Breast Reduction

Women with excessively large breasts desire not only an improvement in breast size & shape but also an improvement in lifestyle. These women report difficulty with exercise, activities of everyday living, finding appropriately sized bras, maintaining hygiene under the breast and troublesome strap marks. But this can all be changed with a single procedure!

Breast reduction surgery has come a long way over recent times. Dr Miroshnik specialises in the short-scar Vertical breast reduction procedure which allows for a volume reduction, reshaping, nipple/areola reduction and breast lift all in the one operation! This is achieved with only a short vertical scar which is significantly smaller than the conventional anchor or T-Incision technique. The T-Incision technique is reserved only for those with extraordinarily large breasts and great surpluses of skin.

Dr Miroshnik, discusses the short-incision vertical breast reduction & lift procedure which has literally transformed modern cosmetic surgery of the breast.

Techniques For Breast Reduction Surgery

For more information on each of these procedures, please select one of them from the menu below.

Vertical Incision Technique for Breast Reduction

The Vertical Technique is Dr Miroshnik's first preference in breast reduction surgery. The operation as it stands now yields the best results in breast reduction surgery that have ever been possible. This is because it results in not only a very natural looking, attractive breast but is also done at the cost of only a relatively small vertical scar.

It can be performed in women of any age, once breast maturity has been reached and is associated with a relatively quick recovery period.

To learn more about the technique, please view our procedure description below.

Breast Reduction Vertical Technique Procedural Information

  • Introduction

    Studies have shown that women who undergo this procedure are some of the happiest patients in a plastic surgeon's practice! It is helpful to note that the operation is one that is usually considered a reconstructive procedure and is often covered by insurance plans. The surgery is performed to make the breasts smaller, as well as lift the breasts to a more youthful position. The purpose of the surgery is not only to improve the appearance of the breasts but also to alleviate back and neck pain as well as to aid in hygiene in the folds underneath the breasts. After this procedure, most women report that they are able to lead a more active lifestyle, enjoying many new activities that they were unable to do prior to the surgery./p>

  • Surgery Preparation

    The 'vertical incision' short-scar technique is Dr Miroshnik's first preference in breast reduction surgery. This is because the operation results in not only a very natural looking, attractive breast but is also done at the cost of only a relatively small vertical scar. The traditional 'T-shaped incision' is also effective but requires a larger scar.

    Prior to surgery, marks are made on the skin to determine the reduction pattern and skin incisions. This is usually performed in the anaesthetic bay and is done in the sitting position. This surgerysurgery usually requires a general anaesthetic, in which you are asleep during the entire procedure.

  • Vertical Incisions

    Once you are asleep and the area is adequately cleansed and draped, Dr Miroshnik uses a scalpel to follow the pre-marked incisions.

  • Removal of Breast Tissue

    The nipple is dissected out onto a glandular pedicle of breast tissue, so that it can be safely transported upwards to its new location. The pre-marked excess tissue is then removed with an electrocautery device that coagulates any bleeding vessels as it cuts through the tissue. Dr Miroshnik then reshapes the breast internally and puts it back together using strong internal dissolving sutures.

  • Incision Closure & Recovery

    The incisions are then closed with dissolving sutures that do not need to be removed. One drain is usually inserted into each breast prior to the completion of the operation. These drains are used to remove any excess fluid that accumulates around the breast tissue over the ensuing day. Dr Miroshnik will usually remove them before you go home. Dressings are then placed to protect the incisions during the healing phase. During this period, you will be required to wear a sports-bra or some other type of supportive garment that Dr Miroshnik will discuss with you. You may experience some minor pain, bruising, and swelling, as well as numbness around the nippleall of which usually subside in several weeks. Most patients are usually well enough to return to work within a week or so.

    You will be able to notice a dramatic difference in the size, shape and position of your breasts immediately following your procedure. You will then continue to notice a change in the appearance of your breasts as swelling subsides and they settle into their new positions.

T Incision Technique for Breast Reduction

Breast enlargement using the areola, or peri-areola, technique involves an incision around the areola, which is the pigmented skin around the nipple. The scar is well-hidden at the interface between the areola and the surrounding breast skin. As with other augmentation procedures, the implant may then be placed above or below the pectoralis muscle.

For more information on this technique, please see our custom, narrated 3D Animation and print yourself a copy of the procedure summary while in the animation menu.

Procedural Information

  • Introduction

    Studies have shown that women who undergo breast reduction are some of the happiest patients in a plastic surgeon's practice! It is helpful to note that the operation is one that is usually considered a reconstructive procedure and is often covered by insurance plans. The surgery is performed to make the breasts smaller, as well as lift the breasts to a more youthful position.

    The purpose of the surgery is not only to improve the appearance of the breasts but also to alleviate back and neck pain as well as to aid in hygiene in the folds underneath the breasts. After this procedure, most women report that they are able to lead a more active lifestyle, enjoying many new activities that they were unable to do prior to the surgery.

  • Surgery Preparation

    The 'T-shaped', 'Inverted T-shaped' or 'Anchor Technique' of breast reduction is a time honoured procedure for obtaining excellent results in breast reduction surgery. However, because the scars involved are significantly longer than the 'vertical' technique, Dr Miroshnik only uses this operation if someone is unsuitable for the 'vertical' operation. This may be the case in women with extraordinarily large breasts with great surpluses of skin.

    Prior to surgery, marks are made on the skin to determine the reduction pattern and skin incisions. This is usually performed by Dr Miroshnik in the anaesthetic bay and is done in the sitting position. Breast reduction surgery usually requires a general anaesthetic, in which you are asleep during the entire procedure.

  • Incisions

    Once you are asleep and the area is adequately cleansed and draped, Dr Miroshnik uses a scalpel to follow the pre-marked incisions.

  • Removal of Breast Tissue

    The nipple is dissected out onto a glandular pedicle of breast tissue, so that it can be safely transported to its new location. The pre-marked excess breast tissue is then removed with an electrocautery device that coagulates any bleeding vessels as it cuts through the tissue.

    Dr Miroshnik then reshapes the breast internally and puts it back together using strong internal dissolving sutures.

  • Incision Closure & Recovery

    The incisions are then closed with dissolving sutures that do not need to be removed. One drain is usually inserted into each breast prior to the completion of the operation. These drains are used to remove any excess fluid that accumulates around the breast tissue over the ensuing day.

    Dr Miroshnik will usually remove them before you go home. Dressings are then placed to protect the incisions during the healing phase. As you can see in the diagram, with this operation, the final scar resembles that of an inverted 'T'. The length of the horizontal segment of the 'T' is variable and is usually well concealed within the fold of the underside of the breast.

  • Summary

    During this period, you will be required to wear a sports-bra or some other type of supportive garment that Dr Miroshnik will discuss with you. You may experience some minor pain, bruising, and swelling, as well as numbness around the nippleall of which usually subside in several weeks. Although you may feel well enough to return to work in approximately one week, you should continue to avoid strenuous activity such as exercise for three or four weeks after your procedure to allow your body sufficient time to heal.

    You will be able to notice a dramatic difference in the size, shape and position of your breasts immediately following your procedure. You will then continue to notice a change in the appearance of your breasts as swelling subsides and they settle into their new positions.

Artistic Breast Photo Gallery.

Welcome to the artistic image gallery. Cosmetic plastic surgery is both an art and a science, requiring careful attention to detail. This selection of artistic images are of actual patients who have had procedures performed by plastic & cosmetic surgeon, Dr Michael Miroshnik. The images have not been altered or airbrushed and should only be used as a guide when considering a particular procedure. Results vary from patient to patient so please discuss your expected results with Dr Miroshnik prior to surgery.

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