Although the mastopexy procedure is one of the safest and most rewarding plastic surgeries, concern about breast lift scars is natural for women who are considering the procedure. As a woman and a breast surgeon, I have a deep understanding of the mix of emotions that can accompany a breast lift. You’re longing for a return to the high, perky breasts you had in younger years, before major weight loss or prior to pregnancy and breastfeeding. At the same time, you realize any surgery carries risk and excess scarring is one of them. Here we’ll provide expert tips to help you avoid visible breast lift scars.

To answer this question, you have to consider how breasts change over time. Weight gain adds a lot of excess tissue to the breasts; and if this weight is lost, it’s possible that there will be sagging – whether or not there already has been a breast lift surgical procedure done. Thus, to predict how long-lasting your results will be, you have to predict whether you will have additional weight gain – and weight loss in the future.
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. 
Cost is incredibly variable. It depends on the city and the provider. If you go to a plastic surgeon in New York City, it costs a lot more than seeing a non-plastic surgeon in a rural area. There are plenty of non-plastic surgeons offering discount liposuction. But, this can be somewhat risky due to their limited training backgrounds. And bad liposuction is very difficult to fix - I perform a lot of revision liposuction trying to fix poorly performed liposuction.
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.”
Major determining factors in the cost of a liposuction treatment include the number of areas being treated and the amount of fat being removed. Liposuction is often combined with other procedures, which can also make a tremendous difference in cost. In the case of a tummy tuck, liposuction is usually a given, and liposuction is factored into the estimate your surgeon provides. Does the patient wish to transfer liposuctioned fat to other areas, such as the breast, face, or biceps? In general, one could say that a breast augmentation using transferred fat costs about as much as augmentation using implants.
It’s a popular method because the incision enables doctors to reshape breast tissue and insert implants either above or below the muscle, leaving only a small scar along the top of the areola. However, it also has its downsides: only a minimal amount of lift can be achieved, not all sizes and types of implants will fit, and the majority of women desire a bigger boost than this method can deliver.
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.
Cryoliposlysis is an alternative fat reduction treatment that does have FDA approval. This treatment uses cool temperatures to freeze stubborn fat cells without impacting the surrounding skin or muscle. As the cells crystalize, the body can expel them naturally over a period of several months. To perform this treatment, the doctor will apply cooling panels to the treatment area for about 40 minutes. Like most patients, you will likely find the session relaxing, and you can read or even nap as your fat cells are frozen away. You may enjoy optimal results after just one appointment, or you may benefit from multiple sessions. You should be aware, however, that this treatment is more suited to some areas of the body than others. Doctors typically use cryolipolysis to treat the abdomen, thighs, and hips.

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.


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. 

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.
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.
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.

Abdominal Etching: This specialized form of liposuction is designed to enhance the abdominal muscles and give patients a desirable set of "six-pack abs." The surgeon will first outline the muscles and then the thin layer of fat that can obscure these muscles. He or she may use traditional, ultrasound, or laser assisted techniques to perform this minimal recovery treatment.
Fat removal, whether through dieting or liposuction, can have beneficial effects for your overall health and well-being. Most doctors agree that weight loss is the best way to reduce your risk of heart disease, diabetes, and even certain types of cancer. Although liposuction cannot be used to remove large quantities of fat, it can be used to eliminate stubborn pockets of fat, typically totaling 10 pounds or less.
I personally think nurse-administered anesthesia is perfectly appropriate in many cases. In fact, a 2014 study by the Chochrane Collaboration research group concluded that it was "not possible to say whether there were any differences in care between medically qualified anaesthetists and nurse anaesthetists." But if the patient is anxious about the procedure, or if the treatment scope is extensive, the extra cost of an anesthesiologist can be well worth the money. What I consider extensive liposuction can easily take up to 4 hours, so it would be reasonable to estimate that anesthesia administered by an anesthesiologist could cost about $2,000 in this scenario.
Tumescent Liposuction : Tumescent liposuction is similar to traditional liposuction, but experts often hail its innovative use of medication and reduced risks for complications. During tumescent liposuction, the doctor will inject a special solution (a mixture of salt solution, lidocaine, and epinephrine) into the layer of fat. The amount of fluid is usually measured at three times that of the fat being removed. The solution swells the fat cells, making them easier to isolate and remove. It also shrinks blood vessels, and because it contains local anesthesia, it can help ease discomfort without the risks associated with general anesthesia. Any minimal risks involve how much of the solution is injected, and how much lidocaine it contains.
It is normal to have a specific set of wants and desires when considering plastic surgery. Not being able to find a surgeon to meet those goals can be frustrating. It’s your body; you want it to look perfect. Dr. Kao had one such patient named Alexandra who was fed up with surgeons telling her that it was impossible to achieve the breast lift she wanted without extensive scarring. Instead of doing a traditional anchor breast lift and approaching her breast lift from the typical angle, she pushed Dr. Kao to think outside of the box and develop a unique breast lift technique that he named after her—the Alexandra Breast Lift—(mentioned in a previous blog) to provide this patient and others like her with the beautiful breast appearance they want.
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.
Some people believe that they will no longer have to exercise and maintain a proper diet after liposuction. Unfortunately, this is not the case. While liposuction is an excellent way to reduce excess body fat in specific areas, the removal of fat cells is by no means a guarantee against future weight gain. The cells that are removed during liposuction will not regenerate. However, patients may find that if they do not make alterations to their exercise and diet routines after liposuction, they are more apt to gain weight in areas of their bodies that were not previously problematic.
An “Internal” Bra: This is one of the most interesting procedures, as it is a mesh type of bra that is inserted surgically to lift your breasts. The mesh bra provides a little extra structure although over time the mesh is broken down and absorbed by your own tissues. This procedure is called the Breform, and you can expect a surgery of about four hours in the hospital with a few nights in recovery before you are released. The Breform is inserted through a scar in the nipple area or in the crease under the breast.
It’s a popular method because the incision enables doctors to reshape breast tissue and insert implants either above or below the muscle, leaving only a small scar along the top of the areola. However, it also has its downsides: only a minimal amount of lift can be achieved, not all sizes and types of implants will fit, and the majority of women desire a bigger boost than this method can deliver.
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.
“Adding a breast implant to the procedure sometimes allows the surgeon to shorten or even eliminate scarring, since the implant will then take up some of the slack caused by the breasts’ sagging,” says Fort Worth, TX plastic surgeon Dr. Jonathan Heistein. “Some breast augmentation patients may even be candidates for a radiofrequency treatment called BodyTite, which can provide a slight lift without requiring additional surgery.”
The “crescent lift” technique is mostly used for women who have a very small amount of sagging to correct, and involves one small incision that runs halfway around the top half of the edge of the areola.  It’s usually only done when a patient is undergoing a breast augmentation, and even then only rarely. It’s more of a preventative measure, unlike the other options, which are focused on breasts that have more advanced sagging.
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. 
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