Breast Reduction Frequently Asked Questions


Breast Reduction Frequently Asked Questions


1)      Am I A Good Breast Reduction Candidate?

There are lots of reasons why women choose to have breast reduction. This is not generally seen as a purely ‘aesthetic’ procedure so much as one related to health and well-being. Women with excessively large breasts often suffer from neck and shoulder ache, infections in the fold of their breasts due to friction and sweating and discomfort from their bra straps cutting into their shoulders. Emotionally, they report feeling exceptionally self conscious and unable to feel ‘normal’ because they have difficulty buying clothes to fit. Physical activities and sports may become very difficult. Breast reduction aims to bring a patient back into proportion for their overall physique. This procedure has a very high satisfaction rate if performed by an experienced, board-registered surgeon.


2)      Are There Any Breast Reduction Methods Which Cause Less Scars?

Did you know that Liposuction can be used for Breast Reduction? This alternative to traditional excisional surgery has the advantage of minimal scarring and quicker recovery. By reducing only the fatty tissue within the breasts, the overall size can appear reduced. Good candidates for this technique, however, would need a large amount of fatty breast composition rather than breast tissue itself in order to achieve good results. Typically, 1 to 2 cup sizes can be reduced using the Liposuction method of Breast Reduction.


3)      Is it possible to just have a very slight Breast Reduction?

Yes. Not all breast reductions have to be dramatic, although in many cases women who opt for breast reduction do so because they are suffering from extremely large or heavy breasts so do want more removed. If you only want less than 500 grams of tissue removing from each breast, a short transverse scar technique or vertical scar technique might suit you. In these methods, the scar does not extend right along the crease under your breast. This reduces the chance of irritation (the area under the breast is the most prone to redness or lumpiness after scarring) and by reducing the amount of scar in the outer edges of the breast fold, you are more likely to be confident wearing revealing outfits like bikinis.


4)      On the Other Extreme – I Want As Much Removed As Possible. How Much Breast Tissue can be removed in a Breast Reduction?

Typically, about 400-800 grams of breast tissue is removed in a traditional breast reduction surgery procedure. However, there is no definitive upper limit. Over 1.5 kilos removed per breast would class as a very large breast reduction. In order to achieve a much larger breast reduction, the techniques used will have to vary. Generally, the more tissue that is removed the more scarring there will be as an unavoidable side effect. This needs to be weighed up against the obvious benefits to ladies coping with the weight and discomfort (physically and emotionally) of excessively large breasts. Longer scar techniques tend to be used for breast reductions between 500 grams and 1 kilo. One popular option is the ‘full anchor pattern’ or ‘Wise Pattern’ breast reduction which, as its name suggests, leaves an anchor-shaped scar running around the nipple, straight down and underneath the breast fold. This technique is very good at dealing with skin excess and fatty tissue.


5)       What is a Free Nipple Graft?

This is a Breast Reduction technique which is not commonly used these days because it produces a large amount of scarring around the nipple and diminished sensation. In this technique, the nipple is completely removed from the body and replaced using a skin graft. For a long time this was believed to be safer during very large breast reductions as no ultra-long pedicle (bridge of tissue used to keep blood supply to the nipple throughout the breast reduction surgery) is required. Mechanics had wondered whether longer pedicles might be less effective, but modern pedicle techniques and new supramedial techniques for larger breast reductions which keep the blood supply to the nipples intact at all times are now making these concerns a thing of the past.


With thanks to Aurora Clinics

Pictures (c)  ADAM


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