Breast reduction is a surgical procedure that removes excess breast tissue and reshapes the breasts to a more comfortable and proportional size. It is suitable for patients with large, heavy, or asymmetrical breasts who experience chronic pain, skin irritation, posture issues, or self-image concerns. The procedure involves removing glandular tissue, fat, and skin through carefully placed incisions, often around the areola and under the breast crease. The nipple is usually repositioned higher on the chest wall to suit the new contour. Breast reduction can be a life-changing procedure, helping women regain physical mobility and live longer, disease-free.
Dr Cotrufo trained across Europe and Brazil, combining surgical excellence with a compassionate, patient-first approach. He takes time to understand your goals, ensuring your breast reduction procedure meets both your physical needs and aesthetic vision. His results have been shared online since 2010, when he entered the Specialist Register for Plastic Surgery of the General Medical Council.
Mild to moderate discomfort is expected in the first few days but is well managed with basic medications such as ibuprofen and paracetamol. More potent painkillers such as codeine and tramadol can also be prescribed judiciously, accepting risks of side effects such as constipation and drowsiness.
Scars are placed around the areola and along the natural breast crease. They fade over time and can be concealed under clothing. Dr Cotrufo also offers laser treatments to help scars fade over time, including PRP and polynucleotides.
Some women retain the ability to breastfeed, but this depends on the surgical technique and individual anatomy. It depends very much on the severity of the breast hypertrophy and how low the nipple has descended over the ribcage or the abdominal wall. Dr Cotrufo will discuss these factors during your consultation.
Most patients return to work within 2 weeks. Full recovery, including final results, can take up to two months.
Dr Cotrufo executes all possible manoeuvres to preserve both vascular and nerve supply to the nipple, although this cannot be guaranteed. Again, this depends heavily on the severity of the case (link to IG?); temporary numbness is considered normal.
Costs vary depending on complexity and surgical technique, and this will ultimately justify the time required to complete the surgery. Dr. Cotrufo prioritises the quality of the surgical outcome over reducing the time taken for the procedure. A personalised quote will be provided after your consultation.
We’re here to help. To learn more about Breast Reduction surgery or schedule a consultation with a top-rated Breast Reduction surgeon in London, call 0207 873 2330 or enquire below. You can also view our testimonials or follow us on Instagram.









© 2025 Dr Stefano Cotrufo | All rights reserved
© 2025 Dr Stefano Cotrufo | All rights reserved