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

It is hard to give an opinion without seeing pictures. The area may be more noticeable after breast reduction surgery, so if you can afford it you may be happier with your results. On the other hand, does it bother you now? If it doesn't perhaps you don't need it. It might be wise to get another opinion.

Without photos or evaluation, we can not properly guide you. If you are uncomfortable with your surgeon's recommendation, consult with 2 other board certified plastic surgeons in your area.

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.

Every patient's situation should be individualized;  discussion with a well experienced board-certified plastic surgeon will be helpful.

I hope this helps.

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.