RESUMEN
Patients with macromastia have physical discomfort including head, neck, and shoulder pain, wet skin fold/eczema, intractable mastalgia, and restricted exercise. They also have cosmetic problems and psychiatric discomfort. In Korea, excisional breast reduction is the main treatment option for macromastia, but breast reduction with pure tumescent liposuction is becoming a new treatment option in western society. Breast reduction with pure tumescent liposuction has multiple advantages including safety, no general anesthesia, outpatient procedure, minimal scaring, no loss of nipple sensation and the possibility of breast feeding. We report a case of macromastia treated by pure tumescent liposuction without any sedation. We hope that this article may help Korean dermatologists to understand about breast reduction using pure tumescent liposuction and expand the field of dermatologic surgery in Korean society.