Breast reduction
can be performed at any age on a healthy
woman, but it is usually recommended to wait
until the breasts are fully developed. Some
women decide to wait to have the surgery
until their childbearing is over since
childbirth and breastfeeding can cause
unpredictable changes to the breasts and
breast-feeding may not be possible after
breast reduction surgery.
The Procedure:
As with the Breast Lift operation there are
several different techniques and incisions
that can be used to reduce the breasts. The
most common procedure
involves an anchor-shaped incision that
circles the areola, extends downward, and
follows the natural curve of the crease
beneath the breast. The surgeon removes
excess glandular tissue, fat and skin, and
moves the nipple and areola into their new
position. The doctor then brings the skin
from both sides of the breast down and
around the areola, shaping the new contour
of the breast. Liposuction may be used to
remove excess fat from the armpit area.
Breast Lift's or
Reductions -
Throw away the anchor!
The exciting news
in breast surgery today is what has
been euphemistically called the "Scar Wars."
Formally
breast reductions and most breast lifts were
done with
what had been called an inverted T or anchor
scar. This
placed an incision around the nipple-areola,
one
vertically downward from there and one in
the fold. This
operation very predictably enhanced the
shape of the
breast while reducing and/or lifting it.
However, some
patient's formed very visible scars
following this operation
that did not resolve over time. This left
the patient with a
better shape but with scars on her breast
that may be visible in lingerie, bathing
suits and low cut tops.
In an effort to
eliminate big scars, operations have now
been developed in the USA, Europe and South
America
to limit the amount of scarring while
preserving a youthful
contour to the breast. In most cases the
scar can be either limited to around the
nipple-areola complex, or for larger
breasts a short vertical scar going down
from the areola.
With this technique the incision under the
breast has now
been done away with. Throw away the anchor
scar!
Very few surgeons
in the United States have adopted or
are even aware of this technique, but we
have been using
it in our office for several years now. We
have had very
exciting results with patients who have been
very
happy that they have gone with this newer
technique.
Our goal with
breast surgery is to give each patient the
prettiest looking breast with as little
scarring as possible.