Gigantomastia is a rare condition that causes excessive growth of the female breasts. The exact cause of gigantomastia isn’t known. The condition can occur randomly, but it has also been seen to occur during puberty, pregnancy, or after taking certain medications.
Apart from breast heaviness and large cup size, other symptoms include breast pain, posture problems, skin fold infections, and back pain. While gigantomastia is considered a (noncancerous) condition, it can be physically disabling if not treated. In most of the cases Gigantomastia is associated with excess skin, nipple ptosis (sagging of the breast) and that is why the best treatment in these cases is breast reduction and lift.
Liposuction assisted procedure is a good alternative usually when the patient refuses breast reduction surgery or in cases associated with mild excess skin and moderate to sever ptosis. Breast liposuction can be done either under local or general anaesthesia. When it is done under local anaesthesia we use tumescent which is a numbing mixture of local anaesthetic, saline and drug that helps to shrink the blood vessels and minimises the bruising and bleeding during the procedure.
Benefits of Tumescent versus general anaesthesia are many. Using tumescent minimises the risk we experience during general anaesthesia such as deep vein thrombosis, pulmonary embolism, blood pressure fluctuation, cardiac incidents etc. Other benefits of awake liposuction is that smaller instruments are used which results in less bruising and trauma, and quicker healing is generally seen.
Who is the nest candidate for breast liposuction?
- Patients refuse breast reduction and lift.
- Patients with no or mild ptosis of the breast.
- Patients with minimal excess breast skin.
- Unrealistic expectation.
- Patients that have undergone crash dieting prior to the treatment.
- Morbid Obesity (mega surgical liposuction is controversial due to higher risk of mortality from fluid shifts)
- Anaesthesia (allergy to the medications)
- Patients with history of bad scarring or keloids.
Minor & Common Complications:
- Negligible complications do not pose a threat to the patient’s life or affect their bodily functions or interfere with their work ability.
- Trivial complications cover Temporary bruising, Seroma, allergic reactions to drugs, irregularities of the skin or unevenness and hematomas.
- Less common side effects include necrotizing fasciitis, infection and local Anaesthesia risks.
“Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from another appropriately qualified health practitioner.”
After the procedure the breast get swollen due to the fluids injected at the time of the procedure and the swelling goes down gradually over four weeks. Patients can perform light activities from day 3 after surgery but full recovery is completed in 4-6 weeks.
During breast liposuction we remove the fat cells not just the fat and that gives the patient permanent results. In case of putting on weight the fat goes to other areas before going to the arms.
Breast liposuction is basically liposuction of the fat part of the breast without affecting the breast glands. It has no known effect on breast feeding.
After years of breast liposuction some of the dead fat cells calcifies and can make changes on mammography. New improvements in mammography made it quite easy and safely differentiate the changes that happen after breast liposuction from cancer changes
There are few factors contributes in the amount of skin left after liposuction. Age of the patient is one of the major factors; the younger is the patient the less likely to have sagging skin after arm liposuction also the quality of the skin, people with lots of stretch marks are more likely to have saggy skin after arm liposuction. Other factors contribute to the sagginess of skin after arm liposuction includes smoking, lack of exercises and hereditary factors.
Excess skin after breast reduction with liposuction can be addressed by having breast lift (mastopexy) which can be done one two stage procedure.
Garment is provided after surgery to help with the swelling and to decrease the discomfort after surgery. It is advisable to wear the garment for two weeks’ day and night and for 2 more weeks as long as possible.
In some cases where there is no excess skin to start with so we can achieve 2-3 cm lift by applying liposuction on the upper pole of the breast.
The patient can see results after 4 weeks of the procedure while the maximum results get achieved in 6-9 month where the maximum results of skin retraction.
However the quality of liposuction is more important than the liposuction cost. If the ultimate goal of liposuction is to have a happy patient, then the surgeon’s expertise and experience are probably more important than finding the cheapest liposuction surgeon.