Liposculpture Breast Reduction and Contouring

Liposuction for Breast Reduction?

Yes! It has actually been used for several years and is gaining popularity as an alternative to traditional surgical excision of breast tissue to reduce the breast size. This technique utilizes tumescent liposuction, for the same reason we use tumescent technique in our PureLipo BodySculpting. Small microcannulas are used for this procedure, and it can actually reduce the size of the breast 20-50%. Both breast reduction and breast lift can be accomplished by tumescent liposuction. Liposuction reduces breast size in direct proportion to the volume of fat removed. Liposuction reduces the weight of the breast and allows the natural elastic tissue in the breast to retract and produce a visible breast lift.

Breast reduction by liposuction will produce a smaller version of the breasts than before liposuction. One can expect the breasts to be significantly smaller, to be elevated and to show virtually no scars. However, the breasts' overall shape will be very similar to their shape before liposuction. Liposuction will usually not produce young "perky" breasts. The elevation of breast position is the result of decreased breasts' weight and the elastic properties of the suspensory ligaments in the breast.

At Nouveau Jeunesse, we also routinely use liposuction to remove the axillary tail of the breast tissue that develops during pregnancy. That problem area under the front of the armpit that hangs over the front top of the bra is easily removed using this technique. Any area of the breast which is disproportionate can be sculpted to improve the contour of the breast.

What type of patient would benefit from liposculpture of the breast?

The best candidates for breast reduction by tumescent liposuction have breasts that contain a large proportion of fat. For example, women who have passed through menopause typically have breasts that contain a larger proportion of fat than do teenagers. Women with large breasts often complain of back pain, and reduction of the breast weight through liposuction can relieve this strain on the back. Women who cannot find a bra to fit because of the size of the breast would also be good candidates. After menopause, much of the glandular tissue in the breasts is replaced by fatty tissue, thus, old women with large breasts are usually very good candidates for tumescent liposuction of the breasts. Young women who continue to have menstrual periods and are somewhat overweight might also have breasts that contain a significant amount of fat, and therefore would also be good candidates for liposuction of the breasts.

What type of patient would liposculpture not be right for?

Liposuction can usually be expected to provide no more than a 55 percent reduction in breast size. Women who need more than a 55 percent reduction in breast size might be happier with the results of traditional surgical breast reduction surgery despite the unsightly scars associated with the excision of skin and breast tissue. Thin young women who have breasts containing mostly glandular breast tissue with little fat are often not good candidates for breast reduction by liposuction. Some women have breasts that contain a large proportion of glandular tissue, and relatively little fatty tissue. Liposuction can remove fat, but glandular breast tissue is largely resistant to liposuction.

Advantages of Breast Reduction

Advantages of breast reduction by tumescent liposuction using microcannulas include:

1) Rapid recovery. The typical patient can return to work and normal social activity within two to three days after surgery

2) Virtually no scars

3) Reduction of 20 to 50 percent of the breast volume

4) Minimal risks of postoperative complications

Normal Healing Process

After tumescent liposuction of the female breast, there is a gradual decrease in postoperative swelling over the subsequent 8 to 16 weeks. With the use of open-drainage and proper compression garments, there is very little, if any, bruising. Breast lumps immediately after liposuction: Liposuction of the female breast is occasionally associated with temporary lumpiness that can persist for several weeks after surgery. This temporary lumpiness, which can be felt with the fingers but is not visible, is part of the normal healing processes.

Post-Operative Breast Compression

Optimal breast compression after any form of breast reduction surgery will minimize the occurrence of temporary post-operative lumpiness, accelerate the healing process, and decrease post-operative pain, swelling and bruising,. Without open-drainage (tiny incisions are not closed with sutures) and adequate external breast compression in the immediate post-liposuction period, there is an increased risk of bleeding, bruising, or hematomas.