Breast Reduction and Lift
Through breast reduction surgery it is possible to raise, reshape and reduce large breasts.
Breast Reduction and Lift: DD to C
This is a 55 year old woman who was looking for a Plastic Surgeon in Sydney to perform her breast reduction surgery. Her concerns were the size of her breasts, which gave her neck and back pain. She was also concerned about the breast tissue overhanging her armpits which prevented her from running and doing daily activities. She had bilateral breast reduction surgery with liposuction of the outer breast and glandular reshaping to achieve these goals.
INCISION: Inverted T scar (Anchor scar)
CUP SIZE: DD to C
•Right Breast 532gms plus 730cc of liposuction<br>
•Left Breast 622gms plus 700cc of liposuction</p>
The procedure removes excess fat, glandular tissue and skin from the breast, leaving the patient with a breast size which is in proportion with their body, alleviating the discomfort which can come with overly large breasts.
The self-consciousness and emotional discomfort many women experience due to having large pendulous breasts is as important an issue as the physical discomfort and pain.
There are four important parameters that define the beauty of a breast:
- Location on the chest wall
- Proportions of the breast in relation to the torso
- Aesthetically pleasing shape
- Symmetry of both breasts in volume and shape
The challenge in breast reduction surgery is that all these parameters are affected and therefore need addressing to achieve an excellent result.
Breast reduction is a highly individualised procedure. To achieve a predictable and safe result a few key anatomical considerations need to be made.
This is the footprint the breast makes on the chest wall, similar to the outline a house makes on a parcel of land. The platform forms the basis or foundation of the overlying three-dimensional structure of the breast.
The goal of breast reduction surgery is to return the breast mound back to its original position higher on the chest wall.
This refers to the three-dimensional shape, projection and volume of the breast tissue on top of the breast platform. In building terms, this is analogous not only to the size of a building, but also the shape and form of the building.
In breast hypertrophy, the mound is too large and deformed. The breast mound needs not only a reduction, but also a lift and a reshaping.
My preference is to perform the breast reduction with an a superomedial pedicle, which just means that the blood supply to the breast mound and nipple come from a blood source above and to the midline of the chest wall.
After the breast mound has been reshaped and repositioned on the chest wall, the skin envelope needs reduction to fit the newly shaped breast mound. A skin envelope of appropriate quantity functions like a well-fitted bra, holding the breast tissue in an appropriate position.
Of the many different types of breast reduction operations available, my preferred skin envelope and therefore final scar is one that has a suture line around the areolar with an inverted T scar running vertically down and then across at the level of the inframammary fold. In my opinion this leads to the quickest healing, but more importantly the most predictable and therefore most reproducible results.