The weight of her breasts was causing a great deal of pain for this 27-year-old woman. She was tired of having constant pain in her neck and back and wanted to find a talented plastic surgeon who performed breast reduction in Los Angeles. After some research and careful consideration, she made an appointment at Dr. Stoker's practice.Du... Read More
This 30-year-old nurse was unhappy with how her breasts had begun to sag. Interested in what plastic surgery could do to restore her breasts, she began looking for a Los Angeles plastic surgeon who could perform a breast lift. She decided to make an appointment with one of the surgeons at Dr. Stoker's practice.After examining her breas... Read More
This 50-year-old woman had considered undergoing a breast reduction for years and now that her children were grown, she decided that it was time to start enjoying life without the burdensome weight of her tremendously large breasts. Without further delay, she began looking for a breast reduction specialist who could help address her concerns,... Read More
The inverted-T incisions, or anchor scars, are the most common pattern of scars for my breast reduction patients. There are several different techniques that share this similar scar pattern. These techniques allow the largest amount of breast tissue to be removed and provide the greatest amount of lift. Patients with larger breast volume, greater droopiness and poorer skin elasticity tend to be the best candidates for these types of procedures.
Short-scar breast reductions (also known as Le Jour or lollipop scars) are an area of expertise for me. In general, only a small percentage of plastic surgeons perform short-scar breast reductions frequently. I have performed a large number of these short-scar reductions, and I’ve been able to achieve beautiful results. The best candidates for the short-scar procedure are those patients with good, elastic skin who are in the more moderate size range. The primary advantage is that there’s no horizontal scar underneath the breast. The excess breast skin under the breast is gathered together and smoothes out over time. However, the short scar reduction is unable to achieve as much lift as when the horizontal scar is used as well.
Educated at some of the most elite institutions in the country, Dr. David Stoker uses his highly advanced knowledge to ensure that each patient achieves beautiful, harmonious results — whether it's through a simple non-surgical procedure or a more advanced surgical transformation. Learn more about his unique credentials and his approach to plastic surgery.
Liposuction breast reductions have only tiny incisions, typically less than 5 mm in size, located underneath the breast. Liposuction will remove fat from the breasts, but it will not remove breast tissue. Patients who are older (after menopause) or who have a higher percentage of body fat also tend to have a higher fat content in their breasts. They tend to be the best candidates for liposuction-only breast reduction. Power-assisted liposuction is very effective in removing fat from fibrous breasts in amounts that would not be possible with the standard liposuction techniques. Having good skin tone also helps to achieve optimal results. Typically, the breast skin will tighten when weight is removed from the breasts, but patients with poor skin elasticity are usually better candidates for the other breast reduction techniques.
Nipple and Areola
In the breast reduction techniques I perform, I leave the nipple attached to the underlying tissues and slide it to a higher position. Most patients continue to have nipple sensation, and most still have the ability to breastfeed should they desire to do so. There is another procedure for moving the nipple called a free nipple graft, where the nipple is totally detached from the breast and placed in the new location as a skin graft. Nipple sensation and the ability to breastfeed are lost with a free nipple graft. In my experience, it has rarely been necessary for me to perform free nipple grafts.
As part of the breast reduction operation, I routinely reduce the size of the areolas to keep them proportional with the smaller breasts. I have the ability to adjust the size of the areolas based on patient preference. The average diameter of the areola tends to be slightly more than 4 cm.
Our expertise extends beyond plastic surgery. We offer an extensive range of non-surgical treatments administered by our talented, experienced team of aesthetic providers under the guidance of board-certified plastic surgeon Dr. David Stoker.
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