Breast · Abu Dhabi & Dubai
Breast Reduction & Lift
Medically reviewed by Dr. Paulo Michels, Board-Certified Plastic Surgeon· Updated 18 July 2026

Breast reduction (reduction mammoplasty) removes excess breast fat, glandular tissue and skin to relieve chronic back, neck and shoulder pain and restore a lighter, lifted, proportionate shape. Dr. Paulo Michels performs the surgery at Elyzee Hospital in Abu Dhabi, welcoming patients from Dubai and across the UAE, using the Internal Bra technique and surgical glue closure for lasting, refined results.
Large or sagging breasts can cause both physical discomfort and aesthetic concern. Chronic neck and back pain from overly large breasts affects daily life, while drooping (breast ptosis) impacts self-confidence and posture. If disproportionately large breasts are causing you physical discomfort and emotional distress, breast reduction surgery offers a life-changing solution. Also known as reduction mammoplasty, the procedure removes excess breast fat, glandular tissue and skin to achieve a size that is lighter, firmer and in perfect harmony with your body. At Elyzee Hospital in Abu Dhabi, Dr. Paulo Michels combines advanced surgical techniques with a deep understanding of body aesthetics — the goal is a safe, comfortable experience that restores not just your physical well-being, but your self-confidence.
What can breast reduction change for me?
Living with macromastia (overly large breasts) is both a physical and an emotional burden. Many women seek relief from daily struggles that often go unseen.
Physical benefits:
- Immediate pain relief — eliminates chronic back, neck and shoulder pain caused by the heavy weight of the breasts
- Better posture — removes the forward-pulling weight so you can stand tall
- Improved mobility — makes exercising, running and daily activities comfortable again
- Skin relief — resolves painful bra-strap grooving and chronic skin irritation beneath the breast crease
Psychological benefits:
- Enhanced confidence — alleviates the self-consciousness often associated with unwanted attention or feeling out of proportion
- Wardrobe freedom — makes finding properly fitting bras, swimsuits and clothing a joyful experience rather than a frustrating chore
- Renewed self-image — post-surgery, patients consistently report a profound boost in self-esteem, feeling finally at home in their own bodies
Am I the ideal candidate?
Breast reduction is a highly personal decision. You may be an excellent candidate if you:
- Experience chronic back or neck pain due to breast size
- Struggle with skin irritation under the breasts
- Feel your breasts restrict your physical activities
- Desire better overall body harmony and proportion
- Are in good general health and maintain a stable weight
Breast reduction can be performed at almost any age once breast development is fully complete — typically around 18 years old. Women in their 20s, 40s and beyond frequently undergo the procedure to improve their quality of life.
How does Dr. Paulo Michels reshape the breast?
Dr. Paulo Michels uses the most modern approaches in plastic surgery to ensure lasting results, optimal support and beautiful aesthetics.
The Internal Bra technique. To provide exceptional long-term support and prevent future sagging, Dr. Michels uses your body’s own robust tissue (or specialised medical mesh) to create a supportive internal sling at the base of the breast — a youthful, lifted shape that stands the test of time.
Reshaping without implants. A common misconception is that implants are required for a beautiful shape. In the vast majority of cases, no implants are needed: Dr. Michels skilfully reshapes your existing natural tissue into a firm, perky, beautifully contoured breast.
Correcting asymmetry. It is very common for women to have breasts of different sizes. During a breast reduction, Dr. Michels can remove different volumes of tissue from each side to create a highly symmetrical and balanced appearance.
Which incision will I have?
The incision pattern depends on your anatomy and the amount of tissue to be removed:
| Incision | Pattern | Best for |
|---|---|---|
| Lollipop (vertical) | Around the areola and straight down to the breast crease | Moderate reductions |
| L-shape (short-scar) | Around the areola, vertically down, then horizontally outward along the outer crease only | Significant reshaping with zero scarring in the inner cleavage area |
| Anchor (inverted T) | Around the areola, vertically down, and horizontally along the breast crease | More significant reductions |
Our commitment to scarring. Scarring is a primary concern for most patients. To ensure the highest quality healing and the finest possible scars, incisions are meticulously closed with advanced surgical glue — a waterproof barrier that protects the incision, promotes smoother healing and eliminates external stitches that leave track marks. While all surgeries leave some scarring, incisions are strategically placed to be hidden under a bra or swimsuit, and the scars fade significantly over time.
What is the recovery like?
Modern surgical protocols at Elyzee Hospital allow a smoother, faster recovery than ever before:
| Milestone | What to expect |
|---|---|
| Day of surgery | Wake in a comfortable recovery suite; most patients are cleared for same-day discharge to rest at home |
| Days 1–3 | Rest is essential; mild to moderate swelling and discomfort, managed with prescribed medication |
| 1 week | Return to desk jobs, light daily activities and driving |
| 3–4 weeks | Gradually resume moderate exercise and cardiovascular activity |
| 6 weeks | Full clearance for heavy lifting and strenuous workouts; swelling has significantly subsided, revealing your new, lighter shape |
Most patients describe the recovery as uncomfortable rather than severely painful — a feeling of tightness and manageable soreness for the first few days, effectively controlled with prescribed oral medication. Light walking is encouraged immediately to promote blood circulation.
You will be fitted with a specialised, wire-free surgical compression bra immediately after the procedure, worn day and night for the first 4 to 6 weeks to minimise swelling and support your new breast shape.
How do I prepare, and why choose Dr. Paulo Michels?
Preparation includes maintaining a stable weight, stopping smoking at least 4 weeks before surgery and pausing certain medications such as blood thinners — a comprehensive, step-by-step guide is provided at your consultation. Breast reduction is a routine and safe procedure when performed by a highly trained plastic surgeon in a fully equipped facility, and comprehensive pre-operative screening is always conducted.
Dr. Paulo Michels combines international plastic surgery expertise with an artistic eye for body harmony. With advanced techniques such as the Internal Bra and surgical glue closure, he delivers safe, premium care and beautiful, lasting results in the world-class environment of Elyzee Hospital in Abu Dhabi.
Questions, answered
Breast Reduction & Lift in Abu Dhabi — your questions
What is breast reduction surgery?+
Breast reduction, clinically known as reduction mammoplasty, removes excess fat, glandular tissue and skin from the breasts. It achieves a breast size proportionate to your body and relieves the physical discomfort associated with overly large breasts.
Am I a good candidate for a breast reduction?+
You are an ideal candidate if you experience chronic back, neck or shoulder pain, skin irritation beneath the breasts, or restricted physical activity due to heavy breasts. Candidates should be in good general health and have realistic expectations about the surgical outcomes.
Will a breast reduction cure my back and neck pain?+
For the vast majority of patients, yes. Reducing the heavy, forward-pulling weight of the breasts provides immediate and significant relief from chronic back, neck and shoulder pain, while naturally improving posture.
Do I need breast implants during a breast reduction?+
In most cases, no. Dr. Paulo Michels uses your own natural breast tissue to reshape, lift and create a firm, beautifully contoured breast without the need for foreign materials.
What is the Internal Bra technique in breast reduction?+
The Internal Bra is an advanced method that uses your body's own robust tissue to create a supportive internal sling at the base of the breast. It provides exceptional long-term support and prevents the breasts from sagging over time.
What are the different incision types for a breast reduction?+
There are three main incision techniques: the Lollipop (vertical), the L-shape (short-scar, avoiding the inner cleavage) and the Anchor (inverted T). Dr. Michels selects the best technique based on your anatomy and the volume of tissue being removed.
What is the L-shape incision in breast reduction?+
The L-shape incision goes around the areola, vertically down, and horizontally outward along the outer breast crease only. It is an advanced, short-scar technique that allows significant reshaping while completely avoiding any visible scarring in the central cleavage area.
Will I have visible scars after a breast reduction?+
While all surgeries leave some scarring, incisions are strategically placed to be hidden under a bra or swimsuit. The scars fade significantly over time and are minimised through advanced closure techniques and meticulous aftercare.
How does surgical glue improve breast reduction scars?+
Incisions are closed with advanced surgical glue — a waterproof skin adhesive that protects the area, promotes a smoother, faster healing process and eliminates the need for external stitches that can cause track-mark scarring.
How long does a breast reduction surgery take?+
The procedure typically takes between 2.5 and 4 hours to complete, depending on the complexity of the reshaping and the amount of tissue being removed.
Can I go home the same day after breast reduction surgery?+
Yes. Thanks to modern surgical protocols and refined anaesthesia techniques at Elyzee Hospital, most patients experience a smooth recovery and are safely discharged to go home on the same day as their surgery.
Is breast reduction a safe procedure?+
Yes, when performed by a highly trained plastic surgeon in a fully equipped medical facility, breast reduction is a highly routine and safe procedure. Comprehensive pre-operative screenings are always conducted to ensure your safety.
How long is the recovery time for a breast reduction?+
Initial recovery takes about 1 to 2 weeks. Most patients return to desk work within 7 to 10 days. Heavy lifting and strenuous exercise should be avoided for a full 6 weeks to allow the internal tissues to heal properly.
Is the recovery from breast reduction painful?+
Most patients describe the recovery as uncomfortable rather than severely painful. You will experience a feeling of tightness and manageable soreness for the first few days, which is effectively controlled with prescribed oral medication.
When can I exercise again after a breast reduction?+
Light walking is encouraged immediately to promote blood circulation. You can resume moderate cardiovascular exercise after 3 to 4 weeks, and you will be fully cleared for heavy lifting and high-impact workouts at the 6-week mark.
What kind of bra should I wear after surgery?+
You will be fitted with a specialised, wire-free surgical compression bra immediately after your procedure. You must wear this garment day and night for the first 4 to 6 weeks to minimise swelling and support your new breast shape.
Will I lose sensitivity in my nipples after a breast reduction?+
Temporary changes or numbness in nipple sensation are very common during the initial healing phase. However, the surgical techniques used are designed to protect nerve pathways, and the vast majority of patients have their sensitivity fully preserved once healed.
Can I still breastfeed after a breast reduction?+
While no surgeon can guarantee 100 percent breastfeeding capability, modern techniques prioritise the preservation of milk ducts and glandular connections. Most patients retain the ability to breastfeed successfully after their surgery.
Will my breasts grow back after a reduction?+
The fat, skin and glandular tissue removed during surgery will not grow back. However, significant weight gain, hormonal fluctuations or future pregnancies can cause the remaining breast tissue to expand. Maintaining a stable weight ensures permanent results.
Does breast reduction surgery also lift the breasts?+
Yes. A breast reduction inherently includes a breast lift (mastopexy). As excess weight is removed, the nipple and areola are repositioned higher on the chest wall, resulting in a lighter, perkier and more youthful breast profile.
What is a good age to get a breast reduction?+
Breast reduction can be performed at almost any age once breast development is fully complete, which is typically around 18 years old. Women in their 20s, 40s and beyond frequently undergo the procedure to improve their quality of life.
Can asymmetry be corrected during a breast reduction?+
Yes. It is very common for women to have breasts of different sizes. During a breast reduction, Dr. Michels can remove different volumes of tissue from each side to create a highly symmetrical and balanced appearance.
Does insurance cover breast reduction in Abu Dhabi?+
No — breast reductions are not covered by insurance.
How do I prepare for my breast reduction surgery?+
You will need to maintain a stable weight, stop smoking at least 4 weeks prior to surgery, and pause certain medications such as blood thinners. The medical team provides a comprehensive, step-by-step preparation guide during your consultation.
Why choose Dr. Paulo Michels at Elyzee Hospital for this procedure?+
Dr. Paulo Michels combines international plastic surgery expertise with an artistic eye for body harmony. By using advanced techniques such as the Internal Bra and surgical glue closure, he delivers safe, premium care and beautiful, lasting results in the world-class environment of Elyzee Hospital in Abu Dhabi.
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