Scar-less Breast Reduction - How is this done? Where can I get it? Ideally want to avoid big surgery incision marks.

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

Sorry but here is no such thing. Breast reduction surgery is the only way we can reduce the breasts without sagging. Some techniques can procedure less scarring then others, but it is impossible to say what technique is best for you without an evaluation. Most of the time the amount of scarring will depend on the breasts size and the results the patient is looking for. A "Scarless Breast Reduction" may mean nothing more then liposuction of the breasts. This is done with small stab incisions... but the reduction is minimal and it does not include a lift, plus there is usually sagging afterwards. This is why is it aplicable in only a select group of patients.I feel it is helpful for patients to understand that the scar is not the problem. It is more like the solution to the problem. If you are not ready for the scar, then unfortunately, you are not ready for surgery.
If you are thinking about the possibility surgery, please contact a plastic surgeon for additional info of what is best you. 
Best of luck!

Breast reduction surgery generally yields noticeable scarring, although this can be minimized with the work of an experienced surgeon and proper scar care following the procedure. Scar-free breast reduction surgery is technically possible through liposuction, but the majority of breast reduction candidates are not candidates for breast liposuction. While liposuction still requires incisions to gain access to the underlying tissue, the incisions are much smaller and can often become nearly invisible once they have fully matured.
Breast reduction through liposuction is also limited in how much tissue can be removed. While scar-free results are certainly a desire for anyone undergoing breast reduction, it is not a viable option for everyone. If you would like to learn more about breast reduction surgery and discuss the possibility of breast liposuction, schedule a consultation with a board-certified plastic surgeon. Hope this helps.

         The scarless breast
reduction procedure is essentially liposuction of the breast. This procedure
can be utilized for minimal breast reductions when minimal sag is present.

 

         The majority of
patients with large breasts require a traditional breast reduction. This
procedure can remove larger amounts of tissue and can address breast sag as
well.

 

         Scarless breast
reduction has significant limitations and for most patients would be
inappropriate. If you’re considering breast reduction, the best advice would be
to consult a plastic surgeon with experience who is board certified in plastic
surgery.

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) technique which was developed in 1957! It's worth looking into.

Best wishes,

Dr. Horndeski

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.

Scarless breast reduction is considered a cosmetic procedure and is not covered by most health insurance providers. To be a candidate for this procedure, the patients must meet certain criteria such as 

good skin tone

nipple and areola that are in a good position

You don’t have too much breast sagging

You don’t need breast lift (Mastopexy)

You are healthy and have realistic expectation

The best way to see if you are a candidate is to schedule a consultation with a board certified plastic surgeon.

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 elasticity and require small volume reductions. This is because removing the fatty component of breast tissue will not address the excess skin and position of the nipple. Most patients who want a breast reduction also have excess skin and need a lift of the nipple areola complex and breast volume, and this will not be accomplished by liposuction. The only way to avoid all scars is to avoid having surgery. Typically with breast reduction surgery you are trading scars for a better size, shape, weight, and relief of associated symptoms. I would advise consulting with a board certified plastic surgeon to review your options and see what works best for you.

Good luck!

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 liposuction-only breast reduction.
Please consult with a board certified plastic surgeon to find out which procedure is best suited to your particular anatomy.

You can't always get what you want in this world, but if you try, sometimes you'll get what you need.
The most minimal incision for a breast reduction would be using a liposuction technique and I have reduced a full cup size or more in certain patients. This procedure however, is not for everyone. It depends on the tone of your skin, the current shape of your breast and many other factors which should be discussed with your surgeon.
Don't be too quick to compromise the result at the expense of smaller incisions.

First, I have to tell you the term scarless and surgery do not coexist. It is a marketing term that is used. Any surgery done is going to leave scars. Now if you have good skin tone and the nipple and areola are in a good position, then liposuction of the breast can be performed to reduce the size of the breast and avoid the incisions that are generally placed on the breast. This is a minor population.
Most women require the traditional breast reduction surgery which involves placing incisions on the breasts.
Hope that answers your question.