The most common type of breast reduction surgery leaves permanent, visible scarring on the breast, but it is possible to have scarless breast reduction with breast reduction liposuction. Breast reduction liposuction, which is a scarless procedure, is a completely different, and far less traumatic way to reduce the size and weight of overly large breasts.

The traditional breast reduction procedure requires the surgeon to make an anchor-shaped incision on the face of the breast, circling the areola. The areola and nipple are cut away and set aside so that fatty breast tissue can be removed. After the reduction, the areola and the nipple are replaced in their new position appropriate to the size of the new breast. Though a skilled surgeon can make the scars from this procedure quite small and less painful, there are always permanent, visible scars and many other side effects such as altered sensation, fluid retention, drooping, abnormal mammograms, and delayed wound healing.

Scarless breast reduction uses liposuction techniques to significantly reduce scarring. With this procedure, and single incision is cut in the breast fold (under the breast) through which the liposuction equipment is inserted and the fatty breast material is sucked out. Technically, this procedure does leave a scar, but the scar is usually small and only visible on the underside of the breast. The nipple and areola not only do not need to be removed, but they do not even need to be touched, so the patient is less likely to lose nipple sensation. The milk producing ductwork attached to the nipple and areola is largely untouched during breast reduction liposuction, so a woman can breastfeed if she wants, and, later in life, she is less likely to have abnormal mammograms. As well, there is a faster recovery from the scarless breast reduction procedure – about three to four weeks – since there is less trauma to the breast and there are fewer post operative complications.

Good candidates for scarless breast reduction surgery are women who have more fatty than glandular tissue in their breasts. Such is the case for women who do not have pendular or hanging breasts as this is a sign that the breast has more glandular tissue than fat. The same is true for women with very dense breasts. Post menopausal women also tend to have more fat than glandular tissue because after menopause the body allows the glandular tissue to deteriorate since it is mostly used for breastfeeding anyhow. Thin women are not good candidates for scarless breast reduction since they tend to have less fat in their breasts, and women with excessively large breasts are not good candidates because after a certain amount of fat is removed the breast will need to be reshaped.

Scarless breast reduction does not change the shape of the breast, it merely renders a smaller version of the breasts that were there before. Accordingly, women looking for a modest reduction in the fatty tissue of the breast may do the best with the scarless breast reduction procedure.

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