Significant neck/back/shoulder pain as well as lifestyle and functional impairment can be caused by large and heavy breasts. That is why so many women turn to plastic surgeons for breast reduction.Many techniques have been described to perform breast reduction. All techniques reduce the size of the breast, lift the nipple to a higher position, and reduce the size of the areola (pigmented area around the nipple). The goal in breast reduction is to form a smaller breast that is appropriate in shape and size relative to the dimensions of your chest. Most surgeons perform breast reductions under general anesthesia.

Inverted T method (technically known as an Inferior Pedicle or Wise Pattern breast reduction) is the most commonly used method for breast reduction . This procedure results in a vertical and horizontal scar. The horizontal scar is hidden under the breast. The areola is large in many women with large breasts. The size of the areola is reduced at the same time. The scars are usually hidden within a bra.

Some patients with smaller breasts may be candidates for a Vertical Reduction Technique which avoids a horizontal scar at the bottom of the breast. There will be a vertical scar and a scar around the areola (pigmented area around the nipple).

Following the Inverted T technique or Vertical Breast Reduction, breast feeding may or may not be possible. In some patients nipple/areola sensation is unchanged, yet in other patients it may be diminished or completely absent following surgery. Certain women with large breast report diminished nipple sensation before surgery. This is likely related to nerve stretching by the heavy weight of the breast. Some of these patients notice improved nipple sensation following breast reduction using Inverted T or Vertical breast reduction technique.

Free Nipple Breast Reduction technique is used for patients with very large breast. This technique involves removing the nipple and areola as one complex. The breast is reduced and the nipple/areola complex is then sutured as a graft to the breast in a higher position. Women will not be able to breast feed and will have nipple/areola numbness following this procedure, which are likely to be permanent.

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