Breast 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 Vertical (Lollipop) Incision: This incision is created around the areola and vertically down to the breast crease, and is ideal for those with a mild to moderate amount of breast ptosis. When performed in combination with a breast implant, this is the most common type of lift pattern that Dr. Sweat performs. While many women are understandably concerned about the associated scarring with a lift, the improvement in breast shape often outweighs this concern and the vertical incision tends to heal and fade extremely well with time.
The Inverted-T (Anchor) Incision: This incision is created around the areola, vertically down to the breast crease, and then horizontally along the breast crease. It is best for those with a significant amount of breast sag. While more commonly used for breast reduction in selected circumstances, this extensive scar pattern is rarely necessary for breast lift procedures performed at J. Sweat Plastic Surgery in Sacramento.
The Peri-Areolar (Donut) Incision: This incision is created just around the areola, and is ideal for those with a mild amount of breast sag. While the lift associated with this procedure is minimal, so is the associated scarring. However, this technique tends to flatten the projection of the breast and can stretch the nipple significantly.
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.