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Is a Breast Reduction Right for You?

Breast reduction surgery can bring a woman's figure into proportion so that she can feel better about herself, fit into her clothes nicely and be relieved of the physical problems caused by large breasts.

Breast reduction often enhances a woman's self esteem and confidence, and reduces the physical problems caused by large breasts. Because of the wide impact breast reduction surgery can have on a woman's life, the procedure has a very high patient satisfaction rate.

The best candidates for mastopexy are healthy women who are realistic about what the surgery can accomplish. Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you are planning to have more children, it is best to postpone your breast lift.

While there are no special risks that affect future pregnancies (for example, mastopexy usually does not interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

Though a rare patient is a candidate for liposuction only to reduce the breasts, the standard techniques for breast reduction involve an open surgical approach in which the undesired breast tissue is directly removed.

There are two main techniques for breast reduction surgery:

  1. Vertical Breast Reduction
    technique results in a scar around the areola and down the middle of the breast, leaving a lollipop shaped scar.
  2. Inverted-T Reduction
    results in a scar around the areola, down the middle of the breast, and across the base of the scar, leaving an inverted-T, or anchor shaped scar.

The reduction technique that is best for you depends on your unique anatomy, breast size, skin characteristics and the goals you wish to achieve with breast reduction surgery. These and many other considerations regarding breast reduction surgery will be reviewed with you in detail during your consultation with Dr. Connall.

Men can achieve improvements in their appearance and self-confidence with male breast reduction surgery (gynecomastectomy). Male breast reduction is sometimes performed with liposuction alone, using a few very small incisions.

In most cases, liposuction is combined with a small incision around the areola to allow direct removal of the excess breast tissue. And, in the most severe cases of gynecomastia, the male breast reduction includes removal of excess breast skin.

If prominent breasts bother you, then a male breast reduction procedure may be a great option to pursue.

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But, as always, we don't expect you to make this decision alone. When you see us for a consultation our team will review this information with you and help you become informed and confident in your choices.

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Vertical reduction results
Vertical reduction results

Illustration of vertical reduction results

After a vertical breast reduction there are "lollipop" shaped scars around the areolas and down the center of the breasts. Sometimes a small scar is placed at the base of the breast also.

Inverted - T reduction results
Inverted - T reduction results

illustration of inverted-t reduction results

This figure shows the results of an inverted-T breast reduction. The scars are around the areolas, down the center and across the bases of the breasts.

Vertical reduction incision
Vertical reduction incision

illustration of vertical reduction

With a vertical breast reduction the areola is slid into a higher position and the skin is sutured closed leaving a scar around the areolar and down the center of the breast.

Inverted - T reduction incision
Inverted - T reduction incision

illustration of inverted-t reduction

The inverted "T" breast reduction results in removal of skin from around the areola, down the center of the breast and from the lower portion of the breast. Breast tissue is removed from the inner and outer sides of the breast and the upper part of the breast.

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