore tape is placed over the scars and the nipples are monitored. Opsite© dressings are used to provide further protection. The supportive sports bra will have been fitted in theatre to help maintain support and shape. Showering is encouraged from 5 days post surgery.
Patients are seen at one week for a wound check and exchange of dressings. Further dressing changes may be required as necessary. An outpatient appointment is made to see Mr Adams at 6 weeks and 6 months; appointments are sent by email.
What Happens when I Leave Hospital?
A soft, front-fastening supportive bra, that protects but does not restrict, with no under wire, should be worn as much as possible day and night to provide shape and support for up to 6 weeks. Thereafter, a normal bra can be used. Accurate bra sizing can be established at 3 months after swelling has receded.
Initially the breasts will appear firm and pert and even high on the chest. This is more pronounced with short, vertical scar techniques, with wrinkling of the skin noted towards the lower breast fold. Over the first few weeks, the breast skin envelope will relax and the breast will take up a more natural shape, but will take 6 months to normalise.
Resources
Reviews and Testimonials
"Mr Adams was amazing, he took time to explain everything, answered my questions, allayed my fears and reassured me that I would receive the best care pre and post surgery.
Pre surgery I had a personal realistic image of what Mr Adams would achieve. Post surgery and several months later I am a new woman. The results are a hundred times better than I could ever have hoped for. I am confident , happy and love my new breasts.
The care from Mr Adams and his team has been outstanding. I cannot thank Mr Adams enough. "
"We've just booked a holiday in the sun and I am actually looking forward to buying swimwear and am not dreading being poolside with friends or strangers.
I pinch myself every day when I realise all of these benefits will be with me forever."
"I want to thank Mr Adams for the brilliant job he did when carrying out my breast reduction surgery, i am over the moon with the result. From the first consultation to the last follow up Check after surgery the whole experience has been a pleasurable one! Mr Adams is kind, caring, professional and an extremely talented surgeon who I would gladly recommend, thank you for changing my life."