Breast Reduction � Comparison of Short Scar and T-Scar Reduction Techniques

Breast Reduction – Comparison of Short Scar and T-scar Reduction Techniques

Breast Reduction is the only real functional cosmetic surgery, with the aesthetic aspect more a seconday issue. Large breasts, are not only a cause of social hesitation, they can cause severe allergy and infection in the infra mammary line, as well as deep marks on the shoulder due to bra strap marks and shoulder pain due to the heavy breasts. The clothing pattern suffers, and the lady is not able to wear tighter clothes. Breast reduction surgery is the only way to correct large breasts. The problem is the scars. Conventionally there is a large scar on the lower aspect of the breast which many women find objectionable. However newer techniques of short scars is now available

(more details on http://divinecosmeticsurgery.com/breastsurgery.html

A comparison of the surgical techniques

Conventionally the T scar technique, also known as the Anchor scar technique or the wise pattern technique is used. The advantage of this technique is the immediate results in terms of the breast shape. There is no need to wait for long periods to get an idea of the breast shape. It is faster to do, easier to teach and has predictable results. It is easier to do more skin resection with this technique, and hence there is a greater flexibility in breast shaping, the volume desired etc, with a T scar technique. The scars tend to settle a lot over time. The downside of the procedure is the long scar under both the breasts. But my teacher in Brazil used to tell me, that for women, breast shape is more important than the scars.
When we talk of the short scar procedures, popularised by Dr Ruth Graf, in Brazil, who I have trained under, this is an excellent procedure for someone who is scar conscious. The shape is good, however it may take upwards of 3 months to get a final pleasing shape of the breast. Literature quotes a percentage of upto 30% who may require a revision to correct the bunching that occurs over the stitch line. The skin that is removed in the short scar technique is more from the upper quadrant of the breast, and thus there is a chance of spreading of the peri-areolar scar, which may need to be revised.
Thus a lot of the decision making depends on consultation with the patient.

Now a scarless technique by way of VASER is also available. more details are available on�http://divinecosmeticsurgery.com/innovations.html#bl1

Dr Amit Gupta is a Plastic Surgeon from Maulana Azad Medical College, Delhi, who has specialized in the fields of Minimally Invasive Cosmetic Surgery, Microfollicular Hair Transplant, and Lasers. He joined Maulana Azad Medical College in 1994, and completed his MBBS in 1999, with University Honours. He was awarded with Gold Medal during his training for his academic excellence. He was awarded with the Lt. Governor's Trophy for the Best All Round Medical Graduate in the year 1999, and Dr KB Sharma Shield for Best Contributor to Corporate Life of College. He participated in various co-curricular activities in his college days.

Dr Amit Gupta joined the superspeciality Course of Plastic Surgery at Maulana Azad Medical College which he cleared in 2007 in his attempt. During his training he underwent training in Burns Trauma Management Cancer and Microvascular Surgery Reconstructive and Congenital Defect Correction Surgery. He then pursued specialized fellowships in Cosmetic Surgery in Belgium (Europe) and Brazil. He has trained with Dr Patrick Tonnard in Belgium where he was trained in MACS Lift Surgery which is the most current development in the field of Facial Rejuvenative Surgery in Europe. He then pursued fellowships in Cosmetic Surgery in Brazil where he trained with the likes of Dr Ruth Graf and Dr Ana Zulmira who are regarded as icons in Cosmetic Surgery

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