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 and there is little ptosis (droop), liposuction alone may be used in the procedure for breast reduction. As few women with larger breasts possess those characteristics, the widespread use of this technique may be limited. It involves a quicker healing time and little scarring. This may be the preferred technique for most of the un-married girls with heavy breasts.
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.
It is important to keep in mind that a breast reduction procedure is a major procedure that produces permanent results. Women who are planning to become pregnant may delay the procedure, as weight fluctuations and changes in the breasts during and following pregnancy can affect the long-term outcome of a Reduction Mammaplasty. Furthermore, it may not be possible for women to breastfeed following a Reduction Mammaplasty.
The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Incision options include:
A circular pattern around the areola
The incision lines that remain are visible and permanent 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 then repositioned. The areola is reduced by excising skin at the perimeter, if necessary. Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).
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 are permanent, but in most cases will fade and significantly improve over time.
The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.