You may be asked to look through an album of breast sizes and shapes. This will help the doctor understand the outcome you desire. Computer software may also be used to help you determine your desired result.
The area around the nipple and areola will be cut. Skin, fat, and breast tissue will be removed in a specific pattern. Depending on how much breast tissue is removed, the nipple and areola may need to be repositioned higher up on the breast tissue.
Liposuction, a vacuum procedure used to remove excess fat, may also be used. The amount of scarring will depend on the amount that the breast is reduced and the amount of repositioning needed to reposition the nipple and areola. The scarring can occur around the areola, down to the breast crease, and along the breast crease.
Depending on the extent of operating required, a small flexible tube may be placed in one or both breasts to drain any fluid from the early phases of healing. These drains may need to stay in place for several days. They can be removed in the doctor's office. You will not need a second surgery to remove them.
The cuts in the breast skin will be closed with tiny stitches.
Breast reduction. Smart Beauty Guide—The American Society for Aesthetic Plastic Surgery website. Available at: http://www.smartbeautyguide.com/procedures/breast/breast-reduction. Accessed September 5, 2017.
Breast reduction. American Society of Plastic Surgeons website. Available at: https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction. Accessed September 5, 2017.
Breast reduction. Brigham and Women's Hospital website. Available at: http://www.brighamandwomens.org/Departments_and_Services/surgery/services/PlasticSurg/cosmetic-procedures/breast/breast-reduction.aspx. Updated August 1, 2016. Accessed September 5, 2017.
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