There are a wide variety of liposuction techniques that can help remove small pockets or large areas of fat whether for the face or body reshaping. A few, or even all, of the liposuction techniques that are described in detail below may not be the right liposuction technique for your breast reduction needs. It is worth noting that patients with chronic heart or kidney problems are not advised to have liposuction. Each liposuction technique has its own pros and cons and no one method is safer or better than the the other.
Tumescent liposuction surgery in breast reduction involves local anesthesia through a mild sedative or general anesthesia. Once the tiny incisions are made, local anesthesia is administered. Afterwards, thin and straw-like devices or microcannulas are inserted into the incisions to suction out fat cells with appropriate endpoints for each area. This is where surgical expertise, education, and extensive experience in liposuction techniques will come into play. Quick recovery, extremely low risk, and minimal scarring are just some of the advantages of using tumescent liposuction in breast reduction.* In most cases, patients can resume work and other social interactions within two to three days following the procedure. Signs of the micro incisions will typically disappear within months.* In addition, breastfeeding is safe and can be continued following tumescent liposuction because there is little interference in the ducts and glands that produce milk. Lastly, the occurrence of pseudocysts and inflammatory nodules after a traditional breast reduction surgery with incision are quite rare following tumescent liposuction.
In Ultrasound Assisted Liposuction (UAL), heat and vibration delivered through a vibrating tip on an ultrasonic cannula work together to break down fat cells in the target area.* Liquefied fat is eventually suctioned out. Certain cases may call for slightly larger incisions to give way to a larger ultrasonic cannula. Scarring from this cannula is still smaller than the usual incision created in breast reduction. In contrast to tumescent liposuction, recovery from UAL may be longer and may also involve more discomfort such as swelling and numbness. The excellent results of UAL in breast reduction has to do with the fact that there is less blood loss and less trauma to skin and tissues. As a result, more fat is suctioned out.* In rare cases, fluid accumulation (also known as seromas), skin burns, or significant scarring may occur in UAL.
External Ultrasound Assisted Liposuction (EUAL) is a variation of Ultrasound Assisted Liposuction that is becoming increasingly popular in breast reduction. Instead of inserting an ultrasonic cannula in an incision, an ultrasonic device is placed outside the patient’s skin. This non-invasive way of liquefying fat combines tumescent liposuction techniques while monitoring temperature to avoid skin burns.* Currently, there’s still controversy on whether or not this technique can deliver desired results in contrast to tumescent liposuction alone.
Vaser Assisted Lipoplasty (VAL), also known as Vaser Liposuction or LipoSelection by Vaser, is an advancement in breast reduction surgery that combines traditional liposuction and early generation Ultrasound Assisted Liposuction (UAL). The Vaser device releases ultrasound energy to break down and emulsify fat while leaving the surrounding tissues intact.* A a result, there is minimal to zero pain and discomfort as well as fewer cases of prolonged swelling and bruising.* Patients who undergo Vaser Liposuction typically enjoy faster recovery and better outcomes.* In fact, the high complication rates associated with UAL are not evident in Vaser Liposuction cases. This is because LipoSelection combines optimized surgical methods for breast reduction with the most advanced ultrasound technology. In terms of accuracy and the least amount of discomfort, the VASER® method is considered the most advanced.* At our practice, Dr. Mosser employs the Vaser device in almost all of the liposuction cases he performs.
We’re often asked in our San Francisco, Union Square, office what breast reduction surgery costs. On average, the cost of breast reduction ranges from $6,500 to $7,000.
* Individual results may vary, and not guaranteed.