Hi Maryann
I didn't have lipo with my surgery. I think it is only needed if you are a big women to start and maybe if you really have a lot of boob to lose. Not that I didn't have lots to lose, but I don't think I needed this. I weighed 189, 5'4", 40DDD at time of surgery. I went down to a 38C and now weigh 168. I have slight 'dog ears' on the side, but I don't think lipo would make a difference with that. I don't really care for the dog ears, but that is under my arms and not really noticeable unless I lift my arms up when I am naked. A bra and swimsuit cover it up. I do remember reading a while back about a couple different ladies that had the lipo with surgery and said that was more painful to recover from. I guess it is all different. But if your doctor didn't mention it than I guess he thinks you don't need it.
Good luck with your surgery and let us know if you have any other questions before your surgery.
Nancy