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Underarm Lipo Included in Breast Reduction?

Katmaryland625
I'm 230lbs, 5'10" tall and a 42G bra size. I'm considering breast reduction surgery but worry about the underarm fat looking worse and can't really afford the extra charge I've been quoted by a surgeon. Do any surgeons include the liposuction of "lateral chest" with the reduction? I'm being quoted extra costs for the OR and anesthesia, is this normal if I'm already in the OR under anesthesia? Thank you so much for any input! Kat in Maryland

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