Breast reduction is an invasive intervention. It involves major incisions and surgical removal of the excess skin, fat, and tissue from the breasts. Like all other invasive procedures, breast reduction surgery leaves scars on the breasts. In other words, scarring after the procedure is inevitable. The procedure cannot be performed without incisions, which ultimately turn into scars. It is natural for the patient to be anxious about the visibility of breast reduction scars.
The scars are created as a result of your body’s natural defense system that reacts against the incisions and heals them by developing scars. When incisions are made, your body starts producing collagen that covers the incisions and triggers scar development.
Even though breast reduction scars are relatively lengthy, their visibility can be camouflaged by placing the incisions strategically. Normally, breast reduction scars gradually become less visible and fade. However, the scars will not completely disappear. Scarring is a tradeoff for the aesthetic and physical improvements you achieve via the intervention.
The visibility of the scar also depends on the skills and experience of your plastic surgeon and the incision technique used. Inexperienced and unskilled surgeons or practitioners use poor incision techniques and are not aware of surgical techniques. As a result, the scars become more visible after breast reduction surgery. If you want to get minimum scarring after breast reduction surgery, you must choose only a board-certified plastic surgeon to perform the procedure.
There are two scarring techniques that can be used to perform breast reduction surgery: short-scar technique and long-scar technique. During the pre-operative consultation with the plastic surgeon, be sure to discuss the scar technique the surgeon plans to use. Also, ask the surgeon how will the scars look with each technique and what are the pros and cons.
When the short-scar technique is used, it involves shorter incisions. This technique is recommended for women who have saggy and large breasts and want a slight or moderate reduction in breast size. Keep in mind, however, that the short-scar technique is not effective if you desire to reduce your breast size considerably. The short-scar technique is also called the lollipop or vertical scar. The plastic surgeon will make two incisions on the breasts. One incision will be made around the areola, and the other will start at the base of the area and run in the direction of the breast fold.
The large-scar technique uses three incisions and leaves more scarring. One incision is made between the areola and the fold under the breast. The second incision is made around the areola, and the third one is placed horizontally along the breast fold. Also known as the inverted-T scar, this incision is more effective for considerable breast reduction. However, the scar is more visible. If you desire to reduce your breast size drastically, the surgeon will recommend the inverted T incision.
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