20 yrs old and would prefer not to have the risks and scars of a traditional reduction.Tumescent liposuction breast reduction?

hi LaraJane:  Breast liposuction to reduce breast size is a very attractive concept and anyone would prefer no scars to any scars if the result were the same.  however as has been said, liposuction does not give any uplift to the breast (nipple position may actually drop due to deflation of the breast without skin tightening) and the amount of reduction is limited, ordinarily to one or 2 cup sizes. (and most large breasted women are under-estimating their cup size when i examine them...).

but the most critical limiting factor is that liposuction only removes fat.  Breast tissue itself is not removed by the liposuction process.  that makes it a poor option for young women who had rapid breast growth made up of firm breast tissue.  if an examination were possible, i would expect that, based on the fact that you are quite thin, your breasts are comprised primarily of firm breast tissue that is not amenable to liposuction removal. Because liposuction removes only fat, liposuction is most effective in women whose  breast texture is primarily fatty tissue.

check with your board certified plastic surgeon to see if you are even a candidate for breast liposuction and to find out what compromise to your final result you will have to make to avoid the typical skin reduction scars that breast reduction ordinarily requires.  with surgical reduction, most patients can enjoy a significant size decrease (up to 50% in volume), elevation of the nipple to a more youthful level and tightening of the skin to give a more uplifted and less droopy appearance.

Our breast reduction patients belong to one of the happiest groups of patients in all of plastic surgery....scars and all!!!

Best of luck to you! Dr. H

There is a lot of hype about breast reduction by liposuction, led heavily by non plastic surgeons. This procedure is amenable to a very small percentage of patients seeking breast reduction, perhaps from C to B cup with minimal ptosis. It is unsuitable for the degree of reduction you require and would result in sagging and misplacement of the nipple areolae complex. Breast reduction, when performed by a plastic surgeon with expertise, has one of the highest satisfaction rates of any procedure and the scarring, which will fade with time, is a reasonable tradeoff for the benefits of the procedure.