Your comfort with the scars are a very personal aspect of the surgery, but to the extent you are able, I urge you to keep in perspective the lesser importance of the incision pattern. I advise patients never to compromise contour for a lesser scar. I’d argue that it is more important to choose a highly experienced board-certified plastic surgeon who is a specialist in cosmetic surgery of the breast and body. Good luck with your surgical journey!

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.


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.
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. 

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.
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]

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.

First, a circumareolar incision is made to remove a doughnut-shaped area of skin from around the areola. This also allows the nipple-areola complex to be moved up significantly (potentially as much as 8 or 9 centimeters) without causing irregularities, and it leaves almost no visible scars. The skin is then separated from the breast tissue, and the inverted-T technique is used internally to shape and mold the breast tissue. Once your perky, better-defined breast is formed, the skin is redraped. To prolong and maintain your results, a mesh is added as an internal bra beneath the skin. This provides additional support to the breast tissue.
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.
• 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.”
Some people believe that they will no longer have to exercise and maintain a proper diet after liposuction. Unfortunately, this is not the case. While liposuction is an excellent way to reduce excess body fat in specific areas, the removal of fat cells is by no means a guarantee against future weight gain. The cells that are removed during liposuction will not regenerate. However, patients may find that if they do not make alterations to their exercise and diet routines after liposuction, they are more apt to gain weight in areas of their bodies that were not previously problematic.
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.
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.

Thankfully, there’s a slew of solutions that have been proven to help with scarring, even completely removing the visual effect. One of the first solutions that may be offered is a steroid injection into the area, which helps with the discomfort and redness of scarring. Cortisone creams are another option that may help to reduce the size of the blemish. Targeted cryotherapy, similar to the type of therapy used to remove warts, may also reduce scarring by freezing the tissue away.
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.
One of the most worrisome aspects of breast lift surgery for most patients is the potential for noticeable scarring. As a procedure designed to improve the aesthetic look of your body, a poorly performed procedure can end up leaving noticeable marks, typically under the breast. Fortunately, advancements in technology during and after the procedure have reduced the risk greatly in terms of the creation of scarring that’s noticeable.
Your comfort with the scars are a very personal aspect of the surgery, but to the extent you are able, I urge you to keep in perspective the lesser importance of the incision pattern. I advise patients never to compromise contour for a lesser scar. I’d argue that it is more important to choose a highly experienced board-certified plastic surgeon who is a specialist in cosmetic surgery of the breast and body. Good luck with your surgical journey!
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.
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.
Thank you for your question, which is one frequently heard in consultations about breast lift surgery. The vertical scar is necessary as the lower part of the breast needs to be tightened from side to side. This can only be done by tightening not only the breast tissue of the lower part of the breast, but also tightening the skin of the lower part of the breast. This tightening involves removing extra skin - and hence the vertical scar.
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.

Experienced breast surgeons create a personalized surgical strategy just for you in advance of your breast lift. The plan takes into account your specific goals for the breast lift, along with your body size, age, skin tone and elasticity and more. The best breast surgeons never perform a generic breast lift—every procedure should be designed to fit your unique needs and your anatomy.


Power Assisted Liposuction : By employing a cannula that has a vibrating tip, surgeons are able to break up fat cells for easier removal. Power assisted liposuction also allows for more fat removal, smaller incisions, and a reduced recovery time. This procedure is quite safe since the cannula can be moved with smaller, more exact movements. In some cases, however, patients may have looser skin than they desired.

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 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.
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.
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