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Breast liposuction is one of the treatment options for breast hypertrophy. Breast hypertrophy is a condition where the breast tissues grow rapidly, become heavy, and causes problems. Liposuction is widely popular for its utility and efficiency, as it does not cause high blood loss or any evident scars. It removes the extra fatty tissues with a safe and effective method with minimal scarring.
Breast liposuction can be used as an alternative to open breast reduction surgery procedures in selected patients with predominantly fatty and heavy breasts. Patients who have minimal sagging are better candidates. It is also indicated in patients who don’t want to have visible scars and preserve breastfeeding ability in the future.
Patients who mainly have glandular hypertrophy and severe sagging(ptosis) are not suitable for this procedure.
When is Breast Liposuction Surgery Needed?
Larger breasts can cause a variety of physical and psychological problems. They include:
- Neck pain
- Back pain
- Feeling uncomfortable about physical appearance
Types of Breast Liposuction Surgery
Breast liposuction surgery are often used to improve body appearance and balance irregular shapes. Types of breast liposuction include:
Tumescent Liposuction
This is the most common type of breast liposuction. This procedure involves injecting a solution into the area before the fat is removed. The solution can be up to three times the fat that needs to be removed, consisting of local anaesthesia (lidocaine), IV salt solution, and the drug epinephrine that contracts the blood vessels. Anaesthesia numbs the area while epinephrine reduces blood loss, bruising, and swelling. The IV solution helps to suction out the fat easily.
VASER Lipo Selection (Ultrasound-assisted liposuction)
VASER Lipo method uses ultrasound vibration waves to turn the fat into liquid; later, these liquid cells are vacuumed out. This technique can be used together with the tumescent technique and in follow-up procedures or for greater precision.
Power Assisted Liposuction
PowerX liposuction cannulas have rotating motorised cannulas, which makes them more precise and less traumatic than conventional liposuction, and it also reduces the surgeon’s efforts, thereby enabling him to treat more areas in less time.
A combination of all three techniques above is often used to make the procedure more effective and also safer as they complement each other.
Advantages of Breast Liposuction Surgery
Breast liposuction advantages include:
- Minimum scaring
- Better shape of the breast
- Lifting of the breasts
- Potential to preserve breastfeeding ability
- Rapid recovery
- Minimal risk of postoperative complications
- Only a tiny skin incision needed
- Less painful
- Less time consuming
- Minimal risk of nerves and blood vessels injury
Diagnosis Before Breast Liposuction Surgery
The doctor may ask about the medical history, whether one had a breast lump removed or any other medical condition that can affect the breasts. The surgeon may also take photos and measurements to analyse how much breast tissue needs to be removed. The doctor may also recommend:
- MRI of the Breast to confirm and evaluate the fatty component of the Breasts
- Blood, urine, and other tests, including Mammogram as indicated
Breast Liposuction Surgery
Before the surgical procedure, general anaesthesia is given to relax the patient. The type of surgical method depends on multiple factors, such as the shape and size of the breasts and the amount of tissue that needs to be removed.
- For the breast liposuction procedure, the surgeon will make small cuts in the breast skin, through which a thin tube is inserted.
- Tumescent fluid is injected through this tube.
- Then, a small ultrasonic probe is inserted inside to liquefy the fat.
- Then, another hollow cannula is inserted to suck out the fat.
This is a widely used treatment and the best option for small reductions. Depending on the need, the surgeon may also use drainage tubes. The doctor may also recommend wearing a surgical bra.
What to Expect After Breast Liposuction Surgery?
After the liposuction, one may experience:
- Swelling and bruising
- Pain, irritation, and discomfort
- Temporary numbness in the breast
Risk Factors After Breast Liposuction Surgery
The doctor may ask to take a few precautionary measures before and after the surgery, such as:
- Stop drinking
- Quit smoking
- No medications like Aspirin, Vitamin E
These measures will ensure proper healing post-surgery.
Complication of Breast Liposuction Surgery
The most common complication for breast liposuction is a hematoma. Hematoma is a health condition in which blood is collected outside blood vessels. It can appear under the skin as purplish bruises.
Breast Liposuction Surgery can cause complications such as:
- Bleeding and infection
- Blood clots
- Swelling and bruising
- Fluid accumulation
Recovery After Breast Liposuction Surgery
Breast liposuction surgery recovery differs from case to case. Recovery varies from one week to a few weeks. The surgeon will ask for a follow-up appointment for check-ups and removing bandages. Post-surgery, please be careful about:
- No extreme physical activity for at least one month.
- No smoking or drinking
Prognosis or Outlook for Patients
The prognosis for breast liposuction is very positive in the right candidates. However, it is not meant for all patients with heavy breasts, and this decision is finally made by your plastic surgeon after assessing your suitability. The treatment makes one feel better and more comfortable about the appearance. Pain, irritation, and scars will disappear with time. One might need to wear a supportive bra for a month. The rate of recovery is faster, and patients can work and do regular activities after one week.