Top Breast Reduction Trends – Best practices for Breast Reduction Surgery by Dr Craig Rubinstein
Breast reduction is one of the most successful operations in plastic surgery procedures. It allows women to improve their self-esteem and daily comfort by alleviating the pain that large breasts can cause over time and save money in the long run from all the chiro and physio appointments. Many women are looking for smaller, more natural-looking breasts in search of both comfort, relief and aesthetics. Attractiveness and beauty do NOT always mean having bigger breasts. Learn more about the top breast reduction trends.
What is Breast Reduction Surgery?
Breast reduction or reduction mammoplasty is a surgical procedure to remove excess breast fat, tissue, and skin from the breast. This surgery is done to achieve a smaller breast size more proportionate to your body.
The operation also involves breast lifting which is done by repositioning and sometimes reducing the nipples and reshaping the remaining breast tissue.
The breasts consist of fat, tissue, glands, ducts, and skin. Each breast consists of mammary glands and connective tissues that surround it. The anatomy of the breast changes as you age, and other factors like your menstrual cycle and reproductive status can also alter their feel and shape. You may have noticed that your breasts may not exactly match. This occurrence is quite common, as breasts are rarely symmetrical. The common saying is that “they’re sisters not twins”. These breast imperfections may lead you to want surgery like a breast reduction to help even things out.
Dr Craig Rubinstein explains his Nine top Breast Reduction trends which include
- Using a Vertical or Lollipop Incision to Minimise Scars
- A shift from the Anchor Technique to the Le Jour or Lollipop Technique
- Minimising Use of Surgical Drains
- Internal Bra technique
- Use of Liposuction for Breast Reduction
- Maintaining Nipple Sensitivity and Breastfeeding Functions
- Achieving proportionate breasts
- Post-operative Care and Scar Minimisation
- Patient Education – Being a well-informed patient
Watch the Top Breast Reduction Trends Video with Dr Craig Rubinstein
Top Breast Reduction Trends by Dr Craig
Here are some top breast reduction trends used in surgery:
Trend #1 – Using a Vertical or Lollipop Incision to Minimise Scars
This type of incision is best for women who need moderate breast size reduction and those with noticeable sagging. In this procedure, an incision is made around the edge of the areola. The second part of the incision is made running down vertically from the bottom of the areola to the breast crease (inframammary fold known as the IMF).
Dr Craig will reshape the breast by removing excess breast skin, fat, and tissue. This technique will restore and lift the new and smaller breast to a more youthful position. There is minimal scarring, which is limited to only the area below the nipple as the nipple scar will heal into the natural nipple lines. Once healed wearing underwear and bikinis will not be a problem as there is no underline scar under the breast like with the anchor technique.
Over the years, there have been many breast reduction techniques that were used and developed. Surgeons may use one or a combination of several surgical techniques in performing breast reduction procedure. These techniques used will depend on your existing breast anatomy and your desired outcome as well.
Trend #2 – A shift from the Anchor Technique to the Le Jour or Lollipop Technique
One of the oldest techniques surgeons use in breast reduction is the anchor technique. The anchor incision gets its name from the anchor shape of the incision pattern. This procedure involves three incision sites: around the edge of the areola, down to the breast crease and a longer horizontal incision along the crease underneath the breast (IMF – inframammary fold).
This approach is commonly used on much larger breasts where a larger amount of fat, tissue and skin needs to be removed or if the patient has had significant weight loss or bariatric surgery. When there is considerable sagging or asymmetry to correct, this technique can be used. With this technique, the scarring goes around the nipple and down the breast like the lollipop as well as a scar along the breast crease looking like a nautical anchor.
Trend #3 – Minimising Use of Surgical Drains
Some surgeons use drains to keep fluid buildup from occurring but they can be uncomfortable and cause pain when removed. Dr Craig prefers not to use drains unless really necessary. Find out more about drains,
Trend #4 – Internal Bra technique
The Internal Bra technique is a new variation in breast surgery. The procedure aims to add longevity to breast lifts and breast reduction procedures.
The surgeon uses permanent or semi-permanent sutures internally to “lift” from the inside providing an extra support.
The internal bra technique works in a variety of ways to suit a patient’s needs. The internal bra helps to control breast position and provide internal structure support. It may also assist in cases with Symmastia (when the skin and muscle between the breasts over the sternum detaches).
It is not meant to replace the use of bras. Note that it is still recommended to wear a supportive bra for proper breast care and to make the most of your surgical results.
Trend #5 – Use of Liposuction for Breast Reduction
Some surgeons will perform “liposuction only” breast reduction. We do not recommend this as a solution for patients who require a breast reduction. You can be left with saggy, floppy breasts as they are not lifted as part of the surgery, they are just “deflated” so to speak. They will feel lighter but look worse. Liposuction can remove fat but will not address the problem of excess sagging and skin. Breasts will be smaller in weight but can result in longer hanging breasts than before the surgery.
Any proper breast reduction surgery will have an incision and include liposuction to remove some fat as well as an excision of fat, tissue and skin as well as a breast lift and reallocation of the breasts and nipples.
All breast reduction surgery should be performed under general anesthesia in an accredited hospital with a qualified plastic surgeon.
Trend #6 – Maintaining Nipple Sensitivity and Breastfeeding Functions
Breast surgery may potentially disturb milk supply in several ways that can include:
- Cutting across nerves which may also reduce nipple sensitivity
- Cutting through milk ducts which may shut down milk production as there is no outlet for milk to be released
- Internal breast scarring which may affect lactation.
It is essential to choose a plastic surgeon and use surgical techniques that aid in the prevention of loss of nipple sensations and preserve breastfeeding functions. Dr Craig does NOT remove the nipple completely and reattach it as some other surgeons do. We “unplug” it, so it is still attached to the blood supply and nerves. This prevents nerve damage, necrosis (dying tissue), and potential loss of the nipple. Performing surgery this way has a higher chance of keeping the nipple sensation and milk supply as they were before surgery or very close to it.
Trend #7 – Achieving proportionate breasts
The primary goal of a breast reduction apart from making you more comfortable is to achieve an aesthetically pleasing breast shape.
The best outcome is to have the breasts be in proportion with your body.
Trend #8 – Post-operative Care and Scar Minimization
After surgery, you will need to stay home and stop physical activities for a little while. Your breasts will have a surgical dressing to protect the incisions and in some cases a drain tube may inserted as well. You will also have antibiotics and other medications to manage pain and infection. Your surgeon will guide you on what you can and can’t do during your recovery.
You will need to attend your post-operative appointments for any removal of stitches and redressing of the wounds. Your breasts will feel tender but you will be given post-surgical garments to assist in compression and protection of the breasts.
Scarring is an inevitable part of any surgery but may be managed with proper care and treatment. Your surgeon will advise you on caring for your scars at home. Always follow your surgeons’ advice not what you see on social media or online- your surgeon knows you and your skin – they operated on you.
With advancements in medical technology, dealing with scars has become more manageable. Skincare lasers, such as the Fraxel and V laser treatments can help minimize scarring and improve them.
The skincare laser procedures are an effective therapy for reducing scars. For some treatments, a numbing cream may be required before the procedure to reduce pain.
Here are other ways to reduce scar visibility:
- Massaging – applying slight pressure and massaging the healed wound can help break up scar tissue.
- Silicone sheets and topical ointments. The application of ointments can help in the thinning of scars.
- Avoid exposure to direct sunlight. UV rays tend to discolor and darken new scars. Wear sunscreen 30+ or higher.
Trend #9 – Patient Education – Being a well-informed patient
Every patient’s needs are unique. If you like to achieve realistic goals, you must first educate yourself on the information you may need about breast reduction. The internet is a useful tool for this and offers you many reliable and unreliable sources.
Undergoing surgery can be stressful, so it is essential to get prepared for it. Here are some things you should have ready to discuss with your chosen surgeon.
- Medical history (includes family’s medical history) including any previous surgeries
- Physical or medical conditions
- Concerns about the surgery
When should you consider Breast Reduction Surgery?
Common reasons for most breast reduction surgeries is women having over-sized, heavy breasts and the discomforts that come with it like neck and back difficulties. A breast reduction procedure may help you achieve the benefits of both aesthetics and relief from discomfort. You may want to opt for this procedure if the size of your breasts affects your daily physical activities, if you have back and neck pain.
Other grounds may be the following:
- Chronic skin irritations under the breasts
- Poor self-image and confidence
- Indentation from your bra straps
- Difficulty in fitting bras and clothes
- Having asymmetrical breasts
- Feeling heavy all the time
Considering Breast Reduction Surgery? Get the Reduction Mammoplasty Guide!
The majority of women who have breast surgery tend to have improved self-esteem and become happier because they aren’t in pain anymore and clothes fit!
To learn more about these breast procedures, please contact us to have a chat and/or book an appointment for a consultation. Our procedures are tailored to fit your unique needs. We are here to help you successfully achieve your goals.
Other Top Trends in Surgery
- Top Tummy Tuck Trends – Best Practices in Abdominoplasty Surgery with Dr Craig Rubinstein
- Top Breast Lift Trends – Best Practices for Breast Uplifting Surgery
Further Reading – Medical References: