Breast Reduction

Breast lift, Breast Reduction

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Breast reduction or reduction mammaplasty is a cosmetic surgical procedure to reduce the size of women’s breasts. In addition to physical pain and other symptoms (back pain, neck pain, bra strap indentations on the shoulders, breathing problems, skeletal deformities and poor posture), can affect a woman’s self-esteem and make her uncomfortable with her appearance. This procedure removes fat and glandular tissue from the breast while tightening skin to produce smaller breasts that are more comfortable and in better proportion to the rest of the body.

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Candidates for a breast reduction surgery are women who has oversized breasts.The reduction mammaplasty procedure is performed under general anesthesia and takes about 2 to 4 hours which depends on the techniques used and each patient’s individual case. There are several different types of incisions in breast reduction surgery:

Traditional Breast Reduction Surgery - The “traditional” approach to breast reduction surgery also called an inverted-T pattern, anchor pattern, or Wise pattern reduction, is often the best choice for women requiring a large amount of tissue removal. In the traditional breast reduction surgery technique, incisions are made horizontally under the breast in the crease and extend vertically up to and around the nipple. Because traditional breast reduction surgery allows for excess skin removal both vertically and horizontally, it is typically the best method for women with extremely large breasts, maximizing breast reduction results.

Vertical Incision Breast Reduction Surgery- The vertical incision technique also known as short-scar technique, may result in less scarring than traditional breast reduction surgery. Vertical incision is a popular alternative to the traditional method, especially for women who do not require extensive tissue removal. Incisions extend around the areola and vertically down to the breast crease, making a “lollipop” pattern. This technique eliminates the need for the horizontal incision along the breast crease that is used in traditional breast reduction surgery. Women with moderately large breasts are the best candidates for vertical incision breast reductions. Vertical incision breast reduction surgery may not be a good choice for women requiring the removal of significant amounts of fat and breast tissue.

Liposuction Breast Reduction Surgery - This type employs liposuction techniques to reduce the size of the breasts with minimal visible scarring because liposuction can only reduce the amount of fatty tissue in the breast and this is the reason it is often performed in men with gynecomastia.

The same techniques is performed both for breast reduction and breast lift (mastopexy), often combined with augmentation witn breast silicone implants.


A new technique has been developed in the last four years and it is based on perfusing the operated breast internally and below. The surgery can be planned very easily by surgeons, with the possibility of being customized during the procedure, depending on the needs of the patient. The scar is much smaller that the typical ones and consists of a sidelong scar going outwards and down. The technique is very short (50 minutes to 1.5 hours) and the breast has a better shape, is functional and above all, there is no scar on the inside of the breast, allowing patients to wear clothes with low cleavage. The surgery is painless and the postoperative course does not exceed 6 days, which is when the sutures are removed. This technique has been acknowledged by the world-renowned Plastic and Reconstructive Surgery Journal of the American Society of Plastic Surgeons, which published the related article in its March 2009 issue.This technique however applies on rare cases.

The patients are being discharged 48 hours after the surgery with the necessary post-operative instuction given by the surgeon who performed the procedure.The sutures are removed on the 5th to 10th postoperative day.

Patients rarely experience any pain, which can be treated with painkillers. They may return to work or their normal activities after discharge, and start fitness in 3 weeks. Although immediate pregnancy is not forbidden, it is also not recommended, as it may affect the incisions and the result. Patients may also experience numbness of the breasts for a few months. In extremely large breasts, there is the rare possibility of reduced sensitivity in one or both of the nipples. Nipple necrosis is an unlikely event.