How common is a "J" incision for a standard breast reduction? Can the same great lift & shape be achieved as w/ anchor? (photo)

Question

Had consultation w/my PS last week & really like him. A question I have is his method of incisions / technique. I can't remember if he called it a J incision, or if that's how I remember it. He makes the regular incision around the areola to reduce size, 1 vertical incision down, and 1 horizontal incision toward the armpit. Is this a normal technique? Will I get the same result as the anchor lift? He said he'd also do a small amt of lipo. I can't seem to find anything on the internet?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. The incision you're talking about is typically called a SPAIR breast reduction.  It is not a typical brush reduction but it is not an unknown technique either. If your surgeon can accomplish

Thomas Trevisani, MD · Answer

No. From your photo it appears that you would benefit from a reduction/lift operation. I recommend a conventional inverted"T" incision or anchor in order to achieve maximum result. The bigger the incision- the greater the lift and reduction.

Darryl J. Blinski, MD · Answer

In certain cases the "J" incision could give excellent results. In your case very doubtful, because of the amount of lift and removal you need....

Timothy Fee, MD · Answer

This is a well regarded incision pattern for breast reduction. The procedure avoids a scar in the crease of your breast towards your sternum which can sometimes thicken and become painful. If the results do not match your expectations, your PS can always add the scar. It would be nice if you do not need it.

How common is a "J" incision for a standard breast reduction? Can the same great lift & shape be achieved as w/ anchor? (photo)

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