Liposuction for Breast Reduction

Liposuction surgery is often used to remove the fats in the abdominal area, however, what many people don’t know is that the procedure can also serve as a replacement for traditional breast reduction.  When given to the right patient, it can reduce the size of female breasts by more than 50 percent.

In many cases, liposuction can also have a slight to moderate lifting effect because it can remove the weight of the excess fats.

Compared to the traditional breast reduction in which the excess fats, glandular tissue, and skin are removed, liposuction is less invasive; in fact, most patients can resume to most of their daily activities two to three days after the procedure.

But perhaps the most notable advantage of liposuction over traditional breast reduction surgery is that the risk of scar is almost eliminated.  This is possible because plastic surgeons only use a few small round incisions where they insert a pen-like device that suctions out the fats.

Some women achieve better results than others after breast reduction via liposuction, especially those whose breast enlargement is primarily caused by excess fats rather than tissue.  Many doctors have noticed that patients who have passed through their menopause tend to have more glandular fats than teenagers, making them a great candidate for this procedure.

However, younger women may also enjoy the benefits of breast reduction via liposuction as long as the excess fat is one of the contributing factors of their breast enlargement.  To determine the amount of glandular fats, most doctors require their patients to undergo mammogram.

But still, not all women with exceedingly large breasts are a good candidate for liposuction.  Those with macromastia—a condition in which the breasts are extremely big due to abnormal development of the glandular tissue—will likely need the excision-based breast reduction surgery.

Thin women with excessively large breasts often have more glandular tissue and little fats, making them a bad candidate for liposuction.  For these patients, only the excision-based breast reduction can provide them good results.

After liposuction, the result is a smaller version of the breasts; however, patients should remember that the procedure cannot change the shape of the bosom. 

In many cases, it can also create a slight to moderate lifting effect because the weight of the excess fats is remove, though patients should remember that the final result also depends on the elasticity of their breast’s suspensory ligaments.

Because there is only minimal trauma to the glands and nerve, there is little chance that breast reduction via liposuction will affect breastfeeding.

Round Breast Implant and Its Benefits

In terms of shape, breast implants are available in two kinds: round and anatomical (or sometimes referred to as teardrop).  Patients should remember that the implant’s contour has a significant impact on the final result of their breast augmentation surgery.

To date, round implants are more commonly used than the anatomical versions because they come cheaper and are believed to last longer.  But still, the best option largely depends on the patients’ goals and expectations and certain features of the body.

However, anatomical implants are still popularly used on women who had mastectomy or cancer surgery, though plastic surgeons have started using them for cosmetic breast augmentation after realizing that they provide great aesthetic results.

But nowadays, round implants are more preferred by many doctors because they have a lower risk of implant wrinkling since they often come in smooth surface, which cannot pull the tissue.  By contrast, teardrop implants are always available in textured exterior because they are not supposed to rotate inside the breast pocket.

The anatomical implant’s textured surface will prevent it to flip over, which if occurs can lead to visible distortion.  But studies have suggested that this particular design can lead to higher risk of visible rippling, especially for implants that have large “graininess.”

The risk of visible and palpable rippling is particularly a concern for women with limited fat and tissue on their breasts.  For this reason, most plastic surgeons do not recommend teardrop implants for patients with little tissue coverage.

While round implant has all its sides equal, it does not mean the result is always a dome-shaped breast that looks unnatural.  Contrary to popular belief, its shape can still lead to natural appearance with a proper implant placement.

In fact, round implants can turn into a teardrop shape if held on one side and left suspended.

Another advantage of round implant over teardrop is that it comes at a lower price.  In addition, several studies suggested that it often lasts longer particularly those with smooth surface.

Because round smooth implants do not pull the tissue, they are less likely to wrinkle—one of the factors that can weaken the implant shell.

Also, patients who will choose round implants can either use saline (salt and water solution) or silicone filler.  By contrast, anatomical implants are only filled with saline because a cohesive gel like the silicone cannot be used.

Currently, silicone-filled implants are more popular than saline version because they provide a more natural result; this is not surprising because silicone gel is designed to mimic the suppleness of the breast tissue.

                                                  

Thinking of Breast Augmentation Surgery?

Breast augmentation has been one of the most sought-after cosmetic procedures in 2010.  During this period alone, about 296,000 US patients had the surgery, with the number expected to grow in the next few years.

If you are thinking of having breast augmentation surgery, these are the most common questions of patients you may also have in mind:

·         Is the safety of breast implants monitored by the FDA?

Both saline and siliconebreast implants are considered safe both for breast augmentation and reconstruction following cancer surgery.  Currently, the FDA only allows Mentor and Allergan-Mentor to sell their products in the country.

·         What is the advantage of saline breast implants over the silicone version?

Saline implants require smaller incisions because they are only filled once they are inside the breast pocket.  Take note that no FDA-approved prefilled saline implants are sold in the US.  Another advantage is that you are no longer required to undergo regular MRI screening because there is no risk of “silent leak.”

·         Which is more popular nowadays, silicone or saline implants?

Most doctors believe that silicone implants are more popular these days because they can simulate the natural feel of tissue unlike the saline version which is typically described as like having a water-balloon inside the breast.

But because a leak may not have any manifestation (e.g., deflated-looking breasts), it is recommended that you undergo MRI screening at least every two years.

·         Is there any option other than saline and silicone implants?

A new breast implant called “gummy bear” implant is used in Europe, though it is not yet available in the US market, unless you will enroll in nationwide clinical trials to test the product’s effectiveness and safety.

Gummy bear implant uses the silicone gel that is more cohesive than the one used by the currently available silicone implant.

·         Do patients need revisions in the future?

Because breast implants are not guaranteed to last a lifetime, you will likely need revision breast augmentation at some point in your life.  This is because the devices are still subjected to the natural wear and tear which can lead to rupture and leak.

What Is the Most Ideal Age to Have Breast Augmentation Surgery?

Breast augmentation is one of the most sought-after cosmetic surgeries not just in the US but also in many countries.  In fact, it has been estimated that 5 to 10 million people have the procedure; they consisted of women who wanted to improve their appearance, post-cancer patients who had mastectomy, and transgender.

To date, many countries including the US require patients to be at least 18 years old before they can undergo breast implant surgery.  But take note that this age requirement generally applies if you will have the procedure solely for cosmetic purpose—e.g., you want to increase your bust size.

By contrast, age requirement is not important if you will have the procedure as a way to treat developmental abnormalities.

You have to remember that patients between 18 and 21 can only have saline implants which are filled with a sterile saltwater solution.  But when you reach the age of 22, you would be allowed to use silicone implants during your breast augmentation surgery.

The main reason why silicone implants require a higher age limit is because of the risk of rupture.  To prevent serious complications, you will be required to undergo MRI screening at least every two years.  By contrast, you will not need this if your implants are filled with saline, which in case of a leak, can be safely absorbed by your body, though your breasts will immediately appear somewhat “flat.”

While 18 years old can already have breast augmentation, many plastic surgeons believe that a woman should wait until she has reached her twenties because there is a likelihood that her breasts will further enlarge.

Imagine that if your breasts become larger after having plastic surgery, you may end up with a bust size bigger than what you really want.  While you can always have revisions to downsize your implants or even remove them without replacement, this means additional expenses and possibly more scarring.

If you decide to have breast augmentation in your teenage years, you will likely need revisions sooner than later.  Take note that breast implants are not designed to last a lifetime and are subjected to the natural wear and tear.

According to a data collected by the American Society of Plastic Surgeons, 65 percent of breast implant surgeries were performed on patients aged between 20 and 38, a clear indication that most women waited until their body has fully matured before they had the procedure.

Teen Mom Farrah Abraham Proud to Be on Best Cosmetic Surgery List

It is not uncommon for celebrities to deny having plastic surgery even if the result is blatant or sometimes to the point of looking “fake.”  However, this is not the case of Farrah Abraham who is proud to make it on UsWeekly’s 2011 list of best cosmetic surgery.

The celebrity mom, who was featured in MTV’s reality show 16 and Pregnant, tweeted: “Thank you USWeekyly for including me on 2011 BEST: Plastic surgeries.”

After giving birth, Abraham underwent breast augmentation surgery to increase her bust size from cup size A to C.  Despite criticism for having the procedure at a relatively young age, she said that she is happy with her decision.

Los Angeles leading plastic surgeon Dr. Tarick Smaili, who did not treat Abraham, said that she is a good example of natural-looking breasts after plastic surgery.

“The good thing about her breast implant size is that it complements her body and perfectly fits her small frame.  She did not go overboard as some celebrities have done in the past by using large implants that often result to the heavy top look,” Smaili said.

During the 1990s, the cosmetic surgeon said the trend in breast augmentation was the “bigger the better,” despite the unnatural look it gave to some patients, particularly those with small frame.

But nowadays, Smaili said that he is seeing more patients asking for revisions to “downsize their breast implant and achieve a more natural look.”

“I think the trend today is the natural bust size.  Just enough volume especially in the upper poles of the breasts to create more cleavage.  People should know that not all patients who ask for breast augmentation solely want to enlarge their breasts; in fact, a significant number of my patients just want to regain the lost volume caused by pregnancy,” Smaili said.

The cosmetic surgeon added that 300 to 350 cubic centimeter (cc) of breast implant size is often enough to create the natural look, although he warned that factors such as waistline, chest width, natural fat and tissue, and overall body frame should also be considered when deciding for the “right” implant size.

Citing Abraham’s breast augmentation, Smaili lauded her decision to stick “to a realistic size considering her small frame and thin arms.”

“Patients like her are easy to work with.  They know their body and consider its limitation.  While we always remind our patients that going for extremely large implants have many disadvantages, there are some who are still persistent about this.  But any self-respecting and ethical surgeons would have to turn these women down because we should not push the body’s limit—that’s my rule,” Smaili said.

Poll Shows Breast Surgery Improves Sex Life

Women who have received breast enhancement surgeries such as augmentation and mastopexy (or breastlift) have reported better sex life and higher satisfaction after the procedures, according to a survey conducted by RealSelf.com, a popular online forum that tackles plastic surgeries and cosmetic treatments.

On average, respondents claimed that breast enhancement surgery have increased their sex life satisfaction by 34 percent, while 61 percent said they had sex more frequently after the procedure.

By contrast, only 7 percent of the respondents said they had fewer sexual encounters after their breast augmentation or breast lift surgery.

On a scale of one to ten, one being the lowest satisfaction rate, patients experienced more than a two-point increase in their overall sex life satisfaction following their breast enhancement surgery.

Before the procedure, the average sex life satisfaction score was 6.07 and then jumped to 8.13 after the surgery.

While about 70 percent of respondents said that their overall sex life has improved, 28 percent said that breast surgery did not change anything.

Currently, the average cost of breast augmentation and breast lift in the US is $6,000 and $10,000, respectively.  But despite the procedures’ relatively high price, a number of patients seeking them has increased over the past couple of years.

In the US alone, about 296,000 patients had breast implant surgery in 2010.  Meanwhile, it has been estimated that 5 to 10 million people worldwide have augmentation surgery for cosmetic reasons, although a significant number of them also had the procedure to reconstruct their breasts after mastectomy or to transition from male to female gender.

On the other hand, approximately 90,000 breast lift surgeries were performed in the US in 2010 alone.

Dr. Tarick Smaili, one of the leading Los Angeles plastic surgeons, said he is expecting breast enhancements, particularly augmentation surgery, to further increase their popularity in the coming years.

“I think that the changing perception with cosmetic plastic surgery is the main reason why breast enhancements are enjoying their popularity.  Considered to be a taboo in the previous years, people are now more open to the idea that we have the freedom and the right tool to modify and improve our physical appearance,” Smaili said.

However, the cosmetic surgeon warned that not all people who want to have some “physical improvements” are good candidates for cosmetic surgeries.

“Of course there are many things to consider.  Does she have realistic goals and expectations?  Is she physically and psychologically healthy?  These are just some of the factors plastic surgeons would have to consider before taking any surgical step, particularly if it involves elective and cosmetic procedures,” Smaili added. 

Can Herbal Supplements Affect My Healing After Plastic Surgery?

Can herbal supplements such as green tea and ginko biloba have a negative effect on my body’s healing ability after plastic surgery?  For this question, the answer is YES.  Even if the package says “all natural ingredients,” it does not always mean that they would not cause some kind of harm.

While taking herbal supplements has its own advantages, this is not the case if you will undergo plastic surgery or any kind of operation.  This is because some of the ingredients used have been known to affect healing and natural blood clothing, thereby increasing your risk of skin necrosis (or gangrene), infection, and increased bleeding during and after surgery.

These are just some of the most commonly used herbal supplements you must avoid at least two weeks before and after your plastic surgery (e.g., breast augmentation, liposuction, facelift, body lift, etc.). 

·         Ephedra

Ephedra is often used in treatments for a wide range of respiratory problems such as asthma and bronchitis, although certain weight loss medications and “energy” supplements also contain this ingredient.

However, the US Food and Drug Administration has banned the ingredient after studies have suggested it can raise the blood pressure and heart rate, something which may lead to heart attack and stroke.

·         Chondroitin

As a treatment for people suffering from osteoarthritis, Chondroitin has been found to increase bleeding during surgery and delay one’s recovery.  Its effect can be further aggravated if you are taking other blood-thinning medications such aspirin and all types of non-steroidal anti-inflammatory drugs (e.g., ibuprofen and naproxen).

·         Glucosamine

The effects of this agent are the same as the insulin, thereby increasing your risk of hypoglycemia during surgery.  This complication happens when your blood sugar drops to a dangerous level. 

·         Echinacea

Commonly used for the treatment of bacterial, fungal, and viral infection caused by ulcers, arthritis, and chronic wound.  But studies suggested that this ingredient can suppress your body’s immune system, leading to delayed healing.

Just to be on the safe side, you should tell your plastic surgeon all about your current medications and herbal supplements during consultation.  Take note that even those which contain garlic, ginseng, gingko biloba, and other seemingly harmless, everyday ingredients can affect your healing ability.

In case that you are taking these herbal supplements and certain medications that can affect your healing, your plastic surgeon will ask you to stop these at least two weeks before surgery.