WHAT IS BREAST REDUCTION SURGERY?
Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with your body and to alleviate the discomfort associated with excessively large breasts (macromastia).
Disproportionately large breasts can cause both physical and emotional distress for patients. Patients with macromastia may experience physical discomfort resulting from the weight of their breasts. The resulting pain can make it challenging for some patients to perform common physical activities. Along with the physical ailments of macromastia, some patients may suffer from emotional distress or more significant mental health problems as a result of their large breasts.
Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia but are unhappy with the size of their breasts can still pursue breast reduction as an aesthetic procedure. Patients choosing to undergo breast reduction surgery for cosmetic reasons may cite any number of factors, including social stigmas and wardrobe concerns.
HOW ARE INCISIONS MADE?
Incision options include:
A circular pattern around the areola.
The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.
A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease. Also known as inverted T or anchor-shaped incision pattern.
Around the areola and vertically down the front of the breast.
REMOVING TISSUE AND RE-POSITIONING
After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then re-positioned. The areola is reduced by excising skin at the perimeter, if necessary.
Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).