Tumescent Liposuction Breast Reduction

I am quite young - and would prefer not to have the risks and scars of a traditional breast reduction. However, I have DD cup breasts, which are heavy, embarassing and uncomfortable. I am quite young (20) and am thin elsewhere. Is there a way to tell how much of a reduction I might be able to achieve through liposuction? My ideal would be a B-C cup. Thanks in advance!

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11 Doctor Answers | Asked by LaraJane

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Breast reduction by liposuction

Dear LaraJane, Liposuction is an appealing method for breast reduction because of the small scars involved. However, you should be aware that it will not tighten the skin envelope and lift the breast in the same way that a formal breast reduction would. Often patients with larger breasts have a degree of droop and to remove breast volume by liposuction alone will only create more of a droop as the breasts will be more empty. I feel that it is best used for... more

Liposuction breast reduction

Hello LaraJane, thanks for your question. Liposuction breast reduction is an attractive technique because it leaves very small scars. It is best for breasts that contain more fat than breast tissue and are not very saggy. I have performed liposuction breast reductions on women your age and they were all satisfied with the results, but they were only reduced about one or two cup sizes because their breasts were very dense. Since you're 20 years old, your breasts are... more

Liposuction breast "reduction"

"Tumescent" is a term for the injection fluid before liposuction that numbs the tissues (the procedure can be done under local anesthesia) and constricts small blood vessels so there is little or no blood loss with the liposuction. Liposuction of the breast is not a breast reduction. It does not remove breast tissue. All it does is to reduce the fat content of the breast. This has little effect on the weight of the breast as fat is quite light compared to breast tissue.... more

Liposuction for breast reduction in young patient

It would be difficult to go from a DD to a B-C with liposuction alone. Also, being a young woman, the breast tissue would most likely be more fibrous and glandular and not contain as much fat. This would make it harder to remove much tissue. You may be able to have a reduction with a vertical scar and circumareolar scar only thereby eliminating the scar under the breast

Liposuction Best with Fatty Breasts

Hi LaraJane: Breast liposuction to reduce breast size is a very attractive concept and anyone would prefer no scars to any scars if the result were the same. however as has been said, liposuction does not give any uplift to the breast (nipple position may actually drop due to deflation of the breast without skin tightening) and the amount of reduction is limited, ordinarily to one or 2 cup sizes. (and most large breasted women are under-estimating their cup size when i examine... more

Liposuction breast reduction

There is a lot of hype about breast reduction by liposuction, led heavily by non plastic surgeons. This procedure is amenable to a very small percentage of patients seeking breast reduction, perhaps from C to B cup with minimal ptosis. It is unsuitable for the degree of reduction you require and would result in sagging and misplacement of the nipple areolae complex. Breast reduction, when performed by a plastic surgeon with expertise, has one of the highest satisfaction rates of any... more

Liposuction for breast reduction

Liposuction is not the best way to accomplish a breast reduction in most patients. In patients that have fatty breasts the volume can certtainly be reduced, but in all likelihood the skin will not tighten. Also raising a significantly sagging nipple areola complex requires skin resection and movement of the nipple areola using a scalpel.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Young women tend to be good candidates for liposuction only breast reduction.

Hi. Typically you can go down one or two cup sizes with liposuction breast reduction, and patients tend to be very happy. Physical exam and a mammogram can help to see how much of your breast volume is fat. Then you know more precisely how much smaller you can be. see video

Breast reduction via liposuction

I am asked several times a year to treat a patient for a breast reduction by liposuction instead of surgery. I am able to do this in a small percentage of patients, maybe once or twice a year. These patients are usually teens, with very large breasts in an otherwise thin body frame. They have both breast tissue and fat in the breast and usually have very little drooping. In almost all cases I will remove 600-700 cc or grams to reduce the size about 2 cup sizes. I always advise them they... more

Liposuction breast reduction

You can only reduce the fat content of the breast with liposuction so your hypertrophy should be mainly fat and not glandular. SInce liposuction reduction is predominantly a passive decompression type of procedure, there is not much shaping that can be done if the skin is also loose. Ideally, the breast should look normal, just larger and lower, without the nipples pointing down or too bottom heavy. Robin T.W. Yuan, M.D

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Breast Reduction via Liposuction

Thank you for the question. Unfortunately without direct examination is not possible to give you good advice. There are many variables involved including the amount of adipose tissue versus breast tissue in your breasts, the quality of skin elasticity that is present, the degree of ptosis (drooping) present as well as your overall goals in regards to breast size and shape. As you know, cup size varies depending on the bra manufacturer making cup size discussions... more