Tumescant Liposuction of Breasts Leave Sagging Skin?

Hi there, i have not had any babies yet, so i don't want to risk having breast reduction surgery, which may affect my ability to breast feed. I have heard that reductions can result alot more safely from liposuction, but won't this leave me with sagging breasts?

Doctor Answers 22

Tumescent Lipo

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When fat is removed, the skin is ultimately more loose and lax.  You should now consider a lift or implant to increase the volume of the breast and tighten the skin with a lift. Thank you for your question and good luck with everything.

Liposuction of large breasts will leave them looking saggy.

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Any substantial lipo of large breasts will leave them with a deflated appearance.  After all, it is volume that is being removed. 

Liposuction breast reduction

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Yes, this is possible. However, in some cases sagging skin will not be left. It all depends on the extent of correction desired. For a better assessment please speak to a board certified plastic surgeon.

Please note that if you are planning to have children, sagging is common once you've stopped breastfeeding. As a result, you may want to consider waiting until after you've had children before pursuing with any cosmetic breast surgery.

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Breast Sag & Scarring Following Liposuction

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                  It’s not unusual for patients with breast enlargement to be concerned about scarring when they undergo breast reduction surgery.  When this situation arises, liposuction of the breast can occasionally be a therapeutic option for patients with this condition.  Unfortunately, this approach doesn’t work for the majority of patients for a variety of reasons.

                  Traditional breast reduction surgery not only addresses breast enlargement, but also addresses breast sag and enlarged areolas.  These problems are not addressed with liposuction, which only addresses the breast tissue and fat.  In some cases, liposuction of the breast can actually cause breast sag in patients who didn’t have breast sag prior to surgery.

                  For these reasons liposuction breast reduction has limited applications for reducing breast size.  The procedure appears to be limited to patients with relatively small breasts with absence of breast sag.

                  When symptomatic breast enlargement is present consultation with a board certified plastic surgeon with experience in this area is appropriate.  This surgeon will be able to help determine which surgical option is best for you.

Scarless breast reduction

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Scarless breast reduction using tumescent liposuction can safely and conservatively reduce breast size without leaving sagging skin. A physical exam and demonstration of representative before/after photos should help you decide if this is the best treatment option for you.

Good luck!

Daniel Levy, MD
Bellevue Dermatologic Surgeon
4.9 out of 5 stars 43 reviews

Scarless Breast REDUCTION

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Liposuction of the breast is a wonderful option to avoid the long scars associated with a breast reduction procedure.  It is a rapid recovery with minimal pain and tiny scars hidden under the breast.  Not all women are candidates for this procedure because of their body build.  Please contact a board certified plastic surgeon to see if you are a candidate for this procedure.

Sagging breasts after breast reduction with liposuction?

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Breast reduction using only liposuction can be considered for a small group of patients. Ideal women for this are:
• Younger
• Have tight skin
• Desire a small reduction
• Don’t have ptotic (droopy) breasts
• Have more fatty breast tissue (rather than glandular tissue)

If the above conditions are present, than some skin contraction may result and a lifting effect may happen. Keep in mind that the more breast tissue that is removed, the more extra skin remains. So if you are hoping for a significant breast reduction, liposuction may not be the best option for you. Also, in the United States, using liposuction for breast reduction may not be covered by insurance. Finally, make sure you are evaluated by a surgeon who does both types of procedures to make sure the options offered are in your best interest.

Two conditions

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1st of all this can help in large breast to a limited degree ,,all depends on the size of the breast ,second you shouldnt have any ptosis or mild ptosis and third you have to have a good skin texture that will have good recoil after the lipo 

Nawarah Alarfaj, MD
Saudi Arabia Plastic Surgeon

Liposuction For Breast Reduction Will Make The Breast Somewhat More Saggy

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Your assumption about what may happen when liposuction is used for breast reduction is partially correct. As you remove breast tissue, but no skin, with a liposuction method the overall breast will shrink or collapse in size. Since the skin is not being tightened or reduced, as typically occurs in a breast reduction, the breasts will most certainly not become more perky. While the nipple will not sag (it will remain in the same position), the entire breast mound will develop a little of a partially deflated balloon look. In addition, the amount of breast size reduction with liposuction is limited maybe being a 1/2 cup to a full cup at most.

Liposuction alone for Breast Reduction limited

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The indications for reducting breasts with liposuction alone are somewhat limited.  It depends a great deal on the tone of your skin, the amount of fat in the breasts, and the size of the breasts to begin with.  It wouldn't hurt to get a couple of opinions with consultations to be more confident beforehand.

Mario Loomis, MD
Middletown Plastic Surgeon
4.5 out of 5 stars 8 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.