Liposuction is a technique that removes fat from unwanted areas. The key to liposuction is to abstract the correct amount of fat, to cause the least disturbance of neighbouring tissue, to leave the person’s fluid balance undisturbed and to cause the least discomfort to the patient. Mechanical energy has been the mainstay of liposuction for many years but modern refinements utilising ultrasound, laser and water assisted techniques have helped to improve outcomes. By using additional energy sources one is able to disturb the neighbouring tissues less and reduce the discomfort. Patients tend to experience less bruising and swelling than traditional liposuction.
The breast has a tendency to age due to a combination of tissue changes in the skin, breast tissue, the ligaments within the breast, the position on the chest wall and the size of the nipple/areolar. Changes to these tissues occur most acutely with fluctuation in weight, and pre/post pregnancy.
Revisionary breast augmentation is an increasingly specialised field of breast surgery.With all breast reconstruction one must consider the patients wishes for improvement in terms of size, shape and symmetry. Both clinician and patient need to establish what can be achieved and whether all expectations can be met. The timing of revisionary breast augmentation must take into account the type of implants, the age of the implants, the associated changes of the implant, the capsule and the differences and changes of the breast.
The diagnosis of breast cancer can be devastating and decisions regarding reconstruction are often seen as a secondary consideration when dealing with so many other painful issues. However, women often feel that breast reconstruction is essential to recovering their self-confidence once the ordeal is over, and for those women there are different options available.