A mother of 3 in her early 50’s who had liposuction of her breasts by another plastic surgeon 11 years before. She was a little better at first but her breasts have increased in size ane she is bothered with back and shoulder pain, a rash under the breasts in the warmer months, and difficulty exercising because of the size of her breasts. She currently wears a 36 JJ cup bra. She is 5’5” and 196 lbs and is shown before and again, 8 ½ months after a bilateral breast reduction with the removal of over 960 gms of tissue from her right breast and 690 gms of tissue from her left breast. An inferior pedicle/ Inverted T scar technique was used. Her symptoms have resolved, and she is thrilled with the new shape and size of her breasts.
Discussion: There was initially great enthusiasm about the idea of liposuction of the breasts. I have found however that there are very few patients that are a good candidate. It is difficult to predict how much of a breast is fatty tissue and can be removed with liposuction, because liposuction does not remove breast tissue. And the more youthful breasts that might benefit because they already have a better shape are denser and less fatty. The older breasts tend to be more fat but benefit from a mastopexy ( lift) at the same time to improve the shape. I actually see more discomfort and a longer recovery with liposuction of the breasts, and it is difficult to reduce someone more than a cup size or so. It is not unusual to see these patients coming back for a breast reduction, as we see here.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat
- Jonathan D. Hall, MD, FACSmembers of my own family."
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