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Breast lift / reduction techniques

Home > breast reduction > breast lift / reduction techniques

For women with smaller and less severely drooping breasts, this breast lift procedure (which requires fewer incisions) may be possible. In some instances, the physician may administer a local anesthesia with a sedative instead of general anesthesia.

Concentric circles (like a doughnut) around the areola are drawn and cut. The doughnut-shaped skin around the areola is removed and the nipple & areola are moved upwards. Then the outer skin is stitched (sutured) around the areola.

Sometimes the skin that is stitched to the areola may wrinkle because there is more skin than needed around the areola (think of sewing the edges of a hole in a piece of fabric to a smaller circle of fabric in the middle of the hole. This wrinkling is much like the pleats you would see in a pair of pants at the waistline.) Often the wrinkling will subside in just a few weeks to months after surgery as the skin envelope adapts to the new shape and weight of the tissues. If your surgeon does not think that this is possible he/she may instead elect to make a cut that descends from the areola down to the bottom fold of the breast where it meets the chest. A strip of skin is removed along this cut and the two sides stitched together. Even with this additional vertical cut, this procedure leaves less scarring than the more common anchor-shaped mastopexy.

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The physician will draw a key-hole shape above the nipple and areola. At the bottom of the key-hole, he/she will draw an anchor shape from the right to the left side of the breast.

The skin in the (upper cross-hatched) area of the “anchor” will be removed along with some excess breast tissue. The nipple and areola are moved up to the (lower cross-hatched) “key-hole,” then the skin is sutured (stitched) around the areola, vertically down to the chest and side to side along the newly created bottom fold of the breast.

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