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Liposuction as an adjunct procedure in reduction mammaplasty.
M F Price1, B Massey, P M Rumbolo
1Division of Plastic and Reconstructive Surgery, St Louis University Hospital, MO 63110-0250, USA.
Annals of Plastic Surgery
|August 17, 2001
Summary
Adjunctive liposuction with breast reduction surgery enhances aesthetic outcomes, particularly for the lateral chest area. This technique does not increase complication rates or patient morbidity.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Surgical Techniques
Background:
- Liposuction is a valuable tool for refining contours in breast reduction surgery.
- It effectively addresses the lateral breast 'fat roll' extending to the axilla and chest wall.
Purpose of the Study:
- To review the authors' approach to adjunctive lipoplasty with breast reduction.
- To evaluate the safety and efficacy of this combined surgical technique.
Main Methods:
- Retrospective review of 70 consecutive female patients undergoing reduction mammaplasty.
- Comparison of complication rates between patients with and without adjunctive liposuction.
- Assessment of morbidity associated with ultrasonic vs. traditional liposuction.
Main Results:
- No significant difference in complication rates between groups (with or without adjunctive liposuction).
- Complications observed (fat necrosis, cellulitis, seromas) were localized to the breast and unrelated to liposuction.
- Ultrasonic liposuction showed no additional morbidity compared to traditional methods.
Conclusions:
- Adjunctive lateral chest wall liposuction can provide aesthetic benefits for reduction mammaplasty patients.
- The combined procedure does not appear to increase overall morbidity or complication rates.