Breast reduction surgery is not just about downsizing. For many patients, the procedure also provides relief from postural problem, chronic back and neck pain, rounded shoulders, bra strap grooving, systemic discomfort, and restriction of physical activities.
As with any plastic surgery procedure, breast reduction is perceived to be 25 percent science and 75 percent art. For this reason, one of the qualifications you must look for in a surgeon is his visual talent, which you can assess by looking at his before and after photos.
- Position of the nipple-areolar complex
While breast reduction and breast lift have different goals, they are commonly combined because they share the same incision pattern. For this reason, the low-lying nipple areolar complex is repositioned to achieve a more balanced appearance.
The nipple area is expected to be at least 4-5 cm above the natural breast crease, although this “guideline” can be slightly adjusted depending on the “cup” size.
However, inexperienced doctors might reposition the nipple area too high that it shows when a patient wears a low-cut bikini top. This botched result is generally difficult to correct because of the resulting scars.
Meanwhile, it is not uncommon to reduce the areola size at the time of surgery so it will look proportionate to the smaller breast.
- Ideal projection
The 45:55 ratio between the upper pole to lower pole, with the nipple-areolar complex being the demarcation, “is the basis for design” in breast enhancement surgeries.
While breast reduction is often performed as a reconstructive plastic surgery since the goal is to improve the patient’s quality of life, it still makes sense to pay attention to the breast appearance.
Every time the skin is cut or injured, scars will always form. However, a good surgeon will make every effort to promote “favorable” scarring—i.e., it appears fine, flat, and faded.
To minimize the appearance of scars, Dr. Smaili says he closes the wound in several layers in an attempt to remove the tension from the skin, thus promoting healing. This technique, he adds, can also prevent scars from migrating and becoming thick.
- Breast symmetry
The after photos should reveal breasts that are highly symmetric not just in size but also in shape and profile. A slight lateral bulge is also deemed attractive because it contributes to the hourglass figure.