Every breast reduction patient has unique needs and aesthetic goals, which is why our plastic surgeon Dr. Neil Zemmel customizes the specifics of each procedure according to the patient. Although the overall goal of different breast reductions may be the same – to create a smaller breast that is higher and “perkier” on the chest – the surgical technique to achieve this outcome will differ from patient to patient. Each technique has the potential to provide beautiful results for the right candidates, and the best one for you will be determined at your consultation.
Every breast reduction is tailored to accommodate the needs and desires of the patient. The most suitable technique will depend upon a number of factors, which your surgeon will discuss in detail with you.
To begin your breast reduction, your surgeon will make either a vertical or wise pattern incision. The appropriate amount of breast tissue is then removed, often with the help of liposuction, and excess skin is excised. This not only reduces the size, but also reshapes the breast. To conclude your procedure, the nipple and areola are lifted, and the incisions are closed. Read more about Dr. Zemmel’s breast reduction techniques below.
Vertical Breast Reduction
A vertical breast reduction is ideal for those who need a moderate amount of breast tissue removed and have little excess skin and nipple sagging (ptosis). This techniques involves an incision made around the areola and vertically down the center of the breast, which creates a scar pattern that resembles a lollipop. Recovery tends to be easier for patients undergoing the vertical breast reduction, as an incision is not made beneath the breast in the natural fold.
For women with more significant breast sagging and an especially low nipple/areola, the vertical incision may not provide enough lift. These patients often benefit more from a wise pattern technique for optimal results.
Wise Pattern Breast Reduction
A wise pattern breast reduction – also known as a full reduction pattern – is typically the best option for those who need a large amount of excess breast tissue and skin removed. For this technique, an incision is made around the areola, extending upwards as well as horizontally under the breast. This provides a more powerful lift by maximizing the amount of tissue to be removed while achieving the most aesthetic outcome. The wise pattern reduction is also called an “upside down T” or anchor pattern due to the shape of the incision.
Breast Reduction with Liposuction
Liposuction is often used for both women and men wishing to reduce the size of their breasts. This is because the technique can effectively remove fatty tissue between the skin and muscle layers through small incisions. The purpose of using liposuction as part of a breast reduction is to remove excess fatty and breast tissue, which leads to the skin redraping over the remaining tissue. This can improve the shape of the breasts as it reduces their size. Liposuction is the most common method for treating male breast enlargement (gynecomastia).
Schedule Your Consultation
To learn which technique(s) can help you achieve your goal outcome, please contact us to schedule your consultation.