Breast reduction surgery: an expert's guide

Written by: Mr Andrew Pieri
Published: | Updated: 06/07/2023
Edited by: Conor Dunworth

There are many different reasons you may want a breast reduction, ranging from cosmetic reasons to reducing pain and improving posture. In his latest online article, highly-experienced oncoplastic breast surgeon Mr Andrew Pieri explains what this procedure entails, the benefits and who is a good candidate for the surgery.


What is breast reduction surgery?

Breast reduction surgery is a procedure to lower the size, weight, and overall volume of your natural breasts also known as reduction mammoplasty or boob reduction. In order to give your breasts a more attractive and natural appearance, Mr Pieri will remove extra tissue, fat, and skin. Additionally, to reach your desired aesthetic goals, this procedure combines breast lift surgery, elevating the height of your nipple.


Why might someone consider breast reduction surgery?

Genetics and bodily hormonal changes have a significant impact on breast size. By the time you reach adolescence (17 or 18), your breasts are usually fully developed. However, several factors may affect the size shape and fullness of your breasts. These factors include getting older, gaining weight and falling pregnant.

Your breast size may also change as a result of menopause. Breasts can enlarge and fill out as oestrogen reserves decrease and fat is replaced by milk gland tissue in the body.

Nevertheless, the breast reduction procedure goes beyond mere cosmetic changes and holds the potential to profoundly improve your life. Excessive and burdensome breast size can give rise to various health complications that can hinder your professional pursuits and everyday tasks. Consequently, this intervention effectively addresses both psychological and physical concerns, bolstering your self-assurance and overall quality of life.


What are the benefits of breast reduction surgery?

Breast reduction surgery offers numerous advantages, including:

  • Alleviation of chronic back, shoulder, and neck pain
  • Improved posture
  • Reduced risk of skin irritation and discomfort from bras
  • Minimised shoulder grooves caused by bra straps
  • Enhanced ability to participate in sports and physical activities
  • Boosted confidence
  • Easier selection of clothes, bras, and swimwear
  • Enhanced quality of life
  • Elimination of unwanted attention


How is the procedure planned?

With extensive expertise as a specialised breast surgeon, Mr Pieri has honed a range of breast reduction techniques to deliver optimal outcomes. Consequently, during your pre-operative consultations, Mr Pieri will thoroughly assess your breast and body contours to determine the most suitable surgical approach that aligns with your specific goals and desires.


What does the procedure entail?

As part of the surgical procedure, Mr Pieri will skilfully reposition your nipples to achieve a balanced and aesthetically pleasing outcome that complements your reduced chest size. The surgery itself typically lasts between 1 to 3 hours, and depending on your individual circumstances, you may be required to stay overnight in the hospital for monitoring purposes.

Your initial post-operative check-up is scheduled for one week after the surgery, during which Mr Pieri will assess your progress. Subsequently, he will continue to meet with you regularly over the course of the first six weeks to ensure a smooth and secure recovery, while optimising the results of the procedure.



Mr Andrew Pieri is a highly-experienced consultant oncoplastic breast surgeon based in the Northeast of England. If you would like to book a consultation with Mr Pieri you can do so via his Top Doctors profile today.

By Mr Andrew Pieri

Mr Andrew Pieri is a renowned consultant breast surgeon based in Newcastle, with satellite clinics across the Northeast and Carlisle. His areas of expertise range from complex breast cancer treatments and reconstruction procedures to cosmetic breast augmentations, breast reductions and breast uplifts.

Mr Pieri qualified with an MBBS from Newcastle University in 2007, before going on to complete his surgical training across Northeast England. He spent some time as a senior trainee at the prestigious Royal Victoria Infirmary, where he was later appointed consultant breast surgeon.

He has also worked at a number of private hospitals across the northeast, including the Spire Washington Hospital and Tyneside Surgical Services. He runs additional private clinics for cancer and cosmetic breast surgery at The Royal Victoria Infirmary in Newcastle, and a convenient satellite clinic for cosmetic breast surgery in Carlisle at Rippon Medical Services.

Passionate about innovation, Mr Pieri has a patent and multiple research publications to his name. He is renowned for his work as a breast surgeon and is regularly contracted by medical industry to act as an expert opinion on international scientific advisory boards for surgical technology advances, including breast implant modifications and advancements in wound management systems.

Mr Pieri is also a highly-dedicated medical educator, being the surgical lead for a number of different medical school programmes at Newcastle Hospitals, as well as recently being appointed as director for cadaveric teaching for the prestigious national TIG Oncoplastic Breast Fellowship.

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