125lbs, 5'4, 27, 32DDD, want minimal scarring & proportionate results, what techniques do you suggest? (Photos)

Thank you for your query. A vertical scar only technique will give you good results with less scarring and a good lift. More tham 200 grams of tissue can be removed from each side , based on your photographs. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

The Schnur Scale is often used by surgeons and insurance companies to help assess the medical necessity of breast reduction surgery. It takes into account factors like body weight, body mass index (BMI), and body surface area to determine how much tissue should be removed for the procedure to be deemed medically necessary. It is important to note that the final cup size after the surgery will depend on several factors, including your body’s proportions and the amount of tissue remaining, as well as your surgeon's techniques.
As for techniques, there are several options for achieving a natural shape with minimal scarring, which is a common goal for many patients. The most common technique for a breast reduction with minimal scarring is the "lollipop" or vertical lift, which removes excess tissue and reshapes the breast with a scar around the areola and a vertical line down to the breast fold.
A better result would likely be achieved with the traditional Wise pattern or inverted T or anchor incision, which would involve the following scars:
-Periareolar (around the areola): A circular incision around the nipple.
-Vertical (from the bottom of the areola to the breast crease): A vertical incision running from the areola to the breast fold.
-Horizontal (along the breast fold): A horizontal incision along the natural crease under the breast.
The Wise incision technique allows the surgeon to remove a significant amount of excess breast tissue, reduce the size of the areola, and reshape the breasts for a more youthful and natural appearance. It also provides excellent access to tissue for lifting and repositioning the breasts. With 200 grams removed from each breast, you may end up with a "cup size" smaller, but this will depend on how much tissue is removed. Be sure to have a thorough discussion with your surgeon to set realistic expectations for your desired outcome.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Thanks for your question! I do think you would be a great candidate for a breast reduction. I would need to see you in person to determine a vertical scar or wise pattern. I think you have more than enough breast tissue to hit insurance requirements. Good luck!