Large breast reduction surgery, which entails removing at least 1 pound (or 454 gram) of tissue, typically involves patients whose disproportionately huge breasts are causing physical problems such as poor posture, chronic back and neck pain, rounded shoulders, and migraine headaches.
In extreme cases, some patients even experience shortness of breath and numbness in their fingers, a symptom stemming from the excessive weight pulling on the nerves around their shoulder and collarbone.
Recently, leading Los Angeles plastic surgeon Dr. Tarick Smiley performed a surgery involving drastic “downsizing” to eliminate physical discomfort experienced by a patient.
The said patient requested for a smaller breast size not just for physical relief but also for improved body proportions. (She has a medium frame body.)
During surgery, which was recently posted on Dr. Smiley’s Snapchat, he created an anchor shaped incision—i.e., the incision went around the areola, down the midline, and across the base of the breast.
The resulting scar around the areola’s border and the one across the base of the breast will be inconspicuous due to their strategic placement. Even the vertical scar, despite its more visible position, is expected to fade into the background within 6-18 months.
One of the most notable benefits of anchor breast reduction technique is the pleasing contour because it allows surgeons to remove excess tissue, fat, and skin quite uniformly. Modified incision patterns, meanwhile, tend to provide less natural shape (i.e., boxy) particularly when the incision across the base of the breast is eliminated.
After reducing the breast size, Dr. Smiley incorporated some breast lift techniques to create a more pleasing contour and to provide additional fullness to the upper cleavage. After all, these two surgeries share the same incision pattern.
Breast lift in general involves suturing the tissue and transposing some of the lower breast pole tissue to the upper cleavage to create a more youthful result.
To further ensure cosmetically pleasing results, Dr. Smiley raised the drooping nipple about 8 cm. The goal was to create at least a 3 cm distance between the areolar complex and the breast crease. In addition, its size was reduced to complement the smaller breast size.