Breast Reduction Surgery

The most common method of breast reduction involves an anchor-shaped skin incision (inverted T incision) that goes around the areola (the darker skin that surrounds your nipple), extends downward to the fold under the breasts, and then follows the natural curve beneath the breasts. Excess fat and breast tissue are removed through these skin incisions. Depending on your specific anatomy, your nipples may require repositioning and are often made smaller. The procedure typically takes three hours and is performed under general anesthesia. It may be performed in an outpatient facility or may require an overnight stay.

The vertical breast reduction creates a shorter scar than the traditional anchor technique and eliminates the scar along the crease under the breasts. This technique maintains a good breast shape and is best suited for small to moderate-size breast reductions.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques for improved breast contour, particularly on the sides of the breast and torso. If the excess volume of the breast is mostly due to fatty tissue and excess skin is not a problem, liposuction alone may be used in the procedure for breast reduction. This is more typically better for older patients whose breasts are fattier and less glandular.

Your breasts may be wrapped in bandages following the procedure and you may need to wear a surgical bra depending on your surgeon's recommendations. Recovery takes at least 1 to 2 weeks and up to 4 to 6 weeks. It may take several months for all swelling to subside and up to a year or longer for scars to fade. Although scars can lighten, they do not disappear. If this concerns you, discuss it with your surgeon prior to surgery.