How is Breast Reduction Performed?

Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure performed to reduce the size and weight of the breasts. This surgery is typically done for medical and cosmetic reasons, as large and heavy breasts can cause physical discomfort, pain, and emotional distress. Here is an overview of how breast reduction is typically performed:

How is Breast Reduction Performed

Consultation: The process begins with a consultation with a board-certified plastic surgeon. During this consultation, the surgeon will assess your breast size, shape, and overall health. You'll discuss your goals and expectations for the procedure, as well as any potential risks and complications.

Pre-operative preparations: Before the surgery, you will receive pre-operative instructions, which may include avoiding certain medications, not eating or drinking for a specific period before the procedure, and quitting smoking if you are a smoker. You may also undergo a medical evaluation to ensure you are fit for surgery.

Anesthesia: Breast reduction is usually performed under general anesthesia, which means you will be completely asleep during the procedure. In some cases, local anesthesia with sedation may be an option.

Incision placement: The surgeon will make incisions on the breasts. The specific incision pattern depends on the technique used and the extent of reduction needed. Common incision patterns include:

Circular incisions around the areola (periareolar incisions)

Vertical incisions from the areola to the breast crease (lollipop incisions)

Inverted T-shaped incisions, which include the periareolar and vertical incisions, as well as a horizontal incision along the breast crease (anchor or Wise pattern incisions)

The choice of incision pattern depends on your individual needs and the surgeon's recommendation.

Reshaping and repositioning: Once the incisions are made, the surgeon will remove excess breast tissue, fat, and skin. They will also reshape and reposition the remaining breast tissue to achieve a more proportionate and aesthetically pleasing result. The nipple and areola may be repositioned to a higher, more youthful location.

Suturing: The surgeon will then close the incisions with sutures, which may be dissolvable or require removal at a later date.

Dressings and bandages: The surgical site is typically covered with dressings and bandages, and a supportive surgical bra or compression garment is often placed to provide support and minimize swelling.

Recovery: After the surgery, you will be monitored in a recovery area. You may experience some discomfort, swelling, and bruising, which is normal. Pain medication and antibiotics may be prescribed to manage pain and prevent infection.

Follow-up care: You will need to attend follow-up appointments with your surgeon to monitor your healing and remove any non-dissolvable sutures. Your surgeon will provide specific instructions for wound care and post-operative activities.

It's important to note that breast reduction surgery is a major surgical procedure, and recovery can take several weeks. Most patients can gradually return to normal activities, including exercise, after a few weeks, but it may take several months for the final results to become apparent. It's crucial to follow your surgeon's post-operative instructions carefully for a successful recovery.