The operation is performed under general anesthesia and needs 1-2 days in the hospital. Individual factors and personal preferences will determine the specific technique selected to reduce the size of your breasts.
1. Classical Techniques
There are many ways to perform a breast reduction. The method must be tailored to the patient. A common method of surgery is to mark the new nipple position. Then with the blood supply of the nipple preserved on a pedicle of tissue, the excess breast is removed. The nipple is then moved into its new position and the new breast shape is reconstructed. The incision is often around the nipple and on the under surface of the breast, like an upside down T. The operation is done under general anesthesia while the patient is asleep.
Patients who receive this procedure usually remain in the hospital over night. If the breasts are not too large and the skin has good elasticity then liposuction may be possible. This is especially useful in women who wish to avoid long scars. It is possible that this technique may preserve the ability to breast-feed. For many surgeons it has become the most popular way to perform breast reduction on a patient who is about a DD size. Very large and pendulous breast still requires the more traditional methods that result in longer scars.
Techniques for breast reduction vary, but 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 surgeon 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.
In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and grafted into a higher position. (This will result in a loss of sensation in the nipple and areola tissue.
Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques can be used that eliminate the vertical part of the scar. And occasionally, when only fat needs to be removed, Liposuction alone can be used to reduce breast size, leaving minimal scars. Your doctor will discuss the different methods used for breast reduction and describe his technique that is best for you. Complications are rare – but must be thoroughly discussed and considered before you decide to have surgery.
2. Peraareolor Techniques or Ronndblock Techniques with leave scan only around nipple. This Techniques will Made unnatural shape of New breast but have no inverted T Scar
3. Scarless Brest reduction
If the breasts are not too large and the skin has good elasticity then liposuction may be possible. This is especially useful in women who wish to avoid long scars. It is possible that this technique may preserve feeling and the ability to breast feed. For many surgeons it has become the most popular way to perform breast reduction in the patient who is about a DD size. Very large and pendulous breast still require the more traditonal methods with the longer scars.
Contrast all of this with the “Scarless” breast reduction. It is performed in our certified surgicenter, with twilight sleep anesthesia, plus local anesthesia. There is little or no pain during the postoperative period. Patients are encouraged to resume full activity as soon as they feel up to it.
Remember, the female breast is composed of at least 50% fat by the age of 35. Liposuction, with special instruments, will remove fatty tissue but not the firmer glandular tissue. After surgery, the skin shows a dramatic degree of shrinkage, with the nipple/areola often rising 1-2 inches once fully healed. So you can see that the operation provides a significant lift in most patients, but the amount of lift is determined by the patient’s elastic skin characteristics, not skin removal. This allows the operation to function without scars
Another wonderful feature of the Scarless surgery is its use in “asymmetry”. This is a condition were the two breasts are different sizes. As this is often present in the young patient, we are especially pleased to be able to offer this operation to adjust the size, with out leaving a visible scar.