Tuesday, September 22, 2009

Smartlipo Breast Reduction

Breast reduction in women who are either "blessed" with excessively large breasts or have developed excessive breast enlargement with weight gain or pregnancy has traditionally been a difficult procedure with potential significant complications and always accompanied by large scars. By contrast breast reduction in men has been successfully treated with liposculpture since 1992 and has a long history of success and pleasing cosmetic results.
Smartlipo liposculpture introduced the use of laser energy under the skin in combination with traditional tumescent liposculpture techniques to further tighten the skin after liposculpture. As cosmetic surgeons gained proficiency in Smartlipo they also gained confidence in the procedure and it was logical that Smartlipo liposculpture would be used on males with enlarged breasts. Not unexpectedly, men who underwent the procedure tended to have quicker recoveries and subjectively smoother skin.
A Dutch dermatologic surgeon, Luke Habeema, should be credited with popularizing the liposculpture technique in women with large breasts, although many surgeons subsequently added their positive experiences. It was therefore logical that Smartlipo liposculpture would be added to the procedure in women with the anticipation of less scarring, quicker recovery, and better skin contraction. This has generally proved to be the case.
The advantages of Smartlipo liposculpture are that it is usually performed with the patient awake, does not involve any cutting or suturing, does not leave any large scars, and is less expensive than traditional breast excisions. Patients do have to wear a sports bra for 1-3 months and all patients have noted breast firmness and tenderness for up to 3 months which did not interfere with their daily activity. Bruising has been more prevalent than on the rest of the body but it generally disappears within 4 weeks. While the breasts will rise after the procedure the one drawback is that nipple position and direction is not elevated and patients must accept that before agreeing to have the procedure.
To date patient satisfaction has been very high and cosmetic surgeons and patients alike are very pleased with the cosmetic results. You may go to our website at www.metropolitanmds.com and click on breasts/smartlipo breast reduction to view before and after pictures and male and female patients.
This is a good example where advances in technology can combine with previous experience to further the art and science of minimally invasive surgery.

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