Please also see the frequently asked questions about breast reduction to the right.
The General Information page also contains useful discussion for patients considering breast reduction.
Short scar techniques
Where possible, a short scar vertical gland plication is the main technique that I use. This is a technique that evolved in France and across Europe and more recent modifications have been made in Canada. Some of the more famous surgeons names associated with vertical plication techniques are: Claude Lassus, Madeline Le Jour, Daniel Marchac and Elizabeth Hall-Findlay.
The advantages of the vertical techniques are that the bulk of the breast tissue is removed inferiorly, the breast gland tissue itself is modified in shape to produce a cone shape, the breast shape tends to hold itself more securely over time with less “bottoming out than skin tightening techniques and the inframammary crease scar can be minimized or not used at all.
The disadvantages are that the techniques is more complex and there is a learning curve, it is not suitable for massive reductions, an inframammary crease scar is still required after massive weight loss cases, and a skin ripple can be left beneath the breast that in about 10-20% of cases may need to be removed under local anaesthetic 3 months later if it does not completely flatten. This is no additional charge for my patients when this is required.
Wise Pattern techniques
I now only use this technique when performing very significant breast reductions (greater than 1kg per side).
The Wise pattern is a W-shaped pattern of skin incision that leaves a scar around the nipple and vertically down to the inframammary crease (like the vertical mastopexy) but also leaves a long scar running along the inframammary crease. Essentially the skin is cut out and reshaped like a bra.
There are a number of different ways of reducing the breast gland beneath a Wise pattern scar. The more common types include:
1. Robbins (inferior pedicle)
2. Central mound (central pedicle)
3. McKissock (horizontal pedicle)
The advantage is that the initial result looks very good but the disadvantages are the increased likelihood of bottoming out with time and the long inframammary crease scar.
Complications after breast reduction
The main complication after breast reduction include
2. Sensation change
4. Breast feeding
5. Volume changes
6. Shape change after surgery
Breast Reduction Gallery
Click here for a gallery of Breast Reduction examples performed by Dr Charles Davis.