Our Vancouver & Fraser Valley Service Areas Include:

Surrey, Langley, Abbotsford, Chilliwack, Coquitlam, Port Moody, Port Coquitlam, Pitt Meadows, and Mission, BC.

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Am I a Good Candidate for Breast Reduction Surgery?

Breast reduction is typically performed once breast development is complete. However, earlier intervention may be considered in cases of significant physical symptoms. You may be a candidate if you:

  • Experience chronic neck, back, or shoulder pain
  • Develop rashes or skin irritation beneath the breasts
  • Have shoulder grooving from bra straps
  • Struggle with exercise or physical activity due to breast size
  • Have difficulty finding properly fitting clothing
  • Feel self-conscious due to breast disproportion
  • Have noticeable asymmetry between breasts

Candidates should be in good overall health, maintain a stable weight, and have realistic expectations about results. Smoking significantly increases surgical risk, including wound healing complications and nipple compromise, and must be stopped well in advance of surgery.

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Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

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Your Consultation at PSG

Your consultation is comprehensive and personalized. Your surgeon will:

  • Perform a detailed breast examination
  • Review your symptoms and goals
  • Evaluate skin quality and breast composition
  • Discuss surgical technique options
  • Review risks, recovery, and long-term expectations

Because every patient’s anatomy is unique, surgical planning is tailored to achieve proportion, comfort, and long-term balance. You will receive a clear explanation of what the procedure can and cannot accomplish, allowing you to make an informed decision.

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Breast Reduction Surgery

Breast reduction is performed under general anesthesia and typically takes 1–2 hours. Most patients return home the same day.

The procedure involves three essential components:

  • Removing excess breast tissue and fat to reduce size and weight
  • Reshaping and lifting the breast mound
  • Repositioning and resizing the nipple–areola complex for improved proportion

Incision patterns vary depending on breast size, skin elasticity, and degree of sagging. Your surgeon will determine which approach provides the safest and most aesthetically balanced result.

In most cases, the nipple remains attached to the underlying tissue to preserve blood supply and sensation. In rare situations involving extremely large breasts, a free nipple graft may be necessary, which may affect sensation.Liposuction may also be used to refine fullness along the outer chest wall if needed, though this is typically not covered under MSP.

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Common Breast Reduction Techniques

The choice of technique depends on your anatomy and the degree of reduction required.

Vertical (Short Scar) Technique

Often referred to as the “lollipop” incision, this technique includes a circular incision around the areola and a vertical incision extending downward. It is typically used for moderate reductions and offers effective reshaping with less extensive scarring.

Wise Pattern (Anchor) Technique

This approach includes an incision around the areola, vertically downward, and along the inframammary fold. It is commonly used for larger reductions or significant sagging, allowing for maximum reshaping and skin removal.

Limited or Periareolar Technique

In select patients with mild reduction needs, more limited incisions may be appropriate. Your surgeon will recommend the safest and most predictable technique based on your anatomy and goals.

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breast reduction infographic

breast reduction infographic

Preparing for Surgery

Preparation is essential for a safe procedure and smooth recovery. Patients should:

  • Maintain a stable body weight
  • Ensure mammograms are up to date
  • Stop smoking at least four weeks prior to surgery
  • Discontinue blood thinners, certain supplements, and anti-inflammatory medications as directed

Stable weight improves surgical predictability and reduces complication risk.

Risks and Considerations

Breast reduction is a safe procedure when performed by qualified plastic surgeons, but all surgery carries risk. Potential complications include:

  • Delayed wound healing
  • Asymmetry
  • Changes in nipple sensation
  • Scarring
  • Infection or bleeding

Your surgeon will review all potential risks thoroughly during consultation and provide guidance on minimizing complications.

Breast Reduction Recovery

Most patients return home the day of surgery and are walking the following day. Typical recovery includes:

  • Mild to moderate soreness for 1–2 weeks
  • Return to light activity within 1–2 weeks
  • Avoidance of heavy lifting for approximately two weeks
  • Wearing a supportive surgical bra during early healing

Swelling and bruising improve significantly within several weeks, though the final breast shape may take six months to one year to fully settle. Scars are permanent but fade gradually over time. They are typically positioned to be concealed by bras and swimwear.

Frequently Asked Questions Breast Reduction

Are there age requirements for breast reduction candidates?

There are no age requirements for breast reduction. In younger candidates, our plastic surgeons advise waiting until breast development is complete. Operating on breasts that are still growing can be risky.

Can I choose my final breast size?

Yes. Your desired size will be discussed during your consultation. While exact cup size cannot be guaranteed, your surgeon will aim for proportional, balanced results aligned with your goals and anatomy.

Will I have scarring after breast reduction?

Yes. Scarring is unavoidable due to the surgical incisions. However, the scars can be hidden underneath a bra or bathing suit top. Also, the amount and location of scarring depend on the specific incision pattern used and your genetic tendency to scarring (some people tend to have thicker scars). There are many different ways to perform breast reduction, and whenever possible, our surgeons use incisions that follow the natural lines of the breast. Although we can recommend techniques to minimize scarring, we cannot change your genetics or make scars disappear completely. However, keep in mind that our patients often tell us they are happy to trade some scarring for lighter, more proportional breasts.

Can I breastfeed after breast reduction?

Modern surgical techniques preserve the nipple’s connection to underlying tissue whenever possible, making breastfeeding possible for many women. However, it cannot be guaranteed.

Will my breasts look lifted after breast reduction?

Yes. Breast reduction inherently includes reshaping and lifting, resulting in a firmer, more youthful contour.

Will my nipples change from breast reduction?

Breast reduction can reduce the diameter of your nipple-areolar complex if you wish. There is a small chance that you could lose nipple sensation. Our surgeons can discuss this risk with you in more detail during your consultation and explain what we do to prevent it.

How quickly will I see results after breast reduction?

Your breasts should look smaller and firmer almost immediately after surgery. However, you will have bruising and swelling concealing your results. It can take up to a few months for the aftereffects to subside and your improved breast shape to stabilize.

When will I feel like myself again after surgery?

Every patient recovers differently, and it can take time to look and feel "normal" again. Most patients tell us it can take several months.

Will I need to wear a special bra after surgery?

Yes. We encourage you to wear a special compression bra immediately after surgery to help minimize swelling. When you switch back to regular bras, we recommend you initially avoid wearing bras with underwire, as the wire can irritate your incisions. Sports bras are usually the most comfortable style to wear.

Are my results permanent?

Results are long-lasting. However, pregnancy, weight changes, and aging can alter breast shape over time.

Schedule a Consultation

Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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