Introduction
Breast reduction surgery isn’t one-size-fits-all. Your body type, breast size, skin quality, and goals all determine which surgical technique will give you the best results. Choosing the right approach affects scarring, recovery, nipple sensation, and final shape.
At Jandali Plastic Surgery in Trumbull, we help patients across Bridgeport, Fairfield, Stratford, Milford, Shelton, Westport, Norwalk, Easton, Monroe, Derby, Ansonia, Seymour, Oxford, Newtown, Bethel, Weston, Wilton, and Southbury understand the pros and cons of each method before making a decision.
Patient Testimonial (Ansonia):
“I wanted the most lift possible, even if it meant longer scars. Dr. Jandali helped me see that the anchor pattern was best for me — I’m thrilled with the results.” — Nina, Ansonia
Visit our Before and After Breast Reduction Gallery
Main Breast Reduction Techniques
We primarily use three approaches:
1. Wise (Anchor) Pattern Reduction
Best For:
- Large breasts with significant sagging (ptosis)
- Patients needing maximum lift and reshaping
Incision Pattern:
- Around the areola
- Vertically down to the breast crease
- Along the breast crease (inframammary fold)
Advantages:
- Maximum reshaping power
- Can remove large amounts of tissue and skin
- Predictable, long-lasting results
- Ideal for addressing extreme asymmetry
Considerations:
- Longest scar pattern (though well-hidden under bras and swimsuits)
- Slightly longer recovery in some patients
- Vast majority of patients need this technique
2. Vertical (Lollipop) Reduction
Best For:
- Moderate breast size and sagging
- Patients wanting less scar under the breast
Incision Pattern:
- Around the areola
- Vertically down to the breast crease
Advantages:
- Shorter scar than anchor pattern
- Excellent shaping for moderate reductions
- Preserves good projection and youthful contour
Considerations:
- Less skin removal than anchor pattern
- Not ideal for very large breasts or extreme sagging
3. Liposuction-Only Reduction
Best For:
- Fat-predominant breasts with good skin elasticity
- Patients seeking modest size reduction and minimal scarring
Incision Pattern:
- Small incision in breast crease or underarm for liposuction cannula
Advantages:
- Minimal scars
- Shortest recovery time
- Least invasive
Considerations:
- Limited lifting capability
- Not effective for glandular-heavy breasts
- Won’t correct significant sagging
- Most patients are not candidates for this technique
Factors That Influence Technique Choice
When choosing your breast reduction approach, Dr. Jandali considers:
- Breast Size and Volume
- Larger reductions often require the Wise pattern for optimal contour.
- Skin Elasticity
- Good elasticity allows more conservative techniques; poor elasticity may require skin removal.
- Nipple Position
- Low-set nipples typically need repositioning via anchor or vertical techniques.
- Desire for Minimal Scars vs. Maximum Lift
- Scar trade-offs are discussed openly.
- Breast Composition
- Fatty vs. glandular tissue composition affects liposuction feasibility.
- Lifestyle & Recovery Goals
- Athletes or physically active patients may prefer quicker recovery approaches when suitable.
Patient Testimonial (Norwalk):
“I wanted less scarring, so we went with the vertical technique. My breasts look natural and lifted.” — Kara, Norwalk
Scarring by Technique
- Wise (Anchor): Around areola + vertical + horizontal crease scar
- Vertical (Lollipop): Around areola + vertical scar only
- Liposuction-Only: Tiny incision scars hidden in the crease or armpit
All scars fade over 12–18 months with silicone therapy, sun protection, and massage.
Sensation Changes
- All techniques may cause temporary numbness or tingling in the nipple and surrounding skin.
- Sensation often improves within months, though some patients experience permanent changes.
- Preserving certain nerve pathways is easier in vertical and liposuction-only cases.
Recovery Differences
Technique | Typical Return to Desk Work | Resume Light Exercise | Full Upper Body Exercise |
Wise (Anchor) | 1–2 weeks | 4 weeks | 6–8 weeks |
Vertical (Lollipop) | 1–2 weeks | 4 weeks | 6–8 weeks |
Liposuction-Only | 3–7 days | 2–3 weeks | 4–6 weeks |
Risks & Safety Considerations
Risks common to all techniques:
- Bleeding, infection, poor wound healing
- Asymmetry or contour irregularities
- Unfavorable scarring – dark or thickened
- Fat necrosis (firm lumps)
- Loss of nipple sensation or pigment
Choosing an experienced board-certified plastic surgeon significantly reduces these risks.
Before & After Expectations
Wise Pattern: Dramatic lift, smaller size, significant reshaping — best for symptom relief.
Vertical: Natural shape, moderate lift, reduced scarring — balanced outcome.
Lipo-Only: Subtle size change, minimal scars — ideal for select patients.
Local Advantage for Follow-Ups
Our Trumbull office is close for patients in:
- Bridgeport, Fairfield, Stratford, Milford, Shelton
- Westport, Norwalk, Easton, Monroe
- Derby, Ansonia, Seymour, Oxford
- Newtown, Bethel, Weston, Wilton, Southbury
Internal Links for the Series
Contact Us
The best breast reduction results come from matching the right technique to your body, goals, and lifestyle. At Jandali Plastic Surgery, we take the time to explain your options so you can make an informed choice — and enjoy lasting comfort and confidence.
Jandali Plastic Surgery
5520 Park Ave, Suite WP-2-300, Trumbull, CT 06611
Phone: (203) 374-0310 | Website: jandaliplasticsurgery.co
