Thank you for your question, which is one frequently heard in consultations about breast lift surgery. The vertical scar is necessary as the lower part of the breast needs to be tightened from side to side. This can only be done by tightening not only the breast tissue of the lower part of the breast, but also tightening the skin of the lower part of the breast. This tightening involves removing extra skin - and hence the vertical scar.

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.
Choosing a liposuction surgeon based on the lowest price might ultimately be the most expensive choice, If the initial cosmetic results are so bad that another surgeon must be paid to repair the work of the first liposuction surgeon. Among the most common undesirable outcomes of liposuction are 1) incomplete liposuction with very little evidence that liposuction was actually done, 2) excessive liposuction producing an unnatural or disfigured appearance, 3) irregular and uneven results with unsightly depressions in the skin, and 4) large scars that reveal that the patient has had liposuction. Caveat emptor (Buyer beware).

During the course of a woman’s life, the breasts change in appearance and oftentimes sag. Don’t worry, this is NOT an uncommon condition. In fact, the clinical term for female breasts that sag is called ‘breast ptosis.’ There are many causes of breast ptosis including pregnancy, cigarette smoking, high body mass, gravity and the natural aging process. There are also different degrees of ptosis as shown in the illustration below. Fortunately, breast ptosis can easily be treated with breast lift surgery.
The way our bodies respond to a disciplined and healthy lifestyle is often "unfair." In other words, many of us commit to vigorous regular workouts at the gym and nutritious, balanced diets, only to be left with fat deposits in the abdomen, thighs, buttocks, and other areas. The desire to achieve a lean and attractive body tone in spite of the body's refusal to respond the way we want drives hundreds of thousands each year to seek surgical intervention in order to achieve their goals.
If a woman has enlarged breasts, they can cause back pain, neck pain, headaches, and poor self-esteem. Liposuction is a more effective and less invasive method of breast reduction than other forms of breast reduction surgery. Using liposuction to remove excess fat has a natural lifting effect on the breast because there is less volume weighing it down.
If you deal with the hassle of body-shaping clothes (such as underwire bras) on a daily basis, then you already understand why breast lift surgery is one of the most popular cosmetic surgical procedures. At The Royal Centre of Plastic Surgery, women choose to undergo this cosmetic enhancement to increase confidence and enhance the shape and appearance of their breasts.
Unfortunately, there aren't any scarless breast lifts. You need to understand that there will always be a trade off - you will have scars but you will have the breast shape you desire. You cannot get one without the other. Anchor scars tend to be more unsightly, but may yield the best results for some patients. Other patients may get great results with a vertical lift, leaving a thin vertical scar that tends to heal very well.
Liposuction is highly effective in removing stubborn fat cells that seem immune to diet and exercise. However, if you have not yet made a commitment to a healthy lifestyle, you should make these changes before pursuing liposuction. You may find that, with the right modifications, the areas that have troubled you for years become firmer and more contoured.

You’ll be in a recovery room immediately after surgery. When getting ready to leave, a nurse will go over instructions on how to care for the drainage tubes, antibiotic use, and other important information about post-surgical care. She will also discuss symptoms that are commonly felt after surgery as well as the types of complications that could result.

Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.[10] Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.[11] UAL is beneficial in people with a particular skin tone, in liposuction of areas that are more difficult to remove fat, that include treatment of gynecomastia, or areas where secondary liposuction is being performed.[12]
At first, liposuction results may seem minimal. This is standard, as swelling and bruising can obscure the final effects. Skin in the treated area may also appear loose, as it takes time for your body to adjust to its new, slender shape. Most physicians will ask the patient to wear a compression garment to aid in recovery. This will help reduce the long-term effects of post-liposuction swelling, bruising, and scarring.
I personally think nurse-administered anesthesia is perfectly appropriate in many cases. In fact, a 2014 study by the Chochrane Collaboration research group concluded that it was "not possible to say whether there were any differences in care between medically qualified anaesthetists and nurse anaesthetists." But if the patient is anxious about the procedure, or if the treatment scope is extensive, the extra cost of an anesthesiologist can be well worth the money. What I consider extensive liposuction can easily take up to 4 hours, so it would be reasonable to estimate that anesthesia administered by an anesthesiologist could cost about $2,000 in this scenario.
You may notice an improved body contour immediately (for instance, if you have your saddlebags suctioned), but your results will be disguised initially by swelling. Swelling should improve dramatically after six weeks and continue to go down over the next six months. If you think you’ll need more lipo to get the result you want, wait at least six months for the swelling to subside, then evaluate the situation with your surgeon. Just keep in mind that you’ll continue healing and seeing better results for up to a year.

The way our bodies respond to a disciplined and healthy lifestyle is often "unfair." In other words, many of us commit to vigorous regular workouts at the gym and nutritious, balanced diets, only to be left with fat deposits in the abdomen, thighs, buttocks, and other areas. The desire to achieve a lean and attractive body tone in spite of the body's refusal to respond the way we want drives hundreds of thousands each year to seek surgical intervention in order to achieve their goals.


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.
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.

Swelling will continue to go down for several months after liposuction, and as it subsides, patients will be able to see the final results of their treatment. Recovery will take longer if the treatment area is larger than usual. In addition to swelling, the skin surrounding the treated area may seem loose, but it will tighten with time. Depending on the skin's elasticity, which is determined by age and genetics, skin should return to normal in about six months.


Any licensed physician can perform liposuction, but it's usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors' professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.

Recovery also involves unique expenses. Compression garments are very important in liposuction recovery, aiding the healing process and helping the skin conform to your refined contours. I usually provide one free garment. Subsequent garments can cost between $50 and $100. During your recovery, you will be prescribed pain medication to ensure your comfort. Depending upon whether insurance covered any portion of your treatment, and the specific pain medication prescribed, this can cost can range from under a hundred dollars to several hundred dollars.
Thank you for your question.  This is a difficult question to answer because there is not a set price for liposuction.  Price should not be your determining factor for choosing who does your procedure.  Your first question should be is this individual properly trained?  Are they a board certified plastic surgeon?  How many of these procedures do they do?  Also, what is the technique that they are going to use?  Prices are usually determined by the location that you want treated and the facility you are having the surgery.  We do have a policy of giving larger discounts when there are multiple areas being treated at the same time. Please remember higher prices do not always equal a better result, but the lowest price may not be the best decision either.  This is a decision that should be based on trust and experience.
In 1977, Fisher and Fischer reviewed 245 cases with the planotome instrument for treating cellulite in the lateral trochanteric (hip-thigh) areas. There was a 4.9 per cent incidence of seromas, despite incision-wound suction catheters and compression dressings; 2.0 per cent of the cases presented pseudo-cyst formation that required removal of the capsule (cyst) through a wider incision (+ 5.0 mm) and the use of the panotome.[14][15]

Unfortunately, there aren't any scarless breast lifts. You need to understand that there will always be a trade off - you will have scars but you will have the breast shape you desire. You cannot get one without the other. Anchor scars tend to be more unsightly, but may yield the best results for some patients. Other patients may get great results with a vertical lift, leaving a thin vertical scar that tends to heal very well.


With this procedure, a surgeon creates an incision on or around the perimeter of the areola and later a second outer incision to remove the “donut” of skin around it. The nipple is sutured back to the breast skin, tightening it in the process. This method provides more lift than the crescent, but again only a relatively small amount of sagging can be repaired.
Liposuction can also be used as a form of breast reduction in men, but several important factors must be considered first. The surgeon must determine whether the excess tissue in the breast is fatty or glandular. If the breast is primarily fatty tissue, then liposuction is an excellent method for reducing the size and improving the appearance of the chest.

Thank you for your question.  This is a difficult question to answer because there is not a set price for liposuction.  Price should not be your determining factor for choosing who does your procedure.  Your first question should be is this individual properly trained?  Are they a board certified plastic surgeon?  How many of these procedures do they do?  Also, what is the technique that they are going to use?  Prices are usually determined by the location that you want treated and the facility you are having the surgery.  We do have a policy of giving larger discounts when there are multiple areas being treated at the same time. Please remember higher prices do not always equal a better result, but the lowest price may not be the best decision either.  This is a decision that should be based on trust and experience.
Before patients are permitted to undergo liposuction, their candidacy must first be determined by a qualified plastic surgeon. The best candidate is someone who is in excellent health, is within 25 pounds of his or her ideal body weight, and has deposits of fat that have not responded to diet or exercise. Men and women over the age of 18 who meet the necessary health qualifications may be great candidates for liposuction.
Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.[10] Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.[11] UAL is beneficial in people with a particular skin tone, in liposuction of areas that are more difficult to remove fat, that include treatment of gynecomastia, or areas where secondary liposuction is being performed.[12]
With fat grafting, a doctor can reduce the size of one area on the body and enhance another area at the same time. To perform this procedure, the cosmetic surgeon will perform liposuction on a common trouble spot, such as the abdomen, thighs, or upper arms. Then she will purify the fat cells, spinning them in a powerful centrifuge, to separate them from the surrounding fluid. Finally, she will inject these cells in another area of the body to give patients a fuller figure or reduce the signs of aging. Fat grafting can achieve a number of affects, including:
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.
Liposuction is a procedure that can be performed either under local or general anesthesia. Local anesthesia allows you to remain conscious during surgery, but the treatment area is numbed so you will not feel any discomfort. This option can cost about $100 or more per hour. General anesthesia is used to completely sedate the patient. If it is administered by a nurse, general anesthesia can cost $300 or more per hour. When it is administered by an anesthesiologist, it can cost $450 or more per hour. Deciding which method of anesthesia to use largely depends on the extent of treatment. If the patient is having a small amount of fat removed, local anesthesia may be sufficient. On the other hand, if the patient is having extensive liposuction performed, or if it is being performed in conjunction with other procedures, general anesthesia will probably be the best option. 
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