EXPERT Q&A

Q: What type of scarring is there with a breast reduction?

What our experts say:

With a breast reduction, you can use similar incisions to a breast lift. You can do it around the areola; around the areola and down the breast in a lollipop shape; or in a Y pattern, which goes around the areola, down the breast and along the crease. We typically reserve that last more invasive incision for much larger breasts.

CHOPRA RITU CALNW PLASTIC SURGEON

Dr. Ritu Chopra

Plastic Surgeon

Beverly Hills, California

The traditional incisions used in breast reductions look a little like an anchor. They go around the areola, down to the crease below the breast and horizontally beneath the breast in the bra line. However, many surgeons today use a more minimal incision which goes around the areola and straight down to the fold, eliminating the horizontal component. The choice is determined by the surgeon’s preference and experience. In either case, the sutures should all be buried under the skin eliminating any cross hatching. Usually the incisions do not need any post-operative treatment and will improve on their own over time. Occasionally the surgeon may recommend a topical scar treatment or bleaching cream for patients who may develop dark scars. These treatments are begun after the crusts and scabs have all cleared.
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