Breast Reduction Mammaplasty
56 year old female could no longer tolerate her large sagging breasts. She complained about neck and back pain that worsened with activity. Her left arm would go numb when placed in certain positions pressing against her breasts. She also had grooving from her bra straps that would dig into her shoulder. During the summer she had problems with rashes under each breast.
5 feet 3 inches tall and weighed 155 pounds and wore 40DD bra.
Location surgery: Hospital operating room
Anesthesia: General with wet technique fluid infiltration
Technique: Superior Medial Pedicle with lateral and medial pillar tightening and Regnault type "B" short scar
Stay: Ambulatory surgery up to 23 hour package.
Drains: None.
| Breast Removed | Tissue Excised | Liposuction Contouring | Total Removed |
Left breast |
390 GMs | 40 GMs | 430 GMs |
| Right breast | 330 GMs | 120 GMs | 450 GMs |
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Picture Before Breast Reduction Surgery and Liposuction |
Picture 5 Months After Breast Reduction Surgery with Short Scar and Liposuction |
This patient had a shortened scar technique that eliminated the medial (central) component of the under breast scar. The central chest is a region that tends have poor scars. Avoiding the incision here is nice when possible. Not all patients are candidates for a shortened scar. It depends on many factors such as the degree of excess skin and amount of breast tissue.
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Photograph Before Breast Reduction Surgery and Liposuction |
Photograph 5 Months After Breast Reduction Surgery with Short Scar and Liposuction |
The fold of fat under the skin was sculpted with liposuction. Breast glandular tissue is not well managed by liposuction and is usually best reduced with excision. Fat of the breast or surrounding regions can be shaped with suction lipectomy. The breasts are three dimensional structures. Liposuction permits contouring of this patients fatty under arm folds.
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Image Before Breast Reduction Surgery and Liposuction |
Image 5 Months After Breast Reduction Surgery with Short Scar and Liposuction |
Any liposuction can cause bruising. Bruising was minimized by using the wet technique. This bruising seen here is typical what Dr. Bermant has seen when using a tumescent method. In breast reduction surgery, superwet or tumescent techniques can result in too much distortion of sculpted tissues. It is a balancing act between distortion and tissue sculpture. Notice the limited swelling after surgery with this tumescent technique.
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Photos Before Breast Reduction Surgery and Liposuction |
Photos 5 Months After Breast Reduction Surgery with Short Scar and Liposuction |
Picture Before Breast Reduction Surgery and Liposuction |
Picture 5 Months After Breast Reduction Surgery with Short Scar and Liposuction |
Explore more photos and views for this patient and early healing images. More pictures of the evolution of healing.
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Breast Reduction SurgeryBreast Lift Mastopexy
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reveal three dimensional nature of ptosis / drooping and Breast Lift Mastopexy solution
