Women with very large pendulous breasts may experience varied medical problems, including back and neck pain.
What is Breast Reduction?
Dr. Charlotte Ann Rhee is a Board Certified Plastic and Reconstructive Surgeon in Huntington, Long Island NY that specializes in breast reduction (reduction mammaplasty) surgery. Breast reduction (reduction mammaplasty) removes fat, glandular tissue, and excessive skin, resulting in smaller, lighter and firmer breasts that are better-shaped in proportion to the rest of the body. Minimizing the scars associated with breast reduction surgery has been a goal in plastic surgery for years.
Women with very large pendulous breasts may experience varied medical problems including back and neck pain. Also, the weight of large breasts can cause the bra straps to dig into the shoulders leaving groove markings. Large breasts get in the way of physical activities such as running, making exercise and weight loss very difficult if not impossible. Breast reductions performed for women experiencing back and shoulder pain from larger breasts are usually covered by insurance.
What Is The Lejour/Lollipop Breast Reduction Incision?
A Lejour incision, a lollipop incision, and a vertical reduction incision are the same thing. The incision circles the areola and then drops straight down, ending at the breast crease on the bottom of the breast. The name is given due to its resemblance to a lollipop.
The Lejour, or Vertical Reduction, technique significantly reduces the scars associated with both breast reductions and lifts
. Traditionally, both types of surgery left scars around the nipple, down the front of the breast and below the breast. The Vertical Mammaplasty does away with the scar below the breast. This avoids scars on the side or center of the chest where they can be seen in a swimsuit or low-cut clothing. It also avoids the pain which may be associated with a heavy scar directly under the bra.
Advantages of Lollipop Incision
With breast reduction, in order to access enough skin and tissue to reduce and lift the breasts, areolar incisions aren’t sufficient. The most used incision has been the “anchor” incision. This incision is partially the same as the lollipop incision, but it then moves outward in each direction along the breast crease. The end shape resembles an anchor. Obviously, an anchor incision makes quite a bit of visible scarring due to those outward incisions on the bottom of the breasts.
The Lejour incision eliminates those outward additional scars. It also eliminates the pain in recovery that can be associated with a heavy scar under the bra.
Candidates for Breast Reduction
If your oversized breast cause any of the following, you may be candidate for breast reduction:
- Medical Problems
- Physical or social discomfort
- Low Self-Esteem
- Frustrations related to size
Ideal candidates for breast reduction surgery are women with oversized breasts that cause medical problems, low self-esteem, physical or social discomfort or frustrations with the size of their breast. Women must not be pregnant or be breastfeeding while undergoing this procedure.
It is important for patients to understand the details and risks associated with this procedure, and to have realistic expectations in order to be satisfied with the results of their surgery.
Candidates for Lejour Breast Reduction Incision
This incision works very well for patients with small- to medium-size breasts that are sagging and have flattened but don’t need to be lifted a great distance. It doesn’t work as well for larger breasts that are sitting lower on the chest.
While Dr. Rhee tries to choose incision options that minimize scarring as much as possible, it’s important to match the method and incision to the individual patient’s unique needs.
Recovery from Breast Reduction
After the breast reduction procedure, patients will likely experience soreness, swelling and bruising for several days. Bandages will be removed after two days and replaced with a surgical bra. Physical activity should be limited for one to two weeks, while exercise and other strenuous activity should be avoided for at least four weeks.
Patients will return to the doctor to have stitches removed after approximately two to three weeks, at which point most will be able to return to work and other regular activities. It is important to see your doctor for regular follow-up visits to ensure that your breasts are healing properly.
Is There Scarring After Lollipop Breast Reduction?
There is a circular scar around the areolae, but these are well hidden by placement just at the edge of the darker skin. There is a single vertical scar on each breast, however, with this reduction. This is unavoidable, but the scar will become less evident with time.
Breast Reduction Results
The results of the breast reduction procedure are noticeable immediately after surgery and will continue to improve as swelling and bruising subside. Scars will continue to fade with time and can usually be concealed by a bra, bathing suit or low-cut top.
Risks of Reduction Mammaplasty
Breast reduction surgery has the same basic risks as any other type of major surgery: excessive bleeding, infection, poor wound healing, and reaction to anesthesia.
Beyond that, these are the specific risks:
- Loss of sensation in the nipples
- Loss of sensation in the areola area
- Difficulty or inability to breastfeed
- Differences in size, shape, symmetry of the surgically altered breasts
- Vertical scarring on each breast
- Circular scarring around the areola of each breast