Breast Reduction



26 yo F who was unhappy with the degree of asymmetry and size of her breasts.  She underwent bilateral mastopexies with reduction of breast tissue. Her postoperative course was uneventful.  


49 yo F who underwent bilateral mastopexies via a WISE pattern technique.  A small amount of breast tissue was removed in order to create symmetry and improvement in shape.


39 yo F who underwent bilateral breast augmentation in the past by another surgeon who after children had developed breast ptosis/droop.  She wanted smaller breasts with a lift.  I performed bilateral implant removal with a lift. The incisions will continue to improve over time. 


-  Provides symptomatic relief in patients with back and neck pain, rashes, shoulder grooving, and headaches due to enlarged breasts.

-  Certain criteria must be met in order to qualify as a medically necessary surgery.  Each insurance company have certain criteria that must be met.


The surgical goal is to reduce the amount of skin and breast tissue while keeping the nipple safe and healthy.  There are various techniques described including inferior, superomedial, and central mound techniques.  They are named after the preserved area of breast tissue and accompanying blood supply.  A Wise pattern technique is utilized to reduce the breast skin envelope.  This pattern is commonly referred to as an "anchor" type design due to the resultant scars.  Refer to the diagram on the leftt as an example of a Wise pattern inferior pedicle technique.

Risks include thickened scarring, loss of nipple sensation, loss of the nipple, and areolar complex.  Every effort is taken to avoid or mitigate these risks.

-  Return to regular activities ranges between 4 to 6 weeks.

-  Most patients take 1 to 2 weeks off of work.

-  Drains are frequently used and removed the following day after surgery.