What is a natural breast reduction? In my opinion, a natural breast reduction is breast reduction performed using native breast tissue, reducing the size of the breast by removing tissue centrally and along the medial and lateral aspects of the breast, repositioning the inferior pedicle without placement of an implant. In general, patients who desire to have combination breast reduction with augmentation will get more of a rounding shape to the upper pole of the breast and an excellent result as well. However, the more natural breast reduction is simply using native breast tissue.
A natural breast reduction in Dr. Linder’s practice is performed using the inferior pedicle Wise-pattern technique. Tissue is removed from the superior portion of the inferior pedicle as well as from the medial and lateral aspects of the breasts. I like to remove more tissue laterally as well as liposuction the lateral breast to debulk the breast and narrow it while taking less tissue from the medial portion of the breast in order to increase cleavage and allow for a more natural parasternal angle.
Natural breast reduction surgery simply means using the natural tissue of the breast to recreate upper pole fullness. By keeping the inferior pedicle or the base of the pedicle bulky, 10 cm or more, we are able to allow for a more central increase fill volume of the breast by allowing more of the tissue that remains to be repositioned superiorly centrally which allows for almost the appearance of a breast enhancement without the use of an implant.

Stuart A. Linder, M.D., F.A.C.S. is a Beverly Hills plastic and reconstructive surgeon specializing in breast augmentation, liposuction, tummy tuck, and more.
Dr. Linder is certified by the American Society of Plastic and Reconstructive Surgeons and is a diplomate of the American Board of Plastic Surgery.


Contributing Writer: Dr. Stuart A. Linder,
Board Certified Plastic Surgeon
June 2008
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