The Role of Liposuction in Breast Reduction

  • Luiz S. Toledo

Abstract

Plastic surgery techniques changed radically after the introduction of liposuction. Many existing concepts were reevaluated, the most significant being that it was no longer necessary to produce a large scar to alter the shape of the body. In the late 1970s dermolipectomies usually involved extensive scarring. The advent of liposuction made it possible for us to modify the body contour with minimal incisions, no skin resections, more natural results, and happier patients. Liposuction has seen many refinements, in technique and instruments. We prefer syringe liposuction; it is, in our hands, a much more gentle and precise method of fat removal, allowing us to treat more accurately small pair adiposities, such as the breasts

Keywords

Obesity Lactate Syringe Bicarbonate Hydrochloride 

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References

  1. 1.
    Toledo LS, Matsudo PKR: Mammoplasty Using Liposuction and the Periareolar Incision. Presented at the IXth Congress of the International Society for Aesthetic Plastic Surgery, New York, October 11 – 14, 1987.Google Scholar
  2. 2.
    Toledo LS, Matsudo PKR: Mammoplasty using liposuction and the periareolar incision. In: Abstract Book of the IXth International Congress of ISAPS. New York, 1987, p. 35.Google Scholar
  3. 3.
    Toledo LS: Periareolar mammoplasty with syringe liposuction. In: Annals of the International Symposium on Recent Advances in Plastic Surgery—RAPS 89, March 3–5, 1989. Toledo LS (Ed.), Estadão, São Paulo, Brazil, 1989, p. 256.Google Scholar
  4. 4.
    Fournier P: Liposculpture—Ma Technique. Arnette, Paris, 1989.Google Scholar
  5. 5.
    Toledo LS, Matsudo PKR: Mammoplasty using liposuc-tion and the periareolar incision. Aesth Plast Surg 13 (1): 9 – 13, 1989.CrossRefGoogle Scholar
  6. 6.
    Douglas KP, et al.: Roentgenographs evaluation of the augmented breast. South Med J 84 (1): 49, 1991.PubMedCrossRefGoogle Scholar
  7. 7.
    Staub S, Bzowski, A, Vilain R: Hypertrophic mammaire juvènile. Traitement chirurgical precoce [Juvenile mam-mary hypertrophy. Early surgical treatment]. Ann Chir Plast Esthet 34 (3): 269, 1989.PubMedGoogle Scholar
  8. 8.
    Toledo LS: Superficial syringe liposculpture. In: Annals of the IInd Symposium on Recent Advances in Plastic Surgery—RAPS 90, March 28–30, 1990. Toledo LS, Pinto EBS (Eds.), Marques Saraiva, Sao Paulo, Brazil, 1990, p. 446.Google Scholar
  9. 9.
    Klein J: Tumescent technique. Am J Cosmetic Surg 4: 263, 1987.Google Scholar
  10. 10.
    Toledo LS: Lipoescultura superficial. In: Anestesia Loco-regional em Cirurgia Estética. Avelar JM (Ed.). Editora Hipócrates, São Paulo, Brazil 1993.Google Scholar
  11. 11.
    McKay W, Morris R, Mushlin P: Sodium bicarbonate attenuates pain on skin infiltration with lidocaine with or without epinephrine. Anesth Analg 66: 572, 1987.PubMedGoogle Scholar
  12. 12.
    Gumucio CA, Bennie JB, Fernando B, Young VL, Roa N, Kraemer BA: Plasma lidocaine levels during augmentation mammaplasty and suction-assisted lipectomy. Plast Reconstr Surg 84 (4): 624, 1989.PubMedCrossRefGoogle Scholar
  13. 13.
    Barnhart ER (Ed.): Physician’s Desk Reference. Medical Economics Company, Inc., Oradell, New Jersey, 1989, p. 640.Google Scholar
  14. 14.
    Lillis PJ: Liposuction surgery under local anesthesia: Limited blood loss and minimal lidocaine absorption. J Dermatol Surg Oncol 14: 10, 1988.Google Scholar
  15. 15.
    Teimourian B, Massac E Jr, Weigering CE: Reduction suction mammoplasty and suction lipectomy as an ad-junct to breast surgery. Aesth Plast Surg 9: 97, 1985.CrossRefGoogle Scholar
  16. 16.
    Avelar JM, Illouz YG: In: Lipoaspiragdo. Editora Hipöcrates, Sao Paulo, Brazil, 1986, pp. 14810. 152.Google Scholar
  17. 17.
    Mitnick JS, Roses DF, Harris MN, Colen SR: Calcifica-tions of the breast after reduction mammoplasty. Surg Gynecol Obstet 17 (5): 409, 1990.Google Scholar
  18. 18.
    Buhtz C, Freitag J, Berge G, Pohl G: Mammographische Befunde nach Mammareduktionsplastik [Mammographic findings following reduction mammoplasty]. Zentralbl Chir 114 (1): 36, 1989.PubMedGoogle Scholar
  19. 19.
    Cruz NI, Guerrero A, Gonzalez CI: Current findings in the pathological evaluation of breast reduction speci-mens. Bol Assoc Med PR 81 (10): 387, 1989.Google Scholar
  20. 20.
    Clugston PA, Son-Hing QR, MacFarlane JK: Detecting breast cancer after reduction mammoplasty. Can J Surg 34 (1): 37, 1991.PubMedGoogle Scholar
  21. 21.
    Perras C: Fifteen years of mammography in cosmetic surgery of the breast. Aesth Plast Surg 14 (2): 81, 1990.CrossRefGoogle Scholar
  22. 22.
    Cathcart RS III, Hagerty RC: Preoperative and postoperative considerations in elective breast operations. Ann Plast Surg 22 (6): 533, 1989.PubMedCrossRefGoogle Scholar
  23. 23.
    Pinnella JW: Creating an inframammary crease with a liposuction cannula [letter]. Plast Reconstr Surg 83 (5): 925, 1989.PubMedGoogle Scholar
  24. 24.
    Vinnik CA: Suction lipoplasty of silicone-injected breasts: A warning [letter]. Plast Reconstr Surg 83 (5): 926, 1989.PubMedGoogle Scholar
  25. 25.
    Drever JM: Suction lipectomy: An excellent adjutant to improve the results of breast reconstruction with RAM flaps. Aesth Plast Surg 14 (4): 275, 1990.CrossRefGoogle Scholar
  26. 26.
    Erol OO: Periareolar mammoplasty. In: Annals of the IInd International Symposium on Recent Advances in Plastic Sur-gery—RAPS 92, March 14–15, 1992. Toledo LS (Ed.), Estadao, Sao Paulo, Brazil, 1992, p. 103.Google Scholar
  27. 27.
    Matarasso A, Courtiss EH: Suction mammaplasty: The use of suction lipectomy to reduce large breasts. Plast Reconstr Surg 87 (4): 709, 1991.PubMedGoogle Scholar
  28. 28.
    Samdal F: The female breast and reduction liposculpture. In: Liposculpture: The Syringe Technique. Fournier P (Ed.). Arnette, Paris, 1991, p. 233.Google Scholar
  29. 29.
    Grazer FM: In: Atlas of Suction Assisted Lipectomy. Churchill Livingstone, New York, 1992, p. 141.Google Scholar
  30. 30.
    Illouz YG: In: Body Sculpturing by Lipoplasty. Churchill Livingstone, New York, 1989, p. 284.Google Scholar
  31. 31.
    Aiache A: Lipoplasty of the female breast. In: Lipoplasty: The Theory and Practice of Blunt Suction Lipectomy. Hetter GP (Ed.). Little, Brown, Boston, 1990, p. 305.Google Scholar
  32. 32.
    Stark GB, Grandel S, Spilker G: Tissue suction of the male and female breast. Aesth Plast Surg 16 (4): 317, 1992.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1995

Authors and Affiliations

  • Luiz S. Toledo

There are no affiliations available

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