Young adult woman with fibrous large breasts, treated with scarless breast reduction

Athletic young woman who desired a significant breast reduction. She did not have a lot of down time and preferred no scars if possible. Liposuction only generally results in a deflated skin envelope with poor contour. Addition radiofrequency-assisted tissue tightening helps the tissue contract over time, creating lift and an improved contour. Instead of large areas of skin excision resulting in unattractive scars, this approach uses an 18 gauge needle poke as an access port for the 1.8 mm diameter RF cannula. Both liposuction and RF heating are employed. The tissue response takes time; the result is obtained over about a year's time.