Breast Reduction Liposuction Lift
There are many different aspects to Breast Reduction Liposuction Lift whether it is performed by liposuction or by mammoplasty surgery. Patients seek breast reduction to have a lighter and smaller breast but often there is a request and desire to have a breast lift at the same time. A surgeon when considering breast reduction needs to look at not only the volume and shape of the breast but where the actual breast tissue is sitting.
Sometimes there may be drooping of the breast. This can occur in 2 ways, either with a full droop where the nipples are actually pointing downwards and sitting well below the inferior mammary fold (the fold below the breast) or it may be that the nipple is sitting at the correct height however breast tissue is sagging inferiorly on the lower pole of the breast. In these situations a lift is required.
DO I NEED TO HAVE A SURGICAL LIFT OF THE BREAST IF THE BREAST IS DROOPING?
Fortunately, when performing Breast Reduction Liposuction Lift we are able to induce a skin contraction that translates to an elevation and lift of the breast. Patients of course find it difficult to understand how liposuction alone which reduces the breast volume can actually cause a lift. Because normal logic would be that once removing the fat, the breast in fact would sag and droop almost like an empty bag.
This of course was our big question in the year 2000 when I started to perform Breast Reduction Liposuction Lift. At that time, there was nobody else who had performed the procedure in any large study so we really did not know the answer. I am very grateful for the 100’s of patients who I performed breast reduction on via liposuction early in those days as they understood that it was a new procedure and we could not really tell how much lifting would occur following the liposuction. The good news was that the skin retracted and tightened in the way that I predicted. By removing large volumes of fat through many 1000’s of small canals one can induced a breast lift. This happens because the empty canals close up. The canals close because the skin is made up of collagen and elastin that tightens and retracts. This is enhanced by the method of liposuction and also by wearing tight compression garments that help the skin contract inwards and upwards.
HOW MUCH BREAST LIFT CAN ONE HOPE FOR FOLLOWING BREAST REDUCTION LIPOSUCTION LIFT?
The amount of lifting does vary between patients. This is because all breasts are different. Some breasts are more fibrous, some are more fatty, some breasts are more sagging and others are more perky. In all cases, I found that the breast lift does occur. In some dramatic cases that may be 10-15 cm of a lift whilst in others it may just be a few centimeters.
IN WHAT WAY DOES ONE SEE THE BREAST LIFTING AFTER THE REDUCTION THROUGH THE LIPOSUCTION?
The first thing that one notices is that the nipple often will not be pointing as far downwards to the ground but rather we place more anteriorly forward on the breast. This gives a better cosmetic appearance. I actually prefer the natural result of a breast lift through the liposuction than the cutting which sometimes puts the nipple too anteriorly.
The second way that one will see the breast lift is that the breast tissue will be higher than previously. Sometimes, one can identify or look for a mole or freckle on the upper stomach and compare the position of the lower breast before surgery and after surgery to really understand just how much lifting occurred with the liposuction reduction.
ARE THERE ANY SPECIAL TOOLS THAT YOU USE FOR THE REDUCTION PROCEDURE?
I like the MicroAire device for breast reduction as I find that it produces the most maximum fat removal and skin tightening. MicroAire is a vibrating cannula that moves swiftly and evenly between the breast fibrous bands to remove the underlying fat.
HOW DOES ONE MAKE SURE THAT THE BREAST LIFT IS EVEN WITH THE LIPOSUCTION METHOD?
The most important thing is for the dermatologist/surgeon to constantly assess the removal of fat. Fat is removed in multiple layers throughout the breast, constantly moving and keeping the removal even and symmetrical.
DO YOU EVER PERFORM A BREAST REDUCTION AND LIFT ON ONE BREAST?
Yes. We often see a significant asymmetry between the 2 breasts. I have seen patients with a very large droopy breast on one side and a normal breast on the other. I would treat the abnormally large and drooping breast just with the liposuction reduction method to reduce the volume and attain a retraction. Often that is all that is needed to get the patient more symmetrical. Patients are never totally symmetrical but we want them to look more like sisters rather than twins and of course never totally different. Occasionally, these procedures are also treated with a liposuction reduction in one breast and an implant in the other.
WILL A BREAST IMPLANT AUGMENTATION CAUSE A BREAST LIFT?
Breast augmentation gives the illusion of a breast lift. By filling up the volume, the nipple usually moves forward and upwards and therefore the breast appears more balanced. In real terms, it is not a true lift as no skin has actually been cut out and excised. Some patients who have a breast implant have a breast lift at the same time or at a later date.
WHAT IS THE EFFECT OF THE BREAST LIFT ON THE BACK PAIN AND SHOULDER PAIN?
I found it very interesting looking at the posture of my patients who come in for breast reduction through liposuction. Very often they have a curved shoulder and one can see that the weight and the sagging of the heavy breast is causing a postural change that leads to the pain with these procedures. By performing the liposuction and getting a reduction in weight and volume the breast tissue contracts and elevates and the whole breast complex on the front of the chest becomes lighter. The breast does not sit as low and because of this, the shoulders tend to straighten up. The big surprise to me was that when we did our initial study of 250 patients they noticed that the pain in the back and shoulders went immediately. It was not like they had to wait months or years. This clearly points out that some patients do have a problem of heavy breasts that is almost like carrying bricks around with them all the time. Relieve the weight and the position of the breast and there is an immediate improvement.
Click for more before and after photographs on Breast procedures here.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person’s experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.