Breast Reduction by Liposuction

Breast liposuction can be used to reduce the size of the breasts and form them into a more pleasing shape. It can be done in conjunction with more traditional breast reduction surgery or, in some situations, in place of it.

Some women have breasts that are too large. These breasts may be out of proportion to the rest of their figure and can even be large enough to cause backaches, sores on the shoulder from bra straps, and skin rashes and infections under the breasts. Overly large breasts can be due to excessive growth of mammary tissue, the glandular tissue that can make milk in a woman who is breastfeeding a baby. However, large breasts are often due to excess fat on the upper chest, or of course, to a combination of both types of tissue.

Men can also benefit from breast liposuction. Some men develop breast tissue, a condition called gynecomastia. Some men who have deposits of fat on their upper chest may look as if they have breasts. Breast liposuction can be used to help treat gynecomastia (although the actually breast tissue must be removed surgically) or to remove breast-like fat deposits.

Are You a Candidate for Breast Liposuction?

Breast liposuction can be done to remove deposits of fat from around the glandular breast tissue. This type of breast reduction can be a good choice when a woman needs minor-to-moderate amounts of reduction and when she does not have sagging breasts that need to be lifted. It can also be used to help a woman whose breasts are asymmetrical due to fat tissue deposits.

However, this type of procedure is not recommended for removing glandular breast tissue and it may not be a good idea for a woman whose skin is not elastic enough to shrink to the new size of the breasts. But, in those cases in which breast liposuction is appropriate, it can help a woman avoid having the large incision scars that are common in conventional breast reduction surgery. It also requires a shorter recovery time than that needed after a conventional reduction.

How Breast Liposuction Is Performed?

The actual liposuction of fat from around the breasts is done the same way liposuction is done elsewhere on the body.

The liposuction cannula is inserted through incisions that are usually hidden in the inframammary crease under the breast or in the armpit. The breast area is infused with a saline solution containing epinephrine and lidocaine so that it becomes swollen, which helps reduce bleeding and pain and helps the cannula move through the fatty tissue.

After the procedure is complete, the patient is monitored as the anesthesia wears off and is sent home in a few hours.

You will probably be told to wear a special surgical bra, a compression garment, or elastic bandaging during your recovery. You may be told to wear a bra day and night for a few weeks after your surgery and avoid lifting your arms youre your head for a week or two or lifting any heavy objects (over 10 to 15 pounds) for several weeks after your surgery. There may be some drainage from the small incisions for 2 or 3 days after your liposuction and your surgeon will provide you with instructions for dealing with this.

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