How is it determined if auxiliary liposuction will be performed during a breast reduction? (photo)

Thank you for your question. Unfortunately, your bra, clothing, and angle of your picture is not very helpful. You will need to be examined by your surgeon to determine if liposuction is a viable option in your case. Please know that if the excess tissue is not part of your breast - insurance will not cover it. Loosing weight and acquiring a healthy BMI prior to your surgery will reduce your chances of requiring liposuction. A healthier weight will also decrease risks and complications associated with undergoing general anesthesia and the healing process. Best wishes, 

Thank you for your post and picture. It is hard to determine whether or not you are a good candidate for axillary liposuction based on the photo provided. Axillary liposuction is commonly performed at the time of breast reduction surgery to remove any excess fatty tissue from the lateral chest region. It can also be used to contour and shape the look of your breasts. I recommend an in person consultation with a board certified plastic surgeon to properly assess your needs. Hope this helps and good luck. James Lee

Usually when 'breast tissue' extends around to the back and sides, you would be a candidate. You would need an in-person evaluation in order to know if you're a candidate. But you can get amazing results when done with hi definition laser liposuction.  It changes the shape and contour of the armpit/sides/bra roll.  See an expert. Best, Dr. Emer.

Liposuction, while not a standard component of a breast reduction, can serve as a useful adjunct. Patients often find that their excess extends to the lateral axilla. This can be excised directly, however, there are limits to how far posterior this incision can be extended. Liposuction can be employed to further improve this lateral contour as the lateral breast transitions to the axilla. Whether or not this is considered is based upon your surgeon. Additionally, as this is an adjunct treatment there may be an added cost.As always, discuss your concerns with a board certified plastic surgeon.

In my office that is a decision the patient makes.The area suctioned is the fat roll coming around from the back, not actually breast tissue. It can be suctioned, but most reductions are insurance procedures, and the insurance company will not pay for the liposuction. Most patient do not want to spend the extra money.