In 1977, Fisher and Fischer reviewed 245 cases with the planotome instrument for treating cellulite in the lateral trochanteric (hip-thigh) areas. There was a 4.9 per cent incidence of seromas, despite incision-wound suction catheters and compression dressings; 2.0 per cent of the cases presented pseudo-cyst formation that required removal of the capsule (cyst) through a wider incision (+ 5.0 mm) and the use of the panotome.[14][15]
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.

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.
It is important to choose a doctor who has performed a number of liposuction procedures with good results. Even if a plastic surgeon has a great reputation for tummy tucks or facelifts, if he has firsthand knowledge of liposuction, he is probably not the right choice for your treatment. It is also advantageous to choose a doctor who is trained in dealing with surgical complications. Although the likelihood that you will experience adverse effects is low, selecting a doctor with specialized training in this area can minimize your risks even further.
Any licensed physician can perform liposuction, but it's usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors' professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.
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.
Ultrasonic Liposuction : This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove. By utilizing ultrasound technology, the doctor can remove larger and denser fat deposits, and he or she can tighten the surrounding skin. However, there is a greater risk of burns and scarring due to the heat from the ultrasound waves.
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.
Aging brings on a general redistribution of body fat, especially around the middle. For women, childbirth can leave behind a roll of stubborn and unsightly belly fat. And, of course, genetics count for a lot, too. But when it comes to liposuction, not all fat is created equal. Fat that's resistant to diet and exercise is usually subcutaneous fat, which lies beneath the skin and on top of the abdominal muscle wall. The good news is that's what liposuction is intended to remove. Liposuction can remove pockets of flab, recontour your middle and improve your shape.
In contrast to laser-assisted liposuction, laser fat reduction does not involve any incisions or downtime. Treatments such as Zerona® and i-lipo TM use cool, safe lasers to break down fat cells. These treatments can physically shrink the fat cells and enable your body to expel them naturally during the detoxification process. Procedures can last between 20 minutes and an hour, although techniques such as i-lipo typically involve a multi-treatment regimen. However, some experts believe that laser therapy can only remove fat cells that are close to the skin, leaving the deeper cells unaffected.
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.
Body lifts: Body lifts are more comprehensive treatments designed to target the abdomen, thighs, and buttocks at the same time. During this procedure, a doctor will create circumferential incisions, running along the groin, thighs, hips, and waist. In addition to tightening damaged muscles, he or she may use liposuction to remove fat from one or more of these regions.
Doctors disagree on the issues of scarring with not suturing versus resolution of the swelling allowed by leaving the wounds open to drain fluid. Since the incisions are small, and the amount of fluid that must drain out is large, some surgeons opt to leave the incisions open, while others suture them only partially, leaving space for the fluid to drain out.[13]
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."
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.
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.

Most board certified plastic surgeons will give discounts if more than one area is addressed at the same time. Be careful when comparing pricing between surgeons. Some surgeons will only give you their fee with the surgery center and anesthesiologist billing you separately. Other surgeons will give you a package price which will include their fee, the surgery center and anesthesiologists fee.
Problem areas that are resistant to diet and exercise can often be dramatically improved through liposuction. The body smoothing and contouring possible with liposuction can make an individual look and feel better simply because their clothes fit better. More importantly, their entire figure could be rejuvenated and enhanced after this procedure. Plastic surgery patients who undergo liposuction may even find unexpected benefits of the procedure as they begin to partake in activities that they had previously shied away from because they were unhappy with their appearance.
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.
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.

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.
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.

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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