Together with the surgeon who will perform your operation, you should decide which method is most suitable for you. Some techniques are not suitable at all for some patients and the result may be below your expectations. For this purpose, you should discuss with your surgeon how much your breasts should be reduced, the scars and the shape of these scars.
1. Periareolar Mastopexy (Breast Lift Around the Nipple)
In this method, the upper part of the skin around the nipple is peeled off and excess skin is removed. Then the nipple is taken up and aesthetically sewn all around the nipple. This scar becomes puffy and reddened at the first time after surgery, and then the puffiness disappears first and then the redness. This is the method also known as the method that leaves no trace. However, the use of this method is quite limited. From time to time, the patient may not be able to fulfill the expectation of lifting. Sometimes, however, the scar around the nipple widens and revision may be necessary to bring this permission better.
2. Vertical Mammoplasty (Breast Reduction with Vertical Scars)
This method is the most used method for breast reduction and lift today. After the nipples are transferred up, a sufficient amount of tissue is removed from the lower inner and outer halves of the breast. It is the method by which the blood vessels that feed the nipple, the nerves that receive the feeling of the nipple and the milk ducts are protected in the safest way. At the end of the operation, vertical scars extending downwards form on each breast with an all-around aesthetic suture around the nipple; we can define this scar as a lollipop. Sometimes, in operations performed with this method, a skin pot (puckering) may remain at the bottom of the vertical permit, and a small correction may also be required to eliminate it. Sometimes, according to the size of your breast, a short horizontal line can also be added to the scars to coincide with the lower folding section of the breast.
I usually describe breast reduction with this method to my patients as follows: Think of your breast as a round age pad; let's remove a triangular slice from it, and when we close the rest, the base diameter narrows, the taper increases. I see this method as a technique in which we shrink and erect the breast in the most respectful way to the breast tissue, where we can best protect the nerve vessels and milk ducts that feed the nipple, where the nipple is at the far end of the breast after surgery, where the breast can stand like a shelf standing on the wall.
3. Wise-Pattern Breast Reduction (Reverse-T Technique)
It is the more preferred method for reducing larger breasts and is the surgical method that starts under the nipple in each breast at the end of your surgery and ends in the shape of the inverted letter T. The horizontal scars used in this method may thicken from time to time and become difficult to remove; sometimes the sagging of the breast, which we call bottoming-out, may occur.
4. Free-Nipple Technique (Removal of the Nipple)
It is the method used to reduce much larger breasts. After the operations performed with this method, it becomes impossible to give milk. In addition, the specific erogenous sensation of the nipple disappears, and there can be no hardening and erecting of the nipple. Even if this method is not necessary, it is applied to advanced breasts, especially after menopause. In addition, a certain healing and dressing process is required in order for the nipple to hold in its new place.
