Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Yves-Gerard Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Yves-Gerad Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]
Dr. Kao believes that the best results are achieved when the correct procedure is performed on the right patient. The Alexandra Breast Lift can be performed with or without implants and can provide beautiful results on specific patients. However, if you aren’t the right patient for this technique, Dr. Kao will evaluate your needs and develop a treatment plan that works for you. Stay tuned for our next blog on breast lift candidates and the consultation process.
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 can also be used as a form of breast reduction in men, but several important factors must be considered first. The surgeon must determine whether the excess tissue in the breast is fatty or glandular. If the breast is primarily fatty tissue, then liposuction is an excellent method for reducing the size and improving the appearance of the chest.
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.
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. 

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.
 For your case, I would decide what breast size you want to be.  That will determine what size breast implant you need.  The size the breast implant will determine also what type of breast lift you need.  With a bigger implant, you may be able to get by with a donut breast lift or a circumperiareolar  mastopexy.  This may be the best way to start.  If you still don’t get your desired breast shape and look you desire, you can always convert to a vertical or anchor mastopexy.  I hope this answers your questions regarding avoiding the vertical component of the lollipop or inverted T or anchor last exit. If you have anymore questions regarding breast left, mastopexy, breast augmentation, vertical breast left, lollipop incision breast left for anchor incision breast left, please contact my office. Sincerely, Dr.Katzen. (Certified by the American Board of Plastic Surgey and Member of the American Society of Plastic Surgery.)

Nonsurgical fat reduction treatments can also treat small pockets of fat, but be aware that RealSelf members give these procedures a lower Worth It Rating than they do liposuction. They usually require multiple treatments, over many months, to see a significant improvement—and the results are typically not as dramatic as those you’d get with lipo. After a nonsurgical fat reduction procedure, the body flushes out the damaged fat cells over time. Dr. Marosan also cations that “Patients who undergo nonsurgical fat reduction and then opt for liposuction surgery are more difficult to treat, due to the extensive internal scarring. In my practice, over 50% of my body sculpting patients had previous nonsurgical or surgical fat reduction, with suboptimal or poor results.”


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.

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.


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.
Thursday's launch marks SpaceX's 18th cargo run to the International Space Station. The Dragon supply ship atop the Falcon 9 was making its third trip to the lab complex, this time loaded with 5,000 pounds of crew supplies, equipment and high-tech science gear, including a low-tech container of bright green Nickelodeon "slime" for educational outreach. Watch the rocket launch here.

Thursday's launch marks SpaceX's 18th cargo run to the International Space Station. The Dragon supply ship atop the Falcon 9 was making its third trip to the lab complex, this time loaded with 5,000 pounds of crew supplies, equipment and high-tech science gear, including a low-tech container of bright green Nickelodeon "slime" for educational outreach. Watch the rocket launch here.
Some people choose to have liposuction revision, a second procedure, due to irregularities in the results of the original procedure. These might include asymmetry between one side and another, dimpling, or bumps, to name a few common reasons for revision lipo. According to Dr. Mesa, liposuction revision is often needed when the provider was inexperienced—but it can also just be the result of the way a person heals. 
With this procedure, a surgeon creates an incision on or around the perimeter of the areola and later a second outer incision to remove the “donut” of skin around it. The nipple is sutured back to the breast skin, tightening it in the process. This method provides more lift than the crescent, but again only a relatively small amount of sagging can be repaired.
In sum, a liposuction procedure that only involves removing some fat from the abdominal region will cost much less than a procedure that involves removing fat from the midsection, flanks, and thighs, or involves other complementary procedures. As with virtually any medical procedure, the extent of your treatment will have a major effect on what you can expect to pay.
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.
Liposuction of the hips is generally successful in creating a more contoured figure. This type of liposuction is usually performed on women, as men are not as susceptible to retaining fat deposits in this area. Patients who undergo liposuction to improve the appearance of the hips may require additional procedures to attain the desired contour. The procedure is usually performed under general anesthesia. Liposuction of the hips may be performed with an extended tummy tuck.
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.
Scars are inevitable after any incision in the skin, of course, because scarring is part of the body’s “self-repair” process. Breast lift surgery, in my experience, is a very satisfying procedure for the vast majority of patients–even with the unavoidable, often minimal, scarring. Scars may be in an anchor shape, in the crease below the breast and from the center of the crease up to the areola, although there are other types of scarring. When you choose an experienced surgeon, you’ll find that your breast lift scars are well hidden, even when wearing low-cut clothing. This is one of the signs of a skilled breast lift surgeon.

There have been cases of children as young as 12 undergoing liposuction. While this is uncommon, there are rare instances in which a doctor may perform liposuction on a teen, especially after major weight loss that may have left one or two lingering bulges of fat. Generally, a doctor will assess a teenager's emotional maturity and self-esteem before agreeing to perform liposuction. The majority of these patients choose to have one problem area contoured to help with self-esteem issues. Some teens are affected by excess fat under the chin, in the calves, hips, or other areas, and it can be a source of embarrassment and ridicule among peers. In these cases, liposuction can eliminate this fat and produce a more sculpted, toned appearance.
Some surgeons recommend lymphatic massage starting at about four weeks post-op, to help drain fluid and bring down swelling. “I don’t suggest self-massage, because you can counteract the surgery,” Dr. Mesa says. “But going to a massage therapist who specializes in post-surgical massage does make the healing process faster and prevent irregularities.”
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.
You’ll be in a recovery room immediately after surgery. When getting ready to leave, a nurse will go over instructions on how to care for the drainage tubes, antibiotic use, and other important information about post-surgical care. She will also discuss symptoms that are commonly felt after surgery as well as the types of complications that could result.
Some surgeons recommend lymphatic massage starting at about four weeks post-op, to help drain fluid and bring down swelling. “I don’t suggest self-massage, because you can counteract the surgery,” Dr. Mesa says. “But going to a massage therapist who specializes in post-surgical massage does make the healing process faster and prevent irregularities.”
Congratulations on caring enough for yourself to get the body you want. As excited as you may be by the immediate results, you want to make sure you heal your best, with embrace® Active Scar Defense. It’s the only scar treatment that’s clinically proven to help prevent the appearance of dark, raised, visible scars and is recommended by doctors and patients. Here’s what you need to know:
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