How is breast reduction performed?

For the liposuction technique, small incisions are made within the natural fold underneath the breast or perhaps on the outer side as well.  Sometimes a tumescent technique is used where a solution of saline (delivery and tumescent agent ), Lidocaine (pain reliever) and epinephrine (prohibits excessive bleeding and excess absorption of Lidocaine) are injected into the targeted area.  This technique's purpose is to engorge the tissues with the solution for a firmer working area and the fat cells (which are softer) are suctioned out. The epinephrine prohibits bleeding during the operation and less blood is lost during the procedure.

There is a liposuction technique which involves ultrasonic energy waves.  These ultrasonic waves excite the tissues' water molecules (fat molecules being the target) and literally melt the fat into a liquid for ease of removal by suction.  Unfortunately, each patient's molecules may react differently or in the case of unskilled surgeons, may improperly handle the equipment resulting in severe burns.

There is the manual removal technique which is often incorporated into with a breast lift operation.  With this technique there will be scars associated with the breast lift more than likely anchor shaped as extensive tissue will more than likely be removed and proper re-positioning and re-contouring of the breast will be performed.

In any case, the targeted breast tissue and fat is removed, sutures are sometimes used in the closure of incisions for the smaller, liposuction-assisted breast reduction and most definitely for the traditional breast reduction techniques.  Then, a support garment or surgical bra is worn for proper, compact healing.  A surgical or soft bra will be worn for several weeks both day and night.