Excess Flab on Sides After Breast Reduction

I had Breast Reduction around five years ago, followed by a lot of complicatons (which were fixed by another doctor). Now, I'm concerned about the excess flab on my sides from the surgery. It's really bothersome if i don't put a bra on, or if I wear certian kinds of bra. Are there any procedures for fixing this? If so, is it possible for such procedures to be covered by insurance?

Doctor Answers 33

Breast Reduction - Excess Flab on Sides

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Yes, and probably not.

In general, having some excess tissue in that area is not that uncommon, and it may be more noticeable after a breast reduction.  Furthermore, if you put on some weight after your surgery then relatively more may have gone there than did so before (since your breasts were reduced and some of the weight may otherwise have gone there).  Whatever the cause, you (or the surgeon, more likely) need to determine if the excess tissue is skin, fat, or both.  If it's just fat, then some lipo may help.  If there is a lot of skin involved, then removing that skin surgically may be necessary.  Either way, I doubt that this procedure would be covered by insurance although each policy is different and that is something you can ask of your surgeon.

I hope that this helps and good luck,

Dr. E

Excess Tissue Chest after Breast Reduction?

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Thank you for the question.

Many patients undergoing breast reduction surgery are also concerned about “excess” skin and/or adipose tissue of the upper chest (infraaxillary) area  as well. To treat this area liposuction and/or skin excision (lipectomy)  may be necessary. If the area is not treated, it may become even more obvious as an area of “fullness” after the breast reduction procedure is performed.

If a patient elects to have the excess skin in this area removed she should be aware that the scarring of the breast reduction procedure may expand to the side (laterally). Many patients would prefer to have the scar (and an improved contour)  rather than the extra “fold” of tissue.

If the area of the upper lateral chest is not addressed during the breast reduction procedure many patients will be in your situation require revision surgery ( liposuction and/or lipectomy)  to correct the area.

I hope this helps.

There are various options for treating this

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It can often occur that the sides of your breasts do show up slightly more because the volume of the breast is actually reduced.

There are various options for treating this but the main thing I would recommend is to try and get your body mass index stand to under 30 if it is currently above 30.

Getting down to a normal weight, if you are a overweight will reduce the prominence in these areas.

If you are a normal weight, liposuction or sometimes removal of the tissue in this region via surgery can often improve the prominence in this region.

Overall, my advice would be to achieve a normal body weight if your BMI is over 30 and seek a consultation with a specialist plastic surgeon to discuss the options for you.

I wish you the best of luck if you do decide to go ahead with treatment.

Lateral excesses after breast reduction can be fixed, but may require skin excision.

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Lateral to the breast, a prominence may result after breast reduction.  If there is not surplus skin, liposuction of the area can fix the problem.  If skin is in excess, it will need to be excised.  This will require an extension of the breast reduction incision.

Extra tissue on the sides after breast reduction

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It is not uncommon for patients to have extra tissue - usually either skin or fat, or a combination of both - at the sides of the breasts and chest wall. This area may be treated with liposuction with skin excision at the time of breast reduction, or afterwards as a separate procedure.

Olivia Hutchinson, MD
New York Plastic Surgeon

Excess tissue after a breast reduction

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Most likely the excess tissue can be removed by liposuction. Minor touch-ups and revisions are not uncommon.  In some circumstances, skin may be removed, too, by extending the lower breast reduction scar.  Your surgeon can recommend what is best for you.  It is not likely that insurance will cover this, but it may be covered if your breast reduction was covered.  It won't hurt to ask!

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 10 reviews

Liposuction with breast reduction

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It is very common to perform liposuction at the same time as a breast reduction surgery. The breast surgery will reposition your breasts, change their shape, and make them smaller. However this surgery does little for the excess fat on the sides of the breast and underneath your armpit. This area can be very stubborn and certain women. The most effective technique to address this fat is to perform liposuction at the same setting as he breast reduction surgery.

Flab on sides after breast reduction can be adressed now

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Breast Reduction is an excellent procedure but it does what its name implies- reduces the breast. Many women have additional fattty bulges laterally(on the side) that can be addressed if desired. Some women will lose weight after reduction and the bulges reduce with the weight loss. Other women would benefit from lipo (if the problem is fat alone) or an excision (if there is too much extra skin). This can be done at the original surgery or at a later date as the patient desires.

David Shuter, MD
Jupiter Plastic Surgeon

Excess tissue in the bra strap area after breast reduction

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This is very typical after breast reduction. We call this area the "bra strap" area; excess skin and fat bulges over the side panels of the bra, very unpleasant. It was always there but you did not notice it as much because of your large breasts. Now that your breasts are smaller, you are very aware of it and hate it. The solution is usually a combination of liposuction and sometimes skin excision to contour this area. Hope this helps.

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 29 reviews

Flab on sides after breast reduction

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The excess tissue on the sides of your breast can be either excess skin, excess fat, or both. If it is mainly fat, liposuction alone will significantly help eliminate this. If it is skin, or a combination, then you would need surgical excision of the tissues. In most cases, insurance would look at this as a cosmetic procedure, and it would not be covered. Good luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 109 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.