Gallery - Breast Reduction

BR 1 - "Lollipop" Short Vertical Scar

Description:  Vertical breast reduction is especially effective with low to moderate weight hypertrophy, with boxy contours and flattened upper pole.  The vertical excision pattern narrows the breast base and establishes pleasing breast curves with better projection. A vertical orientation to the pattern of skin excision yields a short scar in the shape of “lollipop”. Vascular circulation to the nipple and areola was preserved by maintaining a superior pedicle of tissue attachment. The quantity of breast excised was of low weight (right 469g, left 350g)generally referred to as a small reduction. Photographic documentation was obtained at 3 weeks after surgery.  Note that surgical cases of Dr. Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients. 

 

BR 2 - "Anchor" & "Inverted-T" Scar

Description: This patient has severe sagging and elongation of the breasts.  The skin envelop has been expanded with an excess of skin.  The “extra” quantity of skin in this patient as well as the severe sagging of the breast, was effectively managed by using an “anchor” technique to excise the horizontal excess of skin along the inframammary fold. The resulting scar is oriented into an “inverted T”. The scar is longer than with a vertical breast reduction, however, the closure is smoother and generally hidden within the crease of the inframammary fold.  A superior pedicle for the nipple vascularity was used to retain and recruit tissue preferentially to the flattened upper breast pole found in this patient. The shape of the resulting breast is fuller than with traditional inferior pedicle techniques. The likelihood of breast feeding following superior pedicle breast reduction surgery is diminished. Nipple sensation often is reduced following superior pedicle breast reduction. Superior pedicle breast reduction is typically performed as an outpatient procedure. This patient demonstrated a preexisting breast asymmetry that was improved by the removal of a larger volume of breast from the right side.  Pattern of skin excision was vertical and horizontal giving rise to an “anchor” or “Inverted-T” scar | Vascular circulation to the nipple and areola was preserved by maintaining a superior pedicle of tissue attachment | Quantity of breast excised was of moderate weight (right 829g, left 669g). Photographic documentation was obtained at 5 weeks and 5 months after surgery.  Note that surgical cases of Dr. Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients.

BR 3 - Superior Pedicle | Small Reduction (250-600g)

Description:  Small breast reductions refer to low weight excisions in the range of 250 – 600 grams of tissue. Small breast reductions can often be treated as an extensive breast lift. The mild to moderate degrees of sagging responds wonderfully to vertical breast techniques where the vascularity of the nipple is preserved by using a superior pedicle.  Pattern of skin excision was vertical giving rise to a short vertical scar in the shape of “lollipop” | Vascular circulation to the nipple and areola was preserved by maintaining a superior pedicle of tissue attachment | Quantity of breast excised was of low weight (right 322g, left 336g). Photographic documentation was obtained at 2 weeks and 7 months after surgery.  Note that surgical cases of Dr Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients.

BR 4 - Superior Pedicle | Moderate Reduction (600-1000g)

Description:  Vertical breast reduction can effectively reduce breast volume with shorter length of incisions than with traditional techniques. Incisions and scars are vertically oriented. This technique of short scar breast reduction surgery is useful in selected patients with good skin elasticity of the breast where excess skin is pleated and “bunched-up” into the vertical “lollipop” shaped incision. During the first two months of healing, the excess skin along sutured skin incisions smooth from the weight of the breast. Nevertheless, residual irregularities along the breast incisions may persist requiring minor revisionary surgery. The likelihood of breast feeding following vertical breast reduction surgery is diminished. Nipple sensation often is reduced following vertical breast reduction. Occasionally, revisional surgery is necessary to excised persistent excess tissue at the base of the breast is necessary. Vertical breast reduction surgery can usually be performed as an outpatient procedure. Pattern of skin excision was vertical giving rise to a short vertical scar in the shape of “lollipop” | Vascular circulation to the nipple and areola was preserved by maintaining a superior pedicle of tissue attachment | Quantity of breast excised was of moderate weight (right 727g, left 646g). Photographic documentation was obtained at 2 months and 1 year after surgery.  Note that surgical cases of Dr Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients.

BR 5 - Inferior Pedicle | Moderate Reduction (600-1000g)

Description: Inferior pedicle breast reduction can effectively reduce breast volume and is the most common technique of breast reduction in North America. This traditional technique excises both a horizontal and vertical segment of breast to yield an “anchor” or “Inverted-T scar” on the breast. While the incision is longer than that of a vertical breast reduction, the possibility of breast feeding in the future is better. Nerves to the nipples are also better preserved with higher likelihood of conserving nipple sensation following inferior pedicle breast reduction. Inferior pedicle breast reduction surgery can usually be performed as an outpatient procedure. This patient demonstrated a pleasing breast shape following inferior pedicle breast reduction. Discoloration and scarring continued to improve for 1-2 years. Pattern of skin excision was vertical and horizontal giving rise to an “anchor” or “Inverted-T” scar | Vascular circulation to the nipple and areola was preserved by maintaining an inferior pedicle of tissue attachment | Quantity of breast excised was of moderate weight (right 654g, left 605g). Photographic documentation was obtained at 10 months and 2 years after surgery.  Note that surgical cases of Dr. Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients.

BR 6 - Inferior Pedicle | Massive Reduction (>1kg)

Description:  Breast reductions exceeding 1kg are considered to be massive. The large volume of breast reduced required planning on how best to reposition the nipple.  The nipple is often the furthest point from the base of the breast from where it derives its vascularity and nourishment. The massively enlarged breast has an elongated distance to the breast base resulting in an elevated risk of circulatory compromise with pedicle breast reduction techniques. In this case of massive breast enlargement, a traditional inferior pedicle technique was planned and carried out to preserve circulation to the nipple. This technique is more likely to preserve the ability to breast feed as well as the sensation of the nipple. Pattern of skin excision was vertical and horizontal giving rise to an “anchor” or “Inverted-T” scar | Vascular circulation to the nipple and areola was preserved by maintaining an inferior pedicle of tissue attachment | Quantity of breast excised was of massive weight (right 1331g, left 1350g). Photographic documentation was obtained at 3 months after surgery.  Note that surgical cases of Dr. Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients.

BR 7 -Free Nipple Graft | Massive Reduction (>1kg)

Free nipple graft techniques used with breast reduction can be used for surgical reduction of the largest breasts. The nipple is usually repositioned as a free graft on the breast. An “Inverted-T” excision of breast tissue is the most common pattern of reduction. All of the breast ducts and nerves are severed from the free nipple graft. Therefore, breast feeding is not possible and sensation is diminished following free nipple grafting. Furthermore, the nipple may permanently lose its pigmentation.  Pattern of skin excision was vertical and horizontal giving rise to an “anchor” or “Inverted-T” scar | Vascular circulation to the nipple and areola was reestablished with free nipple graft techniques | Quantity of breast excised was of massive weight (right 1275g, left 1148g). Photographic documentation was obtained at 6 months and 2 years after surgery.  Note that surgical cases of Dr. Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients. 

BR 8 - Severe asymmetry

Description:  Severe breast asymmetry treated in two stages. Right breast augmented with anatomical form stable silicone gel implant (515 ml) while left breast treated with reduction (608 g) and breast lift. Anatomic form stable silicone implants are often referred to as “gummy bear” breast implants. Photographic followup was obtained at 10 weeks following the final stage of surgery. Note that surgical cases of Dr. Chen Lee are presented for illustrative and educational purposes only. These illustrative cases should not be construed as a guarantee nor assurance as to the surgical results attainable by prospective patients. | Implant Composition: Form Stable Silicone Gel Implant on Right (Mentor® Contour Profile Anatomical Breast Implant) | Volume: 515 ml | Shape: Teardrop (Mentor® CPG312 Anatomical, width 13.6 cm, height 11.7cm, 7.4cm projection) | Surface: Textured | Incision: Inframammary | Placement: Subglandular

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