Can I use lipo to treat breast asymmetry? (Photo)

Question

I have naturally tan skin and scar very dark. I don’t want scars from a breast reduction or lift. Is it possible to reduce the volume of my right breast using lipo to achieve more symmetric breasts? Also, is it possible to combine that procedure with implants? 28 y/o female, no kids

Gianfranco Frojo, MD · Answer

Liposuction of breast tissue is not a standard treatment. The breast has a very organized structure that is more fibrous than standard fat and is not really an area that should be directly liposuctioned. The best option for your asymmetry would be a breast lift (mastopexy) with potential breast implants if you are seeking more upper pole fullness or more volume in general. I would definitely make an appointment with a board-eligible or board-certified plastic surgeon with specialized training in aesthetic breast surgery.

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question.  The only way to reduce a breast is by doing a Breast Reduction.  A breast reduction would require your Surgeon of choice to make incisions.  I would recommend speaking with a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.  Best of luck to you.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about breast asymmetry.

Liposuction is a procedure where fat cells are removed rather than tissue. 
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Selecting the most appropriate breast implant size for breast augmentation is a personal decision that ultimately you have to make. An in-person consultation with implant sizing is best.
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It depends on your height, weight and breast base width diameter.

To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breast implant surgery.

I hope this helps.

Scott W. Vann, MD, FACS · Answer

If you only want your larger breast a little smaller to be more even, then liposuction of the larger breast would be a good option. If you want implants then I would recommend a slightly larger implant in the smaller breast and a smaller implant in the larger breast to get you more even. I would not recommend liposuction and implant in the same breast due to increase risk of complications. Good luck.

Ronald J. Edelson, MD · Answer

You would be better off with different size implants than lipo  a lift would be even better but if you don’t want scars just use different size implants

Daniel Barrett, MD · Answer

Dear 
liposuction won't help with your breast asymmetry. Generally speaking, you can get augmentation of the smaller breast using fat or implants or reduction of the bigger breast. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Libby Copeland-Halperin, MD · Answer

Thank you for your question and for sharing your photos. It is hard to say without examining you in person and better understanding your goals. I understand your concerns about the scarring associated with a breast reduction. It is often possible to reduce breast size with liposuction and it may be beneficial to combine liposuction with other skin tightening procedures, such as Thermage of microneedling, to help tighten and lift the breast. I perform breast liposuction using a combination of liposuction techniques, including smartlipo or laser liposuction, ultrasonic liposuction and power-assisted liposuction. However, some sagging of the breast is possible after liposuction and the breast will not be as lifted as with a formal breast reduction or lift. You may also be a candidate for a procedure known as “autologous fat transfer” where fat is removed from one part of your body (such as the thighs, tummy, or hips) using liposuction and then cleaned and injected into your breast through a small incision. This technique can provide a natural, fuller look without the use of an implant. I perform these procedures in my fully-accredited operating room under IV sedation administered by a board-certified anesthesiologist as an outpatient procedure. I recommend you speak with a fully-trained plastic surgeon to discuss your goals and review your options.

Justin K. Williams, MD · Answer

I would recommend adding to the deficient side rather than removing fat from the larger side. If you are planning to combine this with a breast augmentation, fat grafting to the smaller side can help make the asymmetry slightly less so. The benefit of this is that you can achieve additional fullness in the upper pole and in the cleavage area.

Leo McCafferty, MD · Answer

Thank you for your question.  Liposuction to some degree can reduce a breast but typically will not lift the breast.  However, if you're asymmetry is secondary more to breast tissue and fatty tissue, liposuction wont provide much benefit.  You're very young and I suspect that most of the difference is secondary to breast tissue and not fatty tissue. To confirm this, certainly you would need an examination by a board certified plastic surgeon.  Good luck!

Christopher J. Hussussian, MD · Answer

Hello
Breast Asymmetry can be addressed with liposuction. It is hard to tell whether it would be a good option for you without a physical exam. For a girl of your build it is more likely to be breast tissue which is not what you want to liposuction. If prominent scarring is what you're trying to avoid I would suggest a small aug where two sized implants are used create the symmetry you're looking for.
Dr. Chris Hussussian

Can I use lipo to treat breast asymmetry? (Photo)

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