Dr. Zuckerman uses two different techniques to perform breast reductions depending on the reduction desired. The Circumvertical, or vertical / “Lollipop”, or the Anchor / Wise Pattern. To minimize scarring, Dr. Zuckerman uses the vertical pattern unless the reduction required is large.
Dr. Zuckerman’s breast reduction surgery proceeds as follows:
- Before surgery: Dr. Zuckerman will mark your breasts with preoperative surgical markings that will guide his incisions intraoperatively. For this procedure, tissue is removed from certain areas within these markings, and the closing incisions and ultimate scars are more minimal than the initial markings.
- Initial incisions: Dr. Zuckerman begins surgery by making initial incisions along the marking pattern.
- Remove tissue & skin: Dr. Zuckerman removes excess fat, breast tissue, and extra skin.
- Liposuction (not all cases): He may perform small volume liposuction of the armpit area, or “bra rolls”, to help ensure a natural-looking, round result.
- Areola Reduction: For most breast reduction patients, Dr. Zuckerman also repositions and improves the appearance of the areola, the more darkly pigmented skin around the nipple. By trimming tissue from the areola, Dr. Zuckerman’s breast reduction can also reduce the size of the nipple.
- Closing: Dr. Zuckerman closes the incisions into one of the two patterns at left.
There are two techniques, or incision patterns, that Dr. Zuckerman uses in his breast reductions as seen at left. The decision of which incision to use depends on the amount of breast tissue to be removed.
- Circumvertical: This technique is also known as a “”Lollipop”” and involves a periareolar incision, around the areola, plus a vertical incision from aerola to the inframammary fold.
- Wise Pattern: This technique is also known as the anchor incision and combines the Circumvertical incision with an additional incision hidden in the crease of the inframammary fold underneath the breast.
Dr. Zuckerman most commonly uses the Circumvertical incision pattern, also known as a vertical breast reduction. Because the ultimate scarring is about 50% less with the vertical breast reduction, Dr. Zuckerman strives to use it whenever possible and estimates that 75% of his breast reductions allow him to do so. However, for large reductions, he will recommend the anchor pattern to acheive the best result.
Dr. Zuckerman performs breast reductions under general anesthesia with a board-certified anesthesiologist present, and depending on the surgical technique used and amount of breast tissue removed, the procedure typically lasts approximately two to four hours. You may undergo breast reduction surgery on an out-patient basis at Dr. Zuckerman’s state-of-the-art, fully equipped operating room located inside his office in midtown Manhattan. This operatory facility has been certified by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF), certifying it as a facility that offers an equally high standard of care as a hospital. The privacy, discretion, and convenience of Dr. Zuckerman’s private in-office operating room facility is an exclusive benefit of Zuckerman Plastic Surgery that many patients appreciate. Should you desire, you may also undergo surgery with Dr. Zuckerman at Manhattan Eye, Ear & Throat Hospital, a major hospital in Manhattan in the Northwell system where all types of breast, body, and face cosmetic surgery procedures are performed. Dr. Zuckerman is on staff in the department of plastic surgery for Northwell system hospitals in Manhattan among others.