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.
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.
I recently performed liposuction for Tara, 49, an active woman who wanted to rejuvenate her figure.  "Diet and exercise were not enough at this juncture in my life," Tara said. "I wanted to look - and, more importantly - feel better about my appearance both in and out of my clothes. It was definitely worth the cost. Self-confidence is always worth the cost."
Liposuction is generally used in an attempt to change the body's shape.[1] Weight loss from liposuction appears to be of a short term nature with little long term effect.[2] After a few months fat typically returns and redistributes.[2] Liposuction does not help obesity related metabolic disorders like insulin resistance.[3] It can also be used to remove excess fat in the chronic medical condition lymphedema.[8]
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. 

Some doctors may use ultrasound waves to break down fat cells before suctioning them out. However, ultrasound technology can be an effective tool for fat reduction, even when it is not used in conjunction with liposuction. Your doctor will apply an ultrasound device to the treatment area, and the waves will gently break down the cells, allowing your body to rid itself of the fat over a period of time. Ultrasound fat reduction treatments, such as Liposonix®, typically take about an hour and involve no anesthesia or downtime. They can also boost collagen production and improve skin elasticity. However, these treatments typically do not result in as much fat removal as surgical liposuction.

While I would need to examine you in person, 29 may be the distance in centimeters from sternal notch to nipple. That measurement is relatively long, implying that you have a significant amount of ptosis or sag. From your image, I would actually say that you don’t need the anchor incision breast lift, which requires the greatest scar burden, but it does appear that you would be best suited for a vertical breast lift with an incisional scar around the areola plus one down the lower pole of the breast. To achieve the degrees of lift you likely need, you need that vertical incision.


You may notice an improved body contour immediately (for instance, if you have your saddlebags suctioned), but your results will be disguised initially by swelling. Swelling should improve dramatically after six weeks and continue to go down over the next six months. If you think you’ll need more lipo to get the result you want, wait at least six months for the swelling to subside, then evaluate the situation with your surgeon. Just keep in mind that you’ll continue healing and seeing better results for up to a year.

Meanwhile, new innovations, such as "high-definition liposuction," combine fat removal with skin etching techniques that can make underlying muscle look better defined following liposuction. This is an especially popular treatment for those wishing to achieve the coveted "six-pack" look of chiseled abdominal muscles, but as always, it comes at a price. HD liposuction can cost twice as much as liposuction alone.

• WarmSculpting with SculpSure’s diode-laser energy creates heat that kills fat cells during a 25-minute treatment, and multiple areas can be treated at the same time. There are very few side effects and zero downtime. WarmSculpting’s Worth It Rating is almost as high as that of liposuction, and it’s significantly less expensive. Just keep in mind you’ll have to wait up to three months to see your full results, and you might need two or more treatments to reach your goals.
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