Macromastia is a condition characterized by large breasts. Women with macromastia can seek breast reduction surgery if they are unhappy with their breast size, or are experiencing symptoms of discomfort. Symptoms can include back pain, bra shoulder grooving, rashes under the breast, and discomfort while exercising. Breast reduction surgery reduces the size of the breast; during the procedure, the size of the areola is also reduced, and the nipple is placed in a more youthful position.
Breast reduction surgery can be covered by insurance if certain criteria are met. These criteria differ by insurer, but all require the removal of a substantial amount of breast tissue. A cosmetic breast reduction, unlike one covered by insurance, can remove a smaller amount of breast tissue to achieve a desired size and look.
Breast reduction scars become larger and more complex as the amount of breast tissue removed increases. As more breast tissue is removed, more skin is left behind. The excess skin must be removed to avoid a deflated look – requiring larger incisions, and leaving larger scars. A circumareolar reduction (areloar scar) can be used for small reductions. A vertical reduction (lollipop scar) can be used for medium reductions. And a Wise pattern reduction (anchor scar) is needed for larger reductions.