For tumescent liposuction, the most common technique, your doctor will make one or more small (one-quarter inch or less) incisions in the area to be treated and inject a large quantity of a mixture of saline (salt water), local anesthesia, and epinephrine into your tissue. The fluid causes the fat to become swollen, firm, and easier to remove. (It also constricts your blood vessels, which reduces bruising, blood loss, and recovery time.) The surgeon then inserts the cannula through the same incision and passes it back and forth under the skin to break up the fat before suctioning it out. For a very small area, the procedure takes around 30 minutes, while a 360 liposuction—which includes the abdomen, flanks, back, and all around the torso—lasts three to four hours. 
Also known as a vertical lift, this technique requires surgeons to make a keyhole shaped incision on the breast, preserving the nipple but removing any excess skin below it. The areola is then shifted up into its new position, while suturing the skin edges together results in a lollipop shaped scar around the nipple and a vertical line down to the breast crease.

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.
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. 

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.
Your surgeon should schedule follow-up visits to monitor your recovery, and this may include other services as well. I include VelaShapeTM therapy in the cost of every liposuction procedure I perform. This treatment uses ultrasound waves to reduce swelling and improve drainage. As a standalone treatment, this can cost about $100 per session. I'm excited to be offering this treatment because it reduces overall recovery time, discomfort, and your risk of needing secondary surgery.
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.
If you maintain your post-lipo weight, your surgical result should be long-lasting. But if you gain even five pounds, the fat cells in other areas of your body—as well as those that remain in the treated area—will grow larger, possibly diminishing your results. In cases of considerable weight gain, new fat cells can develop all over the body, including in the treated areas, though the area will still look better than if you didn’t have liposuction.
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.
Choosing the right surgeon is the most important thing you can do when you are preparing for liposuction. Although this procedure is extremely safe, as with all surgical treatments, there are some risks, so it is important to find a doctor with an exceptional record of safety and success. Additionally, the results of your liposuction could last for decades, so you should choose a doctor who will give you the look you desire. With so many doctors offering liposuction, selecting the right one can seem like a daunting task. However, there are certain things that can make your decision easier.

Exercise is important because it helps keep off excess pounds and increases muscle definition. Regular physical activity can also have enormous benefits for overall wellness, decreasing the risk for heart disease, high blood pressure, and depression. There is no need for liposuction patients to suddenly take on an extreme exercise routine. However, they should engage in some type of physical activity at least 5 days a week. Good choices include jogging, walking, biking, yoga, swimming, dance classes, and similar activities. Combined with proper diet, regular exercise can help patients keep their figures trim and toned.
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.
Among the benefits are an improved appearance, a reduction in the size of stretched areolae and more youthful, feminine proportions, which has the added benefit of helping bras and swimsuits fit more comfortably and attractively. The surgery ultimately hopes to make the breasts look better proportioned, after birth or simply to rectify the issues of aging.
Facial liposuction is most often performed with a micro-cannula using a tumescent technique. In some cases, liposuction of the chin, neck, and jowls, as well as other facial liposuction procedures, can have better results in these problem areas than other surgical techniques. Liposuction can also be more desirable because it minimizes scarring when compared to other type of facial enhancement. This treatment is usually performed on or below the chin and jaw line to reduce the appearance of sagging skin in the neck, a double-chin, or hanging jowls.
If you want to achieve a sleeker figure, but you are reluctant to undergo surgery, there are a number of non-invasive techniques that may prove effective. Although these alternatives do not typically provide the same dramatic effects that liposuction can give, they can still be excellent choices, especially if you are not a candidate for surgical fat removal.
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.
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.
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