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 per-areolar and vertical scar and, usually, a least a short scar in the crease (in some cases this scar has to be fairly long). The only way to perform a scarless breast reduction is by liposuction.
While liposuction can, in some cases, reduce the breast volume, it does not address the other 2 goals of breast reduction-to lift and contour the remaining breast and to re-position the nipple. For this reason, many surgeons do not favor liposuction alone as a method of breast reduction. The shape, contour and nipple position are usually not aesthetically pleasing. Hope this helps.



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