Your breast reduction procedure generally takes about three to four hours and will be performed under general anesthesia administered by a Board-Certified Anesthesiologist or a Board-Certified Nurse Anesthetist at Windward Surgery Center in Kailua, Hawaii. Dr. Crabtree usually uses the Vertical Incision or the Wise Pattern Incision for his Breast Reduction surgery.
A very popular option with both surgeons and patients is the vertical breast reduction. An incision is made around the areola and then continues vertically down the center of the lower half of the breast, giving this option its nickname, lollipop. An additional short, horizontal incision may be needed at the breast crease in some cases.
The vertical breast reduction can improve long-term breast shape and projection and is a great choice for some women. This technique may be for you if you have mild to moderately large breasts. This is not a good option for women with extremely large breasts.
This option produces shorter scars, but it includes some “bunching” of the skin along the lower half of the breast. The “bunching” flattens out over time, but rarely an additional incision or a scar revision procedure may be required.
The vertical technique gives the surgeon less control than the anchor pattern reduction, but it may be a good choice for you if your breasts are not extremely large and you’re concerned about the scars associated with the anchor technique.
Wise Pattern Incision
Out of the 2 options we’ll be looking at, this is considered the gold standard of breast reduction procedures. An incision is made around the areola and then continues down the center of the lower half of the breast, then an incision is made horizontally along the breast crease. The incisions form the inverted-t or anchor shape.
This is the most common breast reduction procedure because the skin can be moved vertically and horizontally on the breast. It allows your surgeon the greatest control of your breast shape and proportion because excess breast tissue can be removed from any part of the breast. This is the most versatile breast reduction technique available.
The one major drawback to consider when looking at this option is that it produces the longest scars. However, the scar in the breast crease is usually barely noticed by patients because of its location. If scars are a concern for you, or if you are prone to keloid scarring, another breast reduction technique may be preferable. Talk to your doctor to see if he can recommend the best technique to achieve the results you want with the least amount of scarring.