Commentary on: Power-Assisted Liposuction Mammaplasty (PALM): A New Technique for Breast Reduction

The authors should be congratulated for their new technique in breast reduction for large breasts and also for the efforts that they have put to make their technique reproducible by many surgeons.1 Breast reduction in high-risk patients has been associated with a significant increase of the postoperative complication rate. The major advantage of the described technique is reducing such risk to a minimum. The power-assisted liposuction mammaplasty (PALM) technique is based on several concepts. The technique consists of a combination of liposuction of the breast with a skin excision and gland reshaping without undermining. Although breast liposuction is not a new concept in breast reduction surgery, the use of the liposuction has been difficult to perform in glandular and fibrous breasts.2 Additionally, liposuction might contribute to …