Also known as a reduction mammoplasty, breast reduction surgery reduces the size of a womens breast and repositions the nipple and areola to a higher location on the chest. There are several different surgical techniques that can be used to perform breast reduction surgery. The most common technique employed in the United States is called an "inferior pedicle reduction mammoplasty". The "pedicle" is the breast tissue that is not removed and supports the blood supply to the nipple and areola.

 It is a very time efficient surgical procedure and it accomplishes the goal of making the breast smaller and raising the position of the nipple. My concern with this particular technique is that as the swelling following the surgery subsides and the remaining breast tissue settles, the breast appear "boxy" with the nipple and areola rotated upward and sitting too high on the breast. The reason this occurs is that the breast tissue which has been most affected by gravity, the lower breast tissue, has been retained (inferior pedical), while tissue which could have been used to construct a pleasant breast form was removed. To remedy this I retain an element of the tissue normally digarded, the dermis, and use it as an "anchor" to stabilize the inferior pedical of breast tissue to the chest wall. This is what now is populalry known as an internal bra. But there are differences between the internal bra technique most commonly discussed in consultations with women considering breast reduction surgery and the technique I perform. The technique commonly discusse uses a resorbale synthetic mesh material to the support the retained inferior pedical as opposed to my techniqe of using my patient's own tissue. Also, the synthetic mesh is expensive adding an additional cost to the procedure and has the recognized potential of becoming infected.

I believe it is possible to construct a more aesthetically pleasing breast by first removing the heavy tissue located on the lower part of the breast (inferior pedicle) then sculpting the remaining tissue into an attractive breast form. The nipple and areola are now supported by the upper breast tissue. This is referred to as a "superior pedicle reduction mammoplasty".  Excess skin is then removed and the soft tissue is carefully drapped over the sculpted breast.  My goal is to construct a breast which is proportional to your body helping to alleviate the discomfort often associated with large breast. I want to not only reduce the breast size but also create a breast which is nicely contoured that apppers natural and full with the nipple located at a more desired position.