Incision Options during Breast Reduction

Tuesday, June 12, 2018


breast reduction, health, breast mammoplasty, surgery, breast, incision,

Breast reduction surgery, also known as breast mammoplasty, is a procedure that is used to reduce the amount of excess fat glandular tissue in the breast. The surgery can make breasts more proportionate and attractive and can eliminate most discomfort that is associated with large, saggy breasts. When choosing to have breast reduction surgery, there are a few different options for the incisions. The position of the incisions will determine the placement of permanent scars after the healing process has concluded.

Inverted-T (Anchor) Incisions

The Inverted-T, often called the “Anchor”, incision is one of the most popular choices. During the procedure, the surgeon will make a total of 3 incisions. There will be an incision around the perimeter of the areola, one that is vertical from the areola to the crease of the breast, and one that runs along the crease underneath the breast. This option allows the skin tissue to be moved both vertically and/or horizontally. Although it produces longer scars, Inverted-T incision will leave the candidate with a thin line underneath the breast that is barely noticeable because of the position. Scarring around the areola may not be noticeable due to its color. This incision gives the surgeon more freedom to shape the breasts because excess breast tissue can be removed from any area. The Inverted-T incision is ideal for candidates with excessive sagging, a large amount of breast tissue to remove, or extreme asymmetry to repair.

Vertical (Lollipop) Incisions

Candidates that may only need a modest breast reduction and are concerned about scaring often choose the vertical incision. Also known as the “Lollipop”, this option is very popular and consists of only two incisions. There is an incision made from the bottom of the areola down to the crease underneath the breast and around the perimeter of the areola. The nickname “lollipop” is derived from the incision’s resemblance of the candy. The vertical incision provides a longer lasting result and shorter scars. This option is not always best for those who have extremely large breasts and it does limit the amount of control the surgeon has to shape the breasts. However, this incision does allow the surgeon to remove the excess fat tissue and lift the breast to a better position. In some cases, the shorter scars can cause the appearance of “bunching” at the bottom portion of the breast. However, this can fade over time. The scarring from this incision can easily be hidden under a bra.

Liposuction Incisions

Liposuction is another breast reduction option that does not have as much scarring or down time. With this procedure, the surgeon simply makes two small incisions in the crease of the breast and the scar is hidden underneath. Opting for liposuction can sometimes produce unfavorable results because the surgeon cannot determine the amount of fat that can be removed from the breast until the time of the surgery. Liposuction does not remove any glandular tissue and does not provide a “lift”. The skin is expected to naturally shift upward. However, these results cannot be determined until after the surgery is performed. This option is ideal for those who want to minimize scarring from the incisions and have minimal drooping prior to surgery.

Donut and No Vertical Scar

The “Donut” or “Benelli” breast reduction is ideal for those who wish to reduce the size of their breast but don’t have overly large breast to begin with. This procedure will only require an incision around the areola. The scaring is minimal and can be hidden due to the dark area around the areola. Women very rarely have this procedure done because of the limitations caused by the lack of incisions. It can also leave the shape of the breasts distorted because there is little access to the breast tissue during surgery. There is also an option to have no vertical incision at all. During this process, there is only an incision made around the areola and along the crease of the breast. Without a vertical incision, it’s difficult to shape the breast and it may produce an unfavorable result.

Choosing the right incision for breast reduction surgery can be a daunting task. However, the choices can be narrowed down based on the desired results, breast size and shape prior to surgery, and potential scarring after healing. It is always important to discuss your options with a Board Certified Plastic surgeon. Breast reduction surgery can be a life changing procedure and determining the right incision placement will definitely provide you with better long term results.

Plastic Surgery Institute of Miami boasts one of the premiere clinical and surgical facilities in South Florida. Each surgeon is board certified by the American Board of Plastic Surgery and has thousands of hours performing cosmetic and plastic surgery on patients around the globe. The center ensures that staff take good care of its patients at the highest possible standards. You can contact their office by visiting their website:  https://www.psimiami.com.
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