At your consultation, the surgeon will listen carefully to your reasons for seeking treatment.  He will then discuss all of the available options with you, advising on the best way of remodelling the breasts to achieve a more comfortable proportion. The procedure he recommends will typically be one of four types:

  • Traditional or ‘anchor’ incision breast reduction
  • Vertical incision breast reduction
  • Scarless breast reduction.
  • Traditional or ‘anchor’ incision breast reduction

The traditional procedure for breast reduction involves an ‘anchor’ shaped incision being made around the nipple and breast.  Excess skin and fat are then removed so that the overall breast size is reduced.  The surgeon will then move the areola and nipple to a position higher up the breast (patients with extremely large breasts may have to have the nipple and areola detached and grafted to the higher part of the breast).  Once the nipple is in its new position, the skin is pulled taut around the breast and the incisions are stitched.

Vertical Incision Breast Reduction

With vertical incision breast reduction (sometimes known as the ‘lollipop’ incision) an incision is made around the areola and vertically down the breast tissue.  The surgeon then cuts away the excess fatty deposits and skin.  As with the ‘anchor’ incision, the nipple can be moved up the breast, but no more than a few millimetres because it is still attached to the breast mould.  The skin around the incision is then pulled tight over itself and stitched up. Breast reduction using a vertical incision is less invasive than the anchor method, but may not be suitable for patients with extremely large breasts (there are certain medical measurements to determine ‘extremely large’).

Scarless Breast Reduction

Scarless breast reduction is a mammoplasty technique whereby liposuction is used to remove surplus fat and tissue from the breast. Small incisions are made in the crease of the breast or subtly in the armpit. The surgeon then makes a series of tiny incisions in either the crease of the breast, or in the upper outer section of the breast, close to the armpit. Liposuction techniques are then used to drain the excess fat from the breast.  Once all the surplus fat has been drained, the incisions are closed. Scarless breast reduction is more suited to patients who have a larger fat to glandular ratio in the breast.