It all depends on the position of the nipple/areolar complex position. If there is significant loose skin, then the vertical incision is necessary to give you the ideal result. The length of the vertical scar is not long, only 4-5 cm from the bottom of the areola to the crease. This scar heals very well. If there is a lot of excess skin, then the anchor incision is necessary.
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.
Traditional liposuction involves the use of a tube-like tool called a cannula. It is inserted below the surface of the skin through tiny incisions, and moved back and forth to loosen fat cells, which are then suctioned out through the cannula. In my case, I prefer to use VASERlipoTM, which incorporates ultrasound into this process. I invested in this expensive equipment so I could provide better results, and I've got to pay for it. I charge from $2,000 to $4,000 per area using VASERlipoTM, which is several hundred dollars more than surgeons typically charge for traditional liposuction.
After liposuction, most doctors will require you to wear a compression garment or bandage over the treatment area. This garment will reduce post-surgical bleeding, minimize discomfort, and speed your recovery time. During open-drainage tumescent liposuction, your surgeon will leave the incisions open. Following this type of treatment, the garment will help the anesthetic fluid to leave your body more quickly. Following closed-drainage liposuction, in which the doctor will use sutures to close the incisions, the compression garment encourages your body to absorb the fluid more quickly for faster healing.
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.
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.
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 and your doctor will also discuss your medical history and lifestyle to determine your risk during liposuction surgery. You will be asked about the drugs you are currently taking (prescription, over the counter, recreational, or herbal supplements), whether or not you smoke or take oral contraceptives, and any medical conditions you may have. It is crucial that you are honest with your doctor about any drugs you are taking, as this can greatly affect the outcome of your surgery.
Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 
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.
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.

Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 
Liposuction is highly effective in removing stubborn fat cells that seem immune to diet and exercise. However, if you have not yet made a commitment to a healthy lifestyle, you should make these changes before pursuing liposuction. You may find that, with the right modifications, the areas that have troubled you for years become firmer and more contoured.
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.
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