Tarek Ahmed Said, M.D., Fathy Farouk
Khodair, M.D., and Tarek Mahboub Ahmed, M.D.
of Surgery, Faculty of Medicine, Cairo University.
Egypt. J. Plast. Reconstr. Surg.,
Vol (27), No (2),July, 2003: 263-270
The ideal result of any breast reductive
surgery is to produce a long lasting conically shaped breast with preservation
of nipple and areola viability and sensation. Liposuction is a relatively
new adjunct procedure for breast reduction. It offers significant benefits
when used in combination of reductive techniques and contributes to a better
breast contouring. The amount of fat in breast tissue and its impact on
the applicability of liposuction in the breast has not been studied till
recently. In this study all patients with breast hypertrophy were managed
by superior pedicle vertical mammaplasty with liposuction. The amount of
fat suctioned was calculated as well as the amount of fat content in the
surgical specimen. Results denote that the amount of fat content of the
breast in Egyptians, even in young patients with large breasts is more
than previously estimated, Liposuction is feasible in all old patients
and in 86.9% of young patients with large breasts. Although fat content
increases with age and with body weight with great individual variation,
neither clinical examination nor mammography can predict best candidates
for breast liposuction and the best policy is to routinely attempt try
liposuction at the beginning of breast reductive surgery.