• David S. Slatton, MD • Aesthetic Plastic Surgery •

3781 Westerre Parkway • Suite E • Richmond, Virginia 23233 • (804) 527-1111 • fax (804) 527-1161

Painting by Dr Slatton     

Breast Reduction

Breast Reduction surgery is performed to help treat symptomatic breast hypertrophy. It is also has cosmetic value in that the appearance of the breast is generally improved. Symptomatic breast hypertrophy (large breast size) can be covered by health insurance plans. A certain amount of breast tissue removed is required for most health plans to cover the costs of the surgery. Smaller reductions may not be covered by health insurance plans.

Dr. Slatton uses the vertical mammoplasty technique in a majority of breast reductions. This technique, which was pioneered by Dr. Madeline LeJour avoids the horizontal incisions which comprise the "anchor" pattern of scarring with breast reduction surgery. Although the horizontal incisions may be required with the vertical mammoplasty technique, the scars are generally shorter and don’t run into the pre sternal skin or axilla. The vertical mammoplasty technique may be combined with liposuction of the axillary region. Wrinkling of the breast skin in the lower half of the breast is present initially after vertical mammoplasty. However this usually smoothens after time as the breast tissue settles and the skin contracts. This process usually takes 3 to 6 months. Although the future shape of the breast is not immediately apparent after vertical reduction, the long term benefit remains prevention or significant reduction of the horizontal breast scar.