Breast reduction from 34DD to 34 C. What will be the best procedure, lipo or lollipop style? I want minimum scars

Hard to say without a photo.  Liposuction may not give you the lift that you are searching for.  I recommend a wise pattern reduction/lift.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon

Hello,You'll need to be seen by an ABPS certified/ASAPS member surgeon who specializes in breast surgery. For the vast majority of women, liposuction is not an option and direct reduction will be necessary. Regardless of what you think you want, if a formal reduction is required, incisions and their attendant scars are necessary to give you a pleasing breast shape, something that is much more important for breast beauty than scars, or the lack of scars. Best of luck!

Dear Spiceyourlife,many women have overdevelopment of breast tissue and require reductions.  Some of the questions you need to ask yourself are if you are willing to have scars from the surgery, take the risk of losing nipple sensation and other complications in addition to possible problems breast feeding if you plan to have children in the future. I would meet with a plastic surgeon to go over all of these risks and benefits to see if you would be a good candidate for surgery.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

There are many different techniques to perform breast reduction surgery. All of this depends upon the patient and their appearance prior to surgery. The techniques range from something as simple as liposuction to a full breast reduction surgery with significant scarring along the breasts. Most women who have a 34 DD breast with a goal of achieving a 34 C result will need some form of skin excision to produce an attractive and youthful result. Without photographs it is impossible to tell you more about your particular situation. I would recommend that you consult with a board-certified plastic surgeon in your area to get a opinion about your situation after a formal evaluation.

Hello Spiceyourlife,
Thanks for your questions.  There is a new breast reduction and lift technique called Bellesoma that seems like it should be a great fit for you.  Using this technique, as much or as little breast tissue as you desire can be removed along with a fantastic lift and smaller areola. The Bellesoma procedure reduces the heaviness of your breast, lifts your breast, typically preserves the nipple sensation and the ability to breast feed, and looks as full and perky as if an implant had been placed without using any implant, so no need to compromise.  One of the huge positives of this technique is that there is no vertical incision traveling down the front of your breasts.  Another plus is that the Bellesoma technique is very long lasting.
Some of the differences between Bellesoma and the traditional breast lift techniques:
-Bellesoma creates upper pole fullness that traditionally needed an implant to achieve.
-There is NO vertical scar, only well-hidden scars in the fold under the breast, and around the areola.
-The breast is dynamically supported by attaching it to the muscle, so there is no recurrence of sagging which are expected with traditional lifts or reductions.
-The entire central portion of the breast is undisturbed, so nipple sensation remains intact and is very unlikely to be compromised.
-For absolute best results, patients should have a stable weight and have a BMI under 30.
The procedure is accomplished by using the skin of the lower pole of the breast (the part below the nipple that sits in the bra cup) to shape the whole breast into a perky dome, then straps are made of the extra skin, anchoring it to the underlying chest muscle so that there is virtually no chance of repeat sagging.  The skin that above your nipple and below your collar bone is utilized to cover the perky, lifted dome that has been created and then a new (usually smaller) circular opening for the areola is placed at the high point of the cone, creating your new lifted, full and shapely breast.
From your description, you appear to be a very good candidate for this new technique and should really get the look that you are desiring without unnecessary visible scars. I would recommend that you search for an ABPS board certified plastic surgeon who is also a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons in your area or an area that you would like to travel to who offers the Bellesoma technique to discuss your breast reduction.
Best wishes!
Dr. Brown

Thank you for the question. Based on your description you may be an good candidate for breast reduction /lifting surgery.   However, much more information is needed to determine what operation  (and incisions) will be needed to achieve your goals.
Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.
Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well.. Poor scarring, for example may be associated with the procedure.  Additional surgery may be necessary in the short or longer term for a multitude of reasons.
When the time is right, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.
Then, it will be important that you communicate your goals clearly with your plastic surgeon and make sure that you have realistic expectations prior to proceeding with any type of surgery. In regards to breast size desired, also communicate carefully. In my practice the use of goal pictures are helpful in this regard; a discussion of cup size can be confusing and imprecise.   Therefore, I would not suggest that you communicate your goals and/or base your satisfaction with the outcome of surgery on achieving a specific cup size.  I also find that the use of pictures is more helpful than the words “natural” or "proportionate” etc., which can mean different things to different people.
Many of my patients choose to have enough breast tissue removed to help alleviate symptoms while retaining enough breast tissue to remain proportionate to the remainder of  bare torso.
I hope this helps.

A breast reduction using liposuction by itself is generally not wise, because it will not raise the nipple or reduce loose skin.  It can be used with skin shaping however.  A lollipop incision is my favorite resulting in the best shaping and minimal incisional scars.

Most patients who are a DD cup suffer from significant symptoms as well as social embarrassment and an inability to lose weight through exercise.  For many the trade-off of having surgical incisions in exchange for a dramatic improvement and reduction in size is very worthwhile.  If this is not the case for you then consider avoiding surgery and the necessary incision lines.  Breast liposuction is unlikely a good option for you as well.  There are new technologies that help to reduce the prominence of scars but not make them invisible as you are aware.  Best wishes in making your decision,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd

Hello and thank you for your excellent question.Without photos and/or an in-person evaluation, it is not possible to give you an idea of what surgical technique will work best for you. Preoperative
visualization and surgical simulation with the Crisalix system may help with
your decision. I suggest that you find a board-certified plastic surgeon with
whom you are comfortable. Be sure to have all of your questions answered during
a face-to-face meeting with your surgeon, and review before and after pictures
of patients who have had similar procedures. Good luck!
Best,
Jon Ver Halen, MD FACS
Harvard educated plastic surgeon
Texas “Top Doc”

While a liposuction breast reduction is appealing for the minimal scarring, it is rarely used. The breast volume needs to be mostly made of fat, not breast tissue, as only fat can be removed by this technique. Also the skin elasticity must be excellent and the nipple position must be appropriate, otherwise liposuction will leave a saggy breast and a droopy and low nipple. Surgery is always a trade-off of scars for a new look and there are no shortcuts to good results.