Non Surgical Breast Reduction

Is there a way to make the breasts a couple of sizes smaller, or is surgery the only way to go?

Doctor Answers 65

Currently, there is no non-surgical means of reducing the breast.

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Unfortunately, there is no reliable non-surgical means of reducing the breast tissue outside of natural weight loss. In the future, there is promising technology which may apply; but, this technology is currently NOT available in the United States. Both companies have medical devices that use externally applied focused ultrasound to break down the breast fat.

The two technologies are LipoSonix and Ultrashape. It is my understanding that the FDA is requiring additional clinical studies to better discern the process of the liver metabolism of the breakdown products of the treated fat. I would expect FDA approval within the next two years.

Please keep in mind that moderate to severe breast volume reduction may potentially create problems with breast sagging (known medically as ptosis). And, this could require a breast lift procedure to correct!

I have used the Vaser® Liposelection to perform breast reduction, but this is a surgically invasive procedure. Of course, there are other surgical options available that your plastic surgeon will discuss with you.

Thank you for your question!

Englewood Plastic Surgeon

Surgery is the best - and only - option

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Unfortunately there is no good way to reduce breast volume without surgery. Liposuction is a minimally invasive, scarless way of accomplishing the task of reducing breast volume, but liposuction alone will result in saggy breasts.

Surgery is typically very well tolerated and produces happy patients... in fact, breast reduction surgery has the highest rate of patient satisfaction of any procedure... any!

Hope this helps!

Dr. K

New Non-Surgical Techniques of Breast Reduction

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Other than weight loss, there are some very new techniques of fat reduction that use freezing or ultrasound Their efficacy has not yet been reported in our leading and respected journals.  I am not aware of their application to breast reduction; it is possible that these non-surgical techniques may apply to breast reduction, in the future. I can't recommend them, at this time.

Non-surgical techniques do not address shaping or lift. They will deflate the breast to reduce size.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.7 out of 5 stars 45 reviews

Breast reduction options

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Thanks for your question -

There is currently no reliable non-surgical method of breast reduction. The other surgeons have correctly mentioned that liposuction in some patients, may be an alternative to traditional excisional breast reductions - but make no mistake - liposuction is still considered surgery!

If the symptoms from large breasts are really bothering you but after a discussion with your plastic surgeon you're not ready to commit to surgery you can try some of the following:

Weight loss - this can improve the heaviness of the breasts

More supportive undergarments - the right bra can make a difference in back pain and shoulder grooving associated with large breasts.

Physical therapy - physical therapy can help with neck and back pain.

Good luck!

No surgery, no but no scars?

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the classic breast reduction uses incisions to remove excess skin and tissue. a lot of the tissue is fat, so it makes sense that liposuction can reduce the breast size. be forewarned that not everyone is a good candidate and that is what makes the difference between a good result or a disaster. but lipo is a definite good option for some. good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Minimally invasive surgery for breast reduction is possible in some women

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Many women are symptomatic from the large size of their breasts.  Some are overweight and would benefit from weight reduction.  This however does not always result in smaller breasts as the weight may be lost elsewhere, or the woman is not overweght to start with.  In situatione where the breast is "fatty" and not glandular, that is in older women, minimally invasive liposuction can be performed.  This reqiures a few tiny incisions, and carries minimal risks.  This procedure will reduce the breast, but rarely results in a reshaping or aesthtic lift of the breast. In younger women, liposuction is not a reliable means of removing breast tissue and  conventional surgery is needed.

Beverly Friedlander, MD
Short Hills Plastic Surgeon
4.8 out of 5 stars 19 reviews

Non-surgical breast reduction

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In short, breast reduction can be achieved both with and without surgery.  Weight loss will generally lead to a reduction in breast size, but everyone is different and patterns of bodily fat storage vary with age, ethnicity, and diet.  There is no specific exercise or diet to target weight loss from the breasts alone.  Cessation of birth control (depending on the type) or or other hormones may also affect breast size.

Liposuction is an alternative to a breast redution surgery.  Generally, though, liposuction is still considered surgery.  Also, liposuction only addresses fat removal, and not loose skin.  Liposuction alone can lead to a deflated look.  A breast reduction will often lift the breast by removing excess skin and breast tissue.  As you may know, insurance will sometimes help to pay for a reduction when back pain, bra strap shoulder grooving, or a rash beneath the breast is involved.  Good luck with your decision!

Jason Hess, MD
San Diego Plastic Surgeon

Lipo reduction is an option

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I have done many liposuction breast reductions in which a woman reduced her cup by 2 sizes or more.   This does not lift the breast however adn a mastopexy with or without a breast reduction is needed to lift the breast.    I frequently will do a laser bra lift and a liposuction breast reduction at the same time.  wgs

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Non surgical breast reduction

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The only reliable way to reduce the size of your breasts is with breast reduction surgery. Alternatively, liposuction may be an option in some individuals. Weight loss may cause your breasts to become somewhat smaller but its effect on breast size is unpredictable.

Olivia Hutchinson, MD
New York Plastic Surgeon

Breast reduction without surgery

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Surgery is usually the best option to achieve ideal results for a reduction in breast size.  Surgery can involve liposuction or a reduction mammaplasty (breast reduction).  Liposuction is a good option in very few patients.  The amount of reduction needed is usually small and there has to be excellent skin elasticity present to allow the skin to shrink down to the new breast size.  Breast reduction surgery is by far the best option in most patients seeking a decrease in breast size.  Patients after this surgery are some of the most happy patients in a plastic surgeon's office.  If you are considering it, make sure you consult with a board-certified plastic surgeon.

Naveen Setty, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 78 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.