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Remedy Publications LLC., | http://clinicsinsurgery.com/ Clinics in Surgery 2017 | Volume 2 | Article 1702 1 Scarless Breast Reduction with Laser Assisted Liposuction OPEN ACCESS *Correspondence: Turker Ozyigit, Department of Aesthetic, Plastic and Reconstructive Surgery, Vakif Gureba Training and Research Hospital, Istanbul, Turkey, Tel: +90 (212) 465-60-82; E-mail: [email protected] Received Date: 14 Aug 2017 Accepted Date: 23 Oct 2017 Published Date: 02 Nov 2017 Citation: Ozyigit T. Scarless Breast Reduction with Laser Assisted Liposuction. Clin Surg. 2017; 2: 1702. Copyright © 2017 Turker Ozyigit. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Short Communication Published: 02 Nov, 2017 Turker Ozyigit* Department of Aesthetic, Plastic and Reconstructive Surgery, Vakif Gureba Training and Research Hospital, Istanbul, Turkey Introduction Traditional breast reduction and accompanying ptosis correction procedures use various incisions, and pedicles to form a smaller and liﬅed breast. ese surgeries remove large blocks of skin, fat and glandular tissue which leaves big scars. e result is big scars and risked vascularity of long pedicles. Nipple areola necrosis is really a nightmare for a Plastic Surgeon which can be a devastating complication. e other issue from the patient’s view is the elongated recovery time and visible scars. e big breasted patients are asking for a scarless technique and the surgeons are searching for a safer method to sleep better at the postoperative night. “Breast reduction by liposuction alone” has been performing by the surgeons with the insufficient tightening of the skin envelope. e benefit of the “breast reduction by liposuction alone technique” is rapid recovery, minimal complications, and minimal scarring. e disadvantages of this technique are announced as insufficient reduction of the breast volume in some young cases, and insufficient liﬅing of the nipple areola complex. To overcome this issue the surgeon has added laser step to this technique. Materials and Methods 8 female patients from January 2015 to June 2017 have been included to the study. ey were aged between 24- 48. e patients were informed and consent forms are taken. e laser assisted liposuction technique was applied to all patients. Surgical Step e breasts were tumescented with ringer lactate and adrenalin (1/1 million). e ND Yag laser energy was applied first before suction. Energy was given 5000 joule for superficial plane, and another 5000 J to deep and intermediate plane per breast. en the breasts were suctioned with a 1/1 ratio. Results e follow up period was between 1 year to 2 years and 5 months. All the patients had their breasts reduced with a satisfactory result and all the nipples were liﬅed to a degree. All the patients were satisfied with the reducing portion of the breast. All the patients were satisfied with the fast recovery period. ere were no complications within the healing time and there were no suspicion Figure 1:

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Remedy Publications LLC., | http://clinicsinsurgery.com/

Clinics in Surgery

2017 | Volume 2 | Article 17021

Scarless Breast Reduction with Laser Assisted Liposuction

OPEN ACCESS

*Correspondence:Turker Ozyigit, Department of Aesthetic,

Plastic and Reconstructive Surgery, Vakif Gureba Training and Research

Hospital, Istanbul, Turkey, Tel: +90 (212) 465-60-82;

E-mail: [email protected] Date: 14 Aug 2017Accepted Date: 23 Oct 2017

Published Date: 02 Nov 2017

Citation: Ozyigit T. Scarless Breast Reduction with Laser Assisted Liposuction. Clin

Surg. 2017; 2: 1702.

under the Creative Commons Attribution License, which permits unrestricted

use, distribution, and reproduction in any medium, provided the original work

is properly cited.

Short CommunicationPublished: 02 Nov, 2017

Turker Ozyigit*

Department of Aesthetic, Plastic and Reconstructive Surgery, Vakif Gureba Training and Research Hospital, Istanbul, Turkey

IntroductionTraditional breast reduction and accompanying ptosis correction procedures use various

incisions, and pedicles to form a smaller and lifted breast. These surgeries remove large blocks of skin, fat and glandular tissue which leaves big scars. The result is big scars and risked vascularity of long pedicles.

Nipple areola necrosis is really a nightmare for a Plastic Surgeon which can be a devastating complication. The other issue from the patient’s view is the elongated recovery time and visible scars.

The big breasted patients are asking for a scarless technique and the surgeons are searching for a safer method to sleep better at the postoperative night.

“Breast reduction by liposuction alone” has been performing by the surgeons with the insufficient tightening of the skin envelope. The benefit of the “breast reduction by liposuction alone technique” is rapid recovery, minimal complications, and minimal scarring. The disadvantages of this technique are announced as insufficient reduction of the breast volume in some young cases, and insufficient lifting of the nipple areola complex. To overcome this issue the surgeon has added laser step to this technique.

Materials and Methods8 female patients from January 2015 to June 2017 have been included to the study. They were

aged between 24- 48. The patients were informed and consent forms are taken. The laser assisted liposuction technique was applied to all patients.

Surgical StepThe breasts were tumescented with ringer lactate and adrenalin (1/1 million). The ND Yag

laser energy was applied first before suction. Energy was given 5000 joule for superficial plane, and another 5000 J to deep and intermediate plane per breast. Then the breasts were suctioned with a 1/1 ratio.

ResultsThe follow up period was between 1 year to 2 years and 5 months. All the patients had their

breasts reduced with a satisfactory result and all the nipples were lifted to a degree. All the patients were satisfied with the reducing portion of the breast. All the patients were satisfied with the fast recovery period. There were no complications within the healing time and there were no suspicion

Figure 1: