Is scarless breast reduction a good option? How is performed?

I really want a breast reduction but I am scared that I will have big noticeable incision marks and I really do not want that. Is the scar-less breast reduction my best option if I want to minimize the amount of scarring? If so, can you tell me how it is performed? Is it outpatient and since it is scar-less will I be asleep during the procedure?

ariley15

F, 29, California

The term “scarless breast reduction” usually refers to using liposuction to reduce volume of the breast by removing underlying excess fat. While liposuction still involves incisions, they are significantly smaller than those required for traditional breast reduction. Consequently, the resulting scars are much less noticeable (usually less than one-centimeter). This is as close as you can get to truly scarless breast reduction.

Scarless breast reduction is much less invasive than the traditional method as it does not require large incisions or movement of the nipple. During the procedure, a thin tube known as a cannula is used to extract fatty tissue — a process that may take up to an hour per breast. The surgery can be performed with local anesthesia, which helps reduce recovery time.

However, breast reduction via liposuction does have some serious limitations. First, liposuction can only be used to reduce breast size by a modest amount — usually one cup size at most. This is inadequate for many patients.

Second, liposuction does not lift the remaining tissue, which is a problem given that most patients seeking breast reduction surgery also require a breast lift to achieve their cosmetic goals.

Third, breast reduction almost always involves elevating the nipple to a higher and more natural position. This cannot be achieved with scarless breast reduction.

To sum it up, you might be a good candidate for scarless breast reduction if:

  • You want a small reduction.
  • You have minimal breast sagging.
  • You don’t need a breast lift.
  • Your nipple and areola are in a favorable position.

In my experience, very few people are good candidates for scarless breast reduction, and most are able to achieve better cosmetic results with other techniques. Please see a board-certified plastic surgeon to discuss your options.

Dr. Kimberly Henry has 2 Breast reduction before & afters:

Breast reduction before image performed by Dr. Kimberly HenryBreast reduction after image performed by Dr. Kimberly HenryBreast reduction before image performed by Dr. Kimberly HenryBreast reduction after image performed by Dr. Kimberly Henry

» View Dr. Kimberly Henry's full profile

"scarless" breast reduction usually means that the breast volume is reduced with liposuction.  The nice part of this is there is only a tiny scar and shorter recovery period.  But, typically in breast reduction surgery, the nipple is lifted, and in the "scarless" type, this is not accomplished effectively.  Although it may elevate a little, it isn't enough for most people.  It is best for women with large breasts, but minimal sagging.  You should meet with a PS to see if this is an option for you.  Best of luck!

Dr. Jonathan Heistein has 2 Breast reduction before & afters:

Breast reduction before image performed by Dr. Jonathan HeisteinBreast reduction after image performed by Dr. Jonathan HeisteinBreast reduction before image performed by Dr. Jonathan HeisteinBreast reduction after image performed by Dr. Jonathan Heistein

» View Dr. Jonathan Heistein's full profile

On another question you are asking about breast augmentation. Are you not sure whether you need a lift, augmentation, reduction, or some combination? As I mentioned in the other reply, Crisalix surgical simulation is a great tool that we use to help patients envision options for breast surgery.

www.crisalix.com/timsayedmd


With regard to "scarless" breast reduction, the only scarless technique is liposuction which can reduce bulk in the breasts but does not lift the nipple or remove the loose skin so the cosmetic result for most patients is not as great a shaping improvement as a true breast reduction. All breast reduction techniques other than lipo have at least an incision around the nipple/areola to lift it, and either a horizontal incision in the fold, a vertical one from the fold to the areola, or both of these in addition to the nipple incision. The choice of incisions depends on the skin and tissue excess and laxity and the nipple position.

Check out some info on breast reduction here: 

http://www.timsayedmd.com/breast-plastic-surgery-newport-beach/breast-reduction/


Happy to help out with an in-person consultation!

-- Dr. Sayed


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