Start with our original Breast Reduction Overview Series
Introduction: Sculpting the Perfect Shape, Not Just a Smaller Size
Breast reduction surgery is one of the most transformative operations in plastic surgery — it relieves pain, improves posture, and restores confidence. But for some women, traditional breast reduction alone doesn’t address extra fullness or “bra bulge” in the outer chest, underarms, or sides of the body.
That’s why Dr. Shareef Jandali, a board-certified plastic surgeon in Trumbull, CT, often combines liposuction with breast reduction to deliver the most balanced, sculpted, and natural results. This combination not only enhances breast shape but also smooths the surrounding contours for a slimmer upper body silhouette.
Whether you struggle with bra rolls, armpit fat, or fullness that extends toward your back, adding liposuction can make a dramatic difference in both your appearance and comfort — often with minimal added downtime.
Visit our Before and After Breast Reduction Gallery
Why Liposuction Enhances Breast Reduction Results
A traditional breast reduction focuses on removing glandular tissue, fat, and skin from the breast mound itself. However, many women also carry extra fat around the chest wall, outer breast, or armpit area. These areas are not always part of the standard reduction, but when left untreated, they can make the breasts appear wider or less defined.
Liposuction is the perfect complement to create smooth transitions and refined contours between the breasts and surrounding tissues.
Key Benefits of Combining Liposuction and Reduction:
- Slimmer, more sculpted chest and upper body shape
- Smoother transition between the breast and underarm
- Reduced bulk and “bra bulge” at the sides
- Less tension on surgical incisions
- More precise shaping for asymmetrical breasts
- Potentially smaller incisions and faster recovery
“I didn’t realize how much that extra fullness near my armpits affected my shape. Dr. Jandali combined liposuction with my reduction, and now my whole upper body looks slimmer and balanced.” — E.C., Fairfield, CT
Common Areas Treated with Liposuction During Breast Reduction
1. Lateral Chest (Bra Bulge Area)
This is the most commonly treated region. It’s the excess tissue and fat that forms a bulge at the outer corner of the breast or along the bra line. Removing this with liposuction:
- Smooths the silhouette in clothing
- Prevents residual “side fullness”
- Enhances the natural curve of the breast edge
2. Axillary (Underarm) Fat or Accessory Breast Tissue
Some women have an extra pocket of fat or even accessory breast tissue extending into the underarm. This area can be treated with liposuction or small surgical excision for contour refinement and improved comfort in tight clothing or swimwear.
3. Upper Outer Breast
Liposuction here helps reduce fullness that extends toward the shoulder or underarm, giving a cleaner, lifted appearance.
4. Upper Back / Tail of the Breast
When combined with reduction, removing excess tissue in this area helps define the bra line and improve fit.
Ideal Candidates for Combined Surgery
You may benefit from adding liposuction to your breast reduction if you:
- Have fatty fullness in the outer chest or armpit area
- Struggle with rubbing or irritation along the bra line
- Want a more sculpted, athletic contour
- Have asymmetry (one side fuller or heavier)
- Want to minimize scars while maximizing contour change
- Have stable weight and good skin elasticity
Patients who have lost weight (naturally or through Ozempic, Wegovy, or Mounjaro) also often benefit from this combination, since these medications can leave residual localized fat deposits in areas that don’t respond evenly.
The Surgical Process
1. Planning and Marking
Dr. Jandali carefully maps the areas to be reduced and those to be sculpted with liposuction, ensuring proportional, symmetrical results.
2. Gentle Liposuction Before or During Reduction
Using small, discreet incisions, he removes localized fat using fine cannulas. This technique minimizes bruising and speeds healing.
3. Precision Tissue Reduction
He then removes excess glandular tissue and skin, reshaping and lifting the breast for improved projection and contour.
4. Internal Lift and Areola Refinement
The areolas are resized and repositioned for a youthful, balanced appearance. Internal sutures support the new breast shape while reducing tension on the skin.
5. Meticulous Closure and Scar Management
Multiple layers of fine, absorbable sutures minimize scar visibility. Postoperative scar care includes silicone therapy, massage, and optional laser refinement.
“My recovery was easy — just a bit sore near my armpits from the liposuction. Within two weeks, I could already see the contour difference.” — S.M., Norwalk, CT
Advantages of Adding Liposuction
| Benefit | How It Helps |
| Enhanced Contour | Smooths transition between breast and chest wall |
| Less Scarring | Removes fat through tiny incisions rather than larger skin excisions |
| Improved Symmetry | Fine-tunes each breast individually |
| Reduced Tension | Helps skin close more easily, minimizing scar widening |
| Shorter Recovery | Adds little to total healing time |
Recovery and Downtime
Recovery is similar to a standard breast reduction, with only mild additional soreness at the liposuction sites.
| Timeline | Activity |
| Days 1–3 | Rest and light walking; wear compression bra |
| Week 1–2 | Resume desk work or light household activities |
| Week 3–4 | Swelling and bruising fade; begin gentle stretching |
| Week 6+ | Return to full exercise and lifting |
Compression garments are worn for 4–6 weeks to support healing and contour.
“By six weeks, I was fully back to my workouts — and my upper body finally looks proportional. I wish I had done this years ago.” — A.L., Westport, CT
Insurance and Coverage
Most breast reductions are covered by insurance when symptoms like pain, rashes, or posture issues are documented.
While liposuction itself is often considered cosmetic, when it is performed as part of a medically necessary breast reduction, it may be included in the covered procedure if it helps achieve balanced reduction and functional improvement.
Our office handles:
- Preauthorization with your insurer
- Submitting required photos and documentation
- Medical necessity letters
- Appeals if necessary
Long-Term Results
The combination of breast reduction and liposuction produces results that are:
- Lighter: Physical relief from neck and shoulder pain
- Lifted: Natural, youthful contour
- Slimmer: Streamlined side profile and upper body silhouette
- Durable: Long-lasting improvement that ages gracefully
Most patients find that their results improve over several months as swelling subsides and the new contours settle.
Emotional and Physical Transformation
Patients consistently describe this procedure as both freeing and confidence-restoring:
“It wasn’t just about smaller breasts — my entire upper body feels balanced now. My clothes fit better, my posture is better, and I’m pain-free.” — J.D., Milford, CT
“The liposuction made a huge difference. I finally don’t have that roll under my arms or around my bra line.” — H.T., Bridgeport, CT
Why Choose Dr. Shareef Jandali for Combination Breast Reduction and Liposuction
- Board-Certified Plastic Surgeon with over 15 years of experience
- Performs 100+ breast reductions each year
- Hundreds of 5-star Google reviews from satisfied patients
- Operates at Bridgeport Hospital and Park Avenue Medical Center (Yale-affiliated ASC)
- Expert in lateral chest, axillary, and contour liposuction techniques
- Offers insurance-covered breast reductions when medically necessary
- Comprehensive post-op scar and contour care, including silicone therapy and laser options
“I met with three surgeons before choosing Dr. Jandali. His experience and calm confidence made me feel at ease — and the results exceeded all expectations.” — L.C., Fairfield, CT
Serving Patients Across Fairfield County and Southern Connecticut
We perform breast reduction and body contouring for patients from Trumbull, Fairfield, Bridgeport, Stratford, Milford, Shelton, Norwalk, Westport, Weston, Wilton, Easton, Monroe, Derby, Ansonia, Seymour, Oxford, Newtown, Bethel, and Southbury.
Patients also travel from Stamford, Greenwich, and New Haven County for advanced breast and body contouring procedures.
Call to Action
If you’re considering breast reduction and also struggle with stubborn fullness around your bra line, armpits, or sides, combining your procedure with liposuction can deliver the most natural and balanced outcome.
Schedule your consultation with Dr. Shareef Jandali to learn how this comprehensive approach can relieve discomfort and refine your shape — beautifully and permanently.
Jandali Plastic Surgery
5520 Park Ave, Suite WP-2-300, Trumbull, CT 06611
203-374-0310
Related Articles in the Advanced Breast Reduction Series
- Scars After Breast Reduction — How We Minimize, Heal, and Refine Them
- Teen Breast Reduction: Safety, Confidence, and Insurance Coverage
- Recovery Timeline After Breast Reduction Surgery
- Post-Pregnancy & Post-Weight-Loss Breast Reduction (Ozempic, Wegovy, Mounjaro)
- Breast Reduction vs. Breast Lift — Which Is Right for You?
- Breast Reduction After Prior Augmentation
- Breast Reduction for Older Women — Comfort, Posture, and Confidence
- Combining Breast Reduction with Liposuction — Enhanced Contour & Shape
- Breast Reduction and Asymmetry Correction
- Insurance-Covered Breast Reduction in Connecticut — What to Know
- Breast Reduction for Athletes
- Breast Reduction and Mental Health
- Breast Reduction and Back, Neck, and Shoulder Pain
- The Jandali Advantage — Why Experience and Volume Matter
- Breast Reduction and Bra Fitting After Surgery
- Revision Breast Reduction Surgery
- Nipple & Areola Shaping, Reduction, and Free Nipple Grafts
- Myths and Misconceptions About Breast Reduction Surgery
- Choosing the Right Size After Breast Reduction
