Blog

Common Breast Reduction Techniques

Breast reduction is a popular cosmetic and/or functional surgical procedure that removes excess breast tissue, fat, and skin
Breast reduction is a popular cosmetic and/or functional surgical procedure that removes excess breast tissue, fat, and skin

Although there are plenty of women who would like to make their breasts bigger, there are also many women, especially as they age, who want to make their breasts smaller, opting for a breast reduction procedure. Breast reduction is a popular cosmetic and/or functional surgical operation that removes excess breast tissue, fat, and breast skin to create a smaller cup size while taking care of undesirable breast anatomy. The name given to this type of treatment encompasses various breast reduction procedures that address issues such as asymmetry, sagging, and other things that can take place due to excess breast size. As part of the plastic surgery spectrum, breast reduction shares some similarities with facelifts, breast lift procedures, and breast implant surgery in terms of recovery and goals. The amount of discomfort and pain caused by increased breast size, especially on the shoulders, often leads women to consider breast reduction surgery as a viable choice for improving their body and overall well-being. By following their surgeon’s advice, the procedure allows them to participate in activities without the hindrance of their previous breast volume in a location that suits their new proportions.

For women who are good candidates for surgery, breast reduction can be life-changing, leading to a considerable improvement in daily comfort and overall quality of life. A plastic surgeon might use one of several techniques or incision styles, such as vertical incisions, during the surgery, depending on the patient’s breast anatomy and the desired method of reduction. These procedures are chosen based on factors such as breast shape, position, and the desired outcome. Since every woman has unique anatomy, skin elasticity, and nerve sensitivity, the treatment may vary from one individual to another, involving steps such as making incisions around the perimeter of the breast or using sutures to reshape the tissue, sometimes requiring hospital care.

Why Have Breast Reduction?

While some people believe that bigger is better when it comes to breasts, many women with larger breasts know all too well that it is possible to have too much of a good thing. Having very large breasts can contribute to back, shoulder, and neck problems due to their weight and uneven distribution of volume. Larger breasts can cause skin irritation and rashes, especially if the bottom of the breasts rub against the skin on the chest, leading to issues with skin elasticity and sagging. Additionally, finding suitable clothes that fit well without causing pain becomes a challenge, as showcased by many women on Instagram.

For some women, having very large breasts creates practical problems. They might have difficulty exercising or find that they need to double up on sports bras to get adequate support and coverage during various activities. It can be challenging to find bras in the correct size or to find clothing that fits well and is flattering for most body shapes. Breast reduction can be a solution for these individuals, providing much-needed relief from these limitations and aiding in their recovery from the discomfort caused by larger breasts.

Just as some women decide to have breast augmentation for aesthetic reasons, such as dissatisfaction with the way smaller breasts look, women can also decide to have a breast reduction for aesthetic reasons. If they aren’t happy with how they look in clothing or find that their larger breasts make them self-conscious, surgery can help by addressing issues like asymmetry and giving them an overall better-balanced appearance, boosting their confidence.

How is Breast Reduction Performed?

Occasionally, a breast reduction might involve little more than liposuction to remove excess fat from the breast area. Often, though, the surgery is more complex than that and requires the surgeon to remove glandular tissue as well as fat. It is essential to consult with a doctor to find the best approach for your individual needs, taking into consideration your breast anatomy, the desired volume removal, and possibly needing stitches post-surgery.

During the breast reduction procedure, excess skin is removed, lifting and repositioning the breasts on the chest, which creates a firmer, perkier silhouette that enhances the body’s natural proportions. This transformation contributes to a smoother appearance and improved overall comfort, making it easier for women to find clothes that fit well and feel confident in their bodies. Many women appreciate the new shape of their breasts after surgery, admiring the edge it adds to their overall aesthetic. This can be a result of various changes, such as tissue removal, breast implants, or reduction mammoplasty, based on their desired form and appearance. Factors such as attention to detail, consideration for weight loss, and understanding the patient’s unique history can contribute to achieving an ideal breast contour and figure. In addition, information gathered from various tests and the patient’s overall health can assist doctors in determining the best approach to treatment.

There are three types of incisions commonly made during breast reduction surgery. Dr. Vitenas prefers the ‘inverted T’ or anchor incision, which starts around the periareolar area, moves vertically down the breast, and extends horizontally within the crease beneath the breast, sometimes referred to as the breast crease. The horizontal component of this incision helps in achieving better muscle support. The incision does leave a scar, but it fades significantly with time. The placement of the incisions means it is easy to conceal the scars with a top or bra. An understanding of these techniques can be further aided by examining photos provided by the author in the field, which display a variety of outcomes and the relief of symptoms in some cases. Hospitals and healthcare services often provide these resources to help patients make informed decisions.

Another incision option during breast reduction is a cut made around the areola alone. A third option is called a racquet incision or lollipop incision. These produce less scarring but can also limit the results. Your plastic surgeon can discuss the pros and cons of each type of incision, as well as their preferred technique and the implications for implants, with you during your consultation. Factors such as the base of the breast, preserving blood supply, and the risk associated with each technique might also influence the choice of incision.

During many breast reduction surgeries, the nipple remains attached to the breast throughout the procedure. There are cases, though, when the nipple needs to be detached, then repositioned on the breast at the end of the surgery. Moving the nipples might be necessary if you are having a lot of breast tissue removed or if there is a significant asymmetry that needs to be addressed in your breast anatomy.

Anesthesia Options During Breast Reduction

No matter which type of incision a surgeon uses during breast reduction or how much tissue they plan to remove during surgery, they are more likely than not going to give patients general anesthesia at the start of the procedure, ensuring a comfortable and safe experience during the surgical process. It is essential that patients consult with their doctors and consider any potential risk factors before undergoing surgery.

The type of breast reduction technique that will be used is often a matter of surgeon preference. The technique used, whether it involves only liposuction or a combination of liposuction and glandular tissue excision, depends on the type of results you want to achieve and the desired outcome. Half of the process lies in the preparation and consultation, making sure that your needs and goals are met through the careful examination of a variety of factors by the healthcare professionals and services involved.

Which Breast Reduction Technique is Right for You?

Since every patient has different needs and goals, a pre-surgical consultation is a must.

During your consultation, you can ask your plastic surgeon any questions you have about breast reduction, including the procedure process and what you can expect afterward.

They will listen to your concerns, examine your breasts, and make recommendations based on what they think will help you to best reach your goals and alleviate any symptoms you may be experiencing. Consulting with doctors and reviewing tests related to your overall health can also optimize surgical outcomes.

Dr. Paul Vitenas is widely recognized as one of the top breast surgeons in Houston, Texas. A board-certified plastic surgeon, he has spent the past three decades improving his surgical technique, working to provide patients with natural-looking results. To learn more about breast reduction, call 281-484-0088 to schedule a consultation with Dr. Vitenas today. You can also book a virtual consultation online. As an accomplished author in the field, Dr. Vitenas is a valuable resource for gaining a comprehensive understanding of breast reduction surgery and its various aspects. His expertise is well-regarded among hospitals and the medical community.

Dr. Paul Vitenas is widely recognized as one of the top breast surgeons in Houston, Texas. A board-certified plastic surgeon, he has spent the past three decades improving his surgical technique, working to provide patients with natural-looking results. To learn more about breast reduction, call 281-484-0088 to schedule a consultation with Dr. Vitenas today. You can also book a virtual consultation online.