I had a consultation today for a breast lift with implant. I really do not want that long verticle scar that accompanies most breast lifts. The surgeon measured me and said I was a 29? He said that I would need the lift with the anchor incision, or I could just have the implant without lift, but the implant would go on top of the muscle. I'm really dissapointed because I do not want that large vertical scar. What are my other options for a lift? I have another consultation scheduled with a different surgeon, but I want to know if they are just going to tell me the same thing.
The “crescent lift” technique is mostly used for women who have a very small amount of sagging to correct, and involves one small incision that runs halfway around the top half of the edge of the areola.  It’s usually only done when a patient is undergoing a breast augmentation, and even then only rarely. It’s more of a preventative measure, unlike the other options, which are focused on breasts that have more advanced sagging.
You’re going to feel sore, especially during the first few days after liposuction. You’ll be swollen and bruised, and you’ll need a few days to rest before you head back to work. “I generally recommend that my patients take between three and seven days off after liposuction, depending on how many areas were worked on and your pain tolerance,” says Dr. Samuel Sohn, a plastic surgeon in Henderson, Nevada. Your doctor will prescribe pain medication, though you may find you need only an over-the-counter pain reliever.
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.
The horizontal mastopexy goes by many names, including the “Horndesky Method” and “Ultimate Lift.” This technique enables surgeons to create a new position for the nipple without leaving a vertical scar from the areola to the breast crease. Instead, a horizontal incision is made across the entire breast above the areola, and the surgeon excises the skin below it while preserving the nipple.
If you are contemplating a breast lift, with or without an implant, be sure to discuss your goals and objectives, very specifically, including the type of scar you should expect following surgery. Your surgeon should be able to show you exactly where your scar will be. He/she should be willing to discuss your options, describe his surgical techniques, and answer any other questions you have about your breast lift.
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.
Radiofrequency fat removal uses radiofrequency waves to heat unwanted fat cells. The high-power waves can demolish these cells, yet the surrounding cells will be unharmed. Typically, you will have several short treatment sessions. Many experts hail radiofrequency treatments, such as Vanquish and Accent® Ultra, for their ability to remove fat and improve the appearance of cellulite with minimal discomfort and no need for anesthesia. However, this technology has not yet received FDA approval for use in fat removal, and therefore, many doctors are hesitant to offer this form of treatment.
Thursday's launch marks SpaceX's 18th cargo run to the International Space Station. The Dragon supply ship atop the Falcon 9 was making its third trip to the lab complex, this time loaded with 5,000 pounds of crew supplies, equipment and high-tech science gear, including a low-tech container of bright green Nickelodeon "slime" for educational outreach. Watch the rocket launch here.
Traditional liposuction involves the use of a tube-like tool called a cannula. It is inserted below the surface of the skin through tiny incisions, and moved back and forth to loosen fat cells, which are then suctioned out through the cannula. In my case, I prefer to use VASERlipoTM, which incorporates ultrasound into this process. I invested in this expensive equipment so I could provide better results, and I've got to pay for it. I charge from $2,000 to $4,000 per area using VASERlipoTM, which is several hundred dollars more than surgeons typically charge for traditional liposuction.
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.
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.
If you maintain your post-lipo weight, your surgical result should be long-lasting. But if you gain even five pounds, the fat cells in other areas of your body—as well as those that remain in the treated area—will grow larger, possibly diminishing your results. In cases of considerable weight gain, new fat cells can develop all over the body, including in the treated areas, though the area will still look better than if you didn’t have liposuction.
Recovery time differs for each patient, but in general, you can return to work two to four days after your liposuction treatment. The exact time will depend on the area you had treated and your body's natural healing process. If you have an extremely physical job, you may need to take more time off; doctors recommend that patients wait at least three weeks after liposuction before engaging in aerobic exercise.
Liposuction can help you achieve a better quality of life with improved comfort and self-confidence. The price of treatment can be intimidating, but you must remember that you have everything to gain by choosing a surgeon who is most likely to provide you with satisfying results. If you are considering one surgeon who charges more than another, compare the two based on their reputation, experience, and the results they provide, and make the necessary arrangements to place the cost of the best surgeon within your budget.
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.

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.
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.
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.
Most doctors on RealSelf say that a good compression garment is essential to minimize swelling and bruising, help the skin smoothly adhere to the underlying tissue, and speed up healing; but some don’t think it’s necessary. Doctors who recommend compression garments often have patients wear them 24/7 (with a break for showering) for at least two weeks and then gradually reduce the number of hours they need to be worn over a period of three or more weeks. As a bonus, doctors say, compression helps ease discomfort. Follow your doctor’s instructions. 
If you are contemplating a breast lift, with or without an implant, be sure to discuss your goals and objectives, very specifically, including the type of scar you should expect following surgery. Your surgeon should be able to show you exactly where your scar will be. He/she should be willing to discuss your options, describe his surgical techniques, and answer any other questions you have about your breast lift.
Technically, any licensed doctor can perform liposuction, but not all doctors offer the same degree of expertise. For example, you would not want a podiatrist performing your cosmetic procedure. For your safety and ultimate satisfaction, you should always choose a physician who is certified by the American Board of Plastic Surgery. To receive this certification, a doctor must have had three to five years of medical training with two to three of them focused on cosmetic surgery. Additionally, doctors must pursue ongoing education to maintain their certification.
Many patients are concerned about the potential risks involved in liposuction. The truth is, while liposuction can have adverse effects, the treatment is very safe when it is performed by a qualified plastic surgeon. Unfortunately, with the increasing popularity of the procedure, more and more doctors offer the procedure, and not all of them are experienced with this treatment. This is another reason that patients should take the time to find a highly qualified surgeon for their liposuction.
• CoolSculpting destroys small pockets of fat by freezing the fat cells. After one treatment session, you’ll gradually lose about 25% of the fat cells in the treatment area. It takes about a month to start seeing results, with improvements for up to 20 weeks. At that point, many RealSelf members opted for a second treatment to get the results they were after. Dr. Marosan notes that “There are an increasing number of reports of fat hyperplasia [a hardened area] in the treated areas, which require liposuction to correct it.”
Your comfort with the scars are a very personal aspect of the surgery, but to the extent you are able, I urge you to keep in perspective the lesser importance of the incision pattern. I advise patients never to compromise contour for a lesser scar. I’d argue that it is more important to choose a highly experienced board-certified plastic surgeon who is a specialist in cosmetic surgery of the breast and body. Good luck with your surgical journey!
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