A circumareolar breast lift can enhance breasts with mild ptosis and results in almost no visible scarring; however, the lift of the nipple is limited to no more than 2 cm and the procedure often does not create a very perky breast as the breast tissue is effectively lifted. The scar can also be wide, it’s hard to keep the areola perfectly round, and this technique tends to flatten the breasts. An inverted-T lift can repackage breast tissue for a perkier appearance but the scar is an anchor configuration on the breast. The problem arises when you want an improved breast shape, better nipple position, and minimal scarring. Traditional techniques make you choose form over aesthetics, and for some women, this option is less than desirable.

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.


Most doctors accept cash, checks, and most major credit cards. Many practices also offer their own financing options, including fixed and no-interest plans with approved credit. Some also offer discounts if patients pay for their procedure in full at the time of treatment. Patients should ask their doctors about these options at their initial consultations. After they have chosen their physician, the administrative team will often assist with the financing, helping patients to choose the right option for their budgets.
 For your case, I would decide what breast size you want to be.  That will determine what size breast implant you need.  The size the breast implant will determine also what type of breast lift you need.  With a bigger implant, you may be able to get by with a donut breast lift or a circumperiareolar  mastopexy.  This may be the best way to start.  If you still don’t get your desired breast shape and look you desire, you can always convert to a vertical or anchor mastopexy.  I hope this answers your questions regarding avoiding the vertical component of the lollipop or inverted T or anchor last exit. If you have anymore questions regarding breast left, mastopexy, breast augmentation, vertical breast left, lollipop incision breast left for anchor incision breast left, please contact my office. Sincerely, Dr.Katzen. (Certified by the American Board of Plastic Surgey and Member of the American Society of Plastic Surgery.)
One of the most worrisome aspects of breast lift surgery for most patients is the potential for noticeable scarring. As a procedure designed to improve the aesthetic look of your body, a poorly performed procedure can end up leaving noticeable marks, typically under the breast. Fortunately, advancements in technology during and after the procedure have reduced the risk greatly in terms of the creation of scarring that’s noticeable.

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.
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 a man's breasts are enlarged with glandular tissue, liposuction is not an option and other hormonal or medication therapies should be pursued. If the breasts are asymmetrical or oddly shaped, the patient should be examined for possible tumors prior to any surgical intervention. A mammogram is the most effective method for detecting tumors and the possible presence of male breast cancer. After proper testing, a physician can help a patient determine the best course of action.
A: It’s difficult to answer “how much” sensitivity you can expect to lose after breast lift surgery but most patients report that they are able to retain complete or near complete sensation. During the initial postoperative period, there may be a temporary loss or decrease in sensation primarily due to swelling. As the swelling subsides, the sensation will return. There is the potential that you may experience a change in the sensitivity of your nipples and the skin of your breast. On occasion, patients have reported that their nipples are “supersensitive.” In this case desensitization, exercises can be performed to diminish the sensitivity. This involves gently rubbing the nipples with cotton ball and then progressing to a more course material.
Liposuction will cause some swelling afterwards, although some techniques cause less than others. During follow-up visits with a doctor, it is important for a patient to inform the doctor of any changes in the amount of post-liposuction swelling. Significant increases in swelling can be a warning sign of other complications. Swelling in the ankles and treated areas is common, along with a temporary lumpy appearance that will typically fade within six months. If the thighs are treated, inflammation of the veins may occur, but this should also go away after a few weeks.
Liposuction is often combined with other procedures, such as a tummy tuck, as part of a mommy makeover. The fat that’s removed can also be purified and transferred to the face, butt, breasts, or other areas to restore lost volume or create more fullness. You’re a good candidate for liposuction if you have a BMI (body mass index) of 30 or below. If you’re looking for a weight-loss solution or cellulite treatment, liposuction isn’t your best bet.
Power Assisted Liposuction : By employing a cannula that has a vibrating tip, surgeons are able to break up fat cells for easier removal. Power assisted liposuction also allows for more fat removal, smaller incisions, and a reduced recovery time. This procedure is quite safe since the cannula can be moved with smaller, more exact movements. In some cases, however, patients may have looser skin than they desired.
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.
Surgeons who concentrate on one specific procedure are rare. In other words, you don't find many surgeons who perform breast augmentation, but not face lift surgery or liposuction. If you want liposuction, you should choose a surgeon who devotes a lot of their time to liposuction and body contouring. If the doctor is mainly a face lift surgeon, you might wonder if they are actually capable of providing the best results. Don't be afraid to ask a prospective surgeon how often they perform liposuction, how often they perform revisions for patients whose initial surgeries were performed by other doctors, and details about the surgeon's policy concerning surgery performed to correct his or her own work.
Major determining factors in the cost of a liposuction treatment include the number of areas being treated and the amount of fat being removed. Liposuction is often combined with other procedures, which can also make a tremendous difference in cost. In the case of a tummy tuck, liposuction is usually a given, and liposuction is factored into the estimate your surgeon provides. Does the patient wish to transfer liposuctioned fat to other areas, such as the breast, face, or biceps? In general, one could say that a breast augmentation using transferred fat costs about as much as augmentation using implants. 

The expected time and effort that is required to accomplish a liposuction surgery is the most important factor in determining the cost of liposuction. Factors that typically affect the surgeon’s time and effort include 1) Number of areas being treated, 2) Size of the patient, 3) Anticipated degree of difficulty. Thus, cost of liposuction of the abdomen alone is less than the cost of doing liposuction on both the abdomen as well as the inner thighs and knees. Similarly, the cost for abdominal liposuction on a patient who weighs 80 kilograms (176 pounds) might be more than the cost for liposuction of the abdomen of a patient who has never weighed more than 60 kilograms (132 pounds). Liposuction is more difficult and requires more time if the patient has previously gained and then lost a significant amount of weight. In any area previously treated with liposuction, the fat often contains scar tissue which makes liposuction in the same area more difficult. 

Tumescent Liposuction : Tumescent liposuction is similar to traditional liposuction, but experts often hail its innovative use of medication and reduced risks for complications. During tumescent liposuction, the doctor will inject a special solution (a mixture of salt solution, lidocaine, and epinephrine) into the layer of fat. The amount of fluid is usually measured at three times that of the fat being removed. The solution swells the fat cells, making them easier to isolate and remove. It also shrinks blood vessels, and because it contains local anesthesia, it can help ease discomfort without the risks associated with general anesthesia. Any minimal risks involve how much of the solution is injected, and how much lidocaine it contains.

When there is saggy tissue in the lower pole and the areola needs to be raised a large amount, a lollipop (vertical) lift or anchor (Wise pattern) lift are better options.  You are a much better candidate for one of these two options.  These approaches help cone the breast for a perky look but both require the vertical scar you mentioned.  The anchor lift adds an additional scar hidden within the breast fold that is not very visible.  The anchor lift removes more excess skin than the lollipop lift and is better suited in certain patients.  In general, all of these scars tend to heal very well.  However, each person scars differently with some people making more prominent scars than others.  In many cases, a greatly improved breast shape is worth the tradeoff of a well-healed scar.  
Tumescent Liposuction : Tumescent liposuction is similar to traditional liposuction, but experts often hail its innovative use of medication and reduced risks for complications. During tumescent liposuction, the doctor will inject a special solution (a mixture of salt solution, lidocaine, and epinephrine) into the layer of fat. The amount of fluid is usually measured at three times that of the fat being removed. The solution swells the fat cells, making them easier to isolate and remove. It also shrinks blood vessels, and because it contains local anesthesia, it can help ease discomfort without the risks associated with general anesthesia. Any minimal risks involve how much of the solution is injected, and how much lidocaine it contains.
1. Keloid Scarring – This type of scarring would only be the result of a procedure that causes an unusual amount of damage to the skin. This type of scarring is essentially “aggressive healing,” as the body sends excessive amounts of collagen to the area in an attempt to fix the skin.For a portion of the population, keloid scarring occurs even for relatively minor procedures and wounds, leading to the area of the skin becoming red, raised and slightly waxy. If you are prone to keloid scarring, tell your plastic surgeon before undergoing the procedure.
Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
If you have been told that you require liposuction for medical reasons, you can be certain that insurance will only cover the extent of treatment needed to relieve your symptoms. In many cases, this amount of treatment is not going to result in flattering aesthetics. As such, you should consider the benefits of paying for further treatment that will help you not only achieve relief, but also an aesthetic enhancement that can help you feel confident about your appearance. Many practices, including mine, will work with patients in need of liposuction for medical reasons to determine a more comprehensive treatment plan, often at a discounted rate.
If you want to achieve a sleeker figure, but you are reluctant to undergo surgery, there are a number of non-invasive techniques that may prove effective. Although these alternatives do not typically provide the same dramatic effects that liposuction can give, they can still be excellent choices, especially if you are not a candidate for surgical fat removal.
Congratulations on caring enough for yourself to get the body you want. As excited as you may be by the immediate results, you want to make sure you heal your best, with embrace® Active Scar Defense. It’s the only scar treatment that’s clinically proven to help prevent the appearance of dark, raised, visible scars and is recommended by doctors and patients. Here’s what you need to know:
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