For those with mild breast ptosis or hyperplasia, local liposuction should be considered for mild degree breast reduction. This surgery not only decreases breast volume and reduces weight burden but also avoids problems associated with traditional breast reduction such as scars and recovery, seamlessly reducing the size of the breasts. The pivotal step of this procedure is the determination of the range and area of liposuction. Dr. Chuang can remove fat deposited around the areola and lateral breasts and needs to avoid structures supporting breast weight such as the inframammary or lower breast. Otherwise, breast sagging may be accelerated due to the destruction of subcutaneous tissue. Hence, surgeons’ experiences and skills are very crucial in this procedure. Currently, Dr. Chuang has newly adopted a procedure combining breast liposuction with autologous fat transfer. Fats from liposuction will be collected to inject into the hollow parts of the upper breast, creating a perkier appearance of the breasts with lifting effect. It is also called fat sculpting of the breasts.
This surgery has the advantages of limited invasion, less trauma, and quick recovery. One can retain breastfeeding ability and no scars would be left. However it has the most limited degree of volume reduction (at most, 1 cup size). Patients need to have good skin elasticity to prevent ptosis from liposuction. This procedure can be also applied in secondary breast reduction or mastopexy to adjust breast size and symmetry.