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.
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.
The surgeries that risk more significant scarring are the much more common vertical or “lollipop” lift and the inverted T or “anchor” lift, which feature two and three incisions respectively. As they are more invasive surgeries than a crescent lift, you can expect more extensive scarring, but as long as you and your surgeon can provide proper care and observation, these can fade and can be easily hidden while you’re waiting for them to fade.
Dr. Kao specifically designed the Alexandra Breast Lift as a hybrid lift combining the best of the two techniques. It shapes and condenses the breasts without creating any unattractive scars. By combining the strengths of the circumareolar lift and the inverted-T lift, the Alexandra Breast Lift performed by Dr. Kao can dramatically enhance the appearance of your breasts.
Choosing the right surgeon is the most important thing you can do when you are preparing for liposuction. Although this procedure is extremely safe, as with all surgical treatments, there are some risks, so it is important to find a doctor with an exceptional record of safety and success. Additionally, the results of your liposuction could last for decades, so you should choose a doctor who will give you the look you desire. With so many doctors offering liposuction, selecting the right one can seem like a daunting task. However, there are certain things that can make your decision easier.
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.  
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. 

Trying to eliminate pockets of excess fat that accumulate on the abdomen, flanks, thighs, and other areas of the body can be a frustrating process. Often, diet and exercise on their own are just not sufficient to the task. In such cases, many people who want to achieve more aesthetically pleasing body contours turn to liposuction, which has been one of the most popular plastic surgery techniques for more than three decades now. This safe, proven procedure has allowed millions of patients to improve their figures through the precise targeting and removal of isolated deposits of fat. Often combined with other plastic surgery procedures such as abdominoplasty ("tummy tuck" surgery) and breast augmentation, liposuction is a potentially ideal solution for anyone looking to refine and rejuvenate their contours.
A patient may think twice when they receive an estimate from a surgeon using advanced technology, but that individual would be well advised to reconsider the results that surgeon has provided for others. If paying more for an advanced treatment by a reputable surgeon is more likely to provide beautiful results that will not need revision surgery for undesirable contours or scarring, it could be considered a much more conservative option than paying a cut rate for a less reputable surgeon and having to undergo additional surgeries to achieve the results you really wanted in the first place. It is also important to note that a revisional body contouring surgery is usually more expensive than the original. Correcting errors made in a previous surgery requires more planning and more time to perform, which naturally incurs a greater expense.
While cost is obviously an important consideration when it comes to liposuction, it is not the most important one. Patients should remember that their health and cosmetic satisfaction are ultimately the top priorities. Choosing an inexperienced doctor to save some money could cost far more in the long run if they require a corrective procedure or if they develop serious health complications.
To maximize the success of liposuction surgery and minimize your risks, always follow your cosmetic surgeon's instructions for surgical preparation and postoperative care. If you smoke, your cosmetic surgeon will advise you to stop two weeks prior to and following liposuction surgery. You may also choose another avenue for fat removal. There are non-surgical liposuction alternatives available to patients who are not good candidates for liposuction or simply prefer other methods.
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”.
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.
Any procedure that lifts the breast will require the surgeon to make an incision and that incision will leave a scar on your breast. In most cases, the scar will eventually fade and the positive aesthetic outcome of the ‘lifted’ breast will far surpass the remnants of a scar. But the fact is, you will have a scar following a breast lift (whether or not an implant is involved in the procedure). In fact, breast lifting actually occurs in breast reductions, too.

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.
Other variables affecting price of liposuction include the 1) experience of the surgeon and 2) geographic location of the surgeon. An expert liposuction surgeon who has done thousands of liposuction procedures, who consistently achieves outstanding results, and who is in great demand, will often charge more than a less experienced surgeon. Surgeons who are not busy may offer discounts, or entice prospective patients by offering free consultation. Surgeon’s who have had unhappy patients and who do not have a good reputation might also lower liposuction prices in order to attract new patients. In geographic areas where rents and labor costs are high, one can expect higher prices for liposuction.
I would definitely not recommend placing an implant only without a lift in your case.  The implant will just increase the volume of your breasts without substantially changing the shape or nipple areola complex position.  The implant can also end up positioned high on your chest with descent of the soft tissue resulting in a snoopy/waterfall deformity.  Adding an implant to take up excess skin is not a good strategy to achieve the natural look your desire.
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.

Certain health conditions may prevent patients from being suitable liposuction candidates. People with chronic ailments such as diabetes and high blood pressure are more likely to achieve less-than-desirable aesthetic results. Individuals who have compromised immune systems and those who suffer from diabetes, poor blood circulation, heart disease, or lung disease should not undergo liposuction, as they could suffer serious health complications. If patients have recently had another surgery in the area they would like to treat, they should wait until the area has healed before considering liposuction.


Among the benefits are an improved appearance, a reduction in the size of stretched areolae and more youthful, feminine proportions, which has the added benefit of helping bras and swimsuits fit more comfortably and attractively. The surgery ultimately hopes to make the breasts look better proportioned, after birth or simply to rectify the issues of aging.
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.

Although the removed fat cells are unlikely to grow back, body fat has been shown to return to preliposuction levels within a year after the surgery, particularly returning to the abdominal area. Researchers believe the body compensates for the rapid fat loss by putting on more fat. In a trial of 34 women published in the September 2012 edition of the journal "Obesity," the cosmetic benefits of liposuction were lost after one year. A later study, however, suggested that recurrence of belly fat can be avoided by exercise.
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.
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.

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.

Recently I read an article on Medscape from the journal “Wounds” about wound healing problems in Breast Reduction and Breast lift (Mastopexy). The article, Treatment of Wounds Following Breast Reduction and Mastopexy With Subsequent Wound Dehiscence With Charged Polystyrene Microspheres, cited that the use of the Inverted T technique (Wise Pattern) has a 10% wound complication rate. IMO, that is a pretty high complication rate, and it is much higher than the other two techniques, the Vertical Scar and the Benelli technique. In my practice, the wound rate with the other scars is less than 5%.
Most doctors have pictures of past procedures available to view online or in the office. Take a good look at these pictures and decide if the results are satisfactory. Be wary of doctors who provide few pictures and those whose images are so poor that it is difficult to determine the quality of the work. You should also be concerned if a doctor's photos are all taken from the same angle, as this can obscure ill effects, such as ripples or poor contouring.
Cellulite is caused by fat cells pushing through the collagen, the connective tissue directly beneath the skin's surface, causing a dimpled appearance. The appearance of cellulite is not related to the amount of body fat an individual has and is prevalent even in healthy and underweight people. Cellulite is more common in women because men have a tighter collagen mesh pattern beneath their skin. Liposuction can help aid cellulite removal in both men and women, but it is important to remember that there is no permanent "cure" for cellulite. The success of cellulite removal is dependent on many factors, including genetics. Because of this, patients should not expect liposuction to eliminate cellulite from their bodies.
If you are undergoing general anesthesia, you should not eat or drink anything for at least six hours before surgery. This prevents you from becoming nauseous while you are sedated. When you arrive for liposuction surgery, you will be asked to sign a consent form indicating that you understand the risks, benefits, possible outcomes, and all liposuction alternatives prior to the procedure. Although the methods required to prepare for liposuction can vary doctor to doctor, your physician will likely draw on your skin to mark the areas to be treated, take a "before" picture to compare with your results after liposuction, and provide you with a dressing gown to change into before surgery.

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.
When skin is damaged, the body repairs it by creating new collagen fibers, which gives the healing area a different look and texture: a scar. The “mended” skin will be less flexible than the skin around it, and it may have no hair follicles. The scarred skin might be a different color than surrounding skin and the color will change as healing progresses. This is completely natural.
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.
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. 
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