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Breast Liposuction

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.

Surgical conditions

Duration

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  • Type of anesthesia: General anesthesia
  • Type of incision: 2–3-mm incisions in the underarms or lateral breasts
  • Recovery: Within 1–2 days
  • Removal of stitches: 7 days

General instructions

No food and water on the day of surgery

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  • Strenuous upper body activity should be avoided for 3 months postoperatively.
  • A supportive bra should be worn for 3–6 months postoperatively for breast support.
  • Excessive weight loss or dieting should be avoided for 6 months postoperatively.

Ideal candidates

  • Those who cannot accept incisions or scars associated with traditional breast reduction surgeries.
  • Those who have mild breast ptosis but would like to reduce breast size.
  • Those with hollow upper breasts due to breast weight.
  • Those who do not want to reduce their breast size by more than 1 cup size.

Possible complications

  • Skin loosening
  • Breast ptosis
  • Incomplete correction
  • Mammary gland inflammation (mastitis)

Surgical advantages

  1. Avoid scars from traditional breast reduction or lift surgery.

  2. Avoid massive change of breast shape.

  3. No damage to the mammary gland to retain breastfeeding ability.

  4. Limited reduction but strengthened lifting effect.

  5. Minimal postoperative pain and quick recovery.

Surgical drawbacks

  1. Limited degree of reduction (at most, 1 cup size).

  2. Excessive liposuction could result in breast ptosis.

  3. The breasts could still become larger because of weight gain, pregnancy, etc. in the future.

  4. Subtle result.

Possible procedures in conjunction