In contrast to laser-assisted liposuction, laser fat reduction does not involve any incisions or downtime. Treatments such as Zerona® and i-lipo TM use cool, safe lasers to break down fat cells. These treatments can physically shrink the fat cells and enable your body to expel them naturally during the detoxification process. Procedures can last between 20 minutes and an hour, although techniques such as i-lipo typically involve a multi-treatment regimen. However, some experts believe that laser therapy can only remove fat cells that are close to the skin, leaving the deeper cells unaffected.
• 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.”
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.

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.

If you have a significant amount of loose skin around your midsection, or if pregnancy, weight loss, and/or age has weakened your abdominal muscles, you may want to consider a tummy tuck. However, if you have healthy skin that adheres to the natural contours of your body, you are probably a better candidate for liposuction. Ultimately, the only way to determine the right procedure for you is to schedule an appointment with an experienced cosmetic surgeon.


Cost of Liposuction is an important factor when considering liposuction surgery. However, the quality of liposuction is more important than the liposuction cost. If the ultimate goal of liposuction is to have a happy patient, then the surgeon’s expertise and experience are probably more important than finding the cheapest liposuction surgeon. Liposuction prices are important, but it is not the most important factor to considering lipo surgery. Be careful not to put your body on the “Discount Rack”.


While there is no upper age limit for patients who want to have liposuction, there are risks associated with any type of surgery. Therefore, patients should be in basically good health in order to safely undergo the procedure. Patients who suffer from serious medical conditions or who take certain medications may not be good candidates for liposuction. Consult with your primary care physician and plastic surgeon to find out whether you are an appropriate candidate for this procedure. Because liposuction removes fat but does not tighten skin, patients with good skin elasticity tend to experience the most aesthetically pleasing results. Older patients typically have less supple skin than younger patients.
A Bra Lift with Laser (Laser Bra Lift): Some doctors will want to use a laser bra lift as an insurance policy that your breasts won’t sag. It’s actually not really an alternative to breast lift surgery as it is an extra procedure. In the laser bra surgery, the laser is used to create a bra-like effect that protects the surgical results of the breast lift. Laser energy will always stimulate the production of new collagen fibers, which give you more support of any tissues. Always look at the before and after pictures to see whether or not you think there is enough improvement.
Liposuction of the hips is generally successful in creating a more contoured figure. This type of liposuction is usually performed on women, as men are not as susceptible to retaining fat deposits in this area. Patients who undergo liposuction to improve the appearance of the hips may require additional procedures to attain the desired contour. The procedure is usually performed under general anesthesia. Liposuction of the hips may be performed with an extended tummy tuck.
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.  

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.
The total cost for lipo surgery is the sum of the non-surgical fee plus one or more surgical fees. The non-surgical fees include the cost of the operating room, nursing staff, pre-operative laboratory tests, post-operative garments and supplies. The surgical fees represent the prices for lipo surgery of each individual area. For example, the total cost for liposuction of the hips, outer thighs and buttocks might be the sum of the surgical fees for hips ($3,400), outer thighs ($3,000), and buttocks ($2,000), plus non-surgical fee ($1,600), which equals $9,200. However, many doctors will bundle these up so you could be looking at a lower cost.
Liposuction of the entire thigh (circumferential liposuction) is not recommended due to an increase in swelling and lengthened recovery time. Rather, liposuction should be performed in a series of surgeries spaced about one month apart. Focusing the procedure on one specific area of the hips allows the lymphatic tissue to drain excess fluids quickly and evenly throughout the thigh, yielding more desirable results in a shorter amount of time. Liposuction of the thighs may be performed with thigh lift surgery.

While the suctioned fat cells are permanently gone, after a few months overall body fat generally returns to the same level as before treatment.[2] This is despite maintaining the previous diet and exercise regimen. While the fat returned somewhat to the treated area, most of the increased fat occurred in the abdominal area. Visceral fat - the fat surrounding the internal organs - increased, and this condition has been linked to life-shortening diseases such as diabetes, stroke, and heart attack.[2]

Some surgeons prefer to give prospective patients an itemized list of all the anticipated costs of liposuction. These separate costs might include the surgical fee (money paid to the surgeon for his services), anesthesiologist’s fee, operating room fee, pre-operative laboratory test fees, charges for post-operative elastic compression garments, and possibly prices for antibiotics and other recommended drugs. Sometimes itemized prices are used when the surgeon cannot control all of the related expenses, such as when the lipo surgery is to be done in a hospital operating room with a hospital anesthesiologist. Itemized lipo prices are also used by surgeons who are in the habit of doing multiple unrelated surgical procedures at the same time that the liposuction is done.
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.
PAL uses an up and down, vibrating-like motion of the cannula to acquire greater fat removal. When compared to simple suction-assisted liposuction, PAL requires less energy for the surgeon to operate while also resulting in greater fat removal. It is commonly used for difficult, secondary, scarred areas, and when harvesting large volumes of fat for transfers to other areas.[9]
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.
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.
It's not unusual to see lumpy areas after the swelling starts to go down. This should improve after a few weeks, but wearing a compression garment can help prevent lumps. Less commonly, patients can have a hematoma (a temporary pooling of blood under the skin) or seroma (a pocket of fluid under the skin that requires draining by your doctor); changes in skin color or sensation; or scarring from thermal burning, either above or below the skin (usually an issue only with laser- and ultrasound-assisted lipo, if skin ports aren’t used). If you’re concerned about anything you experience as you recover, don’t hesitate to call your doctor.

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.
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.
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.
The most common dangers of liposuction include risks associated with removing too much fat from targeted areas at once, as well as having too much liposuction performed in a single day. Excessive liposuction can cause problems including dents, lumps, and sagging skin. In order to minimize surgical complications and the side effects of overexposure to anesthesia, when patients are looking to remove larger portions of fat, they should schedule multiple liposuction procedures at least several days apart.
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.
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