Breast Reduction without implants "tethering" question

It is impossible to suture the breast to the rib fascia since the fascia is underneath the muscle and your breast is on top of that. Some surgeons will suture the breast to the underlying muscle or fascia but not ribs directly. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Hi there- so if you are downsizing from a DD to an A cup, there will be a lot less tissue for gravity to work on so re-drooping won’t be much of an issue. If a superomedial pedicle technique is used (where the upper/middle breast tissue is maintained with the nipple connected and the excess lower and outer breast tissue is removed) the breast will be naturally fuller where it needs to be. I have performed over 1000 reductions and do not routinely fix the breast tissue to the underlying connective tissue as I don’t think this makes much of a difference long term when the surgery is performed properly and a superomedial (as opposed to an inferior / lower breast tissue) pedicle is used.

Hi, Thank you for the question.
There are many various techniques and approaches to performing breast reduction/breast lift. In certain cases, there is a way to "secure" breast tissue to the chest wall to help maintain breast shape but decision to perform that specific technique/procedure is typically made on the individual patient basis.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Hi Intellectual1247

Breast reduction is both a functional as well as a cosmetic surgery procedure that can often be covered by your health insurance. Breast reduction has the highest patient satisfaction rate of any procedure in plastic surgery. The goals of breast reduction are obviously to reduce the size of the breast to a size and shape that is aesthetically pleasing and proportionate to the rest of your body. To learn more about this procedure, please visit our website.

I am familiar with what you are referring to. Personally I don’t do it because I don’t think it makes a difference long term. I’m sure some surgeons do what you are saying but I can’t say sir officially what your surgeon has in mind.

Dear Intellectual1274,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello, thank you for your question. It is hard to tell without proper photos and a physical examination. I recommend you to keep doing your research on plastic surgeons, and choose the one with the one you feel more comfortable.

Breast reduction from DD to A cup is probably not realistic in most cases. "Tethering" the breast tissue to the rib fascia is a short term fix - and does not last.