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Bigger Isn't Always Better: What Some Women do When They Choose Not to Supersize
by: Dr. Bunkis
Most breast reductions can be done via minimal incisions.
Most breast reductions can be done via minimal incisions.

Q: I am interested in a breast reduction but my research has shown me a lost of examples with very noticeable scars. Do all breast reductions end up with bad scars?

-Kelly P., Coto de Caza, CA

A: You are correct in thinking that the traditional breast reduction procedures frequently leave rather noticeable scars. These scars run around the areolus, vertically down to the fold and horizontally along the fold (i.e. the inverted “T” incision”). But newer techniques today, most of them pioneered in Europe and South American, allow a surgeon to obtain similar results with minimal incisions (as short as a single incision, one quarter of an inch long, if the procedure can be done using liposuction techniques).

Incision patterns chosen by the surgeon will be dictated by the surgeon’s experience, the patient’s anatomy and each patient’s expectations. It is possible today to significantly reduce many breasts with minimal incisions, occasionally utilizing liposuction alone.

The decision regarding which technique will be employed can only be made after a thorough consultation and a discussion regarding patient expectations. The liposuction procedure can reduce breast volume but will not result in a significant skin tightening or elevation of the nipple.

If a significant reduction also requires elevation of the nipple, the newer techniques which result in incisions either just around the areolus or including a vertical component may suffice. And occasionally, with very large breasts or a desire for an elevated nipple, the surgeon may still recommend the inverted “T” incision if a significant skin excess is present.

But the most important part is to find a surgeon who is well versed in all of these techniques, and to choose the procedure which will give you the result you expect with the least amount of scarring possible. Please feel free to call Dr. Bunkis at Orange County Plastic Surgery, 949-888-9700, to discuss your options.

949.888.970 | 30212 Tomas Ste. 275, Rancho Santa Margarita, CA 92688 |

As Medical Director of Orange County Plastic Surgery, Juris Bunkis, M.D., F. A.C.S. brings 30 years of surgical expertise to our communities. Dr. Bunkis is a Harvard trained, Board Certified Plastic Surgeon and Member of numerous prestigious organizations including the American Society of Aesthetic Plastic Surgeons, The International Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgeons and the California Society of Plastic Surgeons. Dr. Bunkis, a former faculty member at the University of California, San Francisco, has published more than 40 scientific publications, abstracts and book reviews, and 17 book chapters in plastic surgery text books. For questions or advice, please contact Dr. Bunkis directly at

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