The choice is made by the surgeon, in consultation with the patient, on the basis of breast size, amount of fat tissue, skin type and tone, skin condition,and other factors. This decision is made at the time of initial consultation, which includes careful physical examination. All the procedures described below are FDA approved. Breast Liposuction Recommended for patients whose breasts have many fat cells but no real sagginess of the breast. The excess fat tissue is removed by liposuction. This is a minimally invasive surgery. Scarring is the least in this kind of reduction. Breast lift is not possible when doing liposuction-only breast reduction. Vertical Scar Surgery The incision encircles the areola and then goes down vertically to the base of the breast. No horizontal incision is made under the breast. Usually this is suitable for women who have moderately large breasts. Scarring is present, but quite a bit less than in the traditional breast reduction Traditional Breast Reduction Surgery This is suitable for large and heavy breasts. The incision goes vertically down the middle of the breast and then horizontally at the base of the breast in a shape of an inverted ‘T’ incision. The scarring flattens and fades significantly within a year. Exceptionally good surgical hands can minimize scarring to a great extent and provide balanced, proportional breasts. Results of breast reduction procedure are visible immediately after the surgery and are long lasting. Surgery can take between 2 to 4 hours to perform and is done under general anesthesia. Overnight hospitalization may be required. After breast surgery patients may experience temporary pain, bruising, discomfort,which can be controlled by medication. They may also notice decreased nipple sensation, but this is usually temporary. A special supporting bra is recommended, which should be worn for a few weeks. A typical patient can get back to work in 3 to 5 days, depending on the procedure and recovery; however the complete internal healing may take 3 to 4 weeks. Further details about these aesthetic procedures are available atwww.wonderbreastreduction.com.