Techniques used for breast reduction


Having bigger breasts has always been a desired trait among women because it is a sign of femininity and physical beauty. However, when the breasts become too large and go out of proportion, they can create physical and emotional pain. Overly large breasts are also a health problem besides being a cosmetic issue. The weight of excessively large breasts creates back pain, neck and shoulder ache for women, besides creating skin irritation and applying pressure on the shoulders.

Moreover, very large breasts look abnormal and aesthetically unappealing because they don’t conform to your overall body outline. Extra-large breasts affect the life of the patient by limiting her physical activities. Fortunately, there is a plastic surgery procedure available to reduce the size of overly large breasts and alleviate the physical and emotional discomforts associated with the condition. Different plastic surgeons use various techniques to address the problem, depending on how large the breasts are and what symptoms they are presenting.

Wise pattern breast reduction

The wise pattern breast reduction technique is also referred to as the anchor or inverted T technique. It is used more commonly in breast reduction procedures. As the name suggests, the wise pattern or inverted T technique involves making an incision around the areola. The incision goes down the midsection of the lower portion of the breast. It also involves another incision that goes straight along the breast fold. As a result, the two incisions create the shape of an inverted T.

With this technique, the plastic surgeon can perform breast reduction surgery effectively. It allows the surgeon to move the skin perpendicularly and horizontally on the breasts. The plastic surgeon will have enough flexibility when it comes to excising the excess glandular tissue and fat that is responsible for making the breasts overly large. Furthermore, this technique lets the surgeon have more control of the breast shape and balance since the surplus tissue will be excised from any area of the breasts. Among all the breast reduction techniques, the anchor T is the most adaptable technique.

On the downside, this technique leaves long scars on the breasts. The scar is a tradeoff for the aesthetic and physical improvements in the breasts. The good news is that the scars develop under the breast folds, which means they are rarely visible. Despite this, many patients are concerned about the scars and some may even be susceptible to developing abnormal scars. Such patients must discuss their concerns with the plastic surgeon in advance of the operation and explore other techniques that can leave fewer scars on the breasts.

Vertical or “Lollipop” breast reduction technique

The vertical or lollipop technique is yet another breast reduction technique that is used commonly. With this technique, the surgeon will make an incision around the areola. The incision will run down the midsection of the lower portion of the breast in the shape of a lollipop. If required, another incision will be placed in the breast fold. However, the second incision is made in rare cases.

The vertical or lollipop breast reduction technique has an excellent record of improving and maintaining the shape and projection of the breasts on a long-term basis. It is a popular option among women because it has an excellent history of safety and better outcomes. Plastic surgeons recommend this technique for women who have moderately large breasts. If your breasts are too large, you should avoid getting the vertical breast reduction.

By using this technique, the plastic surgeon can effectively remove the surplus fat and glandular tissue, which is the cause of the development of overly large breasts. It also allows for excision of the excess skin that may result after removal of the excess tissue and fat from the breasts.

When this technique is used, the resulting scars will not be long, as is the case with the inverted T technique. However, it will include some gathering of the skin in the lower portion of the breasts. As time passes, the skin gathering will gradually become flat. However, some patients may require another incision or revision surgery for treating the scars. As compared to the inverted T technique, the vertical method allows the plastic surgeon less control over the operation. Despite this, it can be used to reduce moderately large breasts effectively.

 Donut or Benelli technique

The Benelli or donut breast reduction technique is suitable for women who have breasts that are mildly large and creating physical or cosmetic problems. With this technique, the plastic surgeon will make an incision around the edge of the areola. What this means is that you will get one short scar after the procedure. The dark skin of your areola will perfectly camouflage the scar and make it less noticeable.

However, this technique is not useful for you if you have overly large breasts. If this technique is used on breasts that are extremely large, it can result in stretched, broad, and longer scars with abnormal breast shape. If additional incisions are not used to restore your breast shape, your breasts will be distorted. This technique is used very rarely.

No vertical scar technique

As the name indicates, this breast reduction technique does not involve the use of vertical incisions. Instead, the plastic surgeon will make an incision around the areola. An additional incision will be placed in the breast fold. As a result, the visibility of the resulting scars will be lower, and both scars can be easily hidden.

However, there are specific cons associated with this breast reduction technique. Since the skin cannot be relocated horizontally, the surgeon will have limited control over reshaping the breasts during the surgery. As a result, your breasts will appear and the results will not be useful. Your breasts may also fail to get enough projection. This technique may be suitable for you if you are ready to accept lower than the ideal breast shape as an opportunity cost for eliminating the vertical scar. The no vertical scar technique is recommended for women who have large breasts that are also saggy.

In case you want to have the breast reduction with this technique, you can get a revision surgery if you are not happy with the results. During the revision surgery, the plastic surgeon will add a vertical scar so that the results can be satisfactory and optimal enough.

Almost scar-less technique

The almost scar-less breast reduction technique involves liposuction on the breasts. The goal here is not to remove the glandular tissue, but suck out the excess fat in the breasts. To achieve the results, the plastic surgeon will first make two tiny incisions in the breast crease. The resulting scars get perfectly hidden under the ridge. After making the incisions, the surgeon will insert a hollow tube called a cannula inside the breasts through those incisions. A tumescent solution is also introduced into the breasts.

The surgeon will then either use the standard liposuction method or modern methods like laser-assisted liposuction or ultrasound-assisted liposuction to perform the surgery. The traditional method involves manual back and forth movement of the cannula, whereas contemporary techniques use laser or ultrasound technologies to melt the fat in the breasts before removing it. The modern techniques are effective and create lower levels of discomforts and trauma.

After removing the excess fat from the breasts via liposuction, the breast size will decrease. This technique does not affect the glandular tissue. However, one problem that may happen due to the vacuum created by liposuction of the breasts is sagging. If your skin has weaker elastin, your breasts may become saggy after the surgery. To treat saggy breasts, you will then be required to get a breast lift, during which the excess skin will be removed from the breasts.

The almost scar-less technique is right for you if your skin elastin is intact and the breasts have become too large primarily due to excess fat and not glandular tissue. Also, the procedure will reduce your breast size to a reasonable extent, but you should not expect it to reduce your breast size considerably. The good news is that when the excess fat is removed from the breasts, the symptoms associated with the large breasts would decrease to a reasonable extent.


There are different breast reduction techniques with varying levels of effectiveness when it comes to decreasing the size of large breasts. Which method is best for you depends on how severely large your breasts are, your aesthetic goals, and your acceptance of the resulting scars. During the pre-operative consultation, be sure to discuss the pros and cons of each technique with the plastic surgeon. A good plastic surgeon will always explain the advantages and disadvantages of all techniques to you and tell you which method is most suitable for you. You can then make a decision easily.