In many cases, liposuction is performed for purely cosmetic reasons. Our society values a lean, youthful body tone, and healthy living alone is often not enough to help us reach our goals. When the patient simply wishes to improve his or her appearance, the price will likely be paid out of pocket. Practices accept cash, checks, and credit cards, and often work with third-party financing companies. Some practices finance treatments themselves.
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.

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. 

Like you, I do have patients who come to me concerned about scarring before their surgery. Afterward, however, few patients ever mention it to me, because the overall surgical result is so transformative. There is a surgical technique called the periareolar breast lift, which only involves an incision around the nipple / areolar complex, and the incision hides well along the border of the more darkly pigmented areola. However, you would be better suited for the vertical breast lift, and it is important not to choose the wrong technique in pursuit of fewer scars. The technique used determines how much lift can be achieved. In general, there is a significant difference in the aesthetic outcome of a mediocre versus a high quality breast lift, and by choosing a suboptimal surgical technique, you may compromise your ultimate aesthetic result in terms of breast shape or perkiness.
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.
Immediately after liposuction, the patient will see some of the results of their surgery. Usually, up to 10 pounds of fat can be removed, resulting in a noticeably more pleasing body contour. Liposuction can remove stubborn fat deposits from small areas for an aesthetic improvement, but should not be expected to dramatically alter your overall weight.
Liposuction patients should continue to monitor their incision sites in case of infection, and they should schedule check-up appointments with their surgeons to monitor healing. Excessive swelling can sometimes be a sign of other risks or side-effects, so it's important for individuals to communicate with their doctors to ensure everything is going smoothly.
A: In general, no plastic surgeon can guarantee that breastfeeding will still be possible after the breast lift surgery. But in most cases, you should be able to breastfeed after a breast lift if the nipple was left intact during the procedure, and was still connected to all the anatomical structures underneath the nipple. However, if you are planning to become pregnant, its recommended that you wait until after your pregnancy to have a breast lift. Reason being, as your breasts enlarge during pregnancy the skin will stretch. Depending on the elasticity of your skin before pregnancy and the degree to which your breasts enlarge during pregnancy, your breast skin may permanently stretch. In this case the results of breast lift surgery performed before pregnancy would be lost.
We urge you to partner with a top breast surgeon, and one with whom you can communicate well, to get the outcome you desire from your breast lift. When you’re ready to learn more about your breast lift options, contact Cohen/Winters Aesthetic & Reconstructive Surgery. We offer a personalized consultation to answer your questions about breast lift scars and determine if you are a good candidate. Please contact our Bergen County office for an appointment.
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.
Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.[10] Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.[11] UAL is beneficial in people with a particular skin tone, in liposuction of areas that are more difficult to remove fat, that include treatment of gynecomastia, or areas where secondary liposuction is being performed.[12]
A technique called "tumescent liposuction" is the most common method for removing fat around the stomach, buttocks, thighs and ankles. It's also considered the safest. "Tumescent" means that large amounts of buffered salt water are injected into fatty tissue beneath the skin. The doctor makes a cut in the fatty area to be treated, then inserts beneath the flesh a strawlike tube called a cannula that is attached to a vacuum. At the end of the cannula is a stiff wand. The doctor moves it back and forth in rapid motions to loosen fat. The procedure takes 45 minutes to two hours, with a recovery time of up to two weeks. The full effect of liposuction is seen six to 12 weeks after the procedure is performed. After the procedure, the area is bandaged and the patient must wear a compression garment for one to two weeks. Pain and bruising may last up to two weeks, and swelling may last for two weeks to two months.
Swelling will continue to go down for several months after liposuction, and as it subsides, patients will be able to see the final results of their treatment. Recovery will take longer if the treatment area is larger than usual. In addition to swelling, the skin surrounding the treated area may seem loose, but it will tighten with time. Depending on the skin's elasticity, which is determined by age and genetics, skin should return to normal in about six months.
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 moon-shape (crescent) lift involves a scar hidden along the upper half of the areola border.  The donut (circumareolar) lift involves a scar hidden around the entire circumference of the areola border.  These scars camouflage very well where the darkly pigmented skin of the areola meets the lighter skin of the rest of the breast.  These lifts work well when the nipple is only slightly downward pointing but positioned relatively well on the chest wall.  One of the disadvantages of these lifts is that they can only raise the areola up to a maximum of about 2 cm.  They also tend to flatten the breast shape and are not ideal when there is saggy breast tissue in the lower pole.  Therefore, based on the low position of your nipple areola complex and the amount of breast tissue laxity you have, you would not be a good candidate for either of these lifts.
Finally, there’s the so-called scarless lift. Women who are seeking a mild lift but are dead set against leaving scars anywhere on their breasts may opt for a technique that uses a network of dissolving surgical threads inserted through tiny incisions along the collar bone, guided under the breast tissue, and then anchored to the collar bone, to create an internal bra of sorts. Scar tissue forms around the threads, theoretically providing support to lift the nipple.
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.

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.


I personally think nurse-administered anesthesia is perfectly appropriate in many cases. In fact, a 2014 study by the Chochrane Collaboration research group concluded that it was "not possible to say whether there were any differences in care between medically qualified anaesthetists and nurse anaesthetists." But if the patient is anxious about the procedure, or if the treatment scope is extensive, the extra cost of an anesthesiologist can be well worth the money. What I consider extensive liposuction can easily take up to 4 hours, so it would be reasonable to estimate that anesthesia administered by an anesthesiologist could cost about $2,000 in this scenario.
Surgeons who concentrate on one specific procedure are rare. In other words, you don't find many surgeons who perform breast augmentation, but not face lift surgery or liposuction. If you want liposuction, you should choose a surgeon who devotes a lot of their time to liposuction and body contouring. If the doctor is mainly a face lift surgeon, you might wonder if they are actually capable of providing the best results. Don't be afraid to ask a prospective surgeon how often they perform liposuction, how often they perform revisions for patients whose initial surgeries were performed by other doctors, and details about the surgeon's policy concerning surgery performed to correct his or her own work.

In addition, surgical scars typically heal much more cleanly than accidental trauma and often form a thin, almost imperceptible line. For many of my patients, when the scar is fully mature after one year, it is difficult to see that vertical scar, but scar healing does vary by individual. An important aspect of my surgical patient care is a comprehensive scar care regimen to help optimize your ultimate scar.
LipoSelection® : This specialized form of liposuction, developed by VASER®, emulsifies fat cells with ultrasound and breaks them up even further with the LipoSelection probe. The doctor can then easily remove the fat with liposuction tubes, leaving the surrounding blood vessels, nerves and other tissue virtually unaffected. This technique involves less discomfort and bruising than most other types of liposuction, but it does cost a bit more than other forms of manual liposuction.
Be very careful!  You are a set up for a bad result.  50% of my revisional patients are people who were just like you and did not want what they NEEDED and ended up making compromises and ended up with terrible results.  The irony is they ended up getting what they NEEDED originally except with more cost and suffering.  You need what you need.  Do not just fill your breast to make up for excess skin. It will look good for a short period of time while it is swollen and then bottom out.  Spend more time looking for a surgeon who gets good results and closes incisions well.  The vertical scar can in many instances become invisible.
Very few surgeons use the Benelli scar because it is technically more difficult. I like it because the scar is well camouflaged as it forms the border of the areola. The only downside with this type of scar is that it can not be used in large breast reductions. However, it is ideal for small breast reductions, breast lifts, and breast lift with implants.
“Adding a breast implant to the procedure sometimes allows the surgeon to shorten or even eliminate scarring, since the implant will then take up some of the slack caused by the breasts’ sagging,” says Fort Worth, TX plastic surgeon Dr. Jonathan Heistein. “Some breast augmentation patients may even be candidates for a radiofrequency treatment called BodyTite, which can provide a slight lift without requiring additional surgery.”

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.
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.
Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump. After inserting the cannula through a small incision, the plastic surgeon helps break up the fat by manipulating the cannula and injecting fluid into the area. Although it does carry some risks, traditional liposuction is very effective in taking out fat, and it is still one of the most popular forms of the procedure.
If, like many others, you have decided to take an aggressive stance against stubborn fat deposits, it is most important to have an intimate understanding of the different factors that can influence the cost of treatment, rather than a hard number used to gauge any estimates you gather. The truth is that liposuction is a highly personalized treatment with many variables, and there are no two identical liposuction procedures. By educating yourself about the way your surgeon's experience, the location of your surgeon's practice, the extent of treatment you require, and other factors influence the cost of this treatment, you can make better choices and increase your chances of achieving long-term satisfaction.
Liposuction is not a weight loss procedure, and it cannot eliminate stretch marks and cellulite from the skin. The treatment can only remove small, localized concentrations of fat. In most cases, ten pounds of fat or less will be removed from the treated area. The ideal liposuction candidate is already close to or at a healthy weight but is interested in subtle body contouring.

Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 
At first, liposuction results may seem minimal. This is standard, as swelling and bruising can obscure the final effects. Skin in the treated area may also appear loose, as it takes time for your body to adjust to its new, slender shape. Most physicians will ask the patient to wear a compression garment to aid in recovery. This will help reduce the long-term effects of post-liposuction swelling, bruising, and scarring.
Disclaimer: Please note, any information on this page is provided to you for educational and/or informational purposes only, and should not be construed as an endorsement of any particular procedure, product or treatment. This information is also not a substitute for medical advice, diagnosis, or treatment by a doctor or other qualified health care professional. For medical concerns, including decisions about any procedure, product or treatment, visitors should always consult with their doctor or other qualified health care professional.

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.
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.
Dr. George Marosan, a board-certified plastic surgeon in Bellevue, Washington, prefers VASER liposuction in most situations. “Fat comes out more easily with VASER—especially in men, where it’s more fibrous,” Dr. Marosan says. He also points out another great advantage of VASER lipo: While fat that’s liquified by laser lipo isn’t usable, fat broken up by VASER is still viable for transfer to the breasts, butt, or anywhere you want more fullness. “The VASER allows me to sculpt the body, revealing the underlying muscle and bony anatomy. This is an advanced technique that goes way beyond liposuction for fat removal only,” says Dr. Marosan.
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.
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.
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]
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. 
×