Breast reduction (reduction mammaplasty) creates smaller, lighter breasts by removing glandular tissue, fat, and skin from large, heavy, sagging breasts. If you choose breast reduction by our board-certified plastic surgeon, Dr. Carlos Mata aka Dr. Scottsdale®, your results may include improved posture, reduced chest discomfort, a slimmer profile, and most importantly, a renewed self-confidence. When you come in for an initial consultation at our office in Scottsdale, AZ, we will ask about all the symptoms, bra indentations, and pain and discomfort your large breasts cause. We will also use our VECTRA® 3D Imaging System to create a 3D image of your breasts so you may envision your results with smaller and healthier breasts.
The most common breast reduction surgery consists of using an incision called “the anchor” or a vertical T. The incision is made around the areola, extends vertically down to the breast crease, and then is followed by another horizontal incision along the direction of the fold. This technique will reposition the areola (nipple) higher, remove the extra breast tissue & skin, and place your breast higher on your chest. Your breasts will be resized, recurved, and smaller. It is important to maintain a good blood supply of the nipple-areola to reduce the risks of discoloration and/or loss of sensation.
The auto-augmentation breast lift/ reduction is similar to a traditional breast lift/reduction. A “T” incision (anchor incision) is made: incision around the areola, then one extending vertically down to the breast crease, and then another one horizontal along the direction of the fold. During the procedure, the excess skin will be removed and part of the breast tissue will be adjusted if needed. The other part of the breast tissue will be carefully tucked back into the breast and sutured to give an appearance of “implant”. Your breast will be fuller on the top and will give you better long-term results.
Vaser Lipo & Magic Tight® can be performed on the breast tissue to reduce the size of the breast. This procedure is done on a case-by-case basis, based on your starting point, goals, and expectations. The reduction is minor to moderate and will not correct any sagginess. The goal of Magic Tight® during this procedure is to prevent sagginess from the breast tissue removal by Vaser Lipo. It’s an alternative to a regular breast reduction, the scarring is minimal but only works for breasts that require a little bit of reduction and don’t have sagginess to start with.
The breast reduction techniques that require an anchor or lollipop lift will create scars on your breast. Learn how to make them less visible: scar treatment
For the first several weeks, the surgeon will recommend the use of a compression bra to protect the breasts. Patients may go back to work within 7 - 10 days and may resume physical activities (such as exercise) between 6 - 8 weeks post-operative. Results following a breast reduction are usually visible immediately after the surgery. Losing sensation to the nipple and the ability to breastfeed is a risk to consider when getting a breast reduction.
Breast reduction is a long-term solution for patients who are affected with excessively large breasts. In cases where there is significant weight gain, the results may be compromised just like any cosmetic procedure that modifies body shape. Natural aging and gravity will take their toll over time and will still affect the breasts with or without the reduction. It is important to maintain a good health routine so that the enhancement lasts for a long time.
For women with larger breasts, the areola is also excessively large. In a breast reduction surgery, an areola reduction is also considered. As an incision is made surrounding the areola, the excess skin will also be trimmed so that it is proportional to the breasts’ new shape.
This varies depending on the doctor’s initial evaluation and the patient’s preference. Often, the reduction results in a cup or 2 smaller from the original breast size.