Comprehensive details of best breast reduction surgical techniques

Breast reduction surgery (Reduction Mammoplasty) is a surgical procedure designed to reduce the size of large uncomfortable breasts while also reshaping and lifting them. There are several techniques used in breast reduction surgery. The best or ideal technique for each individual depends on a number of factors such as breast size, shape, and the desired outcome. Here are some of the most common and effective breast reduction techniques:

  1. Vertical or “Lollipop” Technique: This technique involves creating an incision around the areola and down the vertical lower pole of the breast to the breast crease. The resulting shape resembles a “lollipop”.  This technique is suitable for women with moderate to severe breast droop (Sagging or Ptosis) and size, and it allows for significant reshaping and lifting of the breast tissue. This technique usually results in minimal scarring and a more natural and better shape compared to other breast reduction methods.
  2. Anchor or “Wise Pattern” Technique: This is one of the earliest breast reduction techniques described. Incisions are made around the areola, vertically down to the breast crease, and horizontally along the crease, creating an anchor-shaped pattern. It is ideal for larger reductions with significant droop. It provides the Cosmetic Surgical Fellow with more access to remove excess breast tissue and reshape the breast. However, it tends to leave more noticeable scarring compared to the vertical technique.

3. Scar less or Liposuction Technique: This technique is suitable for women with good skin elasticity and minimal sagging. Liposuction is used to remove excess fat from the breasts through small well placed and hidden incisions, resulting in minimal scarring. However, it is important to note that this technique is not suitable for all patients, particularly those with significant ptosis (sagging) or excess skin.

4. Pedicle Techniques: Pedicle techniques involve keeping a portion of the breast tissue attached to its original blood supply to preserve nipple sensation and potential for breastfeeding function. There are a number of different types of pedicle techniques, including the inferior pedicle, central pedicle, and superior medial pedicle (preferred by the author). The choice of pedicle technique depends on factors such as breast size, shape, and the amount of tissue to be removed.

5. Free Nipple Graft Technique: In cases where a significant amount of tissue needs to be removed, or if the nipple-areola complex needs to be repositioned higher on the breast, a free nipple graft technique may be used. This involves completely detaching the nipple-areola complex and reattaching it at a higher position on the breast as a graft. While this technique can achieve substantial reduction, it may result in loss of nipple sensation and the inability to breastfeed.

It’s important to consult with a trained and qualified Cosmetic Surgical Fellow who has experience in breast reduction surgery to determine the most appropriate technique for your individual needs and goals. During your consultation the practitioner will evaluate your breast anatomy, discuss your expectations, and recommend the best approach to achieve optimal results while minimizing scarring and preserving nipple sensation and function.

Dr. Bobby Kumar is an experienced and trained Cosmetic Surgical Fellow of the Australasian College of Cosmetic Surgery & Medicine (ACCSM) He has extensive experience in performing breast reduction and lift surgery over the last 16 years.

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