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Scarless Breast Reduction: Is it possible?

08 Mar

There is no such thing called scarless breast reduction . There can be minimal or less visible scars or cleverly concealed scars but definitely not scarless results. In this blog I’ll discuss the benefits of breast reduction methods, including liposuction and when they may qualify for medicare and private insurance assistance.

Despite meticulous attention paid by surgeons to scar placement, patients will have a scar either the lollipop scar, inverted T (anchor) scar or periareolar (around the areola). Rarely patients are good candidates for liposuction alone, which is marketed as a ‘scarless’ procedure. Liposuction does not mean “no scars.” You will still have scars but they are typically less than 1 cm, and usually concealed. Liposuction rarely produces desired results in the majority of patients and is successful only in cases where minimal weight is to be removed from the breast.

To be a candidate for liposuction only breast reduction, you must be healthy and have realistic expectations, besides meeting the following criteria:

  • Your nipples and areola are in a good position
  • You have good skin tone and no stretch marks
  • You don’t have ptosis or droopy breasts that sag
  • You don’t need a breast lift

Liposuction works best for medium size breasts that aren’t sagging extensively, are in the right position and don’t require lifting. Liposuction does not address shaping of the breasts or lift but it deflates the breast by removing the fat to reduce its size. Any breasts that require a large reduction or have significant sagging or ptosis will require surgery. This will give you the desired results. It may leave some visible scars however if you follow your surgeons after surgery care instructions, you’ll be able to help the reduction scars fade.


Breast Lift with Reduction

The lollipop (vertical) and anchor (inverted T) scars are used for the majority of breast reductions to reduce the size, improve the shape, lift the nipple and remove the excess skin. A lift is also included in the procedure.


Decision Time

When your sagging and heavy breasts are uncomfortable, surgery is the best alternative. True, it will leave you with scars, but remember that you are trading off scars for a better breast shape, size, and weight. Besides, you also get rid of the symptoms associated with heavy breasts, including neck, arm, and shoulder pain. If you have symptoms that affect your activities of daily living, then breast reduction surgery may be viewed as a medically necessary procedure and may attract medicare and private health benefits. It is always best to consult with a plastic surgeon and discuss your expectations. The surgeon will review your physical structure, discuss your options and suggest what will work best for you.

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Topics: Breasts
Dr Naveen Somia MBBS, PhD, FRACS

Written by Dr Naveen Somia MBBS, PhD, FRACS

Dr. Naveen Somia is a Sydney Plastic Surgeon who listens to his patients, understands their problems and works alongside them to help achieve their aesthetic goals by applying his skills and years of experience in Plastic and Cosmetic Surgery. A published author on Plastic and Cosmetic Surgery, Naveen’s blog is aimed at helping you make the right choices and stay safe in your quest to look your personal best.