Reduction Mammoplasty Procedure Overview
1. The incisions are marked, usually circumscribing the areola, which is usually left attached to underlying tissue as a pedicle graft, or removed when indicated.
2. Flaps are developed that excise a wedge of excessive skin and adipose tissue inferiorly.
3. A Freeman areolar marker may be used.
4. The breast is reconstructed by approximating the medial and lateral breast tissue with skin flaps inferior to the nipple site, and transversely in the inframammary fold, which creates an inverted T.
5. A bulky dressing is applied and a surgical bra may be used.