What method do you use for reduction mammaplasty? If you use more than one technique, what would determine which technique would be best for the patient?
Answer from Dr. Kremer:
The approach used for breast reduction varies and is based mostly on the size of the patient's breasts, the amount desired to be removed as well as the patient's tissue quality. I use several different technique and personally favour periareolar and vertical mammaplasty approaches, designed to decrease the amount of scarring, to maximize blood supply to the nipple and minimize the risk of damaging sensation to the nipple. However, if a large reduction of breast tissue is necessary, an inverted T-scar will remain, that fortunately for most cases hides nicely below the breast fold and is generally accepted by patients for the trade-off.
For your own safety, I require each patient to undergo a mammography before surgery and the removed breast tissue is being sent to pathology to rule out any forms of so far undetected breast cancer.