Before going down to theatre, Mr. Solomos uses a marking pen to draw on the breasts in order to determine the exact position and size of the newly operated breasts. He will then show you approximately where the new reconstructed breast and nipple position will be. Excess breast tissue, fat and skin are then removed. During the operation, the nipples are preserved on a stalk of breast tissue and repositioned by moving them to a new higher location, all in accordance with the preoperative markings. So although a breast size reduction is performed, all patients will also benefit from a breast uplift as well. The nipple is usually positioned in a line level with approximately the middle part of your arm or your under breast crease. The suture line is situated around the nipple in its new position, and extends vertically downwards to the under-breast crease and another one ubder the breast in the crease. Mr. Solomos will be able to discuss this with you at the time of your consultation and show you precisely where these will be situated. Finally some tapes, and a light dressing is applied over the suture lines following the plastic surgery. All sutures used are of the dissolving kind and will not need to be removed. You will also then be asked to wear a firm sports bra for support. Mr. Solomos does not use drains routinely. He has deemed these not necessary and has stopped using them for a number of years, without any adverse effects. Patients appreciate the fact that they no longer require any drains to be removed from the breasts after the cosmetic surgery.