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Feel lighter, freer and more confident with a Breast Reduction Surgery

Ease the neck, back and shoulder strain of heavy breasts. Consultant plastic surgeon Mr Manaf Khatib plans every reduction around your body, in London and Hertfordshire.

  • UK and EU board certified plastic surgeon
  • Usually a day case, home the same afternoon
  • Drainless technique where suitable
  • Personal follow-up for a year and beyond
  • Honest advice with no sales pressure
Book a consultation See before & afters
★★★★★122 reviews
Google ★★★★★19 reviews
Milly, 19 · Patient story
Milly before her breast reduction Milly after her breast reduction
Milly's result
★★★★★

“I've just never felt better with myself.”

Milly, breast reduction patient

Patients who made the same decision

  • Doctify 2026 Great Patient Experience award
  • Doctify 2025 Outstanding Patient Experience award
  • Safety in Beauty finalist 2025, Best Surgical Results
  • Aesthetics Awards finalist 2024, Best Surgical Result
  • Safety in Beauty Diamond Awards finalist 2024
★★★★★

Verified patient

My experience with Mr Khatib has been fantastic. I immediately felt at ease with him and he was so caring and kind throughout the whole process. I was able to ask all the questions I needed to and he answered them thoroughly. I felt safe and confident in going forward with the breast reduction, after more than 30 years of putting it off. The surgery went extremely well and so quickly! I was home the same afternoon which meant I was able to rest and recover properly in my own surroundings which I feel has helped so much for a smooth recovery. If there’s anything I’ve ever wanted to ask, I have been able to call or email without feeling any hesitation to do so and have always been reassured that I can contact him at any time. The results of the surgery are superb! I’m really happy and will be forever grateful! I highly recommend Mr Khatib for his amazing work and for making this such a wonderful and positive experience.

★★★★★

Verified patient

I was so nervous to undergo a breast reduction surgery but I’m so happy with the results. Dr Khatib did an amazing job and I’d recommend him to anyone.

★★★★★

Verified patient

I cannot recommend Mr Manaf Khatib highly enough. I had a bilateral auto-augmentation mastopexy with him, and the entire experience from start to finish was exceptional. The results have genuinely been life-changing for me. Mr Khatib made me feel completely safe and cared for throughout the whole process. From the first consultation he was kind, professional, and took the time to explain everything clearly, which really helped put me at ease. I always felt listened to and never rushed when asking questions. The care I received before and after surgery was outstanding, and I felt fully supported at every stage of my journey. Most importantly, the results are beautiful and very natural, better than I ever imagined. I’m so grateful to Mr Khatib for his skill, professionalism, and the confidence he has given me. I would wholeheartedly recommend him to anyone considering this procedure.

★★★★★

Verified patient

Mr Khatib was an excellent Surgeon from start to finish. Very well explained and answered any worries I had. Checked in with myself regularly before and after surgery, and called my family once out of surgery to advise them how I was whilst I was asleep. Very happy with the end results. Highly recommend!

★★★★★

Verified patient

Couldn’t have had a better surgeon. Made me feel very much at ease, the communication was great and everything was handled with top professionalism. Very very happy

Read all 122 reviews on Doctify

Do you plan outfits around your bra straps?

Do your shoulders ache by lunchtime, and does a simple jog feel out of reach? We hear this every week, and we understand how draining it is. Breast reduction surgery removes excess tissue and skin, lifts what remains and brings your breasts into proportion with your frame. You will feel lighter, stand taller and move with ease again.

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Woman rubbing her aching neck and shoulder at home
Woman frustrated as she holds up a blouse that will not fit
Woman stretching freely in a sunlit yoga studio

Real breast reduction results from Mr Khatib’s patients

Drag the handle across each photo to reveal the result.

The images displayed have been published with the consent of the patients. Outcomes vary and are specific to each individual, influenced by factors such as genetics, diet, and lifestyle. These images are examples only and should not be seen as indicative of expected results for all patients. For privacy, identifiable items like tattoos or jewellery may be blurred.

Milly before her breast reduction Milly after her breast reduction

Before and after

Case study

Milly’s story

  • Age19
  • ProcedureBreast reduction
  • ConcernPtosis and asymmetry

The concern

As a young patient, Milly came to us with concerns of significant breast ptosis (sagging), where the nipples sat well below the breast crease. The weight and elongation of her breasts not only caused physical discomfort but also created visible asymmetry.

The procedure

Under the care of Mr Manaf Khatib, she underwent a carefully tailored breast reduction. The results were immediate: a lighter, firmer and more youthful contour, with the nipples repositioned to a natural, harmonious height. The overall shape now complements her frame, restoring balance and symmetry.

The procedure also addresses functional issues such as neck, back and shoulder discomfort, as well as posture difficulties caused by excess breast weight.

The result

Her genuine smile and reaction as she came out of theatre reflect the renewed confidence this transformation has already brought.

“Straight away my mind was put at ease. Dr Khatib was so kind and the rest of the staff was just so helpful. There was honestly nothing for me to worry about.”

Milly, breast reduction patient
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What breast reduction can do for you

Most women come to us for physical relief. Many leave with something they did not expect: a sense of ease in their own body.

  • Relief from neck, shoulder and back ache

    Less weight pulling forward means less strain through your upper body every day.

  • Better posture without trying

    Stand tall with your shoulders back, rather than bracing against the weight.

  • Freedom to exercise

    Run, swim, dance or join a class without double sports bras or discomfort.

  • Clothes that fit

    Tops, dresses and swimwear that fit your bust and your waist in the same size.

  • Healthier skin

    No more rashes, soreness or sweat trapped in the fold beneath the breast.

  • A lifted, balanced shape

    Breasts in proportion with your frame, with nipples set at a natural height.

Woman adjusting a bra strap that has left a deep groove in her shoulder

You are likely to be a good candidate if you

  • are in good general health
  • have been at a stable weight for a few months
  • do not smoke, or can stop for six weeks before and after surgery
  • want comfort and proportion, with realistic expectations

Is breast reduction right for you?

Breast reduction may be right for you if the size and weight of your breasts affect your body and your everyday life. Many women we see live with neck, shoulder or back pain that will not settle, deep grooves where their bra straps sit, and rashes or soreness under the breasts. Some avoid exercise because of the weight, struggle to find clothes and bras that fit properly, or feel self-conscious about their size. Others notice that one breast is noticeably larger than the other, or that their breasts became heavier and lower after pregnancy or weight change. If any of this sounds familiar, a consultation with Mr Khatib will confirm whether reduction mammoplasty is the right step for you.

Talk it through with Mr Khatib

How does breast reduction surgery work?

A breast reduction procedure, known medically as reduction mammoplasty, removes a measured amount of glandular tissue, fat and skin. The nipple and areola stay attached to a pedicle, a bridge of living tissue that carries their blood supply and nerves, and are moved up to a new position.

The remaining tissue is folded into a lifted, rounder cone and the skin is tightened around it. Treating both sides is called bilateral breast reduction, and Mr Khatib plans each side individually to correct any difference in size.

Around the areola, straight down and along the crease beneath the breast. Best for larger reductions, as it allows the most skin to be removed and the most lift.

Mr Manaf Khatib performing breast reduction surgery in theatre

How long does breast reduction surgery take?

Surgery time
2 to 2.5 hours
Anaesthetic
General
Hospital stay
Usually a day case
Drains
Drainless where suitable
Time off work
1 to 2 weeks
Support bra
6 weeks

Your treatment journey, step by step

  1. Mr Khatib explaining a surgical plan on a tablet to a patient

    Consultation

    Mr Khatib listens to your symptoms and goals, examines and measures you, and explains your options, scar pattern, recovery and risks. You never feel rushed.

  2. Mr Khatib writing careful notes at his desk

    Planning and pre-op checks

    You receive a written plan and quote, have any pre-operative tests, and get clear instructions on medication, smoking and what to bring.

  3. Mr Khatib in surgical scrubs reviewing a surgical plan in theatre

    Surgery day

    Mr Khatib marks you up before a general anaesthetic. The operation takes around two to two and a half hours, and most patients go home the same day.

  4. Woman resting comfortably at home with a cup of tea

    The first two weeks

    Rest at home in your support bra, with pain relief as needed. A nurse checks your wounds at one week, and you can call with any question.

  5. Mr Khatib greeting a happy patient at a follow-up appointment

    Follow-up with Mr Khatib

    You see Mr Khatib himself at six weeks, three months and one year, then yearly. Gentle exercise from two weeks, moderate from six.

  6. Woman smiling at her reflection while trying on a fitted dress

    Your new normal

    By three months most women are back to full activity. Your shape keeps settling for several months and scars continue to soften and fade.

Why women choose Mr Khatib for breast reduction surgery in London

Mr Manaf Khatib, consultant plastic surgeon, in his London clinic

Ethical guidance

You get honest advice about what will help, and what will not. Mr Khatib will never recommend surgery you do not need.

Dual board certification

One of few UK plastic surgeons to pass both the UK (FRCS Plast) and European (FEBOPRAS) board examinations.

Meticulous planning

Every incision is measured and marked by hand, so scars sit as discreetly as possible and both sides match.

Calm private consultation suite with daylight and soft furnishings

Complete transparency

Clear information on risks, recovery and cost before you decide, with a written quote and no surprises.

Prestigious training

Aesthetic and reconstructive fellowships at the Cadogan Clinic, the Wellington, Guy’s and St Thomas’ and the Royal Marsden.

Devoted, personal care

You deal with Mr Khatib from consultation to final review, and you can reach his team whenever you need to.

★★★★★

“It has completely changed my life.”

I recently underwent a bilateral breast reduction with Dr. Manaf Khatib and I can honestly say it has completely changed my life. I’d looked into having this procedure done for years and had done extensive research on different surgeons and I was so impressed with Dr. Khatibs results I went ahead and booked my consultation.

From this initial consultation and throughout the whole process, Dr. Khatib and his team made sure I was very well informed and honest with what results were realistic for me. I felt very supported, listened to and completely at ease to go ahead with the procedure.

Recovery was fairly quick and the scarring is very minimal, I genuinely couldn’t be happier with my results. The whole process was much easier than I had anticipated and Dr. Khatib was very quick to answer any questions or concerns I had. After care support was also amazing.

I can’t thank Dr. Khatib enough and I absolutely love my results. They’ve given me a newfound confidence and have completely changed my life.

Once again, a massive thank you to Dr. Manaf Khatib and his team. I would highly recommend him a thousand times over to anyone considering this procedure.

Nicole WarnBilateral breast reduction · Google review
Mr Manaf Khatib at his desk
Mr Khatib operating in theatre
Safety in Beauty Diamond Awards finalist 2025, Best Surgical Results Aesthetics Awards finalist 2024, Best Surgical Result Safety in Beauty Diamond Awards finalist 2024

Meet Mr Manaf Khatib

MBBS (Distinction) MSc (Distinction) MRCS FRCS(Plast) FEBOPRAS

Consultant Plastic, Reconstructive and Aesthetic Surgeon. GMC number 7083951.

Mr Khatib is a consultant plastic surgeon based in London and Hertfordshire, with his NHS practice at the Lister Hospital. He qualified from St George’s, University of London in 2010, completed a Master’s in Surgical Sciences with distinction at the University of Edinburgh, and trained in plastic surgery at Cambridge, Norwich and the renowned St Andrew’s Centre for Plastic Surgery.

He was selected as the BAAPS/BAPRAS aesthetic surgery fellow at the Cadogan Clinic and completed a second aesthetic fellowship at the Wellington Hospital, followed by breast and microsurgical reconstruction fellowships at Guy’s and St Thomas’ and the Royal Marsden. That reconstructive background shapes his reductions: careful handling of blood supply, sensation and symmetry.

He lectures nationally, publishes in the medical literature and won the Douglas Harrison Prize for his research.

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Registered and recognised by

  • General Medical Council
  • Royal College of Surgeons of England
  • British Association of Aesthetic Plastic Surgeons
  • British Association of Plastic Reconstructive and Aesthetic Surgeons

Breast reduction surgery cost in London

Every reduction is planned around your body, so your fee is confirmed in a written quote after your consultation. No hidden extras, and no pressure to decide on the day.

What shapes your quote

  • The hospital you choose in London or Hertfordshire
  • The technique and the amount of tissue removed
  • Whether an overnight stay is advised
  • Combined procedures, such as liposuction

What your quote sets out

  • Surgeon, anaesthetist and hospital fees
  • Your post-surgery support bra
  • Nurse wound check at one week
  • Follow-up appointments with Mr Khatib

Spread the cost. Finance is available through partner hospitals, including the Cadogan Clinic and One Hatfield Hospital.

Request your personalised quote

Mr Khatib is recognised by leading insurers. Breast reduction is not always covered, so check your policy before your consultation.

  • Bupa
  • AXA Health
  • Aviva
  • Vitality
  • WPA
  • Aetna

Your questions, answered

Something else on your mind? Ask Mr Khatib’s team on 020 3475 0840.

Woman researching breast reduction on her laptop at home
Is breast reduction surgery safe?

Breast reduction is a well-established operation when performed by a specialist plastic surgeon in an accredited hospital. Like any surgery it carries risks, including bleeding, infection, wound healing problems, changes in nipple sensation and asymmetry. Mr Khatib reviews your health and medical history in detail and explains how each risk applies to you.

Is breast reduction surgery painful?

Most patients describe tightness and discomfort rather than severe pain. It is well controlled with prescribed medication and eases steadily over the first one to two weeks. Many women notice their old back and shoulder ache has gone almost straight away.

How long does a breast reduction take to heal?

Wounds are usually healed within two to three weeks. Swelling settles over six to twelve weeks, and your final shape and softer, paler scars develop over twelve to eighteen months.

Will I have scars?

Yes, every breast reduction leaves scars. They are placed around the areola, down the lower breast and, for larger reductions, in the crease underneath, so they are hidden by underwear and swimwear. Mr Khatib gives you a scar care plan and reviews healing at each follow-up.

Can I breastfeed after a breast reduction?

Many women can, because the nipple stays connected to the underlying tissue, but it cannot be guaranteed. If you plan to breastfeed in the future, tell Mr Khatib at consultation so he can discuss timing and technique with you.

Can I choose my new cup size?

You can tell us the size you would like, and Mr Khatib will advise what is achievable and proportionate for your frame. Cup sizes vary between brands, so he plans by volume and shape rather than a letter.

Will my results last?

Removed tissue does not grow back, so the reduction is permanent. Your breasts will still change with age, pregnancy and weight, so keeping a stable weight helps your result last.

When can I drive again?

Most patients drive again after about two weeks, once they can wear a seatbelt comfortably and turn the wheel quickly in an emergency. Check your insurer’s terms too.

Can I get a breast reduction on the NHS?

NHS funding for breast reduction is limited and criteria vary by area, so waiting lists can be long. Choosing private surgery means you choose your surgeon, your hospital and your date.

Book your breast reduction consultation

Send us a few details and Mr Khatib’s secretary will call you to arrange a consultation in London or Hertfordshire at a time that suits you.

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