Our Summary

This study looked at the effectiveness of using a type of surgery called ultrasonic assisted liposuction (UAL) in patients with uneven breasts who wanted breast augmentation surgery. The researchers hoped this method could help achieve the same size in both breasts, allowing for the use of equally sized implants. They studied past cases where patients with uneven breasts had UAL in addition to implant augmentation. They measured the size differences in the breasts before surgery and compared them to the amount of fat removed during surgery to achieve symmetry.

The researchers found that in 85% of the cases, UAL was successful in achieving enough symmetry for the use of equally sized implants. When different sized implants were needed, the size difference was small. The method also helped in correcting minor sagging and nipple position. However, it did cause prolonged bruising and swelling.

The study concludes that UAL is effective in correcting uneven breasts and allows for the use of the same sized implants, avoiding the need for other surgeries. However, it should be noted that this conclusion is based on a relatively low level of scientific evidence, as it was a retrospective review of past cases rather than a randomized controlled trial.

FAQs

  1. What is ultrasonic assisted liposuction (UAL) and how is it used in breast augmentation surgery?
  2. How effective was UAL in achieving symmetry in patients with uneven breasts, according to the study?
  3. What side effects were observed when UAL was used in breast augmentation surgeries?

Doctor’s Tip

Tip: If you have uneven breasts and are considering breast augmentation, discuss the possibility of using ultrasonic assisted liposuction with your doctor to help achieve symmetry and potentially avoid the need for different sized implants. Be aware that this method may cause prolonged bruising and swelling, so be prepared for a longer recovery period. Always consult with a board-certified plastic surgeon to discuss all your options and determine the best approach for your individual case.

Suitable For

Patients who are typically recommended for breast augmentation surgery include those who desire larger breasts, have asymmetrical breasts, have lost breast volume due to weight loss or pregnancy, or want to improve the shape and appearance of their breasts. In the case discussed above, patients with uneven breasts were recommended for UAL in addition to implant augmentation to achieve symmetry and improve the overall appearance of their breasts.

Timeline

Timeline before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and options for breast augmentation.
  2. Pre-operative appointments to discuss surgical plan, anesthesia, and post-operative care.
  3. Pre-surgical preparation, which may include stopping certain medications, quitting smoking, and following specific instructions from the surgeon.
  4. Surgery day, where the patient undergoes the breast augmentation procedure, which may involve UAL if needed.
  5. Post-operative recovery period, which includes pain management, rest, and follow-up appointments with the surgeon.

Timeline after breast augmentation:

  1. Immediate post-operative care, including monitoring for complications and managing pain.
  2. Follow-up appointments with the surgeon to check healing progress and address any concerns.
  3. Gradual return to normal activities, avoiding strenuous exercise and heavy lifting.
  4. Monitoring for changes in breast size, shape, and symmetry as swelling and bruising subside.
  5. Final results become more apparent as the breasts settle into their new shape and size.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast augmentation using ultrasonic assisted liposuction (UAL) include:

  1. How experienced are you in performing UAL for breast augmentation?
  2. What are the potential risks and complications associated with UAL for breast augmentation?
  3. How long is the recovery period after UAL for breast augmentation?
  4. Will I still be able to breastfeed after undergoing UAL for breast augmentation?
  5. How long will the results of UAL for breast augmentation last?
  6. Are there any alternative methods for correcting uneven breasts that I should consider?
  7. Will I need additional surgeries or procedures in the future if I choose UAL for breast augmentation?
  8. Can you show me before and after photos of patients who have undergone UAL for breast augmentation?
  9. What is the cost of UAL for breast augmentation, and will it be covered by my insurance?
  10. Are there any lifestyle changes I should make before or after undergoing UAL for breast augmentation?

Reference

Authors: Peterson B, Alajmi H, Ladak A, Samargandi OA. Journal: Aesthetic Plast Surg. 2022 Apr;46(2):667-674. doi: 10.1007/s00266-021-02528-5. Epub 2021 Aug 30. PMID: 34462800