Breast Reduction

What happens during breast reduction surgery?

Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin. In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction. The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.

General anesthesia is used for patient comfort. Incision options include:

A circular pattern around the areola
 

The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra. A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease.
 

An inverted T or anchor-shaped incision pattern
 

After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then repositioned. Excising skin at the perimeter, if necessary reduces the areola. Underlying skin & breast tissue are reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft). The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

If you are interested in a breast reduction, feel free to ask Dr. Mehta about your options. He works with experienced plastic surgeons in the area.

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