Also known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.
Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin. In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction.
The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice. Incision options include a circular pattern around the areola The incision lines that remain are visible 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. An inverted T or anchor-shaped incision pattern. After the incision is made, the nipple -which remains tethered to its original blood and nerve supply – is the repositioned.
The areola is reduced by excising skin at the perimeter, if necessary. The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines in most cases will fade and significantly improve over time.
The results of your breast reduction surgery are immediately visible. Medications are administered for your comfort during breast reduction surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. The surgery is performed as an outpatient procedure.