Liposuction Only Breast Reduction Workup

Updated: Nov 02, 2015
  • Author: Francesca Romana Grippaudo, MD, PhD; Chief Editor: James Neal Long, MD, FACS  more...
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Workup

Laboratory Studies

Obtain a CBC count to obtain a hematocrit and a platelet count.

Obtain prothrombin time and activated partial thromboplastin time to check for a coagulopathy when clinical suspicion exists.

Blood sugar should be in the normal range to avoid delayed healing or susceptibility to infections; check as clinically indicated.

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Imaging Studies

An ultrasound scan of both breasts or a mammogram is mandatory to evaluate the percentage of fat tissue in the breast and hence determine eligibility for the procedure.

Sensitivity of mammograms in assessing the glandular-fat tissue ratio in the breast is better than that of ultrasound scan but possibly not as effective as MRI scan.

Mammographic appearance of breast hypertrophy with Mammographic appearance of breast hypertrophy with a prevalence of fat tissue over glandular tissue. This mammographic image demonstrates the eligibility of the patient for liposuction of the breast to reduce the hypertrophy.

Obtain a chest radiograph if indicated by examination findings or patient history.

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Other Tests

Obtain photographic documentation to provide to the insurance company for authorization, for comparison of before and after photos to help the patient appreciate the change, and as medicolegal documentation for the surgeon in the event of litigation.

Obtain an ECG as per anesthesia or operating room guidelines.

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Histologic Findings

The aspirate can be sent for pathologic examination to exclude carcinoma or other atypia.

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