Breast reduction without surgery

Posted on February 26, 2010

The trend of the week this week: questions to me, the plastic surgeon, about “how can I avoid you?”  How can I do what I want without surgery?

I get it.

Surgery is a big deal. It is scars, and surgery with its risks, and recovery, and paying money.  So I get it.

So. Back to the question: Can I do a breast reduction without surgery? Breast size is related to a bunch of things.  And breast size and composition (breast tissue versus fat) changes over time.  Two things come to mind which will reduce your breast size without surgery:

1. Lose weight.  Particularly if you are overweight, losing weight will reduce the size of your breast.

2. Breast feeding.  It doesnt’ happen for everyone.  Some women stay the same size, and some swear they are larger afterwards, but the general trend I see is loss of volume after breast feeding, particularly the longer and more children you have.

But size isn’t everything with the breast.

When women come to me with large breasts they have two issues.  1. size (obvious) 2. droop.  The skin is an important factor.  One of the issues we have with liposuction of the breast is the younger large breasted women who have good skin tone (who’s skin will shrink if the breast is made smalller) tend to have dense breast tissue with little fat, which is not amenable to liposuction.  The older women with the softer, buttery fat who would liposuction easily are droopy, so when you remove the volume, they just droop more.

So, as breasts get smaller, they flatten and droop.  I fix this constantly in women in their 40s seeking a mommy makeover.  If you want to go smaller AND reshape, lift, and firm up the tissue, you need a surgery.  Welcome to my short scar vertical breast lift.

So it is just the size you don’t like? Or do you also not like the bungy jump when you take off your bra? If you want to lift and firm, you need surgery. Sorry.