The surgery entails the removal of fat and glandular tissue as well as excess skin in the breasts. The technique that our plastic surgeon will use on you depends on his assessment of your unique condition. The composition of your breasts, desired reduction size, and personal goals and preferences are generally considered. If excess fat is the main reason why the breasts are large, and there is no excess skin, the doctor may perform liposuction alone.

Breast reduction surgery is divided into 5 steps:

Step 1. Administration of anesthesia

The surgeon will numb the operative site through anesthesia. Your doctor will recommend either intravenous sedation or general anesthesia.

Step 2. Creating the incision

Incisions will be made on the skin to access and remove the tissues underneath and achieve a firmer and rounder contour. According to the American Society of Plastic Surgeons, there are 3 types of incisions:

Circular incision

This is also known as the donut method, wherein a circular type of incision is made around the areola.

• Pros: Although the incision lines may remain visible and become permanent scars, they do not show when wearing swimwear or bra.
• Cons: The surgeon has limited access to breast tissues, so it’s only suitable for patients whose breasts are not that large.

Keyhole incision

The incision is shaped like a racquet or keyhole. The surgeon creates an incision around the areola, followed by a vertical incision going down to the bottom of the breast.

• Pros: Because the surgeon has more access, it is ideal for patients with mild to moderately large breasts. It is less invasive and has a shorter recovery time.
• Cons: Patients have a larger scar compared to those who had a circular incision.

Inverted T incision

This type of incision is used in traditional breast reduction surgery, wherein 3 incisions are made. When combined, the result is shaped like an inverted T or an anchor. One incision is made around the areola, one horizontal incision is made along the breast crease, and another vertical incision downwards to connect the first two.

• Pros: Allows for maximum tissue removal, so it is ideal for patients with extremely large breasts and sagging breasts. 
• Cons: Patients with an inverted T incision have the most prominent scars. If the scar bothers you, we can get it to lighten through plastic surgery for scars.

Dr. Zaydon may use any of these three incision techniques, depending on the breast anatomy and the patient’s needs and goals. Through different surgical methods, he can customize the surgery to achieve specific aesthetic outcomes.

Step 3. Tissue removal and repositioning

The incisions will serve as an opening to access the tissues under the skin. The nipple will be repositioned and some part of the areola will be removed as needed.

The surgeon will remove excess breast tissues and the breast will be lifted and reshaped. For sagging breasts, the nipples and areolas will be moved to a higher position.

Step 4. Closing the incisions

After the breast is reduced to the desired size and shape, the breast tissues will be sutured to support the breast, and the incisions will be closed using sutures, adhesives, or surgical tape.

Step 5. Recovery

You will be able to see the changes almost immediately after the surgery. As you recover, the swelling in the surgical site will ease, and the incisions will fade.