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Liposuction-Only Breast Reduction: A Systematic Review of Outcomes

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  • Breast Surgery
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Abstract

Introduction

Over the past few decades, there have been multiple reports of liposuction assisted breast reduction. This technique appeals to patients due to the limited scars and complication profile, compared to traditional reduction mammaplasty techniques. We aimed to systematically review the literature, to elucidate the outcomes and safety of liposuction-only breast reduction.

Methods

A systematic review was performed using the Ovid (Medline/PubMed) database, in accordance with the PRISMA checklist.

Results

In total 7 articles were included within this systematic review. A total of 652 patients were included. Liposuction-only breast reduction appears to lead to improvements in subjective outcome measures, patient satisfaction, and objective outcomes such as moderate breast volume reduction and reduction in breast ptosis. Overall, the procedure had a low complication profile. Liposuction did not preclude further surgery. No evidence of malignancy or difficulty in future breast cancer screening was noted.

Conclusion

Macromastia leads to a considerable health burden, especially in health-related costs. From the current evidence base, liposuction-only breast reduction appears to be a safe and effective procedure, especially in patients requiring a mild–moderate breast volume reduction and mild ptosis correction. More research is required, with standardised subjective and objective outcome measures, and longer follow-up periods to confirm the effectiveness and safety of this technique.

Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266.

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References

  1. Jud SM, Brendle-Behnisch A, Hack CC et al (2021) Macromastia: an economic burden? A disease cost analysis based on real-world data in Germany. Arch Gynecol Obstet 303:521. https://doi.org/10.1007/S00404-020-05841-7

    Article  PubMed  Google Scholar 

  2. Li Z, Qian B, Wang Z et al (2021) Vertical scar versus inverted-T scar reduction mammaplasty: a meta-analysis and systematic review. Aesthetic Plast Surg 45:1385–1396. https://doi.org/10.1007/S00266-021-02167-W

    Article  PubMed  Google Scholar 

  3. Koltz PF, Sbitany H, Myers RP et al (2011) Reduction mammaplasty in the adolescent female: the URMC experience. Int J Surg 9:229–232. https://doi.org/10.1016/J.IJSU.2010.12.001

    Article  PubMed  Google Scholar 

  4. BAAPS (2020) Cosmetic surgery stats: Number of surgeries remains stable amid calls for greater regulation of quick fix solutions. https://baaps.org.uk/about/news/1708/cosmetic_surgery_stats_number_of_surgeries_remains_stable_amid_calls_for_greater_regulation_of_quick_fix_solutions/. Accessed 16 Aug 2023

  5. Matarasso A, Courtiss E (1991) Suction mammaplasty: The use of suction lipectomy to reduce large breasts-PubMed. Plast Reconstr Surg 87:709–717

    Article  CAS  PubMed  Google Scholar 

  6. Jakubietz RG, Jakubietz DF, Gruenert JG et al (2011) Breast reduction by liposuction in females. Aesthetic Plast Surg 35:402–407. https://doi.org/10.1007/S00266-010-9611-X

    Article  PubMed  Google Scholar 

  7. Rohrich RJ, Gosman AA, Brown SA et al (2004) Current preferences for breast reduction techniques: a survey of board-certified plastic surgeons 2002. Plast Reconstr Surg 114:1724–1733. https://doi.org/10.1097/01.PRS.0000142480.27748.9E

    Article  PubMed  Google Scholar 

  8. Brauman D, Moshovitz MJ (2005) Liposuction breast reduction. Plast Reconstr Surg 116:1558–1561. https://doi.org/10.1097/01.PRS.0000184338.64912.8D

    Article  CAS  PubMed  Google Scholar 

  9. McGowan J, Sampson M, Salzwedel DM et al (2016) PRESS peer review of electronic search strategies: 2015 guideline statement. J Clin Epidemiol 75:40–46. https://doi.org/10.1016/J.JCLINEPI.2016.01.021

    Article  PubMed  Google Scholar 

  10. Moskovitz MJ, Baxt SA, Jain AK, Hausman RE (2007) Liposuction breast reduction: a prospective trial in African American women. Plast Reconstr Surg 119:718–726. https://doi.org/10.1097/01.PRS.0000246715.97310.3E

    Article  CAS  PubMed  Google Scholar 

  11. Moskovitz MJ, Muskin E, Baxt SA (2004) Outcome study in liposuction breast reduction. Plast Reconstr Surg 114:55–60. https://doi.org/10.1097/01.PRS.0000127795.84891.A7

    Article  PubMed  Google Scholar 

  12. Di Giuseppe A (2003) Breast reduction with ultrasound-assisted lipoplasty. Plast Reconstr Surg 112:71–82. https://doi.org/10.1097/01.PRS.0000067739.88701.A4

    Article  PubMed  Google Scholar 

  13. Mellul SD, Dryden RM, Remigio DJ, Wulc AE (2006) Breast reduction performed by liposuction. Dermatol Surg 32:1124–1133. https://doi.org/10.1111/J.1524-4725.2006.32255.X

    Article  CAS  PubMed  Google Scholar 

  14. Sadove R (2005) New observations in liposuction-only breast reduction. Aesthetic Plast Surg 29:28–31. https://doi.org/10.1007/S00266-004-0029-1

    Article  PubMed  Google Scholar 

  15. Lawrence G (2001) Update on experience with liposuction breast reduction. Plast Reconstr Surg 108:1006–1010

    Article  Google Scholar 

  16. Habbema L (2009) Breast reduction using liposuction with tumescent local anesthesia and powered cannulas. Dermatologic Surg 35:41–52. https://doi.org/10.1111/J.1524-4725.2008.34381.X

    Article  CAS  Google Scholar 

  17. Howick J, Chalmers I, Lind J, et al (2021) Oxford Centre for Evidence-Based Medicine 2011 levels of evidence. https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence

  18. Thomas H, Ciliska D, Micucci S, Wilson-ABra J, Dobbins M (1999) Effective public health practice project (EPHPP). https://www.ephpp.ca/PDF/Quality%20Assessment%20Tool_2010_2.pdf

  19. Lin J, Ye S, Ke H et al (2023) Changes in the mammary gland during aging and its links with breast diseases: aged mammary gland and breast diseases. Acta Biochim Biophys Sin (Shanghai) 55:1001. https://doi.org/10.3724/ABBS.2023073

    Article  ADS  CAS  PubMed  Google Scholar 

  20. Rinker B, Veneracion M, Walsh CP (2022) Breast ptosis. Ann Plast Surg 64:579–584. https://doi.org/10.1097/sap.0b013e3181c39377

    Article  Google Scholar 

  21. Sood J, Jayaraman L, Sethi N (2011) Liposuction: anaesthesia challenges. Indian J Anaesth 55:220. https://doi.org/10.4103/0019-5049.82652

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. American Cancer Society (2023) American Cancer Society recommendations for the early detection of breast cancer. https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Accessed 20 Aug 2023

  23. Auersvald A, Botti C, Botti G, Pascali M (2022) Liporeduction: a faster and safer breast remodeling technique. Plast Reconstr Surg 149:549–558. https://doi.org/10.1097/PRS.0000000000008876

    Article  CAS  PubMed  Google Scholar 

  24. Driscoll DN, Tian T, D’Achille J (2022) Single-stage suction-assisted lipectomy with dermal mastopexy: an alternative procedure in repeated reduction mammaplasty with questionable nipple-areola complex vascularity. Plast Reconstr Surg 150:239E-240E. https://doi.org/10.1097/PRS.0000000000009221

    Article  CAS  PubMed  Google Scholar 

  25. Gray L (2023) Single-stage suction-assisted lipectomy with dermal mastopexy: an alternative procedure in repeated reduction mammaplasty with questionable nipple-areola complex vascularity. Plast Reconstr Surg 151:885E. https://doi.org/10.1097/PRS.0000000000010054

    Article  CAS  PubMed  Google Scholar 

  26. Sağır M, Güven E (2023) Expanding usage of superior pedicled techniques with reducing resistance in the pedicle by lipoaspiration. Aesthetic Plast Surg. https://doi.org/10.1007/S00266-022-03241-7

    Article  PubMed  Google Scholar 

  27. Price MF, Massey B, Rumbolo PM, Paletta CE (2001) Liposuction as an adjunct procedure in reduction mammaplasty. Ann Plast Surg 47:115–118. https://doi.org/10.1097/00000637-200108000-00002

    Article  CAS  PubMed  Google Scholar 

  28. Advani SM, Zhu W, Demb J et al (2021) Association of breast density with breast cancer risk among women aged 65 years or older by age group and body mass index. JAMA Netw Open 4:e2122810–e2122810. https://doi.org/10.1001/JAMANETWORKOPEN.2021.22810

    Article  PubMed  PubMed Central  Google Scholar 

  29. Duffy SW, Morrish OWE, Allgood PC et al (2018) Mammographic density and breast cancer risk in breast screening assessment cases and women with a family history of breast cancer. Eur J Cancer 88:48. https://doi.org/10.1016/J.EJCA.2017.10.022

    Article  PubMed  PubMed Central  Google Scholar 

  30. Bodewes FTH, van Asselt AA, Dorrius MD et al (2022) Mammographic breast density and the risk of breast cancer: a systematic review and meta-analysis. Breast Off J Eur Soc Mastology 66:62. https://doi.org/10.1016/J.BREAST.2022.09.007

    Article  CAS  Google Scholar 

  31. Çakir M, Küçükkartallar T, Tekin A et al (2015) Comparison of mammography sensitivity after reduction mammoplasty targeting the glandular and fat tissue. Turkish J Surgery/Ulusal cerrahi Derg 31:68. https://doi.org/10.5152/UCD.2015.2929

    Article  Google Scholar 

  32. Brown MH, Weinberg M, Chong N et al (1999) A cohort study of breast cancer risk in breast reduction patients. Plast Reconstr Surg 103:1674–1681. https://doi.org/10.1097/00006534-199905060-00015

    Article  CAS  PubMed  Google Scholar 

  33. Niepel A, Schwake S, Zeichmann M et al (2022) Influence of breast reduction surgery on long-term breast cancer risk in Austria. Breast Care 17:244–248. https://doi.org/10.1159/000517816

    Article  PubMed  Google Scholar 

  34. Habbema L, Alons JJM (2010) Liposuction of the female breast: a histologic study of the aspirate. Dermatol Surg 36:1406–1411. https://doi.org/10.1111/J.1524-4725.2010.01649.X

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Muhammad Umair Javed.

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Kadhum, M., Symonette, C., Khan, W. et al. Liposuction-Only Breast Reduction: A Systematic Review of Outcomes. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-024-03874-w

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