There are well over 100 different surgical procedures, which vary radically in the incision and in the type of tissue removal. Most surgeons are proficient in 4-5 different techniques in relation to the anatomical conditions of the breast. For those seeking advice, it is usually impossible to co-decide the method of choice. To better understand the advantages and disadvantages of each method, I would like to mention the most important parameters that play a role in a reduction surgery:
- Characteristics of the blood supply of nipple and areola
- Shaping of the breast
- Durability of the procedure/building an inner bra
- Preservation of the sensitivity/excitability of the nipples
In discussion with your surgeon, you should consider which of these aspects are particularly important.
When using scar-saving techniques, the inner side of the submammary fold remains untouched, therefore maintaining a neckline is possible. Unfortunately, these methods can rarely be used with very large breasts. Furthermore, there are techniques that preserve the sensitivity of the nipple better than others, but have the disadvantage of poorer formability of the breast.
The last 20 years were spent developing methods that are characterized by the formation of an inner bra to improve the durability of the results. Hereby the weight of the breast is redistributed from the skin to the inner bra to counteract the sagging of the breasts. I intensively concerned myself with this topic considerably and amended a long-proven method (B-technology) so that the formation of an inner bra is possible.
For most patients, scarring is of course important, but I would like to point out that an attractive breast shape, from an aesthetic point of view, is much more important than shorter scars.