Good skin tone is essential to a good outcome, since the skin needs to snap back into the body’s new contours once the fat is removed. “If a patient has good skin elasticity, they’re going to have a really good result,” says New York plastic surgeon Dr. John Mesa. “But if the patient has bad elasticity, like a woman who’s had multiple pregnancies and the skin on her belly is too stretched, the skin isn’t going to shrink—and you’ll be left with sagging” (unless lipo is paired with a tummy tuck).
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 importantly, in cases of breast lifts with implants, there are hardly any wound complications with this technique. There’s a good reason for this. When you add an implant to a breast lift, you are filling up the skin envelope and, as a result, you do not need to take out much skin at all. You really only need to take out enough skin to move the areola to the new position higher up. The procedure is safer, and has less scars. That’s why the Benelli is my favorite.
The horizontal mastopexy goes by many names, including the “Horndesky Method” and “Ultimate Lift.” This technique enables surgeons to create a new position for the nipple without leaving a vertical scar from the areola to the breast crease. Instead, a horizontal incision is made across the entire breast above the areola, and the surgeon excises the skin below it while preserving the nipple.
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.”
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.

Because each patient has individual nutritional and lifestyle needs, there is no set diet that a person should follow after liposuction. Many patients use liposuction as a way to jump-start a healthier lifestyle, using their physical and financial investment in the procedure as motivation to take better care of their bodies. In general, patients should eat plenty of lean protein, calcium-rich dairy products, fresh produce, and whole grains. They should also increase their water consumption and cut back on processed foods. For more personalized diet advice, patients may want to consider visiting with a nutritionist.
Cost of Liposuction is an important factor when considering liposuction surgery. However, the quality of liposuction is more important than the liposuction cost. If the ultimate goal of liposuction is to have a happy patient, then the surgeon’s expertise and experience are probably more important than finding the cheapest liposuction surgeon. Liposuction prices are important, but it is not the most important factor to considering lipo surgery. Be careful not to put your body on the “Discount Rack”.
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.
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.
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.
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.
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.
  Liposuction Cost and Liposuction Price Guide Cost of Liposuction is an important factor when considering liposuction surgery. However, the quality of liposuction is more important than the liposuction cost. If the ultimate goal of liposuction is to have a happy patient, then the surgeon’s expertise and experience are probably more important than finding the […]

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.


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.
Liposuction is a procedure that can be performed either under local or general anesthesia. Local anesthesia allows you to remain conscious during surgery, but the treatment area is numbed so you will not feel any discomfort. This option can cost about $100 or more per hour. General anesthesia is used to completely sedate the patient. If it is administered by a nurse, general anesthesia can cost $300 or more per hour. When it is administered by an anesthesiologist, it can cost $450 or more per hour. Deciding which method of anesthesia to use largely depends on the extent of treatment. If the patient is having a small amount of fat removed, local anesthesia may be sufficient. On the other hand, if the patient is having extensive liposuction performed, or if it is being performed in conjunction with other procedures, general anesthesia will probably be the best option.
The total cost for lipo surgery is the sum of the non-surgical fee plus one or more surgical fees. The non-surgical fees include the cost of the operating room, nursing staff, pre-operative laboratory tests, post-operative garments and supplies. The surgical fees represent the prices for lipo surgery of each individual area. For example, the total cost for liposuction of the hips, outer thighs and buttocks might be the sum of the surgical fees for hips ($3,400), outer thighs ($3,000), and buttocks ($2,000), plus non-surgical fee ($1,600), which equals $9,200. However, many doctors will bundle these up so you could be looking at a lower cost.
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.
To maximize the success of liposuction surgery and minimize your risks, always follow your cosmetic surgeon's instructions for surgical preparation and postoperative care. If you smoke, your cosmetic surgeon will advise you to stop two weeks prior to and following liposuction surgery. You may also choose another avenue for fat removal. There are non-surgical liposuction alternatives available to patients who are not good candidates for liposuction or simply prefer other methods.

Surgeons who concentrate on one specific procedure are rare. In other words, you don't find many surgeons who perform breast augmentation, but not face lift surgery or liposuction. If you want liposuction, you should choose a surgeon who devotes a lot of their time to liposuction and body contouring. If the doctor is mainly a face lift surgeon, you might wonder if they are actually capable of providing the best results. Don't be afraid to ask a prospective surgeon how often they perform liposuction, how often they perform revisions for patients whose initial surgeries were performed by other doctors, and details about the surgeon's policy concerning surgery performed to correct his or her own work.

Dr. George Marosan, a board-certified plastic surgeon in Bellevue, Washington, prefers VASER liposuction in most situations. “Fat comes out more easily with VASER—especially in men, where it’s more fibrous,” Dr. Marosan says. He also points out another great advantage of VASER lipo: While fat that’s liquified by laser lipo isn’t usable, fat broken up by VASER is still viable for transfer to the breasts, butt, or anywhere you want more fullness. “The VASER allows me to sculpt the body, revealing the underlying muscle and bony anatomy. This is an advanced technique that goes way beyond liposuction for fat removal only,” says Dr. Marosan.
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.
The liposuction procedure can be performed using local or general anesthesia. The term anesthesia simply means "without pain," and the difference between local and general anesthesia is how much of the process you will be aware of. In most liposuction techniques, the process itself involves the injection of a numbing solution. With local anesthesia, your doctor will only numb the area of your body being targeted, and you will be conscious during the entire liposuction surgery. General anesthesia can be administered either as a gas or through a needle injection, and will put you to sleep for the duration of the operation. Once you awaken, you will still be numb in the area of the body that has been treated, and will feel little or no pain. At your initial consultation, you doctor will help you choose the right type
I perform a liposuction breast lift/reduction known as Breast LipoLift®. This specialized technique spares more nerves and blood supply as well as removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast, I then remove the excess skin to tighten the breast and create a more proportional silhouette with better cleavage. This procedure is also more accurate than traditional breast lifts or reductions since I use 3D measurements to uncover size asymmetries. During the procedure I remove exactly whatever is more from the larger side to get as close to symmetry as possible. Since I perform this less invasively the recovery time is faster and drains are not necessary. Over 90% of my patients are out to dinner the next evening taking only Advil and Tylenol if even needed. The size would depend on the proportion with your body versus going for a cup size.  It has been proven to have less complications than traditional breast reduction (please see my Breast LipoLift® page web page) and should not affect nipple sensation, mammograms, cancer risk or breast-feeding. 
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.
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.
If a woman has enlarged breasts, they can cause back pain, neck pain, headaches, and poor self-esteem. Liposuction is a more effective and less invasive method of breast reduction than other forms of breast reduction surgery. Using liposuction to remove excess fat has a natural lifting effect on the breast because there is less volume weighing it down.
Liposuction is a surgical procedure that removes fat via suction. It’s typically done with a thin tube, called a cannula, attached to a vacuum. No matter how healthy your diet or how often you work out, you can still have pockets of unwanted fat that resist your best efforts. With liposuction, an experienced surgeon can remove fat, contouring your hips, thighs, stomach, abs, waist, chin, or other areas. 

Any procedure that lifts the breast will require the surgeon to make an incision and that incision will leave a scar on your breast. In most cases, the scar will eventually fade and the positive aesthetic outcome of the ‘lifted’ breast will far surpass the remnants of a scar. But the fact is, you will have a scar following a breast lift (whether or not an implant is involved in the procedure). In fact, breast lifting actually occurs in breast reductions, too.

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.


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 been told that you require liposuction for medical reasons, you can be certain that insurance will only cover the extent of treatment needed to relieve your symptoms. In many cases, this amount of treatment is not going to result in flattering aesthetics. As such, you should consider the benefits of paying for further treatment that will help you not only achieve relief, but also an aesthetic enhancement that can help you feel confident about your appearance. Many practices, including mine, will work with patients in need of liposuction for medical reasons to determine a more comprehensive treatment plan, often at a discounted rate.
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