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.  
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.
Botox Breast Lift: There are more and more uses of Botox that researchers are finding as time goes on. A Botox Breast Lift is not an approved use of botox by the FDA. Here’s how it works: Botox is injected into your pectoralis muscle. This causes a relaxation of the muscles in the chest and your back muscles then begin to lift your breast. The lifting is not dramatic though and it only lasts about three to four months. The advantage, however, is that there are no scars because surgery was not done. There’s also no recovery time as there is with a breast lift surgery.
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.
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