Breast reduction v. Liposuction for C cup to A cup?

Question

I want breast reduction and am comparing traditional surgery VS liposuction. I am a 25 year old female, athletic, BMI 21, 140 lbs, 5'9. I have C cup breasts. I want them as small as realistically possible (for appearance/physical reasons). Lipo would be the way I'm leaning, but I don't know how much could reasonably be removed with this method. My question is this: can I get the results I want (A or B cup-at most) with lipo? With a more glandular breast, how much can be removed? Thank you

Kris M. Reddy, MD, FACS · Answer

Liposuction is limited as it can only remove fat. Breast reduction is appropriate if you need to address glandular tissue and fibrous tissue. Consult in person with an experienced and expert board certified plastic surgeon to understand your options.

Gary L. Ross, MBChB, FRCS · Answer

There are limits to what can be achieved by liposuction and you are best to ask you PS to show you examples of what can be achieved by liposuction only so that you can decide whether this would give you the sort of volume reduction you are after.

Tom J. Pousti, MD · Answer

Thank you for the question.
Very few patients who present with breast hypertrophy are good candidates for breast reduction through liposuction surgery, in my opinion. Liposuction surgery will  remove adipose tissue but does not address the excess breast parenchymal tissue and/or ptotic skin that is present. Therefore, the degree of breast reduction possible through liposuction surgery alone is relatively small.  
Skin elasticity is another factor that needs to be taken into consideration;  most patients with large breasts have  loss some skin elasticity…  My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as  well. Working together you will come up with a good plan to achieve your goals.  
Best wishes.

Robert Caridi, MD · Answer

All women would prefer not to have scars and obtain the benefits of a breast reduction. The problem is that the procedure is best reserved for an ideal patient--one who has EXCELLENT skin and mostly a fatty breast. Young women tend to enjoy better skin that older women and younger women tend to be more glandular. Ultimately this decision is best made in consultation with an experienced plastic surgeon who has been there--has done liposuction breast reduction and has learned from his/her patients on who is the best candidate. Get several opinions. The procedure is not as common as you would think.

David E. Berman, MD (retired) · Answer

Liposuction can only remove some of the fat and much of your breast size is likely non-fatty tissue such as glandular tissue and fibrous tissue etc. The amount of reduction from liposuction alone is usually very small.see a board certified PS.david berman md

Breast reduction v. Liposuction for C cup to A cup?

Answers (5)

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