Mr Oliver’s patients are happy to share their surgical outcomes so you can see for yourself how surgery has changed their lives. Patient confidentiality is paramount and all photographs are gratefully reproduced after discussion with Mr Oliver and having given written consent to publication on this website. This consent can be withdrawn at any time.
Publication of images is to show a range of possible outcomes from surgery and to help enable future patients in making their own informed decision about whether to consider cosmetic surgery.
Bilateral breast reduction
“I feel so much more confident, my clothes fit better and I can’t wait to get back in the gym.”
TD, Age 50, Devon, Bilateral breast reduction
This patient underwent a bilateral breast reduction removing 902g from the right breast and 760 g from the left. There is often a some assymetry with large breasts and if exactly the same amount is taken off each side this difference may be more obvious. In the out patient consultation I will try to estimate the difference in volume so this can be corrected for, this although this is not always completely effective. The results are shown seven weeks following surgery.
Over the next 6 to 12 months the scars should fade to a white colour although some patients do xperience problems with hypertrophic, or thickened, scarring and this is something to be aware of particularly if you have a history of poor scar healing. Patients are very happy with the overall improvement in all areas of their daily living following a breast reduction procedure.
Bilateral breast reduction with free nipple grafts
BR, Age 71, Devon, Bilateral breast reduction with free nipple grafts. Breast Reduction weight of 1200 g was removed on each side.
This 71 year old lady underwent a bilateral breast reduction and because she had considerable ptosis (droop) of her breasts she underwent a free nipple graft technique. The results are shown at seven weeks post op. The scars are still a little red but should now fade to a pale colour the next 6 to 12 months and the areolar pigment will return to normal. With this technique it is difficult to preserve much projection of the nipple but can be very useful when the patient desires a small breast, and the breasts are very heavy and low before surgery. 1.2 kilogrammes of breast tissue was removed from each side.
Bilateral breast reduction (BBR) combined with lateral chest liposuction
“It has boosted my confidence.”
MD, Age 55, Torquay, Devon, Bilateral Breast Reduction
This 55 year old patient underwent a bilateral breast reduction reducing her from a 40 E cup to 38 B. Sometimes the bra chest width can be reduced with liposuction by removing some of the fatty excess tissue under the arms beyond the edge of the breast tissue. 200 mils of liposuction was performed at the lateral edge of each breast combined with a breast reduction of 816 grammes on the right and 762 grammes on the left. It is unusual for the breast to be exactly the same either before or after the operation.
During the procedure, and in the clinic beforehand, I aim to estimate any difference between the breasts to try and reduce the differences although this is not always successful and some differences in the volume may still be there for the operation. If one breast is clearly bigger than the other it is important to remove a little more tissue from this side otherwise the difference in volume may be even greater in percentage terms if equal amounts are removed from both. With breast augmentation the opposite is true as increasing the volume often evens out any slight differences between the two sides as the breasts are now bigger and proportionately the difference is less. Including the liposuction volume nearly one kilogramme has been removed from each side.
These results are shown three months following surgery.
Bilateral Breast Reduction
“It has made a huge difference to my back pain and my general mobility has improved, as has my posture. I have found it easier to lose weight with exercise and swimming.”
BH, Age 44, Exeter , Devon, Bilateral Breast Reduction
This 44 year old patient underwent a breast reduction removing 880g , approximately 2 lbs, From each breast the results are shown six weeks after surgery. The scars are still quite red and active and can be expected to fade over the next 6 to 12 months. This was using a superior-medial technique with an inverted T or anchor scar.
Bilateral Breast Reduction
“I am absolutely delighted I can breathe more easily and all my day-to-day activities are much easier.”
BR, Age 58, Exeter, Devon, Bilateral breast reduction
This patient underwent a bilateral breast reduction removing 1600 grammes of tissue from each breast (1.6KG). The results are shown at six weeks and the scars can be expected to fade significantly over the next 6 to 12 months as they are still a little red after surgery.
Reducing the breast size by three kilogrammes overall can make a significant difference to all the activities of daily living and obviously sport and exercise are much easier when the breasts are a more manageable size.
This patient has gone from a bra size of 32 JJ to 32 C/D. it is actually very difficult to predict cup size after breast reduction surgery as this can vary between manufacturers and surgically it can be very difficult to predict an exact size. I will generally aim to create a natural breast volume in keeping with your frame that fits within your breast dimensions without specifying an exact size as this is so difficult to predict.
Bilateral Breast Reduction
“This has been life changing I am extremely happy I can breathe much more easily now that I don’t have so much weight on my chest.”
ST, Age 22, Torquay, Devon, Bilateral breast reduction
This patient underwent a bilateral breast reduction removing 1.8 kg from the right and 1.25kg from the left breast. This is about the limit for a superior medial technique and if there is much more volume to be removed then sometimes a free nipple graft may be needed for this type of resection. These are the early results shown at six weeks post op.
Bilateral Breast Reduction
“The operation has changed all areas of life for the better, I feel very comfortable as my bra straps no longer dig in and I can wear what I want to wear.”
EA, Age 57, Exeter, Devon, Bilateral breast reduction
This patient underwent a bilateral breast reduction using a T scar incision with a superior medial technique. This involved removing 670 grammes from the right breast and 785 grammes from the slightly larger left breast. She was previously a 36 GG cup bra size and now is a 36C cup.
Bilateral Breast Reduction using a free nipple graft technique
“It has changed my life so much I am very happy. I didn’t think it was possible, but I now feel they are a perfect size compared to my previous breasts which were bigger than a K cup.”
LN, Age 37, Yeovil, Somerset, Bilateral breast reduction using a free nipple graft technique
This patient underwent a very large breast reduction removing 2.5 kilogrammes of breast tissue from each side. Because of the extremely large volume of breast tissue that needed to be removed a free nipple graft technique was used to move the nipples into the new position. This is sometimes required with such a large reduction and as you can see from the photographs the nipple tends to be a little bit flatter and smaller as it has been moved as a skin graft onto the new breast.
Bilateral Breast Reduction
“I am very pleased with my decision which I made after finishing my family.”
DA, Age 39, Exeter, Devon, Bilateral Breast Reduction with liposuction to the lateral chest wall.
Results shown are six weeks post operatively.
This lady underwent a bilateral breast reduction removing 625 grammes from the right breast and 616 grammes from the left in addition she also underwent liposuction to the lateral side of the chest to try and reduce some fatty access in this area, above and under the bra straps which may have been more noticeable particularly after the breasts had been reduced to a C cup.
Bilateral Breast Reduction
“They are exactly how I wanted them, I can wear what I want now which is liberating.”
TH, Age 25, Plymouth, Devon, Bilateral breast reduction
Supero-medial bilateral breast reduction. This was a modest 280g reduction from each side. Results are shown at 6 weeks.
Bilateral Breast Reduction
“The results are better than I expected. It has absolutely changed all aspects of my life.”
NH, Age 21, Exeter, Devon, Bilateral breast reduction
Bilateral breast reduction removing 694g from the right breast and 681g from the left breast using a superior-medial wise pattern (T Scar technique). The results shown are 6 weeks following surgery.
Bilateral Breast Reduction
“I am very happy with results as I do a lot of sport and exercise and it is now much easier.”
DT, Age 18, Exeter, Devon, Bilateral Breast Reduction
This patient underwent a bilateral breast reduction using a supero-medial technique removing 902 grammes of tissue from the right breast and 1100 grammes from the slightly larger left breast. The result shown are six weeks following surgery. Over the next 12 months the scars will mature further and should become less noticeable. When this procedure is performed at a younger age then there is an increased chance of the breast tissue regrowing overtime although this is not predictable and is rare If the surgery is undertaken when breast development has ceased two or more years.
Bilateral Breast Reduction
“It was absolutely worthwhile and definitely worth doing as it has made a huge difference to all my everyday activities.”
AR, Age 54, Torquay, Devon, Bilateral Breast Reduction
This 54 year old patient underwent a wise pattern (T scar) supero-medial breast reduction. 551 grammes of tissue was removed from the left side 492 from the right. These are the early results shown at just 4 weeks following surgery.
Bilateral Breast Reduction
“It has changed all areas of my life. I am more confident in clothing choices. I have less neck and back ache and more energy. My general health is better and I am more confident when exercising.”
KE, Age 54, Totnes, Devon, Bilateral Breast Reduction
Supero-medial Wise pattern reduction removing 675g from the left breast and 778g from the right. The results are shown at 6 weeks. The scars will now fade over the next 6-12 months.
Bilateral Breast Reduction
“I can now sit up without having to roll onto my side and my neck and shoulders feel much better I can walk 20 miles in a day now.”
CB, Age 44, Exeter, Devon, Bilateral Breast Reduction
This patient underwent a bilateral breast reduction removing 1.25 Kg from her right breast which was slightly larger and 1.1 Kg from her left breast along with 500 cc’s of liposuction to the lateral breast folds . The results shown are at 8 weeks post surgery.
Bilateral Breast Reduction
“This solution has made a big difference to my confidence. My breasts look much better because they are in the right place I have gone from a 34E to a 34D Cup.”
EC, Age 46, Torquay, Devon, Bilateral Breast Reduction
This lady underwent a bilateral breast reduction removing 281 grams of tissue from the right breast and 254 grams from the left breast which was a little bit smaller to try an even out the mild asymmetry. The results are shown at 5 weeks following surgery and the redness in the scars can now be expected to fade over the next 12 months. With this type of breast reduction the results are a combination of a breast uplift or mastopexy and modest reduction.
Bilateral Breast Reduction
“Having the procedure has really made a big difference. I feel 100% more confident.”
NP, Age 51, Exeter, Devon, Bilateral Breast Reduction
This lady underwent a bilateral Breast reduction removing 732 grams from the left side and 746g from the right side This was using a superior-medial technique. This involved an over-night hospital stay but the procedure can be done as a day case if desired. The results are shown at 2 months after the operation. The scars can be expected to settle down further over the next 12 months.
Bilateral Breast Reduction
“The whole process was really good. I can do so much more in the gym and feel much more comfortable, the results are better than I expected”
MI, Age 30, Exeter, Devon, Bilateral Breast Reduction
Following having had two children this patient underwent a bilateral breast reduction removing 369g from the right breast and 332g from the left breast. Middle results are shown at 6 weeks. There is still some swelling of the areolar tissue which will settle down over the next few months as the scars mature. Breast reduction surgery can be undertaken to improve breast symmetry and reduce volume whilst lifting the nipple position. In this case only a modest amount of breast tissue has been removed from each side to achieve the desired breast volume. Results shown at 12 months far right.
Bilateral Breast Reduction (BBR) 6 weeks post-operation
“It has changed my life having smaller breasts. I look completely different in clothes. I am very happy with the results, I wish I had had the operation 10 years ago. I was a 38GG I am now a 38C.”
OL, age 32, Exeter, Bilateral Breast Reduction (BBR) 6 weeks post-operation
This patient underwent a bilateral breast reduction using an inverted T scar and a superior-medial technique. 1230g was removed from the right breast and 1080 from the slightly smaller left breast. In total this is over 2Kg. Upper back and neck pain is often better and all the other symptoms of having large breasts such as the bra straps digging in, poor posture, redness and skin problems. At six weeks there is still a little swelling and puckering of the nipples which may take a few months to resolve. Breast reduction surgery is usually associated with high levels of patient satisfaction.
Breast Reduction
“My Back pain and neck pain have gone. I don’t know why I waited so long. I should have had it done years ago.”
SD, Age 52, Exeter, Devon, Bilateral Breast Reduction
This patient underwent a Bilateral Breast reduction using a super-medial technique to preserve the breast blood supply. These photographs were taken 6 weeks after the operation and the scars can be expected to fade over the next 12 months.
Breast Reduction
“100% successful in every respect, physical, emotional and psychological.”
WD, Age 69, Devon, Bilateral Breast Reduction
Bilateral Breast Reduction using a free nipple graft to reduce and elevate the breast tissue. Over 2.5 kg of breast tissue was removed.
Breast Reduction
“After the surgery I recovered very quickly, my clothes fit much better and I’ve found that I need my inhaler much less often so I am very pleased.”
BL, Age 33, Guernsey, Bilateral Breast Reduction
This patient underwent a bilateral breast reduction removing 800g of tissue from the larger right breast and 700 g from the slightly smaller left breast to even up the cup volume. It is very common with large breast to have a little difference in size between the two sides and usually surgery will reduce the difference between the breast sizes. Heavy breasts can cause neck and back ache and breast reduction can help with these symptoms. This is often due to improved posture after surgery perhaps more so than the physical reduction in weight. There can also be quite a lot of breast weight on the chest with heavy breasts, especially when lying down and for this patient breast reduction surgery also helped her in her breathing.
Breast Reduction
“Everything was good, I was very well looked after. My breathing and posture is better and I can climb stairs more easily.”
KA, Age 70, Devon, Bilateral Breast Reduction
This 70 year old lady underwent a bilateral breast reduction and the results shown are at 3 months.
669g of breast tissue was removed from the right breast and 50 g from the left breast to reduce the difference in size between the breasts. Breast reduction surgery can be a very effective operation in young women but also in older women and if you are fit and healthy, with no other risk factors, then age should not be a barrier to surgery. Breast reduction surgery can produce a physical and psychological benefit in many patients. Weight is removed from the breast and the nipple position is elevated. Predicting the exact bra size can be difficult but generally between a C and a D cup can be achieved depending on the pre-operative chest and breast size.
Breast Reduction
“I was a little apprehensive but the results are better than I expected.”
TM, Age 54, Torbay, Devon, Bilateral Breast Reduction
Bilateral breast reduction removing 793 g from the right and 730g from the left breast. The photographs show the results at 6 weeks following surgery and the scars can be expected to fade over the next 12 months
Breast Reduction
“I am very pleased with the results.”
LH, Age 40, Exeter, Devon, Bilateral Breast Reduction
This patient underwent a bilateral breast reduction procedure and the results shown are at 6 weeks. The scars are at their most red at this stage and will now fade over the coming months. Approximately 1.3kg of tissue was removed from each breast (about 3 lb) to achieve this result using a T scar technique and a superior breast pedicle was used to keep the nipple and areolar well perfused during the healing period.
It is important not to smoke for several weeks before and after this procedure as this helps maintain the blood supply to the skin and especially the nipple during the healing period. Any planned weight loss is also best completed before surgery to avoid further drop of the breast after surgery which can occur with further weight loss. A few pounds of fluctuation in weigh up or down however will make very little difference and is not a problem around the time of surgery.
Breast reduction procedures can be associated with a high level of patient satisfaction.
Breast Reduction
“I am very pleased with my new look and it has change my life in a positive way.”
JG, Age 40, Plymouth, Devon, Bilateral Breast Reduction
From the left breast 499g of tissue was removed and from the right 433g. A supero-medial pedicle was used with a T pattern scar. The results shown are at 3 months
Breast Reduction
“I wish I had it done years ago, I’m really pleased with the results.”
RT, Age 68, Devon, Bilateral Breast Reduction
350 g was removed from the right side and 300g from the lefts side using a Wise pattern (T Scar) technique with a superior medial pedicle.
Breast Reduction
FT, Age 29, Devon, Bilateral Breast Reduction
This patient underwent a bilateral breast reduction using a Wise pattern inverted T scar technique. Results shown are at 6 weeks post operation.
Breast Reduction
“I had very little pain it has made a huge difference. The care I received was excellent.”
TV, Age 73, Exeter, Devon, Bilateral Breast Reduction
1350 g was removed from the right breast and and 1250 g from the left, using a super-medial technique. On the right breast these was some fat necrosis requiring a small further procedure under local anaesthetic and dressing for a few months due to intermittent drainage of the fat. Fat necrosis is a complication of this type of procedure especially when a large breast reduction is undertaken using a pedicle technique. This is due to an area of fatty tissue havibg insufficient blood supply and may also present as a hard lump. It generally resolves in 6-12 months. Results are shown at 6 months after surgery.
Breast Reduction
“I wish I had done this sooner. I am very happy overall.”
ES, Guernsey, Breast Reduction
Breast Reduction
“I am delighted with the results of surgery, I wish I had done it years ago.”
NI, Guernsey, Age 65, Breast Reduction
Breast Reduction
“I am over the moon, I have joined a gym and it has transformed my life.”
KT, Age 56, Devon, Bilateral Breast Reduction with free nipple graft technique
Breast Reduction
“I had very little discomfort and it has made a big difference to my life and everything I do.”
LD, Age 36, Devon, Breast Reduction, 660g reduction on the right side and 620g reduction on the left side
Bilateral Breast Reduction/Mastopexy
“I feel much more confident , my breast are less heavy and less droopy.”
YK, Age 58, Exmouth, Devon, Bilateral Breast Reduction
This patient underwent a bilateral breast reduction removing 385 g of tissue from the larger breast on the right and 246 g of tissue from the left breast to reduce the difference in size between the breasts.
These photographs show the scaring at 6 months following the procedure which generally will continue to improve for 12 to 18 months after surgery.
Breast Reduction & Mastopexy
“It was 100% worthwhile . It was slightly more painful than I expected for a few days. I might consider breast implants in the future after having children.”
AM, age 28, Exeter, Devon, Breast Reduction & Mastopexy
This lady underwent a right sided breast left (mastopexy) and a left side reduction so that the volume of each breast is more similar. In the future she may loose breast volume and now the breast have been elevated this will be a an option for her. These are the early results at 6 weeks where the scars are still quite red and these will fade over the next 6 to 12 months. In the future as she ages the breast volume may decrease, and this can also happen after pregnancy and so there is the option to have an implant in the years to come now that the nipple and areolar have been lifted up.
Breast Reduction & Mastopexy
“I am very pleased and much more confident about myself. I had very little discomfort after the procedure.”
TW, Torquay, Age 46, Breast Reduction & Mastopexy (9 months after right mastopexy left mastopexy with a 190g reduction)
Breast Reduction & Abdominal Liposuction
“I am really chuffed, super result. My back pain has nearly disappeared”
BC, Age 50, Torquay, Breast Reduction 840g Right, 750g Left and abdominal liposuction
Bilateral Breast Reduction & Liposuction to the lateral breast fold
“This is the best thing I have had done, I wish I had done it years ago. My bra straps no longer dig in and my back pain is so much better that I no longer need my weekly chiropractor sessions. The travel arrangements after I landed in Exeter from Guernsey were excellent, everything went very smoothly and the nurses at Mount Stuart hospital were lovely”
CK, Age 60, Guernsey, Bilateral Breast Reduction & Liposuction to the lateral breast fold
This patient underwent bilateral breast reduction and liposuction removing 940 g of breast tissue from the left breast and 685 g from the right breast. In addition 400mls of fatty tissue was removed from the lateral breast folds using liposuction at the same time Results are shown at 6 weeks.
If the fatty tissue continues from the lateral breast round the side of the body on the chest wall then sometimes additional liposuction at the time of the breast reduction can be useful to achieve a better result especially in the lateral chest area. With obvious differences between the size of the breasts on each side then different amounts of tissue need to be removed to improve symmetry. If there is pre-existing inversion of the nipple as in this case then this may actually be more pronounced post operatively as there is less weight pushing the nipple out when the nipple is repositioned from the bottom of the breast into a more youthful position higher on the breast.
Correcting the inverted nipple is a relatively straight forward procedure that can be carried out under local anaesthetic 6-8 weeks post operatively, however in younger patients caution is needed as inverted nipple correction may prevent breast feeding in the future.
Breast Reduction & Abdominal Liposuction
“I recovered very quickly and feel it was definitely worth doing”
NK, Age 64 Exeter, Devon, Breast Reduction & Mastopexy with Abdominoplasty
This patient underwent a modest breast reduction and uplift using a Wise pattern or inverted T scar, removing 150g from the right breast and 170 g from the left breast. At the same time she had an abdominoplasty and tightening of the rectus sheath including repair of two small hernias around the umbilicus which are quite common. Results shown are 3 months following surgery.
