Breast Reduction Procedure Provides Rounder Appearance

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A study done by Paul Chasan, M.D., FACS, and published in Aesthetic Plastic Surgery, indicates a procedure called reductive augmentation is an effective method for achieving a more round-appearing breast.

Even though advanced breast reduction techniques generally lead to a high level of patient satisfaction, limitations still exist. Over time, there is typically less roundness and fullness at the upper area of the breast. The reductive augmentation method helps maintain a full, round breast appearance.

Reductive augmentation (RA) is a one-stage procedure combining breast reduction with breast augmentation (implants). Though adding implants following a reduction may seem counterintuitive, Dr. Chasan points out that when tissue is removed without adding implants, breasts may eventually sag. The RA procedure can also correct breast asymmetry, and address drooping at the bottom of the breast following earlier augmentations.

For Chasan’s study, 35 women underwent RA; 12 were primary surgeries, and 23 were revisions. Six of the RAs corrected breast asymmetry. Three patients had a previous breast reduction, and 14 had previous mastopexy (sagging breasts). Follow-up was 26 months on average.

“The goal of the study was to demonstrate reductive augmentation is an effective one-stage method for achieving a more round-appearing breast with upper pole fullness, both in primary breast reduction candidates and in revisionary breast surgery,” said Dr. Chasan. “For breast reduction patients who desire smaller breasts and also want rounder, ‘perkier’ breasts, reductive augmentation will provide the best possible results.”

The outpatient RA procedure takes approximately four hours; most patients are up and around three to four days post-surgery. Since first implemented in 2003 the RA procedure has undergone several revisions, and is now thought to be in its final form.

Dr. Chasan is the founder of Ranch and Coast Plastic Surgery in Del Mar, CA.

Sources: Market Watch; Springer Link
Photo credit: Tom Merton


 
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