What's the difference between a Breast reduction with mostly fatty tissue versus one with more fibrous tissue?

Is there a difference in the amount of breast tissue that can be removed? Does the removal procedure itself differ? What kind of challenges does a more fibrous breast present, and what kind of patients are prone to having more fibrous breasts (i.e., young, old, higher BMI, lower BMI, etc.)? Is there any way for a patient to ascertain the composition of his or her breasts prior to surgery? Will breast reduction affect the composition of the breasts, making them more or less fibrous?

Doctor Answers 3

Breast reduction , fiberous tissue or fat?

Wow, Thank you for all these good questions-- I will answer below:

Is there a difference in the amount of breast tissue that can be removed?

Your surgeon has to use judgement about how much tissue to remove to achieve your goals but leave enough healthy tissue to keep the skin an nipples alive.

Does the removal procedure itself differ? 

There are different ways to remove the tissue and different types of scars depending on the size of your breast and the amount of tissue and volume that needs to come off.

What kind of challenges does a more fibrous breast present.

For reduction both are easily excised, fiberous tissue is firmer fat is softer, but each can be easily removed.

what kind of patients are prone to having more fibrous breasts (i.e., young, old, higher BMI, lower BMI, etc.)?

In general younger patients tend to have more glandular or fiberous tissue. Older patients and certainly heavier patients will have more fat.

Is there any way for a patient to ascertain the composition of his or her breasts prior to surgery?

While MRI's could give you a picture usually a good physical examination can give your surgeon a sense of the composition.

Will breast reduction affect the composition of the breasts, making them more or less fibrous?

Yes, Both fat and fiber are removed. In reduction the amounts will vary depending on the technique used.


Hope this helps.



Washington DC Plastic Surgeon
5.0 out of 5 stars 90 reviews

Fatty or Fibrous Breasts with a Breast Reduction Surgery

There is no difference in the amount of breast tissue that can be removed if it is more fatty or more fibrous.  And the removal procedure is not really different except that fibrous tissue is harder to cut through.  In general, the younger patients tend to have more fibrous or glandular tissue; and the older patients tend to have more fatty tissue.   Also, the higher the BMI, the more fatty tissue a patient tends to have.  Breast reduction surgery leaves the patient with less of whatever type of excess tissue that they have, which is usually less fatty tissue.

Best Wishes!

Breast reduction and tissue

No difference in removing tissue but the fibrous tissue is usually a bit heavier and harder to cut through.  Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

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