During the consultation, the technique to be used will be discussed with the patient. The size of the breasts will determine the technique. If the breasts are not too big I will normally use the so called inferior pedicle technique. With this procedure, the nipple remains attached to the breast by means of a pedicle through which it receives both blood and nerve supply. The resulting scars are reverse T-type scars. Most women will find the scars to be a good trade off for their more comfortable, smaller breasts, affording them a better life quality!
In EXTREMELY large breasts, known as GIGANOMASTIA a free nipple graft technique is used.
During such procedures, the nipple is completely removed from the breast but gets sutured back as a free graft after the breast has been reduced. These patients will have no feeling in their nipples after surgery, but usually don’t have nipple sensation anyway due to the enormous size of their breasts. All breast reductions are performed under general anesthesia in a dedicated, fully licensed, cosmetic surgery hospital.
The patients will spend at least one night in the hospital.
Duration of Procedure 3 to 3.5 hours