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Scarless Breast Reduction

seeking smaller breasts --currently a D. I saw a TV show that talked about scarless breast reduction. How is this done? Where can I get it? Ideally want to avoid big surgery incision marks.

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age 35-44 female surgery scar

Scarless - no, but minimal scar breast reduction yes

There is a new technique called the Ultimate Breast Reduction that has eliminated the 'dreaded' vertical scar. The scars are hidden around the areolas and under the natural crease of the breast. Women as small as D and as large as M can be successfully reduced using this procedure. Breasts are lifted higher than conventional vertical scar techniques and it does not rely solely on the skin envelope to maintain long term results. Women now have an alternative to the Weis (anchor)... more

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Gary M. Horndeski, MD

Houston Plastic Surgeon

Scarless Breast Reduction? Maybe.

Other than weight loss, there are some very new techniques of fat reduction that use freezing or ultrasound. Their efficacy has not yet been reported in our leading and respected journals. I am not aware of their application to breast reduction; it is possible that these non-surgical techniques may apply to breast reduction, in the future; I can't recommend them, at this time. Liposuction would require 2 or more ~1/4-inch incisions in the breast creases and/or armpits Liposuction... more

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Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Perceived Scarless Breast Reduction

The physiological changes imposed on the female breast throughout life make breast lift and reduction the most difficult of plastic surgeries. To obtain shape, projection, and restoration of a reasonable size must be weighed against the necessity to apply an operation that is safe, long lasting, durable, and has the least scarring. Despite the meticulous attention to scar placement, about 18% of patients will have some stretch of scars whether they be the T scar, the lollipop scar, or ... more

Donn Hickman, MD

Los Angeles Plastic Surgeon

Significant breast reduction requires a scar

If a substantial amount of tissue is to be removed via reduction (500cc or gms per side), there will be in nearly every circumstance an excess of skin. This will be an aesthetic problem and the position of the nipple and areola relative to the crease will be left unattended. Seldom is liposuction alone proper treatment for large breasts. vz

Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

ASAPS ASPS

Be careful with "scarless breast reduction"

Hello, As some of the other doctors here have indicated, "Scarless breast reduction" is generally breast liposuction. It is very limited in its ability to reduce the breast much (maybe a cup size), does not include a lift, and is controversial regarding the changes it leaves in your breast afterward. Some of these changes may or may not over the long term decrease the sensitivity of mammography in screening you for breast cancer. Breast reduction by liposuction is also rarely if... more

John P. Di Saia, MD

Orange Plastic Surgeon

"Scarless" breast reduction typically performed with liposuction

This generally refers to the use of liposuction.You will still have scars but they are usually small (less than 1 cm) and concealed. In many instances this requires that the breasts have minimal sagging (ptosis is very common with large breasts) and excellent skin tone. This can achieve mild to moderate corrections but major reductions will still likely require a traditional approach using a variety of differently described incisions. IF you would like to see one of my examples it is posted... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Scarless Breast Reduction?

Thank you for the question. You may have been hearing about breast reduction done with liposuctioning. It is a rare patient who is a good candidate for breast reduction with liposuction alone. The reduction achieved is minimal to moderate at most and the breast should have the following characteristics: significant fatty tissue as well as excellent overlying skin elasticity. There are very few patients whose breasts are amendable to liposuctioning as the... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Scarless Breast Reduction in Atlanta Georgia

Scar-less breast reduction is breast reduction performed using liposuction. Scarless breast reduction is appropriate for a select group of patients. In Atlanta, It is called scarless because there is minimal scar compared to the traditional breast reduction techniques. However, there is a very small stab wound scar just like any liposuction procedure. A consultation with a board certified plastic surgeon is required to determine if you are a suitable candidate for scarless breast reduction... more

Stanley Okoro, MD

Atlanta Plastic Surgeon

ASPS

Breast Reduction - Without Scars; Scarless, Liposuction

Nobody wants scars, so you're not alone. Scar-less Breast Reduction is basically liposuction of the breasts. The good news is that only a few, very small incisions are required, usually underneath the breasts and, through those, a certain amount of tissue can be removed. However, this procedure is really appropriate for only a small reduction of breasts that don't have too much sagging. There is a limit to how well the tissue will contract up once the liposuction... more

Alan Engler, MD

New York Plastic Surgeon

ASAPS ASPS

Scarless breast reduction, almost.

Liposuction is used to perform breast reduction in some women and may be referred to as "scarless" because it is performed using very short "stab wound scars" that are not very visible. This "scarless" liposuction breast reduction technique can be used for women whose breast have a significant amount of fat in their breasts. A consultation is necessary for you to be evaluated to determine if you are a suitable candidate for liposuction breast reduction.... more

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Fredrick A. Valauri, MD

New York Plastic Surgeon

ASAPS ASPS

Scarless Breast Reduction

By scarless breast reduction they are referring to liposuction reduction. It's not truly scarless, but the scars are very small. Unfortunately, very few patients who seek breast reduction are good candidates for liposuction reduction. You must meet these criteria: Little or no droop good skin tone not overly dense, fibrous breasts a goal of only 1 to 1.5 drop in cup size If you don't fit this description, talk to your surgeon about using the... more

Mark Preston, MD

Columbus Plastic Surgeon

ASPS

Breast Reduction and Scar

There are a variety of breast reduction techniques to help you achieve your goals. However, all these techniques require some degree of scar to achieve better form. If you do not have much sagging or excess skin and just want to go down in volume, then a liposuction reduction technique is available.

C. Bob Basu, MD

Houston Plastic Surgeon

ASPS

Scarless Breast Reduction

Regarding any scarless procedure, I have to tell my patients that although they see the scar, it is not usually the most important part of the procedure. Like the proverbial tip of the iceberg, much of the important stuff lies underneath--removing the tissue safely and symmetrically, preserving the nerves to the nipple, stopping all the bleeding, and protecting vital structures. Though there are scarless procedures, actually minimally invasive is the proper term--because if you... more

Srdjan Ostric, MD

Chicago Plastic Surgeon

Is "Scarless" Breast Reduction right for you...?

It would be possible for you have a non-invasive breast reduction with minimal scarring, if you were looking to possibly go down only one cup size and don't need a lift of any kind. Liposuction would be the procedure done to decrease the volume of the breast, possibly by one cup size, but it will not provide any type of lifting which is what most people need. Be sure to clearly discuss these options with your surgeon before undergoing your... more

Shain A. Cuber, MD

Marlboro Plastic Surgeon

ASPS

No such thing as scarless breast reduction

The closest thing to scarless breast reduction is liposuction of the breast. There are ways to minimize scars or place scars in "hidden" locations so that they are not noticable, but there is no such thing as scarless surgery. The scars from liposuction are very small, and heal quite well, but this type of breast reduction is only indicated in carefully selected patients. Patients who are good candidates for this are generally younger patients who have excellent skin... more

Anita Patel, MD

Beverly Hills Plastic Surgeon

Scarless breast reduction is unfortunately a gimmick

Today, patients have many different options to effectively reduce and contour their breasts. Unfortunately, there are no effective ways to reduce the breast with minimally invasive techniques. Your best bet is to save your money and work with a board-certified plastic surgeon was a great deal of experience in breast contouring and liposuction who can help you meet your goals.

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Scarless breast reduction is a misnomer

The only way to do a scarless reduction of the breast is with liposuction. The problem is that in virtually all people with large breasts a lift is necessary and this can't be done without scars and can't be accomplished with liposuction alone. Also, to do any reasonable amount of breast reduction, you will be left with excess skin and this needs to be removed with scars or you might actually look worse than before the reduction.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Video explaining breast reduction scars

To truly reduce a breast and leave a breast with a natural shape requires adjustment of the breast skin envelope. Breast volume (fat component) can be reduced with minimal scars, but the resultant breasts will be saggy and flat. For full and natural appearing reduced breasts, scars are necessary to get rid of excess skin. Please watch my animated video that shows how the surgery is designed and the resultant breast shape. It also morphs the before and after photos of one of my patients... more

Michael A. Bogdan, MD

Dallas Plastic Surgeon

ASAPS ASPS

Scarless breast reduction

Hi Brenda K. With all the information out there, it can be confusing. A breast reduction has 3 goals: to remove the excess breast tissue, thereby reducing the weight of the breast shape, lift and contour the remaining breast tissue AND, elevate the nipple position on the breast. There are very few cases where the nipple does not have to be elevated; in fact, I have never had one. In order to elevate the nipple and reshape the breast, there must be scars. There is always a... more

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Tracy Pfeifer, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Liposuction ("scarless") breast reduction

Hi! 1) In New York City, liposuction is one of the ways we do breast reduction. There is a quarter inch scar only under each breast. So it is pretty scarless. 2) It is a good operation if you only want to go down one cup size, and if you don't have too much sgging.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Scars with breast reduction

There is no such procedure as "scarless" breast reduction. However, liposuction can be done in certain patients, as a form of breast reduction with very minimal scarring compared to traditional breast reduction incision. If you are young and have very dense, firm breasts, then liposuction of your breasts may not be an option. If you have loose, sagging skin and a low nipple position, then liposuction will not be an option for you. Most patients do not meet the criteria for a... more

William Bruno, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

"Scarless breast reduction" means minimal scars using Liposuction

There is no such thing are truly scarless breast reduction. However, if liposuction is used, the scars are very small (a fraction of an inch) and can be hidden very nicely. Not everyone is a candidate for liposuction breast reduction. The key is to know what this procedure can do for you and to make sure it will meet your expectations. Liposuction will minimize scars and reduce your breast size if you have a significant amount of fat in your breasts. Usually, older women and those who... more

Parham Ganchi, MD

Wayne Plastic Surgeon

ASAPS ASPS

Liposuction of the breast may be of some limited benefit

The breast is composed of skin, fat and breast tissue. It is possible to liposuction the fat but this procedure will not reduce the skin envelop or remove breast tissue. Ultrasonic liposuction of the breast may be of some limited benefit in some individuals. The problem is in patient selection. It is very difficult to tell prior to surgery if a patent's breast fat can actually be liposuction. It is also difficult to determine what percentage of the breast is fat vs. dense breast tissue... more

Jeffrey Zwiren, MD

Atlanta Plastic Surgeon

ASPS

Scarless breast reduction a misnomer

Dear Brenda, When people talk about the scarless breast reduction they are talking about breast liposuction. This is a procedure I use about 2% of the time as very few people are candidates for this type of surgery. The ideal candidate is a young female with little or no drooping (referred to as ptosis) and excess size. They have no stretch marks or excess skin and the nipples are in a good position at the apex of the breast mound. I also use it on girls who are exceedingly large and still... more

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Steven Schuster, MD

Boca Raton Plastic Surgeon

ASAPS ASPS

Scarless surgery does not exist

Scarless breast reduction surgery may be referring to liposuction of the breasts which would still have some scars associated with it, albeit very small and concealed. However, this procedure is only indicated in a very small percentage of patients and will have a minimal improvement on appearance. If the only goal is to lighten a heavy breast that is in good aesthetic position with good skin tone then this may be useful. In general, techniques that remove skin and reposition breast... more

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