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.
Most importantly, in cases of breast lifts with implants, there are hardly any wound complications with this technique. There’s a good reason for this. When you add an implant to a breast lift, you are filling up the skin envelope and, as a result, you do not need to take out much skin at all. You really only need to take out enough skin to move the areola to the new position higher up. The procedure is safer, and has less scars. That’s why the Benelli is my favorite.
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.
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.
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.
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.

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.
“After having reconstruction breast implant surgery, the least I could do was purchase embrace® Active Scar Defense and do my part to promote healing. I have found it easy to use, painless, and well worth the purchase price. Not only does embrace®diminish scarring but it also rebuilds positive self‐image, by helping me 'embrace' the best ‘new me’!”
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.
Tummy tucks: One of the most popular forms of body contouring, with a tummy tuck, a doctor can tighten the abdominal region via an incision running between the hipbones. In a full tummy tuck, he or she may also relocate the belly button up higher on the abdomen. By using liposuction to remove excess fat, the doctor can give patients a flatter, trimmer stomach.
Your surgeon should schedule follow-up visits to monitor your recovery, and this may include other services as well. I include VelaShapeTM therapy in the cost of every liposuction procedure I perform. This treatment uses ultrasound waves to reduce swelling and improve drainage. As a standalone treatment, this can cost about $100 per session. I'm excited to be offering this treatment because it reduces overall recovery time, discomfort, and your risk of needing secondary surgery.

Scars are inevitable after any incision in the skin, of course, because scarring is part of the body’s “self-repair” process. Breast lift surgery, in my experience, is a very satisfying procedure for the vast majority of patients–even with the unavoidable, often minimal, scarring. Scars may be in an anchor shape, in the crease below the breast and from the center of the crease up to the areola, although there are other types of scarring. When you choose an experienced surgeon, you’ll find that your breast lift scars are well hidden, even when wearing low-cut clothing. This is one of the signs of a skilled breast lift surgeon.
Following liposuction, patients often experience some soreness and tenderness in the treatment area. This can usually be controlled with over-the-counter pain medication, and a physician may prescribe stronger medication, if needed. However, this discomfort is typically minimal, and patients can typically return to work about two days after their procedures. If they experience severe discomfort or if the soreness gets worse after several days, patients should alert their doctors.
Liposuction is one of the most popular plastic surgery procedures because it offers safe, effective fat and cellulite removal, and it can easily be combined with other cosmetic surgery techniques. Some of the main liposuction benefits include improved health associated with fat loss, improved overall appearance, and the reduction in the appearance of cellulite.
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.
It all depends on the position of the nipple/areolar complex position. If there is significant loose skin, then the vertical incision is necessary to give you the ideal result. The length of the vertical scar is not long, only 4-5 cm from the bottom of the areola to the crease. This scar heals very well. If there is a lot of excess skin, then the anchor incision is necessary.
No. As a candidate for liposuction, you should be at or near your ideal weight, and you should simply want to enhance your figure and gain a more evenly contoured body. Liposuction is intended to remove isolated pockets of fat that do not respond to dedicated diet and exercise. During this treatment, your doctor should not remove more than 10 pounds or 5 liters of fat. Excess fat removal can result in fluid imbalance and serious complications.
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.

I perform a liposuction breast lift/reduction known as Breast LipoLift®. This specialized technique spares more nerves and blood supply as well as removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast, I then remove the excess skin to tighten the breast and create a more proportional silhouette with better cleavage. This procedure is also more accurate than traditional breast lifts or reductions since I use 3D measurements to uncover size asymmetries. During the procedure I remove exactly whatever is more from the larger side to get as close to symmetry as possible. Since I perform this less invasively the recovery time is faster and drains are not necessary. Over 90% of my patients are out to dinner the next evening taking only Advil and Tylenol if even needed. The size would depend on the proportion with your body versus going for a cup size.  It has been proven to have less complications than traditional breast reduction (please see my Breast LipoLift® page web page) and should not affect nipple sensation, mammograms, cancer risk or breast-feeding. 
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).
Also known as a vertical lift, this technique requires surgeons to make a keyhole shaped incision on the breast, preserving the nipple but removing any excess skin below it. The areola is then shifted up into its new position, while suturing the skin edges together results in a lollipop shaped scar around the nipple and a vertical line down to the breast crease.

  Liposuction Cost and Liposuction Price Guide 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 […]


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.

No. As a candidate for liposuction, you should be at or near your ideal weight, and you should simply want to enhance your figure and gain a more evenly contoured body. Liposuction is intended to remove isolated pockets of fat that do not respond to dedicated diet and exercise. During this treatment, your doctor should not remove more than 10 pounds or 5 liters of fat. Excess fat removal can result in fluid imbalance and serious complications.
If you are looking for the best looking scar, or the smallest scar, that would be the Benelli. This is eventually a ‘hidden scar’ as it will eventually fade into the nipple line. Most patients are also happy with the Vertical Scar as the scar is on the underside of the breast, and not exposed horizontally on the chest wall. In my opinion, the least attractive scar is the Inverted T technique (Wise Pattern), which is really two scars.
When you choose a friendly doctor with whom you feel at ease, you are more likely to be satisfied with the final results of your treatment. Select a doctor who is generous with her time, answers your questions, and designs a treatment plan to meet your specific needs and concerns. At the same time, however, you should never choose a doctor who pressures you to undergo more treatment than you want or who recommends removing an excessive amount of fat cells.

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After liposuction, most doctors will require you to wear a compression garment or bandage over the treatment area. This garment will reduce post-surgical bleeding, minimize discomfort, and speed your recovery time. During open-drainage tumescent liposuction, your surgeon will leave the incisions open. Following this type of treatment, the garment will help the anesthetic fluid to leave your body more quickly. Following closed-drainage liposuction, in which the doctor will use sutures to close the incisions, the compression garment encourages your body to absorb the fluid more quickly for faster healing.

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.
I would recommend an in-person consultation with a plastic surgeon where a thorough physical examination and measurements will be made to determine the best treatment plan for you.  At the consultation, you should view before-and-after photos of various breast lift techniques in patients with breasts similar to yours to see if you like the results before undergoing surgery.  Best of luck!
Dr. Kao believes that the best results are achieved when the correct procedure is performed on the right patient. The Alexandra Breast Lift can be performed with or without implants and can provide beautiful results on specific patients. However, if you aren’t the right patient for this technique, Dr. Kao will evaluate your needs and develop a treatment plan that works for you. Stay tuned for our next blog on breast lift candidates and the consultation process.
“After having reconstruction breast implant surgery, the least I could do was purchase embrace® Active Scar Defense and do my part to promote healing. I have found it easy to use, painless, and well worth the purchase price. Not only does embrace®diminish scarring but it also rebuilds positive self‐image, by helping me 'embrace' the best ‘new me’!” 

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.
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