Breast Reduction Surgery Done by Surgical Excision or with Liposuction

Posted May 24, 2018 in Breast

Breast reduction surgery, also known as reduction mammoplasty, is a plastic surgery designed to help women who are unhappy with the size of their breasts or who are experiencing discomfort caused by large, pendulous breasts. The procedure involves making incisions on the breasts in order to remove excess tissue, fat, and skin from the breasts. Reduction mammoplasty may involve surgical excision alone, surgical excision in combination with liposuction, or liposuction alone. A board-certified Los Angeles reconstructive surgeon like Dr. Jimmy Firouz will determine the most appropriate technique based on the patient’s breast size and composition as well the desired results.

What to Expect During Reduction Mammoplasty

Before beginning the procedure, the surgeon administers intravenous sedation or general anesthesia to ensure that the patient remains comfortable throughout the surgery. An incision is then made that will allow the surgeon to remove the unwanted fat and tissue. The most common techniques include an incision encircling the areola, a keyhole incision that goes around the areola and extends down to the breast crease, or an anchor-shaped incision. Once the incision is made, the underlying tissue is reduced, repositioned, and reshaped. Depending on the circumstances, the area around the areola may also be reduced. The nipple and areola are then repositioned to achieve a natural appearance. Internal sutures are used to support the underlying breast tissue, and the incision is closed with sutures, surgical glue, or surgical tape.

What to Expect Following Reduction Mammoplasty

The breasts will be visibly smaller immediately after the surgery. It is normal to have some swelling that will gradually subside to reveal the final shape and size of the breasts. As with any surgery, there will be a permanent scar; however, the incisions are hidden within the natural contours of the breasts as much as possible and will fade with time.

For more information about reduction mammoplasty, contact our Beverly Hills office today to schedule your consultation with leading plastic surgeon Dr. Firouz.


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