Breast Reduction Techniques

Maury Regional Medical Group (MRMG) Plastic Surgery offers a variety of breast reduction techniques to fit the individual goals of each patient based on their underlying anatomy. Most patients undergoing reduction surgery require an upside-down-T type incision to accomplish their goals. Necessary incisions will surround the patient's nipple and extend down in a vertical fashion to the fold underneath the breast where it will travel the length of the fold. Through these incisions, your surgeon will remove and reshape the tissue into an aesthetically pleasing well-projected shape. The scars are usually very well tolerated and should not be visible in most clothing and swimsuits.

Removing the excess skin is only a part of breast reduction surgery. The removal and rotation of the tissue itself is an equally important component with multiple options available. To remove the excess tissue, the nipple areolar complex must retain its blood supply either in the form of a pedicle or as a skin graft.

  • The pedicle technique involves the nipple areolar complex remaining attached to a segment of tissue during and after the procedure. This helps to enhance cosmetic outcomes and improve the potential retention of sensation. 
  • In certain circumstances, survival of the nipple areolar complex must be done through its use as a skin graft. This is done through a very reliable method of ensuring its survival, but does result in a permanent loss of sensation in the nipple.

Each patient is unique. Our surgeons will work with patients to make the determination of which option is preferred after thorough examination and discussion.

It is important to note that all surgery carries with it certain risks. The risks of breast reduction surgery include but are not limited to: bleeding, infection, unacceptable scarring, delayed wound healing, partial or complete nipple loss, discoloration of the nipple, recurrence of symptoms and need for further surgeries. One common complaint following breast tissue is excess skin and fat of the sides of the breasts even after reduction. This tissue is frequently excess back tissue and may not be addressed through this surgery. It is important to have a strong understanding of the likely cosmetic outcome and to discuss your goals and concerns with your surgeon before the procedure.