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.  
“I am enormously thankful to the owners of Neodyne for enabling me to finish the 2‐month protocol with embrace®. I have gone through a 17‐month physical ordeal, beginning with my breast reduction surgery. Since then, I have had a second surgery to eliminate painful and unsightly scars. Your product has been a blessing, and I hope that, in time, my scars will be completely eliminated and healed.”
Most doctors on RealSelf say that a good compression garment is essential to minimize swelling and bruising, help the skin smoothly adhere to the underlying tissue, and speed up healing; but some don’t think it’s necessary. Doctors who recommend compression garments often have patients wear them 24/7 (with a break for showering) for at least two weeks and then gradually reduce the number of hours they need to be worn over a period of three or more weeks. As a bonus, doctors say, compression helps ease discomfort. Follow your doctor’s instructions. 
In my experience, VASERlipoTM gives my patients better results, with less loose skin and quicker recovery. It's a three-step process of injecting a solution of saline and norepinephrine, applying ultrasound waves below the skin using a special probe, and evacuating the emulsified fat through a cannula. By using this advanced technology with knowledge and experience, you can remove the fat in a reasonable amount of time, in the most superficial layers so that the skin will reshape to a smaller size. Ultrasound allows for more selective damage to the fat, and minimizes trauma to neighboring connective tissue. By minimizing collateral trauma, more fat is removed, and the native elasticity of the connective tissue can shrink down to the smaller size.
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.
While there is no upper age limit for patients who want to have liposuction, there are risks associated with any type of surgery. Therefore, patients should be in basically good health in order to safely undergo the procedure. Patients who suffer from serious medical conditions or who take certain medications may not be good candidates for liposuction. Consult with your primary care physician and plastic surgeon to find out whether you are an appropriate candidate for this procedure. Because liposuction removes fat but does not tighten skin, patients with good skin elasticity tend to experience the most aesthetically pleasing results. Older patients typically have less supple skin than younger patients.
While the suctioned fat cells are permanently gone, after a few months overall body fat generally returns to the same level as before treatment.[2] This is despite maintaining the previous diet and exercise regimen. While the fat returned somewhat to the treated area, most of the increased fat occurred in the abdominal area. Visceral fat - the fat surrounding the internal organs - increased, and this condition has been linked to life-shortening diseases such as diabetes, stroke, and heart attack.[2]
If you are contemplating a breast lift, with or without an implant, be sure to discuss your goals and objectives, very specifically, including the type of scar you should expect following surgery. Your surgeon should be able to show you exactly where your scar will be. He/she should be willing to discuss your options, describe his surgical techniques, and answer any other questions you have about your breast lift.
Radiofrequency fat removal uses radiofrequency waves to heat unwanted fat cells. The high-power waves can demolish these cells, yet the surrounding cells will be unharmed. Typically, you will have several short treatment sessions. Many experts hail radiofrequency treatments, such as Vanquish and Accent® Ultra, for their ability to remove fat and improve the appearance of cellulite with minimal discomfort and no need for anesthesia. However, this technology has not yet received FDA approval for use in fat removal, and therefore, many doctors are hesitant to offer this form of treatment.
Recovery time differs for each patient, but in general, you can return to work two to four days after your liposuction treatment. The exact time will depend on the area you had treated and your body's natural healing process. If you have an extremely physical job, you may need to take more time off; doctors recommend that patients wait at least three weeks after liposuction before engaging in aerobic exercise.
Technically, any licensed doctor can perform liposuction, but not all doctors offer the same degree of expertise. For example, you would not want a podiatrist performing your cosmetic procedure. For your safety and ultimate satisfaction, you should always choose a physician who is certified by the American Board of Plastic Surgery. To receive this certification, a doctor must have had three to five years of medical training with two to three of them focused on cosmetic surgery. Additionally, doctors must pursue ongoing education to maintain their certification.
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!
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