When it comes to reducing breast volume, many patients are seeking less invasive solutions that align with their body goals and lifestyles. One such option is breast liposuction. This technique is gaining popularity among women who prefer a subtler, targeted reduction without the extensive downtime or scarring associated with traditional breast reduction.
Dr Mark Kohout, a Specialist Plastic Surgeon based in Sydney, Australia, offers breast liposuction as part of his comprehensive surgical services. With over 25 years of clinical experience, Dr Kohout is committed to personalised care and realistic surgical planning. His goal is to ensure that each patient receives an approach tailored to their individual anatomy and expectations. This article will guide you through the essentials of breast liposuction, its benefits, risks, and what to expect when choosing this procedure with Dr Kohout.
Breast liposuction is a surgical technique that removes excess fatty tissue from the breasts through small, strategically placed incisions. It is less invasive than traditional breast reduction, which often involves excising glandular tissue and repositioning the nipple. The focus is on volume reduction with a lighter impact on the body, making it appealing for women looking for a tailored outcome.
This technique uses suction-assisted lipectomy, where a thin cannula is inserted through tiny openings to extract fat. Because the incisions are small, scarring is usually limited and well-hidden. The tissue trauma is also significantly reduced, allowing for optimal healing and less postoperative discomfort. Breast liposuction for reduction focuses on contouring and reducing volume rather than significantly altering breast shape or addressing sagging.
This approach is most effective for women with breasts that are largely composed of fatty tissue rather than dense glandular tissue, and who have relatively firm, elastic skin that can conform to the new breast shape after fat removal. Patients looking for a more modest change in volume with minimal disruption often find this option preferable.
Not every patient is a candidate for this procedure. Dr Kohout emphasises the importance of individual assessment to determine suitability. This includes evaluating the composition of the breast, skin tone, and elasticity, as well as overall health and surgical goals.
Women best suited for this approach tend to have softer breast tissue that responds well to fat removal. Those who do not have significant sagging or skin laxity may achieve satisfying results without the need for more invasive correction. Moreover, individuals seeking to ease physical discomfort from heavy breasts without undergoing a full breast reduction may benefit from the lighter surgical profile of liposuction.
Dr Mark Kohout conducts a comprehensive evaluation during your initial consultation at his Sydney clinic, assessing breast composition through physical examination and imaging if required. He will determine whether liposuction is a safe and effective method for your body type and goals. His emphasis on clear communication and realistic outcomes ensures that patients understand the capabilities and limitations of this technique.
At Dr Kohout’s Sydney practice, the procedure typically takes one to two hours and is conducted under either local or general anaesthesia, depending on your comfort and health profile. Once anaesthesia is administered, Dr Kohout begins the carefully planned process of fat extraction.
During surgery, small incisions are made in inconspicuous areas such as under the breast or in the armpit. Through these incisions, a fine cannula is used to gently break up and suction out the fatty tissue. Dr Kohout applies a methodical approach to ensure symmetry and a smooth contour. Once the desired volume has been removed, the incisions are sutured, and the breasts are dressed with a supportive compression garment.
Patients are usually discharged on the same day, with detailed recovery instructions provided by Dr Kohout’s team. Post-operative care is crucial to optimise healing and support your new breast shape. His clinic provides a dedicated follow-up protocol to monitor progress and address any concerns promptly.
Recovery from breast liposuction is generally smoother and faster than traditional breast reduction. Most women experience only mild discomfort in the days following surgery. Swelling and bruising are normal but tend to subside within two to three weeks. The use of compression garments plays an important role in maintaining the new shape and promoting circulation.
Patients are encouraged to rest and limit upper body activity in the first few days. Light movement is beneficial and typically resumed within 24 hours, while more strenuous activities are gradually reintroduced over four to six weeks. Dr Kohout and his team provide personalised recovery guidelines tailored to your individual response.
Regular post-operative check-ups allow Dr Kohout to evaluate your progress, adjust care if necessary, and ensure that the results align with your expectations. Most women report a high degree of satisfaction with the outcome, particularly when the reduction leads to improvements in comfort, posture, and clothing fit.
For the right candidate, breast liposuction offers notable advantages. The less invasive nature of the procedure means that patients experience fewer surgical risks, quicker recovery times, and minimal scarring. The incisions are often hidden within natural skin folds, making them barely noticeable once healed.
Many women choose this method to alleviate physical discomfort caused by larger breasts, such as neck and back strain, skin irritation, and posture-related issues. The ability to reduce volume while preserving the breast’s natural contour makes it especially appealing to those who want a subtle change that feels natural.
When performed by a skilled Specialist Plastic Surgeon such as Dr Kohout, breast liposuction delivers a carefully controlled reduction with an emphasis on symmetry and proportion. The procedure can also improve the overall silhouette, enhancing body balance and making clothing choices more comfortable.
As with any surgical procedure, breast liposuction has limitations. It does not correct sagging or lift the breast tissue. Patients with significant ptosis or a desire for dramatic reshaping may require a different or combined approach, such as a breast lift alongside liposuction.
Furthermore, the amount of reduction achievable is generally less than with traditional techniques. It is most suitable for patients seeking a modest change. The texture and density of the breast also influence the results-those with more glandular tissue may see limited benefit from liposuction alone.
Dr Mark Kohout discusses these factors in detail during the consultation process. He ensures that every patient has a clear understanding of what the procedure can offer and whether it matches their expectations. His priority is patient safety and long-term satisfaction through tailored treatment planning.
Choosing the right surgeon is critical for a positive surgical outcome. Dr Mark Kohout, based in central Sydney, is a Specialist Plastic Surgeon with training in Australia, the UK, and the United States. With decades of clinical experience, he is recognised for his balanced approach to aesthetic surgery and commitment to medical ethics.
Dr Kohout’s patients benefit from direct access to the surgeon at every stage-from initial consultation through post-operative care. His clinic combines advanced surgical technology with a welcoming, patient-focused environment that values clarity, comfort, and trust.
Known for his transparent communication style and depth of knowledge, Dr Kohout provides a supportive setting where patients feel heard and informed. His surgical philosophy centres around achieving proportionate, well-considered outcomes that respect the natural anatomy of the body.
If you’re considering breast liposuction, scheduling a consultation with Dr Mark Kohout is the essential first step. During your visit to his Sydney clinic, you’ll receive a comprehensive medical assessment and have the opportunity to discuss your goals in detail.
Dr Kohout will provide you with honest advice, a clear understanding of the procedure, and a recommended plan tailored to your specific anatomy and preferences. This personalised approach helps ensure that you are fully informed and confident in your decision.
By working with a seasoned Specialist Plastic Surgeon, you can approach your decision with clarity and peace of mind. The process begins with a conversation-one focused on your wellbeing, your body, and your individual vision for change.
Breast liposuction reduces volume by removing fat while preserving the natural structure and soft tissue. Most patients find that their breasts feel lighter but still move and feel natural after healing.
Yes, changes in weight or the natural ageing process can affect the appearance of the breasts. Significant weight gain may increase fat in the breasts, while weight loss or ageing may lead to changes in skin elasticity.
Breast liposuction generally does not interfere with mammograms or breast cancer screening. However, it’s important to inform your radiologist about any previous breast procedures.
Patients with predominantly fatty breasts and firm skin are better suited for liposuction. Those with dense, glandular tissue may require traditional breast reduction.
Yes, fat removed via liposuction can often be purified and transferred to other areas, such as the buttocks or face, during the same procedure if clinically appropriate.
Good posture and consistent physical activity can support the long-term benefits of breast liposuction. Strengthening back and core muscles may also improve comfort after surgery.
For many women, the changes are noticeable in how clothes fit and how the chest area appears. While the outcome is often subtle in shape, the reduction in size is usually appreciated both physically and visually.
• Liposuction – Mayo Clinic (updated 2024) – Comprehensive overview of liposuction surgery, including fat removal and body contouring principles applicable to breast liposuction. Covers procedure, risks, recovery, and outcomes. – https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586
• Breast reduction surgery – Mayo Clinic (updated June 2024) – Details breast reduction techniques including liposuction to remove excess breast fat, indications, procedure steps, risks, and recovery expectations. https://www.mayoclinic.org/tests-procedures/breast-reduction-surgery/about/pac-20385246
• Breast Services in Mankato, Minnesota – Mayo Clinic Health System (2025) – Describes reconstructive breast surgery options including tissue expansion and flap procedures, relevant for understanding surgical breast tissue manipulation.
https://www.mayoclinichealthsystem.org/locations/mankato/services-and-treatments/plastic-and-reconstructive-surgery/breast
• Liposuction, Body Contouring – Mayo Clinic Health System
Information on liposuction and body contouring procedures to slim and reshape stubborn fat areas, including breast-related fat reduction. Mayo Clinic Health System Eau Claire (2025) https://www.mayoclinichealthsystem.org/locations/eau-claire/services-and-treatments/plastic-and-reconstructive-surgery/body-services/liposuction
• Breast reduction: Safe in the morbidly obese? – Mayo Clinic (2008) Peer-reviewed study examining safety and outcomes of large-volume breast reductions, relevant for surgical planning in patients with higher BMI. https://mayoclinic.elsevierpure.com/en/publications/breast-reduction-safe-in-the-morbidly-obese
• Plastic Surgery and the Breast: A Citation Analysis of the Literature – NCBI PMC (2014) A detailed academic review of breast surgery literature including liposuction, from National Center for Biotechnology Information (NCBI). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255894/
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Dr. Mark Kohout is a highly qualified specialist plastic and reconstructive surgeon with over 25 years of experience, based in central Sydney.
Trained in Great Britain, Australia, and the U.S., he co-founded Australia Plastic Surgery. Specializing in breast, genital, and male breast surgeries, he is a certified member of the Australian Society of Plastic Surgeons (ASPS) and the Royal Australian College of Surgeons (RACS).
Dr. Kohout has appeared in media like The Biggest Loser and has published several articles in his field.
