At a breast reduction consultation, ask about the surgeon’s specialist training and registration, the hospital, which technique and scar pattern they recommend for you, what size is realistic, how surgery may affect nipple sensation and breastfeeding, what recovery involves, the aftercare included and the policy if further surgery is needed. A good surgeon will answer clearly and encourage you to take time before deciding.
About the surgeon and hospital
- Are you on the GMC Specialist Register in Plastic Surgery? A clear yes, which you can verify on the GMC online register.
- Do you hold the FRCS (Plast)? This is the specialist examination for UK plastic surgeons.
- Are you a BAAPS or BAPRAS member? Membership reflects a commitment to professional standards.
- Where will the operation take place? A CQC-registered hospital with a consultant anaesthetist and overnight nursing.
About size and shape
- What size is realistic for my frame? Expect a discussion in terms of proportion rather than a promised cup size, as bra sizing varies between brands.
- How will my breasts look from the side? A good answer covers shape, projection and nipple position, not just volume.
- Can any asymmetry be improved? The surgeon should explain that differences can often be reduced but some will remain.
- Will the result change over time? Breasts settle over months and continue to change with weight, pregnancy and age.
About technique and scars
- Which scar pattern do you recommend and why? An explanation linked to your breast size, skin and nipple position, with the trade-offs of each option.
- How will the nipple be moved? Most techniques keep the nipple attached to preserve its blood supply; a free nipple graft should be explained if relevant.
- Will liposuction be used? Sometimes used to refine the sides of the chest; ask how it affects recovery.
- Will drains be used? Practice varies; the surgeon should explain their approach.
Our breast reduction scars guide explains the patterns in more detail.
About sensation, breastfeeding and screening
Ask how likely changes in nipple sensation are, and whether breastfeeding may still be possible. A good answer is honest that sensation can be reduced or altered, sometimes permanently, and that breastfeeding may be affected and cannot be relied upon. Ask whether you need a mammogram or other imaging beforehand, and confirm that the tissue removed will be sent for laboratory examination. You should continue routine breast screening afterwards.
About recovery
- How much time off work is usual? Commonly around two weeks for desk-based roles, longer for physical jobs.
- When is driving possible? Usually once you can wear a seatbelt comfortably and perform an emergency stop, often around two weeks, but check with your insurer.
- What bra is needed? A soft, supportive post-surgical bra, worn day and night for several weeks.
- When can exercise restart? Gentle walking straight away; running, upper-body and high-impact exercise usually after about six weeks.
About risks, aftercare and revision
Ask which risks apply most to you and how each is reduced. Ask how many follow-up appointments are included, who you will see, and how to reach the team out of hours. Ask what happens if you need a minor procedure such as a dog-ear correction, and whether there is a cost. See the breast reduction risks guide for more detail.
Red flags in the answers
Be cautious if the consultation is mainly with a salesperson, if you are offered a discount for booking quickly, if risks are brushed aside, or if a specific cup size or ‘perfect’ symmetry is promised. A surgeon who suggests a smaller reduction, a different procedure or waiting until your weight is stable is usually acting in your interest. You should leave with written information and a clear understanding of the next steps.
About cost
Ask for a written quote showing what is included: surgeon, anaesthetist, hospital and theatre, post-surgical bra and routine follow-up. At Mr Nassab’s practice, breast reduction costs from £11,500. The £150 consultation fee is always charged separately. Finance may be available. Cosmetic surgery is for adults aged 18 and over, and you should never feel pressured to book on the day.
Frequently Asked Questions
Can a specific cup size be requested?
You can describe the size you would like, but surgeons plan by proportion and safety rather than a fixed cup size, and bra sizes vary between brands.
Is a second consultation worthwhile?
Yes. It gives you time to reflect, ask further questions and confirm the plan before committing.
What should be taken to the consultation?
Your medical history, a list of medications, details of any breast imaging, and a written list of questions.
Are photographs taken at consultation?
Yes, with your consent, clinical photographs are taken for planning and your medical record, and stored confidentially.
