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.
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.
Liposuction of the entire thigh (circumferential liposuction) is not recommended due to an increase in swelling and lengthened recovery time. Rather, liposuction should be performed in a series of surgeries spaced about one month apart. Focusing the procedure on one specific area of the hips allows the lymphatic tissue to drain excess fluids quickly and evenly throughout the thigh, yielding more desirable results in a shorter amount of time. Liposuction of the thighs may be performed with thigh lift surgery.
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.

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. 
Before exercising after liposuction, patients should consult their surgeons for specific, individual guidelines for liposuction recovery. Most plastic surgeons encourage patients to begin a gentle walking routine within three to four days of their liposuction. Mild exercise protects against the formation of blood clots in the legs and other post-surgical complications.
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.
Whether you are expecting to pay for liposuction completely out of pocket, or if you are eligible for some degree of insurance coverage, you have absolutely nothing to lose by contemplating what you really hope to achieve, and discussing those goals with the most reputable surgeon in your area. You may be surprised to find that your surgeon offers more budget-friendly options and accommodations than you anticipate.
Some patients report pain the day after their liposuction surgery. Usually, this discomfort is minor and can be relieved with pain medication and moderate walking. In less than a week after liposuction, most patients are able to move and walk normally, even returning to work with minimal discomfort. Patients should take showers instead of baths for about a week after liposuction. During this time, swelling, bruising, and numbness will begin to go away.
Liposuction may seem fairly simple, but the truth is that it can be quite tedious, and requires a high degree of precision and skill. You have everything to gain by seeking a surgeon who excels specifically in liposuction. If that surgeon happens to use advanced technology to carry out the procedure, this could also be a strong indicator that the doctor is especially passionate about liposuction and body contouring, and could be more likely to provide you with satisfying long-term results.
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 patients report pain the day after their liposuction surgery. Usually, this discomfort is minor and can be relieved with pain medication and moderate walking. In less than a week after liposuction, most patients are able to move and walk normally, even returning to work with minimal discomfort. Patients should take showers instead of baths for about a week after liposuction. During this time, swelling, bruising, and numbness will begin to go away.
Following liposuction, patients often experience some soreness and tenderness in the treatment area. This can usually be controlled with over-the-counter pain medication, and a physician may prescribe stronger medication, if needed. However, this discomfort is typically minimal, and patients can typically return to work about two days after their procedures. If they experience severe discomfort or if the soreness gets worse after several days, patients should alert their doctors.
Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump. After inserting the cannula through a small incision, the plastic surgeon helps break up the fat by manipulating the cannula and injecting fluid into the area. Although it does carry some risks, traditional liposuction is very effective in taking out fat, and it is still one of the most popular forms of the procedure.
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.
How it works: The uniquely designed applicator achieves precise tension reduction on the skin, (tension being the key cause of scarring), to gently hold both sides of your closed incision together. Clear video instructions make embrace® easy to apply, and gentle to remove. Even better, embrace® is water resistant, so you can shower and exercise. And each application lasts an average of 10 days, relieving you of a daily regimen.
According to the American Society for Aesthetic Plastic Surgery®, liposuction is the second most popular cosmetic procedure in the country, surpassed only by breast augmentation. In 2012, the ASAPS there were 313,011 liposuction procedures performed in the US in 2012. While liposuction is the second most popular surgical procedure in general, it is the number one treatment for men seeking cosmetic surgery.[2]
It is important to remember when considering liposuction that shaping the buttocks is more important than reducing the size. Excess removal of fatty tissue in the buttocks can result in an asymmetrical, lumpy, or sagging appearance. The buttocks are important in the overall aesthetic appearance of the body. Surgeons should approach liposuction of the buttocks with the subtle touch of an artist, and should always use a micro-cannula, not more than three millimeters (1/8 inch) in diameter.
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.

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.


Finally, there’s the so-called scarless lift. Women who are seeking a mild lift but are dead set against leaving scars anywhere on their breasts may opt for a technique that uses a network of dissolving surgical threads inserted through tiny incisions along the collar bone, guided under the breast tissue, and then anchored to the collar bone, to create an internal bra of sorts. Scar tissue forms around the threads, theoretically providing support to lift the nipple.


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.
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.
Unfortunately, there aren't any scarless breast lifts. You need to understand that there will always be a trade off - you will have scars but you will have the breast shape you desire. You cannot get one without the other. Anchor scars tend to be more unsightly, but may yield the best results for some patients. Other patients may get great results with a vertical lift, leaving a thin vertical scar that tends to heal very well.
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.
If you have a significant amount of loose skin around your midsection, or if pregnancy, weight loss, and/or age has weakened your abdominal muscles, you may want to consider a tummy tuck. However, if you have healthy skin that adheres to the natural contours of your body, you are probably a better candidate for liposuction. Ultimately, the only way to determine the right procedure for you is to schedule an appointment with an experienced cosmetic surgeon.
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