Liporeduction: A Faster and Safer Breast Remodeling Technique

Abstract

Background: Breast reduction is a time-consuming procedure with a relatively high complication rate. Furthermore, recurrent breast enlargement can occur in case of postoperative weight gain. The authors describe a breast reduction technique based on liposuction, followed mostly by skin resection alone, which makes this operation easier, faster, and safer, with more stable results. Methods: Two hundred thirty-three patients were treated by breast liporeduction between 2006 and 2017, with an age range of 18 to 70 years (average age, 42 years). The patients were selected after careful clinical and instrumental assessment among those in whose breasts the fat component was prevalent over the gland. Most of the soft-tissue reduction consisted of fat aspiration. The follow-up ranged from 12 months to 9 years (average, 4.5 years). Results:The results of this study have been extremely satisfactory. Most of the patients healed uneventfully and were happy with the final outcome. Very few complications were encountered, among which were small steatonecroses and partial nipple-areola complex necroses. Conclusions: For the past 15 years, all four authors have preferred this breast reduction technique over others. Fat only is selectively removed by aspiration with a blunt cannula, sparing the vascular network and easily mobilizing the nipple-areola complex. Liporeduction provides a good stable result because any postoperative weight variation will not change the volume of a breast consisting mainly of glandular and fibrous tissue.

Evolution of the Surgical Net

“…23 Additional utilization spans lateral breast liposuction, abdominoplasty, and one such publication on supratip fine-tuning in rhinoplasties. 24,25 It has been leveraged to avoid hematoma post-gynecomastia surgery and continues to find use in skin grafts, flaps, latissimus donor sites, and other breast surgeries, as well as the continued treatment of axillary hyperhidrosis. 26,27 In the realm of gynecological surgery, the Surgical Net technique is making significant contributions to the management of postpartum hemorrhage by controlling bleeding and potentially preventing hysterectomies.…”

Experimental study on clinical and morphological determination of the optimal cannula diameter for lipoaspirate harvest from rabbit inguinal fat pad

“…The size of the fibrous tissue fragments also affects the quality of the obtained lipoaspirate and the possibilities of its use. The ideal fibrous tissue microfragment should be large enough to contain sufficient mesenchymal tissue, but also should not interfere with nutrient diffusion (Auersvald et al, 2022;Fan et al, 2021;Fontes et al, 2018;Hui and Chui, 2018;James et al, 2018;Tong et al, 2018;Wu and Goldman, 2017). This study shows that using 3 mm and 4 mm cannulas, lipoaspirates containing approximately 10% fibrous tissue (8.9% and 9.3% respectively) can be harvested, but the size of the fibrous tissue fragments when using cannula #3 is limited to 1.5 mm (approximately 1 mm on average), whereas individual large fibrous tissue fragments (up to 2.5 mm), unevenly distributed (p < 0.05) were identified when using the 4 mm cannula.…”