Significant breast reduction requires a scar

Vincent N. Zubowicz, MD answers: 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.

Vincent N. Zubowicz, MD
5 months ago

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.

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More answers to Scarless breast reduction

A: Liposuction of the breast may be of some limited benefit

Jeffrey Zwiren, MD
7 months ago

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. In general, the older the patient the higher the ratio of fat to breast tissue. In a younger patient the breast can be quite dense and firm and liposuction will be of no benefit.

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