Breast reduction surgery is performed using tumescent liposuction totally by local anesthesia can produce both a significant breast reduction and a moderate but gratifying breast lift. The use of microcannulas permits female breast reduction surgery with minimal postoperative pain, rapid postoperative recovery, quick return to normal activities, and virtually no scaring. Not only can liposuction reduce the female breast by more than 50 percent in size, the breasts are also lifted to a significant degree. This breast lift is the result of the reduced weight of the breast, which allows the breasts’ natural elastic properties to contract and produce elevation. The breasts do not change shape after breast reduction surgery perfomed using tumescent liposuction, they simply become smaller and somewhat elevated. After breast reduction surgery, the breast’s shape is simply a smaller version of the shape before liposuction surgery.
Surgical scars are not visible in most patients after breast reduction surgery by tumescent liposuction using microcannulas. Evidence of micro-incisions usually disappears within a few months. The use of microcannulas permits the use of extremely small round incisions that are 1 millimeter (approximately 1/25 of an inch) in diameter. These tiny incisions produce scars that are much smaller than 1 millimeter and therefore almost invisible. In contrast, traditional breast reduction surgery is associated with much larger scars and more visible scars. Patients whose natural skin color is darkly pigmented can expect to have some tiny spots of increased pigmentation at the incision sites where the microcannula enters the skin. This post-inflammatory hyperpigmentation usually fades away after 1 to 2 years.
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.
Older techniques for breast reduction, known as surgical-excision breast reduction, involved cutting the breast with a scalpel to excise or remove large amounts of breast tissue. Problems associated with surgical-excision breast reduction include the risk of keloids or excessively large scars, uneven sized breasts, abnormal appearance of the skin near the nipple, impaired nipple sensation, and possible nipple damage. Other risks include bleeding, blood clots or hematoma in the breast, seromas (fluid collection in the breast), fat necrosis with cyst formation in the breast, and scarring of the deep breast tissue that can produce mammogram abnormalities. Besides requiring general anesthesia, breast reduction surgery by excision is also associated with significant pain and prolonged recovery.
Advantages of breast reduction by tumescent liposuction using microcannulas include:
Excessively large female breasts cause pain and suffering, physical impairment and psychological problems. Athletic activity is significantly limited. Chronic changes in posture in an effort to compensate for the weight of excessively large breasts can lead to chronic pain in the back, neck, and shoulders. Chronic pressure from bra straps can cause permanent indentations of the shoulders. Large breasts can predispose women to candida yeast infections of the skin in areas where the skin rubs together, such as between the breasts and beneath the breasts. A woman who has very large breasts may regard them as cosmetically undesirable. Finding a bra that fits and is comfortable may be impossible. Clothing does not fit well.
Some women are likely to have better results than other women after breast reduction by liposuction. Tumescent breast reduction totally by local anesthesia is only appropriate for a certain subset of women. However, for the appropriate patient, the results of tumescent liposuction can be extremely gratifying. 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. A good candidate must also have realistic expectations.
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