Is Liposuction Necessary During Breast Reduction Surgery?

Hi,
Thank you for your question.
Liposuction is not necessary for every breast reduction procedure. It depends on the type of procedure being done and on the patient. A lot of times it is highly recommended because it helps the lateral side areas of the breast look flatter and better. Usually we do not charge extra and I usually always do liposuction for breast contouring laterally. This of course, does not include liposuction of back rolls or extensions.
You should consult with your plastic surgeon to see why he is recommending lipo and go from there. Certain areas can be very stubborn so sometimes diet and exercise arent enough. If it is a money issue, I would not compromise results and what is best for you because of the cost.
Best regards,
Dr. Speron

Both liposuction and breast surgery are considered cosmetic treatments, meaning that neither are medically necessary procedures but are instead performed to heighten a patient’s appearance and self-esteem. No cosmetic treatment, including liposuction, is “necessary” and you should never feel pressured by a surgeon to opt in for additional surgery should you be uncomfortable with the idea. That being said, liposuction and breast surgery are very often combined in a single surgical sitting to enhance an aging body in the quickest, most effective way. If this is something you are considering, I recommend consulting with at least two or three board certified surgeons in your area to get a professional, personalized opinion on your possible cosmetic treatment. 

Liposuction doesn't have to be performed, but if your surgeon suggested it, you should ask why. Generally, it can achieve a better reduction that's less invasive, so you can recover faster. It may help to reshape your breasts as well. Exercise and diet can help, but there's no way of knowing how you'll lose the weight since you can't spot reduce. LIposuction is the only way to spot reduce fat.

Liposuction breast reduction can decrease the size of breasts if they are comprised mainly of fatty tissue. However, if you have excess glandular tissue, then traditional breast reduction would be better for you. You would have to see an experience board certified plastic surgeon to determine which technique is right for you.

Mahalamom,
Liposuction is not required for a breast reduction. If you desired to re-contour the area beneath the arm pit that can produce a roll then liposuction is an option. Whether or not the area of liposuction in question can be reduced with weight loss is only a question you can answer. It depends on whether you can do all the things to safely loose weight (less calories in/healthier food and more calories out/exercise).
Review your concerns/questions again with your surgeon prior to your surgery.
I hope this is helpful.
Dr. ES