THE NEWEST AND BEST BREAST REDUCTION PROCEDURE: "LOBR"
By Peter B. Fodor, M.D., FACS 
Cosmetic and Plastic Surgeon in Los Angeles, California

A typical breast reduction/lift procedure will reduce the total size of the breasts as well as lift the breast tissue. For some patients the breasts can also be lifted without much (if any) volume reduction. Individual patient pre-operative evaluation, like breast shape, size, skin thickness, skin envelope to glandular content ratio, etc. are all important factors to consider upon selecting a given surgical technique. Most patients, however, do not realize that there are quite a large number of breast reduction and lift techniques to choose from now--more so than for any other type of aesthetic surgery.  In many instances, a very pleasing result can be obtained through a number of different approaches, but with complications or side effects that are mainly due to the long incisions necessary with the traditional methods of breast reduction or lift. Even though (in recent years) limited incision pattern techniques have been gaining popularity, most surgeons will generally agree that the postoperative breast shape may be compromised when the scar length is reduced. 

As of late, however, there has been a significant contribution made towards the use of liposuction or “Lipoplasty Only Breast Reduction” (LOBR) for breast reduction. In my opinion, LOBR is probably the most minimally invasive of all reduction procedures, but surprisingly enough, it is still highly underutilized. Rapid recovery, undetectable scars, no sensory changes and the ability to continue to breast feed are some of the major advantages of having the LOBR procedure done. While some patients may not be candidates for this type of breast reduction surgery, there are many more patients who are candidates than realized.  

In those patients whose nipple/areola position is not sufficiently improved through LOBR, a lift procedure of a lesser magnitude (than previously would have been deemed necessary) can be carried out at a later time. However, in my experience, this happens much less often than anticipated. LOBR also serves well for older patients who have certain health issues or for those who have other reasons for not selecting breast reduction surgery and who should or need to have the procedure done. Older patients may also prefer to have this smaller non-invasive operation even at the expense of residual droopiness. The only real significant disadvantage of LOBR is that, in most instances, medical insurance companies do not provide coverage. However, in most cases, breast reduction surgery---especially the LOBR procedure, has far reaching benefits aesthetically as well as functionally and is associated with a very high patient satisfaction rate.   Fodor, Peter B.; “Suction Mammaplasty: The Use of Suction Lipectomy to Reduce Large Breasts” – Discussion - Plastic & Reconstructive Surgery, Vol. 105, No. 7; 2608-2610, June 2000

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Dr. Fodor is an internationally recognized pioneer in the art and science of plastic and cosmetic surgery. Known for his keen aesthetic sense, technical expertise, and contributions to the fields of liposuction and body contouring after weight loss, Dr. Fodor performs plastic and cosmetic surgery at his practice in Los Angeles, California. In addition, he teaches aesthetic plastic surgery by serving on the clinical teaching faculty at UCLA.

Century Aesthetics®, Dr. Fodor’s private practice, draws patients from Southern California and beyond. To accommodate patients traveling from areas throughout the U.S. and the world, his staff can assist in making hotel reservations and other travel arrangements. Dr. Fodor offers initial online consultations to better accommodate out-of-town patients. These online consultations do not substitute for an in-person evaluation, but can allow Dr. Fodor to make an initial assessment of a patient’s candidacy for body sculpting surgery.

Educational Background

Dr. Peter Fodor graduated at the top of his class from the University of Wisconsin Medical School and completed his residency in general surgery and plastic surgery at prestigious Columbia University in New York, where he served on the teaching faculty until relocating to Los Angeles in 1992.

As a result of his extensive training in both general and cosmetic plastic surgery, Dr. Peter Fodor has the skill, knowledge, and artistry to meet his patients’ body contouring needs. Dr. Fodor is on the forefront of innovation in liposuction and body contouring surgery, utilizing the most advanced techniques to achieve consistently superior results for his patients.

Honors and Awards

Ted Lockwood Award for Excellence in Body Sculpting (the second time this award has been given in 40 years of the Society's existence)

• Best Scientific Award 2006 (awarded in 2007) for Biochemical Changes in Adipocyted and Lipid Metabolism Secondary to the use of High Intensity Focused Ultrasound (HIFU) for Non-Invasive Body Sculpting.
• Alpha Omega Alpha Honor Medical Fraternity
• University of Wisconsin, Medical School Scholarship
• Lewis E. and Edith Phillips Award for Scholastic Achievements and Personal Qualities
• University of Wisconsin Award for Academic Performance
• Knights of Templar Educational Foundation Scholarship
• Target 100 Star Physician Satisfaction Award – Century City Hospital
• ASAPS Visiting Professor in Plastic Surgery 2004-2006
• 2000 Millennium Speaker, ASAPS, ASPS, The Lipoplasty Society
• America's Top Doctors 2001 by Castle Connolly Medical Ltd. 

Professional Memberships

Dr. Peter Fodor has been certified by the American Board of Surgery and the American Board of Plastic Surgery. He is licensed to practice in California, Colorado, Connecticut, Florida, Michigan, Nevada, New York, and Wisconsin. Dr. Fodor was a founding member of numerous distinguished plastic surgery societies, and is a member of the following professional organizations:

• American Association of Plastic Surgeons (AAPS)
• American Society for Aesthetic Plastic Surgery ( ASAPS)(Past President, Past Chairman of Board of Trustees)
• American College of Surgeons (ACS)
• American Society of Plastic Surgeons (ASPS)(Past member of Board of Directors)
• Bay Surgical Society
• California Society of Plastic Surgeons
• Connecticut State Medical Society
• Connecticut Society of Plastic and Reconstructive Surgeons (Founding Member)
• International Society of Aesthetic Plastic Surgery (ISAPS)
• International College of Surgeons in Plastic Surgery (Fellow)
• Lipoplasty Society of North America (LSNA) (Past President)
• Los Angeles Society of Plastic Surgeons (Member of Board of Directors)
• New York Regional Society of Plastic and Reconstructive Surgeons
• New York County Medical Society
• New York Academy of Medicine
• Northeastern Society of Plastic Surgeons (Founding Member)
• Royal Society of Medicine
• Semmelweiss Scientific Society (Past President)

Contributions as a Lecturer, Teacher, and Author

An esteemed lecturer, Dr. Peter Fodor is dedicated to sharing his extensive knowledge with others. Dr. Fodor has taught plastic surgery at Columbia University College of Physicians and Surgeons at St Luke’s-Roosevelt Hospital complex, and currently serves as an Associate Clinical Professor of Plastic Surgery at the UCLA Medical Center. As a result of his innovations in liposuction, body contouring, and cosmetic breast surgery, as well as his advancements in minimally invasive aesthetic surgery of the face and body, Dr. Peter Fodor is often invited by his peers to be a guest lecturer and instructor for live surgical demonstrations at national and international meetings. He served for many years as a Traveling Professor for the American Society for Aesthetic Plastic Surgery in the U.S. and abroad and has been repeatedly invited to Brazil, where he is recognized at the Hospital Universitario Pedro Ernesto in Rio de Janeiro as an official visiting professor.

In addition to his contributions as a teacher, guest lecturer, and former president of the American Society for Aesthetic Plastic Surgery, Dr. Fodor has authored articles on an array of cosmetic surgical topics. His work has been published frequently in peer-reviewed medical journals, and he has contributed chapters to textbooks on such topics as facelift, blepharoplasty (eyelid surgery), rhinoplasty (nose shaping surgery), lipoplasty, body contouring, breast surgery (augmentation/reduction/lift), and treatment of gynecomastia (male breast reduction).

With the goal to provide a realistic view of, and dispel misinformation about, aesthetic plastic surgery, Dr. Fodor was invited to serve as Medical Editor for the book Be Your Best: A Comprehensive Guide to Aesthetic Plastic Surgery, published by Insight International Press. An all-inclusive patient guide to cosmetic surgery, the book features contributions from Dr. Fodor and more than 150 practicing aesthetic surgeons – all members of the American Society for Aesthetic Surgery and all board certified by the American Board of Plastic Surgery (the only certifying plastic surgery board recognized by the American Board of Medical Specialties).

	Additionally, Dr. Fodor was invited to serve as Medical Editor for the book Be Your Best: A Comprehensive Guide to Aesthetic Plastic Surgery, published by Insight International Press. This book dispels information about and provides a patient guide to cosmetic surgery. Featuring contributions from Dr. Fodor and more than 150 practicing
aesthetic surgeons – all members of the American Society for Aesthetic Surgery and all board certified by the American Board of Plastic Surgery – this book provides prospective patients with a realistic view of aesthetic plastic surgery.