"Scarless" breast reduction is yet another modality selected to reduce breast size with virtually no visible scars. Standard breast reduction techniques can produce dramatic changes in size and shape; however, there are usually obvious and noticeable scars. Many likely candidates for breast reduction have avoided the procedure because of these scars. With the use of this relatively new liposculpture-only breast reduction, a virtually "scarless" procedure is available.
Liposculpture-only breast reduction surgery uses the tumescent liposuction technique where saline mixed with epinephrine (a medication to constrict blood vessels) is infiltrated throughout the breasts. Several small incisions (as used in standard liposuction) are hidden in the crease under the breast, in the armpit, and on the border of the areola. Liposculpture then reduces the breasts in the deep, middle, and superficial layers allowing a reduced breast size and a modest elevation of the nipple level.
Scarless breast reduction will allow a more modest, but significant, reduction in size, as well as a more modest elevation of the nipple with the overall general shape of the breast maintained.
The breast reduction is beneficial for women desiring to reduce her breasts by only one-cup size, and will not tolerate any obvious scars. Another ideal candidate is an older patient whose request is purely functional and will be delighted with a one or two cup size reduction, or for the woman who requests "As small as you can go. The shape is not my problem."
Liposculpture-only breast reduction can also be used in select individuals to correct breast asymmetry (one breast larger than the other). This liposculpture-only breast reduction will not lift the breast as dramatically as a standard breast reduction or breast lift would. However, the obvious scars are avoided.
Breast reduction with liposculpture only is not meant for those with large, flat, pendulous breasts. It may be used in conjunction with a breast lift procedure, which may allow shorter breast lift scars. A comprehensive consultation with a plastic surgeon is necessary to evaluate expectations, and determine the appropriate candidates for this procedure.
Liposculpture-only breast reduction patients report that they feel less "matronly" and look thinner from the modest, but significant, reduction in breast size. Many patients with more conservative expectations are very happy with the ability to decrease their breast size with a less invasive operation with a much shorter recovery. The cost of the procedure is considerably less as well.
Breast reduction procedures are performed under local anesthesia with intravenous sedation or under general anesthesia. The operation is generally performed on an outpatient basis. A sports type bra is worn continually from one to three months depending on each individual surgery.
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