Dr Senthurun (Seni) Mylvaganam is an NHS Consultant Oncoplastic Breast Surgeon offering breast reduction and uplift surgery in Birmingham and Solihull, West Midlands. Procedures are performed as day cases at Spire Parkway Hospital or Transpire Cosmetic Surgery, with 195 independently verified Doctify reviews rated Excellent.
What Is Breast Reduction and Uplift Surgery?
Breast reduction and uplift surgery reshape and reposition the breasts to achieve the appearance you want. The two procedures are closely related but serve different goals, and understanding the distinction helps you ask the right questions at your consultation.
A breast uplift (mastopexy) repositions breast tissue that has dropped over time, due to pregnancy, weight change, or natural ageing. No tissue is removed; the existing volume is reshaped and lifted, producing a fuller cleavage and a firmer profile.
A breast reduction goes further. Breast tissue is removed during the reshaping, reducing the overall breast size. For women with very large breasts, this can bring significant relief from back pain, shoulder grooving from bra straps, skin irritation under the breast fold, and difficulty with physical activity.
Both procedures leave scars. The extent and pattern of scarring depend on the technique used and how much tissue is being moved or removed. Dr Seni will explain the scar positioning clearly before you commit to surgery, so you know exactly what to expect.
Who Is a Good Candidate?
You may be suitable for breast reduction or uplift surgery if:
- Your breasts are causing physical symptoms such as back, neck, or shoulder pain
- You have skin irritation or rashes in the breast fold
- Your breasts have changed shape significantly after pregnancy, breastfeeding, or weight loss
- You feel your breast size or shape is affecting your posture, exercise, or daily comfort
- You are in good general health and have realistic expectations about outcomes
These procedures are not suitable for anyone under 18. If you are planning further pregnancies, it is worth discussing the timing of surgery at your consultation, as pregnancy can alter results. A consultation with Dr Seni is the only reliable way to assess whether you are a suitable candidate, as individual anatomy, skin quality, and health history all affect the recommendation.
Surgery is usually undertaken as a day case procedure, so you will be able to go home the same day.
If you would like to learn more about this procedure and how I can help you please do book a consult or take advantage of a free mini video consult.
What Happens During Surgery?
Both procedures are performed under general anaesthetic and are carried out as day case surgery, meaning you go home the same day. Surgery typically lasts between two and four hours, depending on the complexity and the technique required.
For a breast uplift, Dr Seni repositions the breast tissue and nipple to a higher position, removes any excess skin, and closes the wound to create the new breast shape. For a reduction, he removes a planned amount of breast tissue before reshaping and closing.
The scar pattern varies. Smaller reductions may require only a scar around the areola and a short vertical scar below it. Larger reductions typically require an additional horizontal scar in the breast fold. Dr Seni will discuss which technique suits your anatomy and your goals.
What to Expect After Surgery: Recovery Timeline
Recovery from breast reduction and uplift surgery follows a broadly predictable pattern, though individual variation is normal.
| First 48 hours | Rest at home. Expect bruising, swelling, and some discomfort managed with prescribed pain relief. You will need a support bra. |
| 1 to 2 weeks | Most patients return to light office-based work. Avoid lifting and overhead reaching. |
| 4 to 6 weeks | Gradual return to exercise and more physical activity. Strenuous sport should wait until cleared by Dr Seni. |
| 3 to 6 months | Scars continue to mature and fade. Final shape settles as swelling fully resolves. |
Why Choose Dr Seni for Breast Reduction or Uplift?
Dr Senthurun (Seni) Mylvaganam is an NHS Consultant Oncoplastic Breast Surgeon with over 20 years of experience and more than 4,000 breast surgeries completed. He trained at Royal Free and University College London, and holds the National Oncoplastic Breast Fellowship, regarded as the gold standard for breast reconstructive training in the UK.
His private practice covers Birmingham and Solihull, with clinics at Transpire Cosmetic Surgery in Birmingham and Spire Parkway Hospital in Solihull. He personally performs every consultation and takes time to understand what you want to achieve before recommending a surgical approach.
All patient feedback is independently captured and verified by Doctify. Dr Seni holds an Excellent rating based on 195 verified reviews, with 100% patient satisfaction recorded.
“Every patient I see has a different reason for wanting this surgery. My job is to understand yours, be honest about what’s achievable, and make sure you feel confident in your decision before we go anywhere near an operating theatre.”
– Dr Seni
This content is for information only and does not substitute for a clinical consultation. Every patient’s anatomy and health history is different, and the right surgical approach can only be determined after a face-to-face assessment. Book a consultation or arrange a free mini video consult to discuss whether breast reduction or uplift surgery is suitable for you.
