Breast augmentation and reduction surgeries are two very different procedures that are often combined. Breast augmentation surgery involves the insertion of implants into the breasts to increase their size. Breast reduction surgery, on the other hand, is a procedure that reduces the size of breasts by removing excess tissue. When these two surgeries are combined, the result is a breast that is both larger and smaller than it would have been if only one of the surgeries had been performed.
In some cases, breast augmentation and nipple reduction surgery are also combined. Nipple reduction surgery is a procedure that reduces the size of the nipples by removing excess tissue. When this surgery is performed in conjunction with breast augmentation, it results in nipples that are smaller and more aesthetically pleasing.
The combination procedure aids in reducing the variations between the breasts and often results in a more symmetrical appearance. It is important to keep in mind that not all women are candidates for combined surgery, and it is best to consult with a surgeon to see if you are a good candidate.
Breast augmentation surgery:
This procedure aids in creating size symmetry. It is performed utilizing fat grafting or implants.
Breast augmentation with implants:
The procedure involves the placement of implants beneath the breast tissue or muscle. There are a variety of implant types which include saline and silicone. The selected implant will be inserted into a pocket that has been created surgically. Once the expected outcome is achieved, the incisions will be closed using sutures. The patient should wear a compression garment or surgical bra for a few weeks following surgery.
Breast augmentation with fat grafting:
There are three steps in this procedure. They are Liposuction, Purification, and Delivery of Fat. Let us discuss each step in this detail.
- Liposuction:
The fatty tissues will be suctioned from different areas of the body with a cannula. The areas that usually have excess fat are the stomach, thighs, and buttocks. It is performed utilizing thin liposuction cannulas, thus making sure there is no damage caused to the fat cells. Later, sutures are used to close the incisions. If the liposuction is more than 500cc, general anesthesia will be required.
- Purification of fat:
Once the fat has been suctioned, it needs to be purified through processes such as decanting, centrifugation, and washing. This is done to get rid of unwanted elements such as blood and excess fluid.
- Delivery of fat:
The purified fat is injected into the breasts using a small cannula that helps in the proper distribution of the fat grafts. The patient may require multiple sessions for optimum results. Recovery time is usually 1-2 weeks.
Breast reduction surgery:
This surgery is usually performed under general anesthesia. During the procedure, incisions are made around the areola, down to the crease of the breast, and then in the armpit. Excess fatty tissue, glandular tissue, and skin are removed. The nipple and areola are then shifted to a higher position. The skin is then pulled down and the incisions are closed with stitches. The patient is advised to wear a compression garment for several weeks following surgery to help reduce swelling and support the breasts.
Nipple reduction surgery:
Nipple reduction surgery is a relatively simple procedure that can be performed in the office setting with local anesthesia. The surgeon will make a small incision in the areola (the dark skin around the nipple) and remove any excess tissue. The scar will be very small and should fade over time. Recovery is quick, and you should be able to return to your normal activities within a few days.