Different Techniques Used for Breast Reduction

Breast reduction, also known as reduction mammoplasty, is performed to decrease breast size in women with oversized breasts. Large breasts can cause pain, breathing problems, skeletal deformities, rashes, improper posture, and loss of self- esteem. Breast reduction surgery can address these problems by removing fat and glandular tissue to make the breasts smaller and more proportionate to the body. The procedure also involves repositioning of the nipple higher, and this is often a necessity in the case women with very large breasts.

Methods Used to Perform Breast Reduction Surgery

Vertical Scar

The vertical breast reduction technique (short scar reduction) is ideal for small to medium reductions and can result in shapely breasts. The incision extends around the areola and vertically down to the breast crease. It usually takes less time to perform than other techniques and involves less scarring. It is generally applicable when for reduction of approximately up to 750 grams or about 1.7 pounds from each breast.

Liposuction only

Minimal or no visible scarring can be expected with liposuction only breast reduction. The procedure is used for younger patients with adequate skin tone and those who need only mild or moderate reduction. The technique reduces the size of breasts by removing the excess fatty tissue. It leaves nipples intact with minimal to no sensory changes of the nipple areola.

Breast reduction using only liposuction may not be suitable for more slender women with large breasts, women with very pendulous breasts, or women with excessively large or dense breasts, as in such cases, there is much more glandular tissue than fat.

Wise Pattern

The wise pattern is applicable in cases where a large amount of breast tissue (more than 750 grams) is to be removed. Incisions are placed along the inframammary border of the breast, one from the fold up to the areola and another around the border of the areola. Skin, fat, and tissue are removed from the lower breast area. Also, it is effective when the patient has poor skin quality or saggy breasts due to massive weight loss, or when the nipple-areola complex has to be moved a long distance.

Excessively large breasts often lead to neck, back and shoulder pain, restrict lifestyle and activities, cause indents where bra straps are supported, and result in breathing problems. Women facing one or more of these difficulties should consult a plastic surgeon with experience in this cosmetic surgery procedure to determine candidature for breast reduction. The surgeon will determine the most suitable technique to be used based on individual circumstances.