Different techniques have evolved over some time. Some of the most commonly used ones are:

1. Vertical Scar Technique:

This technique is also called the "short scar technique." This is a variation of the traditional reduction technique by restricting the scar to only the vertical limb and eliminating the need for the full anchor scar. In this technique and the variations to this technique, initially, the lower pole of the breast is flat with more fullness in the upper part. This takes around 3 months to settle down. This method is suitable for moderate reductions.

2. Inferior Pedicle Technique:

This classical method gives an anchor-shaped scar that goes around the areola and a vertical scar in the midline, inferiorly and extending on either side into the crease.

3. Round Block Technique:

A technique that South American surgeons have championed particularly is the "periareolar approach" or the "round block" technique. This approach is only useful for breasts that require a mild to moderate reduction and where the nipple only needs to be raised approximately 6 cm. It is an excellent technique, reducing the scarring to just around the nipple without the traditional anchor-shaped scars that run vertical and horizontal in the crease underneath the breasts. So in the smaller breast reductions, the vertical and horizontal scars are entirely discarded, leaving only the periareolar incision.

In a large breast, however, the vertical and horizontal scars still need to be used. The breasts are still functional by maintaining the duct tissue to the nipple, as only around 20% to 30 % of the ducts and glands are sacrificed even in a traditional reduction. The nipple is not cut off, and women may still breastfeed after the procedure, though sometimes it might not be possible.

4. Breast Amputation:

This is a more extensive procedure done in cases of huge breasts. Here there is no function of the remaining breast tissue, and the nipple is taken away as a free graft and sutured back after the reduction's completion; hence, no function is retained.

5. Scarless Breast Reduction:

This is done with liposuction, especially in young women. A lot of fat is sucked out, and only a skin reduction can be done, thereby reducing the scarring. Suitable for minor to moderate decreases in fatty breasts. Though initially, the breast sags more because they are now empty, over time, they shrink owing to the decreased weight and volume. Hence it is of better value in younger patients with good skin quality.

Yes, breast reduction is a relatively safe procedure. Like any major operation, breast surgery has some risks. However, by choosing a qualified and experienced breast surgeon, you can minimize the risks and obtain amazing results.

Breast surgery does leave scars at the incision sites. Initially, the scars are evident that gradually heal and fade. Breast reduction scars depend on the approach and extent of breast reduction. The experienced and skilled breast surgeons at Aesthetics Plus endeavor to minimize the scar. We also advise scar treatment measures to manage the scars. Follow your surgeon's instructions entirely for better results.

Wear a good support bra after a breast reduction. Take adequate rest to allow the body to heal. Avoid wearing bras with underwires for at least 3 months. Avoid strenuous activities and lifting heavy items for at least two weeks. Massage the breasts with a moisturizer to avoid dry skin. Monitor your breasts for any signs of wound separation or redness, and report immediately to your surgeon. Keep the suture lines dry. Sleeping on your back is advised to keep the breasts in an optimum position.

You can breastfeed after a breast reduction if the areola and nipple aren't entirely removed. Breastfeeding is possible when the connection between the nipples and ducts is maintained. Discuss with our breast surgeons about breastfeeding at the consultation time so they can guide you on the technique and the amount of reduction suitable for you.