How Is Breast Reduction Performed?

There are many ways to perform breast reduction surgery, however there
are two methods which are used most commonly and produce the most
consistent results. The specific method chosen for your breast reduction
will be determined by your anatomy, your understanding of the advantages
and disadvantages of each technique, and Dr. Behmand's recommendation
of the technique most appropriate for you.

The most common method uses three incisions. One incision is made
around the areola (nipple area), another runs vertically from the bottom
edge of the areola to the crease underneath the breast, and the third incision
is a horizontal incision beneath the breast which follows the natural curve of
the breast.

After the excess breast tissue, fat, and skin have been removed, the nipple
and the areola are shifted to a higher position, providing a necessary breast
lift. The areola which is usually larger than ideal, is reduced in size. Skin
that was formerly located above the nipple is brought down and together to
reshape the breast. Liposuction may be used to improve the contour,
especially on the sides of the breast.

The nipple and areola usually remain attached to the underlying tissue as
they are moved to the higher position- much like a button being moved to a
higher buttonhole- and this may allow for the preservation of sensation.
This method may also preserve the ability to breast-feed, although it is not
guaranteed.

The second method for breast reduction avoids the horizontal scar. It's use
is limited by the size and shape of your breast and the amount of desired
reduction. In addition, there is a more prolonged recovery from this
operation until the final results are achieved, as there is greater reliance on
skin shrinkage compared to the first technique, in which the excess skin is
removed. Women who seek a smaller reduction in size, may be able to
avoid the horizontal incision which runs beneath the breast. In general,
there is high patient satisfaction with both techniques. Therefore, it is best
that you discuss with Dr. Behmand the benefits and drawbacks of each
method in your specific case prior to deciding which is right for you.