Breast Liposuction (Micro Lipo)

Breast Liposuction is an alternative to a breast reduction (reduction mammoplasty), and some may find this preferable as the appearance of scars is greatly reduced. For a typical breast reduction, general anaesthetic is used, although local anaesthetic is becoming more common.

The operation takes between 2 and 4 hours and often the patient is required to stay in hospital for up to three days afterwards. The most common technique is to make an incision around the areola, extending down and around the underside of the breast. Excess tissue, fat and skin are removed and the nipple is repositioned slightly higher. This can cause raised scarring around the area and the scars don’t always fade.

For breast liposuction, the results are similar but the scarring is greatly reduced and the recovery time is far quicker. Local anaesthetic is used and a small incision made under the fold of the breast. A microcannula, usually around 5mm in size, is inserted and the fatty tissue drained. A cannula is a tube attached to a vacuum or syringe through which the fat is suctioned. Not only can breast liposuction reduce the breast size by up to 50%, it can also give the breast a moderate lift, as the reduction in weight and size allows the natural elasticity of the breast to produce better elevation.


The Procedure

breast reduction is becoming a much more common procedure

During a micro lipo breast reduction procedure, excess fat is removed from the breast through a micro-cannula.

Unlike surgical excision breast reduction, there is no need to make any extensive incisions during this procedure. Instead, a number of small incisions are made through which the surgeon will insert a micro-cannula. First, an injection of diluted local anaesthesia is injected into the fat, which causes the area to swell and become firm. This fat is then removed through the micro-cannula, which allows for more accuracy and therefore more symmetrical results. There is minimal trauma to the breast tissue, unlike with traditional surgical excision breast reduction, and no risk of keloids, uneven breasts, or damage to the skin or nipple. In fact, there are minimal risks associated with this procedure, and a low risk of post-operative complications arising.

As the procedure is minimally invasive, there is very little scarring. There is no need for a general anaesthetic to be administered, which greatly reduces the recovery time. In fact, patients can typically return to work and resume their normal daily routine within two to three days of having the procedure. A compression garment will need to be worn afterwards to aid the healing process and reduce swelling.

Excessively large breasts can cause damage to self-esteem, and also lead to a number of other health problems such as back pain. By undergoing a micro lipo breast reduction procedure, patients can feel better about their appearance and enjoy a pain-free life thanks to this minimally-invasive procedure.

Advantages Of Breast Reduction Lipoplasty

Due to the use of microcannulas, the scarring is minimal and under the fold of the breast, making it invisible to the naked eye. The incisions are generally sealed with stitches which can be removed within two weeks of the procedure, and supportive bandages or garments must be worn to encourage the breasts to heal well and maintain their new shape. As the procedure can be carried out under local anaesthetic, most liposuction cases can be treated on a ‘walk in walk out’ basis, meaning that there are no overnight stays in hospital. Recovery time is quick which means that you can return to your normal daily activities faster than you would normally do after reduction mammoplasty. However, not everyone is suitable for breast liposuction, and you should have a full consultation with a specialist before the procedure. Women whose breasts are made up more of glandular tissue than fatty tissue will require the standard reduction mammoplasty procedure.


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Recovery And Costs Of Boob Lipoplasty

Recovery time can take a few weeks and you may need to take painkillers as the breast area will be swollen and tender at first. As with all liposuction procedures, it can take up to six months to appreciate the full extent of the surgery, although the fat removal is instant. This is because your body will be adapting to the change and the size and shape of your breasts will be slowly altering to compensate. Liposuction costs upwards of £2000 and although some procedures may be available on the NHS, this is very rare and more likely than not your GP will recommend a local practitioner.

Older Techniques

Prior to modern procedures, older techniques for breast reduction were available.

While these were effective, they were more invasive, and generally had more risks associated with them. Known as surgical-excision breast reduction, this procedure involved creating an incision with a scalpel, and removing large amounts of breast tissue. Carried out under general anesthesia, this method of breast reduction carried with it a number of risks, and caused patients significant pain while healing. The recovery time associated with this surgery was also substantial. One key risk was the risk of keloids, irregular fibrous tissue forming around the site of the scars, developing after surgery. Excessively large scars, uneven breasts, damage to the nipple or impaired sensitivity, and dimpling or abnormal appearance of the skin were also risks associated with surgical-excision breast reduction.

In addition to this, patients undergoing the surgery were at further risk of bleeding and clotting, along with hematomas developing in the breast. A build-up of fluid in the breast known as a seroma was also possible, as were the formation of cysts and fat necrosis. As there was a need for general anesthesia and large surgical incisions to be made, the recovery time was substantial following this type of treatment, and left many patients in pain for months afterwards.

Tumescent liposuction of the breasts eliminated the majority of these risks, and is the safer way to remove excess fat from the breast.

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