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

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.