Breast reduction is one of the largest operations in aesthetic surgery. As the trend across aesthetic surgery is moving towards less invasive procedures, it was Dr. Duško Maletić who devised a new method of breast reduction and lift, which the doctors of the Maletić family presented at one of the largest congresses of aesthetic medicine in Paris in 2018.
Before this operation, it is necessary to perform a breast ultrasound and, if needed, a mammogram and a magnetic resonance scan, in order to rule out potential breast diseases and to see what percentage of the breast is fatty tissue and how much is glandular tissue.
Breast reduction and lift with liposuction and laser lipolysis can be performed under general or local tumescent anaesthesia. Before the procedure, it is necessary to carry out the required assessment of the patient health.
In this operation, small punctures of about 3 mm are made at several points on the breasts, through which cannulas are introduced to inject the required fluid – liposuction cannulas and the laser fibre. The laser dissolves the excess fatty tissue, which is then removed from the breasts with vibrating liposuction cannulas. After that, the laser acts on the skin, encouraging it to retract, which tightens the breasts. After the procedure, it is necessary to wear a special bra for several weeks.
Then, over the next three months, the fatty tissue is broken down to the maximum and the skin retracts. After that, if there is still excess skin, another reduction operation can be performed to cut away the excess skin. If the indication for breast reduction and lift with liposuction and laser lipolysis is set appropriately, this second operation is usually not necessary.
Breast reduction with liposuction and laser lipolysis is a new method that leaves no trace in the form of large scars in the breast area, avoids difficulties with later breastfeeding, causes no loss of sensation in the nipple area, and recovery after the procedure is considerably shorter and easier compared with the classic operation.
