Brest reduction is performed under general anesthesia as an outpatient surgery. There is a selection of incision patterns that can be used during this procedure, including:
The Limited (minimal) Incision: This type of incision may be combined with liposuction to minimize the scarring associated with the procedure. However, the amount of breast reduction may be minimal and the skin must be very elastic to avoid excessive droopiness of the breasts after the procedure.
The Lollipop Incision: This incision is made around the areola, and vertically down to the breast crease. It is used for women who need a mild to moderate breast reduction. While there are some downsides to this type of incision, Dr. Sweat prefers this over any other type of reduction technique to minimize postoperative scarring.
The Anchor Incision: This incision is made around the areola, vertically down o the breast crease, and then horizontally along the breast crease. It is used for women who need a significant breast reduction and/or have very droopy breasts. Even though this is the most common type of reduction technique used in the US for a number of years, the scarring associated with this procedure limits its use at J Sweat Plastic Surgery in Sacramento.
Through the incision pattern that is right for you, excess breast skin and fat will be removed. Remaining skin and fat will be reshaped to create a more youthful breast contour. Incisions will then be closed with sutures.
Drains may be placed in incisions to collect any excess fluids during recovery, though drains are rarely necessary. Patients will need to wear a special sports bra to minimize swelling and support the breast tissue during healing. Swelling and bruising will be present, and any discomfort can be controlled with pain medication. Patients should sleep in a reclining position with their torso elevated. Strenuous activities and exercise must be avoided during recovery. Results will gradually appear as swelling subsides, with final results after three to six months.