Top Breast Reduction Trends – Best practices for Breast Reduction Surgery by Dr Craig Rubinstein
Breast reductions are one of the most popular plastic surgery procedures. This is due to the fact that it improves women’s daily comfort by alleviating the pain that large breasts can cause over time. It also saves them money in the long run as they do not have to attend as many chiro and physio appointments.
Many women are looking for smaller, more natural-looking breasts in search of comfort, relief and aesthetics. Attractiveness and beauty do NOT always mean having bigger breasts.
What is Breast Reduction Surgery?
Breast reduction, also known as reduction mammoplasty is a surgical procedure that removes not only excess breast fat but also tissue and skin from the breast to create a smaller more proportionate size.
This operation also involves a breast lift. This is done by repositioning and sometimes reducing the size of the nipples as well as reshaping the remaining breast tissue.
Understanding Breast Anatomy
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. In addition to age, your menstrual cycle and reproductive status can also alter their feel and shape.
You may also have noticed that your breasts are not an exact match. This occurrence is quite common. Breasts are rarely symmetrical. Like your eyebrows, your breast are sisters, not twins. However, these breast imperfections can be magnified for some women and a procedure like a breast reduction can 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
Below are some of the top breast reduction trends used in surgery
1 – Using a Vertical or Lollipop Incision to Minimise Scars
While the 3 images above are all common types of incisions, the middle image is the type of incision most commonly used for women who need a moderate breast reduction as well as those with noticeable sagging.
With the Lollipop incision technique, one incision is made around the edge of the areola while the second part of the incision is made vertically down from the base of the areola to the breast crease (also known as the inframammary fold or the IMF).
Dr Craig then removes the excess breast skin, fat, and tissue and begins reshaping the breast. This technique helps restore and lift the now smaller breast to a more youthful position. Furthermore, this procedure also minimising scarring as it is limited only to the area below the nipple as the scar around the nipple heals into the natural nipple lines. For most patients, this scar too will fade and become almost unnoticable.
The above technique is only one of many, surgeons may use one or a combination of several surgical techniques in performing your breast reduction procedure. The techniques used will depend on your existing breast anatomy as well as your desired outcome.
2 – A shift from the Anchor Technique to the Le Jour or Lollipop Technique
One of the oldest techniques surgeons use in breast reductions is the anchor technique also knowns as the inverted t incision. 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. This technique can also be used when there is considerable sagging or asymmetry that needs to be corrected. Similar to the lollipop technique, the scarring goes around the nipple and down the breast however, there is an additional scar along the breast crease which causes the scar to look like a nautical anchor.
3 – Minimising Use of Surgical Drains
Some surgeons use drains to keep fluid buildup from occurring however, they can be uncomfortable and cause pain when removed. Dr Craig prefers not to use drains unless absolutely necessary.
You can find out more about drains here.
4 – Internal Bra technique
The Internal Bra technique is a new variation in breast surgery. The procedure aims to add longevity to breast lift and breast reduction procedures.
The surgeon uses internal permanent or semi-permanent sutures to “lift” from the inside providing extra support.
The internal bra technique can work in a variety of ways depending on the patient’s needs. Not only does the internal bra help control breast position and provide internal structural support but it can also assist with Symmastia (when the skin and muscle between the breasts over the sternum detaches).
However, this technique is not meant to replace the use of bras. Wearing a supportive bra is still recommended to properly care for your breasts and make the most of your surgical results.
5 – Use of Liposuction for Breast Reduction
Some surgeons will perform “liposuction only” breast reductions. However, we do not recommend this as a solution. This is due to the fact that while liposuction only breast reductions do remove volume it can result in saggy, deflated looking breasts as a lift is not incorporated into the procedure.
Granted, liposuction can effectively remove fat and your breast will feel lighter but the reduction in weight and volume can result in lower hanging or saggy looking breasts which can, unfortunately, make your breasts look worse.
A proper breast reduction surgery will include;
- Excision of fat, tissue and skin
- As well as, a breast lift
- And, reallocation of nipples (if necessary)
Furthermore, any breast reduction surgery should not only be performed under general anaesthesia, in an accredited hospital but with a qualified plastic surgeon as well.
6 – Maintaining Nipple Sensitivity and Breastfeeding Functions
Unfortunately, Breast surgery can affect future milk supply, some of the ways it can be disturbed include;
- Cutting across nerves. In addition to affecting milk supply, this can also reduce nipple sensitivity.
- Cutting through milk ducts which can, in turn, shut down milk production.
- As well as, Internal breast scarring -which can also affect lactation.
It is essential to choose a plastic surgeon, like Dr Rubinstein, that will use surgical techniques that aid in the prevention of lost nipple sensations and preserve breastfeeding functions.
Dr Craig does NOT remove the nipple completely and then reattach it, as some other surgeons do. Instead he “unplugs” it, in other words, it remains attached to the blood supply and nerves. This prevents nerve damage, necrosis (dying tissue), and potential nipple loss. By performing the surgery this way there is a higher chance of keeping nipple sensation and milk supply as they were before surgery or very close to it.
7 – Achieving proportionate breasts
Aside from making you more comfortable by removing weight from your breast achieving an aesthetically pleasing breast shape is also important.
The best outcome is to have your breasts be in proportion with the rest of your body. Your height, weight and measurements are all taken into account when your surgeon is assessing what a ‘proportionate’ breast size would be for you.
8 – Postoperative Care and Scar Minimization
After your surgery, you will need to stay home, rest and recover for a while, the amount of time depends on your surgery, as well as how you heal. Your breasts will have a surgical dressing on them to protect the incisions (in some cases a drain tube may also be inserted).
You will also have antibiotics and other medications to manage your pain and potential infections. Your surgeon will guide you on what you can and can’t do during your recovery, your recovery is normally discussed in detail before you have your surgery so you can adequately prepare yourself.
Furthermore, it is important that you attend your post-operative appointments, not only to remove any stitches and redress wounds but to also give your surgeon the opportunity to check in with you, see how you are going and to answer any questions you may have. We will also supply you with post-surgical garments to assist in the compression and protection of the breasts. Read more about Recovering After Breast Reduction.
While scarring is an inevitable part of any surgery it can be managed and minimised 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.
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 and improve scarring,
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.
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 thin scarring.
- Avoid exposure to direct sunlight. UV rays tend to discolour and darken new scars. Wear sunscreen 30+ or higher.
9 – Patient Education – Being a well-informed patient
Every patient’s needs are unique. If you want to achieve realistic goals, you must first educate yourself on the information you may need to know about breast reductions. The internet is a useful tool for this and offers you many reliable and unreliable sources, make sure your information comes from a reputable source.
Undergoing surgery can be stressful, so it is essential that you are prepared for it. Below are some things you should have ready to discuss with your chosen surgeon.
- Medical history – including yours and your family’s and any previous surgeries
- List of physical and medical conditions
- Concerns about the surgery
When should you consider Breast Reduction Surgery?
The most common reason for breast reduction surgery is over-sized, heavy breasts that not only affect daily physical activities but also cause discomfort and/or neck and back pain. However, there are other reasons. Other examples include:
- Chronic skin irritations under the breasts
- Poor self-image and confidence
- Indentation from your bra straps
- Difficulty fitting into bras and clothes
- severe breast asymmetry
- Feeling heavy all the time
If any of these sound is familiar, it might be time to consider Breast Reduction surgery.
The majority of women who undergo breast surgery tend to have improved self-esteem and overall improved happiness because they aren’t as self-conscience or in pain anymore and clothes finally 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:
About Dr Craig Rubinstein
Dr Craig Rubinstein FRACS is one of Melbourne’s Best Specialist Plastic Surgeons for breast and tummy surgery. He has been rated as a Top 3 Plastic Surgeon in Melbourne and rated a Top 5 Plastic Surgeon on the ‘Best in Australia’ website.
Dr Rubinstein offers women personalised tummy surgery and all forms of cosmetic breast surgery.
He uses only the highest quality Motiva breast implants and is renowned for his natural-looking, long-lasting results.
BOOK A CONSULTATION TODAY 1300 264 811
Next Steps in Your Surgical Journey
Want more information about your Procedure?
- Download a Free Procedure Guide on your chosen surgery.
- Visit the FAQs and read patient reviews to learn more about your intended procedure.
- For more information about pricing and payment methods, please visit our Surgery Payment page.
- You can also talk to our Patient Care Team from 9 to 5 pm Monday to Friday on 1300 264 811
About Your First Consultation
- Dr Rubinstein’s Consultation fee is $300.
- A referral from your GP or your specialist is helpful but not essential.
- You need a medicare referral in order to claim any medicare benefits or Health Insurance for plastic surgery,
- Please contact the Patient Care Team at Coco Ruby Plastic Surgery today to book your consultation.
What to Bring to your Consultation
- You are more than welcome to bring a friend or relative to help discuss the information and your choices.
- Ensure you also take a lot of notes and thoroughly examine the documents provided.
- Please be aware you may need to undress for a physical exam so wear simple clothes.
*Disclaimer: Individual results can vary significantly from patient to patient. The information we provide is general. For further information on what to expect for your preferred procedures, arrange to see one of our Specialist Plastic Surgeons for a full history and surgical consultation. Read further information about surgical outcome variability on our Disclaimer page.