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It can, however it may not be effective in addressing sagging. Even though there is some degree of skin tightening, it is generally insufficient if the sagging is apparent.
Laser lipolysis for reduction mammoplasty is likely no different than any other fat removing technique.
Since the breast contains a certain amount of fat, the idea of using liposuction for breast reduction has been around for quite some time. It would make no difference whether it is smart lipo or cool lipo or slim lipo or VASER lipo or any of the other multiple brands, the limiting factor is that large breasts are usually saggy and need a lift. The lipo alone won't do very much in that regard, while a surgical breast reduction typuically incorporates a lift in order to improve the shape.
It is a rare patient who is a good candidate for breast reduction with liposuction alone. The reduction achieved is minimal to moderate at most and the breast should have the following characteristics: significant fatty tissue as well as excellent overlying skin elasticity. You can see why there are very few patients whose breasts are amendable to liposuctioning as the sole means of breast reduction. Best wishes.
Smartlipo like any form of liposuction can certainly debulk the breast. However, none of the liposuction techniques mold the breast and make a better shape or for that matter lift the breast or tighten the skin envelope.