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What Types of Incisions Are Used in Breast Reduction Surgery?

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Breast reduction surgery, or reduction mammoplasty, is a highly personalized procedure designed to alleviate physical discomfort and improve overall quality of life for those with excessively large breasts. One of the most critical aspects of the surgical plan is the type of incision used. Understanding incision types not only helps you set realistic expectations but also prepares you to make an informed decision with your plastic surgeon NJ.

If you're searching for experienced breast reduction surgeons near me, it's important to familiarize yourself with the common incision techniques and how they relate to surgical goals, scarring, and recovery.


Why Incision Type Matters

The incision used in breast reduction surgery directly impacts:

  • The amount of tissue that can be removed

  • The reshaping and lifting of the breast

  • The visibility and location of scars

  • Postoperative healing and potential complications

A top plastic surgeon will determine the best incision based on several factors including breast size, skin elasticity, desired results, and medical history.


Common Incision Types in Breast Reduction

1. Anchor (Inverted-T) Incision

This is the most commonly used technique in breast reduction surgery, especially for patients requiring significant tissue removal and reshaping.

Features:

  • Circular incision around the areola

  • Vertical incision from the areola down to the breast crease

  • Horizontal incision along the breast fold

Best suited for:

  • Large, pendulous breasts

  • Significant breast ptosis (sagging)

  • Patients needing dramatic reshaping

Pros:

  • Allows removal of a large volume of tissue

  • Enables precise contouring of the breast shape

Cons:

  • More extensive scarring

  • Slightly longer healing time


2. Vertical (Lollipop) Incision

A vertical or "lollipop" incision is less invasive than the anchor technique and suitable for moderate breast reduction needs.

Features:

  • Circular incision around the areola

  • Vertical incision down to the breast crease

Best suited for:

  • Moderate reductions

  • Patients with good skin elasticity

  • Those desiring less scarring

Pros:

  • Avoids the horizontal scar along the breast fold

  • Results in a more lifted, youthful appearance

Cons:

  • Not ideal for large reductions

  • Slight puckering during early healing may occur


3. Periareolar (Donut) Incision

Also known as the "Benelli" technique, this method involves a single circular incision around the areola.

Best suited for:

  • Minor reductions

  • Patients with minimal sagging

  • Individuals looking to improve symmetry or nipple positioning

Pros:

  • Minimal scarring

  • Shorter recovery time

Cons:

  • Limited tissue removal

  • Less reshaping flexibility


4. Liposuction-Only Reduction

While not a traditional incision technique, liposuction can sometimes be used in place of major incisions for select patients.

Ideal for:

  • Women with fatty breasts and good skin elasticity

  • Minimal to moderate size reduction

  • Patients prioritizing scar minimization

Pros:

  • Small, discreet incisions

  • Minimal recovery time

Cons:

  • Cannot lift or reshape the breast significantly

  • Not effective for glandular tissue removal

Before choosing this option, consult a board-certified plastic surgeon NJ to evaluate your breast composition and determine candidacy.


How Your Surgeon Chooses the Right Incision

Your surgeon will assess:

  • Breast size and volume: Larger breasts may require more extensive incisions like the anchor technique.

  • Skin quality and elasticity: This influences how well the skin will retract and heal after tissue removal.

  • Degree of sagging (ptosis): The more ptosis present, the more likely a vertical or anchor incision is needed.

  • Nipple positioning: Some incisions allow for more effective repositioning of the nipple and areola complex.


What to Expect After Surgery

Regardless of incision type, healing is a critical part of the process. Here's what most patients can expect:

Common post-surgical symptoms:

  • Swelling and bruising

  • Tenderness and tightness

  • Temporary loss of nipple sensation

Scar care recommendations:

  • Keep incisions clean and dry

  • Avoid sun exposure on healing areas

  • Use silicone sheets or gels as advised

  • Follow your surgeon's scar management protocol


Frequently Asked Questions

Will the scars be visible?

Yes, but over time they typically fade and become less noticeable. Top plastic surgeons use techniques designed to minimize scarring and place incisions where they can be concealed.

Can I choose which incision is used?

While you can discuss your preferences, the final recommendation will depend on clinical evaluation. The priority is to achieve the best aesthetic and functional outcome safely.

Are incision types different for men undergoing breast reduction?

Yes. In male breast reduction (gynecomastia surgery), incisions are usually smaller and often limited to the areola area or hidden in natural chest contours.


Choosing the Right Surgeon

Selecting an experienced, board-certified plastic surgeon NJ is essential for achieving the best outcome. When searching for "breast reduction surgeons near me," look for professionals with a track record of successful breast procedures and satisfied patients.

Key considerations:

  • Board certification in plastic surgery

  • Before-and-after photo gallery

  • Reviews and patient testimonials

  • Comfort level and communication during consultation

Remember, the right incision type is only one part of a successful breast reduction. The skill and artistry of the surgeon are equally crucial.


Conclusion: Incisions That Support Your Goals

Breast reduction is a life-changing procedure, and understanding the various incision types is vital to making an informed decision. Whether you're a candidate for a lollipop incision or require the comprehensive anchor approach, your plastic surgeon NJ will guide you toward the method that best meets your goals and anatomy.

If you're ready to take the next step, start by searching for breast reduction surgeons near me and schedule a consultation with one of the best plastic surgeons in your area. With the right plan, you can achieve both relief and confidence through breast reduction surgery.

Rowe Plastic Surgery
267 Broad St,
Red Bank, NJ 07701
Tel: 732-838-6640
Fax: 732-852-2771

https://normanrowemd.com/

Google maps: https://g.page/roweplasticsurgerynj

https://plus.codes/87G78WVP+6C Red Bank

Nearby Locations:
Red Bank, Shrewsbury, Shrewsbury Township, Little Silver, Fair Haven
07701, 07702, 07703, 07704, 07724, 07739, 07757

Working Hours:
Available 24 Hours for Emergency Care.
For Appointments Call Between 8AM-8PM.

Payment: cash, check, credit cards.



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