It’s a popular method because the incision enables doctors to reshape breast tissue and insert implants either above or below the muscle, leaving only a small scar along the top of the areola. However, it also has its downsides: only a minimal amount of lift can be achieved, not all sizes and types of implants will fit, and the majority of women desire a bigger boost than this method can deliver.
Cost is incredibly variable. It depends on the city and the provider. If you go to a plastic surgeon in New York City, it costs a lot more than seeing a non-plastic surgeon in a rural area. There are plenty of non-plastic surgeons offering discount liposuction. But, this can be somewhat risky due to their limited training backgrounds. And bad liposuction is very difficult to fix - I perform a lot of revision liposuction trying to fix poorly performed liposuction.
In my experience, VASERlipoTM gives my patients better results, with less loose skin and quicker recovery. It's a three-step process of injecting a solution of saline and norepinephrine, applying ultrasound waves below the skin using a special probe, and evacuating the emulsified fat through a cannula. By using this advanced technology with knowledge and experience, you can remove the fat in a reasonable amount of time, in the most superficial layers so that the skin will reshape to a smaller size. Ultrasound allows for more selective damage to the fat, and minimizes trauma to neighboring connective tissue. By minimizing collateral trauma, more fat is removed, and the native elasticity of the connective tissue can shrink down to the smaller size.

Liposuction patients should continue to monitor their incision sites in case of infection, and they should schedule check-up appointments with their surgeons to monitor healing. Excessive swelling can sometimes be a sign of other risks or side-effects, so it's important for individuals to communicate with their doctors to ensure everything is going smoothly.
The average cost of liposuction is about $6,000. Your cost will vary based on factors like your surgeon’s level of experience and office location, the amount of fat being removed, and if you’ve had liposuction before. “Most people price liposuction based on the number of areas being treated—and in general, the per-area cost will come down with additional areas,” says Toronto plastic surgeon Dr. Mathew A. Plant, in a RealSelf Q&A. “Usually, the first area is more expensive, because this price includes the costs of the operating room, equipment, and anesthetic. Once you’re into additional areas, those costs have mostly been covered, and you’re simply adding time, which allows for a price drop.” Liposuction is considered a cosmetic procedure, which means your health insurance will likely not cover it.
Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 
However, minimizing the appearance of scars on the breast will be of vital importance to your surgeon. The whole point of a breast lift procedure is to make the breast more attractive, and conspicuous or heavy scarring defeats that point. Most scars will typically heal and fade within two years, but will always be present. Your surgeon will consider it a part of their job to keep these scars discrete, not a bonus. They may also prescribe cortisone cream and use silicone sheeting to help reduce the appearance of scars after surgery. 

Because of the large pattern of skin cutout with the Inverted T scar (Wise-pattern) the scar complication can look really bad. Here is a photo of one of these wounds using this surgical technique. Although it is not a life threatening problem, this wound complication at the incision location could certainly look very scary to the patient. In addition to scars, this procedure also tends to flatten the breast, instead of making them perky. I no longer perform this technique in my practice as I feel that the other surgical techniques are far superior. 

Recently I read an article on Medscape from the journal “Wounds” about wound healing problems in Breast Reduction and Breast lift (Mastopexy). The article, Treatment of Wounds Following Breast Reduction and Mastopexy With Subsequent Wound Dehiscence With Charged Polystyrene Microspheres, cited that the use of the Inverted T technique (Wise Pattern) has a 10% wound complication rate. IMO, that is a pretty high complication rate, and it is much higher than the other two techniques, the Vertical Scar and the Benelli technique. In my practice, the wound rate with the other scars is less than 5%.


In addition, surgical scars typically heal much more cleanly than accidental trauma and often form a thin, almost imperceptible line. For many of my patients, when the scar is fully mature after one year, it is difficult to see that vertical scar, but scar healing does vary by individual. An important aspect of my surgical patient care is a comprehensive scar care regimen to help optimize your ultimate scar.
How it works: The uniquely designed applicator achieves precise tension reduction on the skin, (tension being the key cause of scarring), to gently hold both sides of your closed incision together. Clear video instructions make embrace® easy to apply, and gentle to remove. Even better, embrace® is water resistant, so you can shower and exercise. And each application lasts an average of 10 days, relieving you of a daily regimen.

Liposuction may seem fairly simple, but the truth is that it can be quite tedious, and requires a high degree of precision and skill. You have everything to gain by seeking a surgeon who excels specifically in liposuction. If that surgeon happens to use advanced technology to carry out the procedure, this could also be a strong indicator that the doctor is especially passionate about liposuction and body contouring, and could be more likely to provide you with satisfying long-term results.

Dr. Kao believes that the best results are achieved when the correct procedure is performed on the right patient. The Alexandra Breast Lift can be performed with or without implants and can provide beautiful results on specific patients. However, if you aren’t the right patient for this technique, Dr. Kao will evaluate your needs and develop a treatment plan that works for you. Stay tuned for our next blog on breast lift candidates and the consultation process.


Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Yves-Gerard Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Yves-Gerad Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]

Some doctors may use ultrasound waves to break down fat cells before suctioning them out. However, ultrasound technology can be an effective tool for fat reduction, even when it is not used in conjunction with liposuction. Your doctor will apply an ultrasound device to the treatment area, and the waves will gently break down the cells, allowing your body to rid itself of the fat over a period of time. Ultrasound fat reduction treatments, such as Liposonix®, typically take about an hour and involve no anesthesia or downtime. They can also boost collagen production and improve skin elasticity. However, these treatments typically do not result in as much fat removal as surgical liposuction.
Fat removal, whether through dieting or liposuction, can have beneficial effects for your overall health and well-being. Most doctors agree that weight loss is the best way to reduce your risk of heart disease, diabetes, and even certain types of cancer. Although liposuction cannot be used to remove large quantities of fat, it can be used to eliminate stubborn pockets of fat, typically totaling 10 pounds or less.
A breast lift involves both repositioning the nipple areola complex higher on the chest wall and reshaping the breast.  Unfortunately, there are no completely scarless breast lifts.  There are 4 main types of breast lifts performed depending on the amount of sagging, excess skin, surgeon preference, and patient preference.  Each one has a slightly different scar pattern.  The ones with the least amount of scarring also tend to be the least effective in terms of lifting and coning the breasts into a more perky shape.  
Some people believe that they will no longer have to exercise and maintain a proper diet after liposuction. Unfortunately, this is not the case. While liposuction is an excellent way to reduce excess body fat in specific areas, the removal of fat cells is by no means a guarantee against future weight gain. The cells that are removed during liposuction will not regenerate. However, patients may find that if they do not make alterations to their exercise and diet routines after liposuction, they are more apt to gain weight in areas of their bodies that were not previously problematic.
It is important to choose a doctor who has performed a number of liposuction procedures with good results. Even if a plastic surgeon has a great reputation for tummy tucks or facelifts, if he has firsthand knowledge of liposuction, he is probably not the right choice for your treatment. It is also advantageous to choose a doctor who is trained in dealing with surgical complications. Although the likelihood that you will experience adverse effects is low, selecting a doctor with specialized training in this area can minimize your risks even further.
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LipoSelection® : This specialized form of liposuction, developed by VASER®, emulsifies fat cells with ultrasound and breaks them up even further with the LipoSelection probe. The doctor can then easily remove the fat with liposuction tubes, leaving the surrounding blood vessels, nerves and other tissue virtually unaffected. This technique involves less discomfort and bruising than most other types of liposuction, but it does cost a bit more than other forms of manual liposuction.
In sum, a liposuction procedure that only involves removing some fat from the abdominal region will cost much less than a procedure that involves removing fat from the midsection, flanks, and thighs, or involves other complementary procedures. As with virtually any medical procedure, the extent of your treatment will have a major effect on what you can expect to pay.
It is normal to have a specific set of wants and desires when considering plastic surgery. Not being able to find a surgeon to meet those goals can be frustrating. It’s your body; you want it to look perfect. Dr. Kao had one such patient named Alexandra who was fed up with surgeons telling her that it was impossible to achieve the breast lift she wanted without extensive scarring. Instead of doing a traditional anchor breast lift and approaching her breast lift from the typical angle, she pushed Dr. Kao to think outside of the box and develop a unique breast lift technique that he named after her—the Alexandra Breast Lift—(mentioned in a previous blog) to provide this patient and others like her with the beautiful breast appearance they want. 

The concept of liposuction surgery may seem simple, but, as with any type of surgery, the process is actually quite complex. A skilled physician will be well trained in all aspects of the liposuction procedure, and will be able to explain the process to you in as much detail as you wish. Of course, each procedure can vary significantly, depending on the treatment area and the type of liposuction you select. However, most procedures follow the same basic outline:
Before exercising after liposuction, patients should consult their surgeons for specific, individual guidelines for liposuction recovery. Most plastic surgeons encourage patients to begin a gentle walking routine within three to four days of their liposuction. Mild exercise protects against the formation of blood clots in the legs and other post-surgical complications.
You and your doctor will also discuss your medical history and lifestyle to determine your risk during liposuction surgery. You will be asked about the drugs you are currently taking (prescription, over the counter, recreational, or herbal supplements), whether or not you smoke or take oral contraceptives, and any medical conditions you may have. It is crucial that you are honest with your doctor about any drugs you are taking, as this can greatly affect the outcome of your surgery.
Most board certified plastic surgeons will give discounts if more than one area is addressed at the same time. Be careful when comparing pricing between surgeons. Some surgeons will only give you their fee with the surgery center and anesthesiologist billing you separately. Other surgeons will give you a package price which will include their fee, the surgery center and anesthesiologists fee.
If you're unhappy about fat deposits around your stomach that won't surrender to diet or exercise, you have plenty of company. Liposuction is now the most popular form of cosmetic surgery in the United States, with 396,048 procedures performed in 2015, according to the American Society for Aesthetic Plastic Surgery. While there's no magic wand to make jiggly belly fat go away, liposuction may offer a solution for love handles and other unwanted forms of flab. If you're considering liposuction for your stomach, here are five things you need to know to make an informed decision.
It may take one to three months for swelling and bruising to subside and up to six months for skin to tighten over the area from which fat has been removed. The finished liposuction results should be visible after six months. Following recovery, patients could enjoy a trimmer figure, more defined muscle tone, reduced cellulite, and a more youthful appearance. Of course, the results are not the same for everyone, but most patients enjoy a huge boost of self-confidence after undergoing liposuction.
Your surgeon should schedule follow-up visits to monitor your recovery, and this may include other services as well. I include VelaShapeTM therapy in the cost of every liposuction procedure I perform. This treatment uses ultrasound waves to reduce swelling and improve drainage. As a standalone treatment, this can cost about $100 per session. I'm excited to be offering this treatment because it reduces overall recovery time, discomfort, and your risk of needing secondary surgery.
Before exercising after liposuction, patients should consult their surgeons for specific, individual guidelines for liposuction recovery. Most plastic surgeons encourage patients to begin a gentle walking routine within three to four days of their liposuction. Mild exercise protects against the formation of blood clots in the legs and other post-surgical complications.
Most importantly, in cases of breast lifts with implants, there are hardly any wound complications with this technique. There’s a good reason for this. When you add an implant to a breast lift, you are filling up the skin envelope and, as a result, you do not need to take out much skin at all. You really only need to take out enough skin to move the areola to the new position higher up. The procedure is safer, and has less scars. That’s why the Benelli is my favorite.
The moon-shape (crescent) lift involves a scar hidden along the upper half of the areola border.  The donut (circumareolar) lift involves a scar hidden around the entire circumference of the areola border.  These scars camouflage very well where the darkly pigmented skin of the areola meets the lighter skin of the rest of the breast.  These lifts work well when the nipple is only slightly downward pointing but positioned relatively well on the chest wall.  One of the disadvantages of these lifts is that they can only raise the areola up to a maximum of about 2 cm.  They also tend to flatten the breast shape and are not ideal when there is saggy breast tissue in the lower pole.  Therefore, based on the low position of your nipple areola complex and the amount of breast tissue laxity you have, you would not be a good candidate for either of these lifts.
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