Pros/cons to side lipo after breast reduction?

Question

I recently had breast reduction surgery and the surgeon did pull some scars back a bit but opted not to do lipo on the sides. He did do it on the armpits. It is still early but I’m feeling the bra bulge and wondering if we should have done side lipo. Is it possible to do side lipo post breast reduction and what are the pros and cons to this. Can if cause further complications?

Finny George, MD · Answer

Hi, thank you for sharing your question. Before you decide to do additional surgery, make sure you are at least 4 months postop so that you can get a proper assessment of the problem. If there is still a bulge or excess fat, it can safely be removed with liposuction at 6 months postop.

Daniel Barrett, MD · Answer

Dear phaceplant,

it is probably best to wait to see the final results and then make a decision. 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

Rajaie Hazboun, MD, MBA · Answer

thank you for posting your question here !My answer will be based on the limited information provided, for a detailed and personalized plan please consult with a plastic surgeon in person.liposuction to the sides can be done at the same time as the reduction , but it can also be done later if needed, after surgery you will have some swelling so if you are close to your surgery then you likely still have a lot of that swelling , I would probably wait till you are around 6 months from your surgery which is around the time the swelling has gone down and the tissue has settled , if you are still having issues at that time then I would recommend talking to your surgeon and discussing the issue so that they can come up with a plan that works for you.I hope this helps , best of luck!

Krishna Vyas, MD, PhD, MHS · Answer

If you're still experiencing bra bulge after breast reduction surgery, you may be a good candidate for liposuction on the sides to help improve the contour of the area. While liposuction can certainly be performed after a breast reduction to target areas like the sides or underarm region, it's crucial to wait until you've fully healed from the initial procedure (at least 3-6 months). Liposuction can create a more refined, smooth transition between the breasts and torso, enhancing overall symmetry and body confidence. Risks include uneven contours, infection, or seromas (fluid buildup), which could impact the final outcome. I encourage most patients to get axillary and chest liposuction to contour these areas and  help prevent this bulge.

Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained
Aesthetic Plastic Surgeon
New York, New York

ABOUT DR. VYAS
Dr. Krishna Vyas, MD, PhD, MHS, is a plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from Harvard, Mayo Clinic, Johns Hopkins, and the Aesthetic Society, Dr. Vyas is recognized for his expertise in breast, nipple, and chest sensory nerve preservation and restoration. His PhD in clinical and translational science focused on improving outcomes in aesthetic surgery and breast surgery, fat grafting, stem cells, immunology, and regenerative therapies. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic where he also served as President of the Mayo Resident and Fellows Association and on the Mayo Clinic Alumni Association Board of Directors. Dr. Vyas also held junior staff attending privileges as Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital in Boston. As a passionate mentor, Dr. Vyas has guided hundreds of aspiring students, physicians, surgeons, and researchers, shaping the next generation of healthcare leaders. His contributions to the field have earned him several awards and recognitions, including the Presidential Scholarship and honorary title of Kentucky Colonel in his home state.

David Hansen, MD · Answer

Liposuction under local really is the way to go when you want the sculpt the breast laterally and is easy to undergo.  Be sure to get bodytite/quantum and morpheus as well for great skin tightening.

Manuel Diaz, MD · Answer

Hello dear. After breast reduction surgery, liposuction may be performed on the lateral chest (bra area) if a lump or fat deposit persists. However, you should wait at least six months after the initial procedure to allow for proper healing and avoid complications. Premature liposuction may increase the risk of scarring, irregularities, or interfere with the results of the surgery. Once this time has passed, liposuction can improve the contour and eliminate unwanted volume. You can contact us at 829-554-6062 for all the recommendations regarding your surgery.

Camille Cash, MD · Answer

Liposuction can be done to the sides after a breast reduction.  It is best if you wait 6 months before deciding to proceed to allow the body to heal and tissues to settle.  Depending on the amount of excess or bulge, you may be better off with a small skin excision to maintain a natural contour.

Connie Hiers, MD, FACS · Answer

Liposuction can be done later once you have healed. You may also need some minimally invasive radiofrequency treatment to help tighten the lose skin. This is safer than the reduction.

James Knoetgen, III, MD · Answer

Pros of Side Lipo after Breast Reduction:
1.	Enhanced Contour: Smooths out fat deposits on the sides and back for a more balanced silhouette.
2.	Minimal Scarring: Tiny incisions leave small, inconspicuous scars.
3.	Non-Invasive: Shorter recovery time compared to other surgeries.
4.	Improved Definition: Sculpt the waist and create an hourglass figure.
5.	Convenient Recovery: Relatively quick healing time.
Cons of Side Lipo after Breast Reduction:
1.	Risk of Uneven Results: Improper technique can cause lumps or dips.
2.	Not for Weight Loss: It doesn’t address weight loss or large fat deposits.
3.	Possible Touch-Ups Needed: Additional procedures may be required for refinement.
4.	Swelling and Bruising: Temporary discomfort can impact recovery.
5.	Limited Skin Tightening: Doesn’t address loose skin post-surgery.
6.	Increased Risks: Combining surgeries may heighten overall complication risks.
Consulting a skilled surgeon is key to determining if side lipo is right for you after breast reduction.

Pros/cons to side lipo after breast reduction?

Answers (9)