Overly large and pendulous breasts can be as disturbing to a woman as extremely small breasts. In addition, breast pain and shoulder discomfort are prevalent. Lesser problems relate to the need for special supportive undergarments and difficulty in finding suitable clothing in readily available sizes. Extremely large breasts limit participation in various athletic activities.
Surgical correction of this condition is not new. There are many different operations, some conceived fifty to seventy-five years ago, that are still performed today with very little modification. The basic procedure involves reduction of breast volume and restoration of normal contour. Enlargement of the breast is associated with varying degrees of sagging and in most cases gradual displacement of the nipple to an inferior position .Restoration of normal contour therefore includes replacement or shifting of the nipple to a new level consistent with the remaining breast. Surgical procedures to relocate the nipple more effectively are extremely varied. Functional and aesthetic considerations also figure in the selection of a specific procedure; among them are the location and degree of postoperative scar tissue which will be present at the site of each separate incision. The scars are sited around the areola, beneath the breast (in the infra-mammary fold), and a short vertical scar joining the above two scars. Scars notable in the first six to twelve months following the operation will gradually fade and improve with time, but will not disappear.
Collection of liquid under the breast. Blood clots. Infection. Bleeding under the skin. Reactions to anesthesia. Delayed healing. Poor healing resulting in visible scarring or skin loss. Need for a second operation. Possibility of wide scars (keloids) in patients with a tendency. Any one of these complications could occur and every precaution is taken to minimize the possibility. Local risks in this type of surgery are essentially associated with loss of soft tissue and replacement by scar tissue-largely the result of compromised blood circulation. Shifting, partial excision, and manipulation to achieve proper contour necessarily involve partial separation of tissues from their normal blood supply. While every case shows great adaptability, some types of deformities can require large reductions in volume and so extreme change in position that the tissue`s natural limits may be exceeded. When this occurs, the tissues so affected undergo destruction and are replaced by scar tissue. Minor tissue losses may take place. Since the nipple area always requires the greatest displacement, partial or even complete absorption (loss) is conceivable. With present techniques, however, the possibility of loss has become extremely rare. Partial or complete loss of nipple sensitivity may occur depending upon the type of operation selected. While the loss is a significant consideration, it should be recognized that the over enlarged pendulous breast is less sensitive to begin with. Breast-feeding after the usual reduction Mammoplasty generally may be possible. Great care is taken at the pre-operative consultation to decide on the specific size the patient prefers to be.A bra is worn for four weeks after surgery. All efforts are made to keep the infra-mammary scar as short as possible without compromising the aesthetic shape of the breast. Meticulous attention to the healing scar with taping and moisturisers for several months during the maturation process will usually culminate in very acceptable scarring.
The hospital stay is two days and your recovery will take approximately twelve days.
The procedure is performed under general anaesthetic.
Temporary pain is treated with analgesics. Swelling, tenderness, numbness of breast skin, bruising, and tiredness, some, or all of these can last up to several weeks. Small drains, removed after two days, are used to help avoid the accumulation of fluids under the breast. Dressings are applied and will be changed every other day for the first week. Stitches will be removed in stages over a period of one or two weeks. Recovery time (back to work): in 2 to 3 weeks. Strenuous exercising and sunbathing in 4 to 6 weeks or more. Fading and flattening of the scar occurs after 3 months and sometimes up to 2 years.
Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. During the past decade, liposuction, which is also known as lipoplasty or suction lipectomy, has benefited from several new refinements. Today, a number of new techniques, including ultrasound-assisted lipoplasty (UAL), the tumescent technique, and the super-wet technique, are helping many plastic surgeons to provide selected patients with more precise results and quicker recovery times. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don`t respond to traditional weight-loss methods. If you are considering liposuction, this information will give you a basic understanding of the procedure when it can help, how it is performed and how you might look and feel after surgery. It wont answer all of your questions, since much depends on your individual circumstances. Please ask your doctor if there is anything about the procedure you don`t understand.
Are you a good candidate for liposuction ?
To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. It s important to understand that liposuction can enhance your appearance and self confidence, but it won t necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin.
Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured.
Planning Your Surgery
In your initial consultation, your surgeon will evaluate your health, determine where your fat deposits lie and assess the condition of your skin. Your surgeon will explain the body-contouring methods that may be most appropriate for you. For example, if you believe you want liposuction in the abdominal area, you may learn that an abdominoplasty or tummy tuck may more effectively meet your goals; or that a combination of traditional liposuction and UAL would be the best choice for you.Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing the procedure in detail and explaining its risks and limitations.
Getting the Answers You Need
Individuals considering liposuction often feel a bit overwhelmed by the number of options and techniques being promoted today. However, your plastic surgeon can help. In deciding which is the right treatment approach for you, your doctor will consider effectiveness, safety, cost and appropriateness for your needs. This is called surgical judgment, a skill that is developed through surgical training and experience. Your doctor also uses this judgement to prevent complications; to handle unexpected occurrences during surgery; and to treat complications when they occur.
Preparing for Your Surgery
Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed.
Though it is rarely necessary, your doctor may recommend that you have blood drawn ahead of time in case it is needed during surgery.
Also, while you are making preparations, be sure to arrange for someone to drive you home after the procedure and, if needed, to help you at home for a day or two.
Where Your Surgery will be Performed ?
Liposuction may be performed in a surgeon s office-based facility, in an outpatient surgery center, or in a hospital. Smaller-volume liposuction is usually done on an outpatient basis for reasons of cost and convenience. However, if a large volume of fat will be removed, or if the liposuction is being performed in conjunction with other procedures, a stay in a hospital or overnight nursing facility may be required.
Anesthesia for Liposuction
Various types of anesthesia can be used for liposuction procedures. Together, you and your surgeon will select the type of anesthesia that provides the most safe and effective level of comfort for your surgery.
If only a small amount of fat and a limited number of body sites are involved, liposuction can be performed under local anesthesia, which numbs only the affected areas. However, if you prefer, the local is usually used along with intravenous sedation to keep you more relaxed during the procedure. Regional anesthesia can be a good choice for more extensive procedures. One type of regional anesthesia is the epidural block, the same type of anesthesia commonly used in childbirth.
However, some patients prefer general anesthesia, particularly if a large volume of fat is being removed. If this is the case, a nurse anesthetist or anesthesiologist will be called in to make sure you are completely asleep during the procedure.
The time required to perform liposuction may vary considerably, depending on the size of the area, the amount of fat being removed, the type of anesthesia and the technique used.
There are several liposuction techniques that can be used to improve the ease of the procedure and to enhance outcome.
Liposuction is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe, depending on the surgeon`s preference. If many sites are being treated, your surgeon will then move on to the next area, working to keep the incisions as inconspicuous as possible.
Fluid is lost along with the fat, and it`s crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.
The basic technique of liposuction, as described above, is used in all patients undergoing this procedure. However, as the procedure has been developed and refined, several variations have been introduced.
Fluid Injection, a technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels) helps the fat be removed more easily, reduces blood loss and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.
The amount of fluid that is injected varies depending on the preference of the surgeon.
Large volumes of fluid sometimes as much as three times the amount of fat to be removed are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction (sometimes as long as four to five hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or tumesced state of the fatty tissues when they are filled with solution.
The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one to two hours of surgery time.
Ultrasound-Assisted Lipoplasty (UAL). This technique requires the use of a special cannula that produces ultrasonic energy. As it passes through the areas of fat, the energy explodes the walls of the fat cells, liquefying the fat. The fat is then removed with the traditional liposuction technique.
UAL has been shown to improve the ease and effectiveness of liposuction in fibrous areas of the body, such as the upper back or the enlarged male breast. It is also commonly used in secondary procedures, when enhanced precision is needed. In general, UAL takes longer to perform than traditional liposuction.
All Surgery Carries Some Uncertainty and Risk
Liposuction is normally safe, as long as patients are carefully selected, the operating facility is properly equipped and the physician is adequately trained.
As a minimum, your surgeon should have basic (core) accredited surgical training with special training in body contouring. Also, even though many body-contouring procedures are performed outside the hospital setting, be certain that your surgeon has been granted privileges to perform liposuction at an accredited hospital.
Your doctor must have advanced surgical skills to perform procedures that involve the removal of a large amount of fat (more than five liters or 5,000 ccs); ask your doctor about his or her other patients who have had similar procedures and what their results were. Also, more extensive liposuction procedures require attentive after-care. Find out how your surgeon plans to monitor your condition closely after the procedure.
However, it s important to keep in mind that even though a well-trained surgeon and a state-of-the art facility can improve your chance of having a good result, there are no guarantees. Though they are rare, complications can and do occur. Risks increase if a greater number of areas are treated at the same time, or if the operative sites are larger in size. Removal of a large amount of fat and fluid may require longer operating times than may be required for smaller operations.
The combination of these factors can create greater hazards for infection; delays in healing; the formation of fat clots or blood clots, which may migrate to the lungs and cause death; excessive fluid loss, which can lead to shock or fluid accumulation that must be drained; friction burns or other damage to the skin or nerves or perforation injury to the vital organs; and unfavorable drug reactions.
There are also points to consider with the newer techniques. For example, in UAL, the heat from the ultrasound device used to liquefy the fat cells may cause injury to the skin or deeper tissues. Also, you should be aware that even though UAL has been performed successfully on several thousand people worldwide, the long-term effects of ultrasound energy on the body are not yet known.
In the tumescent and super-wet techniques, the anesthetic fluid that is injected may cause lidocaine toxicity (if the solution s lidocaine content is too high), or the collection of fluid in the lungs (if too much fluid is administered).
The scars from liposuction are small and strategically placed to be hidden from view. However, imperfections in the final appearance are not uncommon after lipoplasty. The skin surface may be irregular, asymmetric or even baggy, especially in the older patient. Numbness and pigmentation changes may occur. Sometimes, additional surgery may be recommended.
After Your Surgery
After surgery, you will likely experience some fluid drainage from the incisions. Occasionally, a small drainage tube may be inserted beneath the skin for a couple of days to prevent fluid build-up. To control swelling and to help your skin better fit its new contours, you may be fitted with a snug elastic garment to wear over the treated area for a few weeks. Your doctor may also prescribe antibiotics to prevent infection.
Don t expect to look or feel great right after surgery. Even though the newer techniques are believed to reduce some post-operative discomforts, you may still experience some pain, burning, swelling, bleeding and temporary numbness. Pain can be controlled with medications prescribed by your surgeon, though you may still feel stiff and sore for a few days.
It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look and feel better.
Your New Look
You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about four to six weeks, when most of the swelling has subsided. After about three months, any persistent mild swelling usually disappears and the final contour will be visible.
If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can help to maintain your new shape.
*The Information Presented On This Website Is Intended To Be Used For Informational Use Only; It Is Not Intended To Be A Substitute For Professional Advice. If You Are Planning On Having A Procedure Performed Or If There Is Anything You Don`t Understand Or Have Questions About Your Procedure, Time, Price, Blood Work, Additional Cost For Operating Room, Anesthesia Work, Post Surgery Recovery, Combination Of The Different Procedures Please Consult To Our Physician Who Will Be Happy During Your Consultation To Go Over In Details All Your Questions.