There are many ways of doing this operation. No procedure is suitable for every situation. Beware the surgeon who does it only one way. All methods depend on the nipple-areola complex (NAC) being lifted to a new position higher on the breast.
A circular scar virtually always surrounds the NAC. The nipple remains attached to the underlying breast tissue, except in the free nipple graft procedure for very large breasts, so nipple sensation is retained in 9 out of 10 cases and breast feeding can follow breast reduction.
A variable part of the lower breast is removed to reduce the size of the breast. The breast is re-shaped into a round ‘cone’ reducing the width of the breast: GLANDULOPLASTY. The skin is then ‘tailored’ to the new size and shape of the underlying breast.
This results in further scars:
- A vertical scar from the NAC to the infra-mammary groove.
- And a further transverse scar under the breast.
We move the NAC into its new position on a medial glandular pedicle. In many breasts we use only a vertical scar with no transverse inframammary scar:
Elevation of nipple
Breast tissue reduced and new breast shaped
Skin tailored either as anchor scar or a vertical scar
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