Do I Need to Have Lipo Done (Near Undarms) with the Breast Reduction?

I am always concerned that liposuction will compromise the healing. Safety is foremost. If a patient wants her bra rolls or axillary folds suctioned, thus can be performed at a later date. Many complaints about the axillary folds come from poorly fitting bras as opposed to an anatomical irregularity. If your surgeon is accepting insurance proceeds, this is a way to make a more reasonable compensation for his hours of work but that should not be a motivation for surgery.

In my experience, it is not necessary to add liposuction to the breast reduction procedure.  For many of my patients, this is not an issue; however if this excess tissue really bothers you, then I would consider adding this to the reduction, it does not add a lot of additional time to the procedure, or much in terms of recovery, although there is some additional expense.  You can always have the breast reduction surgery, then see how the area looks after 6 months to a year; and if it is still an issue; then proceed with the liposuction.  I have also added an excision of this tissue when the problem not only is the excess fat but also the redundant skin; in this case the "trade-off" is a rather long scar; but some people are willing to accept this for the improved contour.