Types of Breast Reduction Surgery

There are several types of breast reduction surgery. The type chosen by you and your surgeon will depend on the size and shape of your breasts and how much smaller you want your breasts to be. The different basic types of reduction mammoplasty include:

Anchor Lift or T-Incision: This is a standard type of reduction and can be the best for women who need to have a large amount of tissue removed. The incision in this procedure starts above the nipple and runs down on either side of the areola and below it to the crease under the breast and then to the side within that crease. Excess glandular tissue, fat and skin are removed, and the nipple is repositioned upward on the breast.

If you have very pendulous breasts, your surgeon may need to completely detach your nipple. The detached nipple is later attached to blood vessels in a new location further up on the breast. In other cases, the surgeon may keep the nipple attached to its underlying blood vessels and milk ducts and simply move it upward and suture it into a new location.

The incision is then closed around the areola and then closed in a line leading down from the nipple to the crease under the breast. The closed incision resembles an anchor or an upside-down T, which is where this method of breast reduction surgery gets its name.

Vertical Incision: In this technique, a keyhole-shaped piece of tissue is removed around the areola and down to the crease. Excess glandular tissue and fat is then removed. The nipple is moved up on the breast and the incision is closed. This technique is a good choice for moderate breast reductions. The incision goes around the areola and down to the crease in a vertical line.

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