Anchor Incision Only Option for G Cup Breast Reduction?

I was told by a doctor that someone with breasts as large as mine (~34G) is not eligible for anything other than the anchor procedure for breast reduction that leaves many breasts looking a bit flat. Is this true?

Doctor Answers 13

Breast Reduction Technique?

Thank you for the question.

Based on your description only I think your plastic surgeon is  probably correct.  if you are in doubt a 2nd opinion may be indicated.

Best wishes.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Breast reduction incisions

If you have extremely larger breasts and then also alof ot excess skin the best procedure for you may very well be an anchor incision technique, but without an exam I could not be certain.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast reduction

It sounds like you are an excellent candidate for a breast reduction. You should be aware though of the scars involved which usually heal well with time. You may want to go to my website and watch a complete video of me doing a reduction.

There are several options depending on how your breasts look and how small you wish to go. Even liposuction can be performed.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

Larger breast reductions can have pretty shape

When considering breast reduction there are 2 separate issues.  One is the management of the skin and how much must be removed and the second is the management of extra breast tissue.The anchor pattern scar is necessary when a lot of skin needs to be removed.  The management of the breast tissue itself is separate and the surgeon can take steps to shape the breast so it does not have a boxy appearance.  In addition, the use of a superior pedicle will help avoid a boxy shape.  Whether or not a superior pedicle can be used depends on the amount of weight that is going to be removed.  Typically superior pedicles are used for small and medium reductions but some surgeons will use it for larger reductions as well.  A boxy appearance can also result if the skin resection leaves more skin than is necessary.  These issues can be managed and you can have a very pretty, non-boxy appearance of the breast.  Hope this helps. 

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 27 reviews

Very Large Breast Size Limits Use of Short Scar Breast Reduction incision Option

The Short Scar Breast Reduction / Breast Lift lifts cannot be nicely done in the very large breasts. The resulting breast shape is just not as attractive. In these cases, surgeons are largely limited to the use of Inverted T / Anchor incision procedures.

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Anchor Scar breast reductions and a well projecting final breast shape can be accomplished.

I would have to agree that your size Breast Reduction will be best performed with the removal of a pattern of skin that will result in an anchor shaped scar. However, this type of skin pattern does not obligate you to a flattened breast shape. The final breast shape is also very much a product of how the surgeon chooses to remove the internal breast tissue both in quantity and location. In other words, the shape is not dependent solely on the type of skin pattern removed. You can still expect a well projecting final breast shape even with a anchor scar pattern.

David A. Ross, MD (retired)
Chicago Plastic Surgeon
4.6 out of 5 stars 89 reviews

Flat shape can be avoided after G cup breast reduction.


1)  You (and your plastic surgeon) need to separate what the scar of a breast reduction looks like from how the operation is done on the inside.

2)  It is true that, generally, for breasts as large as yours, so much skin has to be removed that you end up with anchor scars.

3)  The important point is not to rely on tightening the skin to shape the breasts, because this will lead to boxy, flat breasts.  The breast tissue itself has to be shaped internally and vertically,  as if you would have a lollipop scar.  The vertical breast reduction produces good long term shape.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Anchor-pattern breast reduction for large breasts

The anchor pattern breast reduction is best for women with a substantial amount of excess breast skin to deal with during breast reduction surgery. When well executed, the anchor-pattern reduction can result in a lifted, perky breast with a nice shape. The woman in this example had an anchor pattern reduction. (See web link)

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 65 reviews

Anchor-pattern is probably your only option

Given your extremely large breasts, an anchor pattern skin incision is almost certainly your best option. Any shorter scar approach would leave you with a significant amount of redundant skin, that ultimately would leave the breasts with a misshapen appearance. I am a big proponent of shorter scar breast reductions in patients with smaller breasts than you - unfortunately, though, it's nearly impossible for you to get a great result with such an approach.

Hope this helps. Best of luck.

Sam Jejurikar, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 92 reviews

Anchor scar best for good shape with G cup breast reduction

There is always a trade-off between the scar and the shape with breast reduction, and the options become more limited the larger the breasts. I do not believe however that the anchor, or standard pattern, flattens the breast. It is actually the most versatile in terms of fine-tuning the shape in my experience. With a G-cup, it is clearly your best choice.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.