Breast reduction is more commonly performed through incisions with surgical removal of the excess fat, glandular tissue and skin that contribute to large, pendulous breasts. The most common approach is a keyhole incision pattern.

The nipple, which remains tethered to its original blood and nerve supply, is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary. The vertical incisions are brought together to reshape the now smaller breast. Non-removable sutures are layered deep within the breast tissue o create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin.

There are alternative incision patterns that may be recommended depending on the amount of tissue and skin to be removed and the quality of skin elasticity. One is a circular pattern around the areola. Another is a racquet-shaped pattern with an incision around the areola and vertically down to the breast crease. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast. In any case, the incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.

In some cases, excess fat may be removed through liposuction in conjunction with excision techniques. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used for breast reduction. In every case, the technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, and patient and surgeon preference.

More>>>