What is Involved During Surgery?
Depending on the position of your breasts before surgery and your unique anatomy, the doctor will choose one of two primary options. In almost all of the different approaches, the nipple remains attached to your breast tissue (it is not removed and replaced) to maximize sensation and appearance.
Periareolar Breast Reduction
For mild breast reduction, the periareolar approach may be most appropriate. This utilizes an incision that is limited to the circumference of the areola. While this technique is limited in its ability to lift the breast, it can be effective for select patients with good skin tone and who require moderate reduction.
Vertical Breast Reduction
This approach limits the incisions to around the nipple and extending vertically from the nipple to the inframammary fold. This approach is used more commonly for moderately large breasts. Your surgeon will be able to review the options in detail with you after an examination to choose the best procedure for you.
Standard (Wise pattern) Breast Reduction
This approach is used most commonly and is useful for women with large and very large breasts. The resulting scar is in the shape of an anchor and allows for breast reshaping along with significant reductions in breast tissue and skin. A marked improvement in shape and size can be achieved with both approaches.
After determining the best option, your surgeon will remove excess glandular tissue, fat and skin from the breasts, recontouring them for a more pleasing and proportionate look. In some cases, he or she will opt to use liposuction to achieve the best results. The nipple and areola are repositioned at a higher level, after which the incisions are sutured as inconspicuously as possible.