Is Liposuction Necessary During Breast Reduction Surgery?

I have Breast Reduction surgery in about two weeks. I am debating on the Liposuction that was recommended at the same time. If I don't have Liposuction done, can I get similar results through diet and exercise?

Doctor Answers 14

Liposuction during breast reduction.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


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

Chicago Plastic Surgeon

Breast reduction surgery can be done without liposuction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I am not sure from your posting whether the proposed liposuction is to be done in the area of the breast as part of the breast reduction or in a completely different area as the thighs or abdomen. Liposuction of the area around the underarm at what we refer to as the "tail of the breast" is often done during a breast reduction in order to create the best shaped breast possible. If there is a chance that liposuction will be needed in this area, I will discuss it with the patient before the surgery and make sure that it is listed as a procedure on the surgical consent. I consider this liposuction to be part of the breast reduction procedure and do it to create the best result possible.

If the liposuction is for an area other than related to the breast, necessary is a relative term. If you want liposuction of the hips, for example, it may make alot of sense to do it at the same time as your breast reduction. That way, you have only one postoperative period. There are different risks when you combine more than one procedure at the same time, but if you are healthy and the volume of liposuction and breast reduction are moderate the increase risk should be minimal. However, if you did not request treatment other than to your breasts, then liposuction may not be indicated.

This is a question to ask your surgeon. Before you undergo surgery, you should be able to discuss any of your questions and concerns with the doctor performing the procedure. If you do not feel comfortable doing this, this may not be the correct surgeon for you.

Elizabeth Slass Lee, MD
Bay Area Plastic Surgeon
4.8 out of 5 stars 56 reviews

Liposuction can be great adjunct to breast implants to get rid of fullness on sides

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While the word necessary is often used inappropriately, liposuction to the side of the chest and lateral chest wall which is under the upper arm is often a good additional option to remove the bulge in this area which is often left when a reduction mamoplasty is done alone. Truly not necessary but a really nice additional option to give a better result. Talk with your surgeon and ask him or her what and where they intend to liposuction. Usually insurance companies pay for reduction mamoplasty but not for this additional liposuction. Often it is better to spend a little more to get a better result.

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 17 reviews

Simultaneous Liposuction and Breast Reduction Surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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. 

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 81 reviews

Liposuction not necessary but can improve contour

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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.

Breast Reduction and Liposuction?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question.

Liposuction is not “necessary”,  can be a useful tool, during breast reduction surgery. One area that often benefits from liposuction surgery is the lateral chest wall ( below the axilla). My suggestion would be to allow your plastic surgeon to use whatever tool necessary to achieve the best results possible.

Best wishes.

Liposuction and breast reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 Liposuction is not necessary with breast reductions. It can help thin out the lateral fold of tissue that often persists.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Liposuction for breast reduction is not required

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


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

Breast reduction with liposuction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Liposuction, as an adjunct to breast reduction, is often beneficial to treat those diet resistant pockets of fat that women complain about on the outer part of the breast that protrude above or beyond the bra strap. You can elect to go without but those fat deposits will remain untreated. Your choice.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Liposuction during Breast Reduction depends on whether you need it

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Liposuction is not done in all of my breast reduction patients but many of them need this to help the axilla look better. The area on the sides if there is tissue, can be improved with liposuction to help it look flatter. Not everyone needs this...but some patients do.

Go to a Board Certified Plastic Surgeon to get the best results.

Good luck!

Andrew T. Cohen, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 47 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.