Breast reduction surgery has always been a very rewarding surgery for our patients. Most very large-breasted women are exasperated with the extra weight of their breasts, frustrated that they can’t wear cute bras and “normal” clothes, and sick of the extra support they need at all time. Breast reduction surgery, also known as “reduction mammaplasty,” is popular because it can alleviate these bothersome problems.
Breast reduction surgery can give you breasts in proper proportion to your body shape. And it can improve the symmetry of your breasts if you have breasts of different sizes.
When we perform a breast reduction, we always perform a breast lift in the same surgery. The lift repositions the breast so that it's higher and more appropriate for its new smaller size. There are two types of breast reduction that we generally use in our practice: the vertical reduction and the pocket reduction. In both types, the nipple is placed in a higher position and there is a vertical scar where the excess hanging skin over the abdomen is removed. Sometimes a scar is also created under the breast, depending on the volume of excess skin and the quality of that skin. We like to avoid any long scars that might show in swimsuits or low-cut gowns or shirts.
The vertical reduction, created about twenty years ago, was a vast improvement over the standard breast reduction. Unlike the standard reduction, in which the upper breast tissue is removed, the vertical reduction removes the excess tissue in the lower, central breast. The sides of the breast are then joined together, pulling the shape of the breast into a smaller, higher profile, and naturally bringing the breast upward. None of the natural upper fullness of the breast is sacrificed, and the nipple is also moved upward, which makes a perkier and younger-looking breast. The vertical reduction typically has a lollipop incision, although for very large reductions it is sometimes extended along the crease under the breast. The vertical reduction also preserves the nerves to the nipple.
The pocket reduction was created by Dr. Cassileth to address some of the issues common to breast reduction patients. Some women have such heavy breasts that the whole breast hangs very low, leaving very little tissue on the upper chest. Sometimes these women are told that they need breast implants with their reduction in order to give them “upper pole fullness.” To us, the obvious solution was to use our patients’ own generous breast tissue to create that upper fullness, and make sure that it stays there, giving the patient a great result without an implant. So Dr. Cassileth created a technique where we use the pectoral fascia, a thin but strong layer covering the chest muscle, as a perfect pocket to hold the breast in a higher position. And more importantly, it takes the weight off of the skin completely. This makes for a better scar as well, as there is no tension on the skin. The nerves are carefully preserved in this type of reduction, and the nipple is placed in a higher, more youthful-looking position.
Browse our photo gallery to see the results of our breast reduction surgeries.
With in depth gratitude I write this review. I would give them ten stars or 100 stars if I could! We went here for a breast reduction for my teenaged daughter, which actually was pre-approved by our insurance as a medical necessity. Dr. Killeen was absolutely exceptional in her treatment and the results were beautiful.
Breast reduction is performed under anesthesia. First, the area is numbed, even though you are asleep. Next, the excess breast tissue is removed, carefully preserving blood flow and innervation to the nipple. Next, the tissue left behind is rearranged to look like the breast we want to create. This is different for different people, and we work with our patients before surgery to determine the size and shape we are aiming for. In any type of reduction we do, we create an internal bra to support the breast rather than relying on breast skin for support. After the new shape of the breast is completed, any extra fatty tissue that is located under the bra strap or in the armpit (axilla) is removed. It’s pretty common for large-breasted women to have extra, unwanted fat in these areas. Finally, the incision is closed, keeping it as short and neat as possible. The areola is usually reduced as well, so that it will look proportional to the new smaller breast size.
You may want to consider reduction surgery if:
Having a breast reduction may decrease your ability to breastfeed. If we know that future breastfeeding is important to you, we can further increase your chances to successfully breastfeed by doing the reduction in a slightly different way. We remove a wedge of tissue and avoid cross cutting any other milk ducts so that ALL of the remaining breast tissue should continue to communicate with the nipple, like spokes on a wheel.
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