What Breast Reduction technique is generally best for a moderate reduction between 500 grams and 1,000 grams?
Many surgeons would not use the vertical scar technique which we have discussed in previous blogs for breast reductions which involve removing more than 500 grams from each breast.
The reason for this is that the scar between the nipple and the fold underneath the breast is likely to be too long and will lead to a bottoming-out effect.
A bottoming-out effect occurs when the distance between the nipple and the fold beneath the breast is too long, giving the breast a low-looking position with a high nipple.
In these cases many surgeons believed that the skin from the lower part of the breast also needs to be removed to shorten the distance between the nipple and the fold under the breast.
In our practice, we would consider a short transverse scar technique for breast reductions under 500 grams and a longer scar technique for breast reductions between 500 grams and 1 kilogram. The benefits of the full anchor pattern reduction are that both elements of the skin excess are dealt with.
The anchor pattern was devised by an American surgeon, Dr Wise, some years ago and in some cases is known as the Wise Pattern Breast Reduction.