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.
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.
Because of the large pattern of skin cutout with the Inverted T scar (Wise-pattern) the scar complication can look really bad. Here is a photo of one of these wounds using this surgical technique. Although it is not a life threatening problem, this wound complication at the incision location could certainly look very scary to the patient. In addition to scars, this procedure also tends to flatten the breast, instead of making them perky. I no longer perform this technique in my practice as I feel that the other surgical techniques are far superior.
Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Yves-Gerard Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Yves-Gerad Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]
I would recommend an in-person consultation with a plastic surgeon where a thorough physical examination and measurements will be made to determine the best treatment plan for you.  At the consultation, you should view before-and-after photos of various breast lift techniques in patients with breasts similar to yours to see if you like the results before undergoing surgery.  Best of luck!

A patient may think twice when they receive an estimate from a surgeon using advanced technology, but that individual would be well advised to reconsider the results that surgeon has provided for others. If paying more for an advanced treatment by a reputable surgeon is more likely to provide beautiful results that will not need revision surgery for undesirable contours or scarring, it could be considered a much more conservative option than paying a cut rate for a less reputable surgeon and having to undergo additional surgeries to achieve the results you really wanted in the first place. It is also important to note that a revisional body contouring surgery is usually more expensive than the original. Correcting errors made in a previous surgery requires more planning and more time to perform, which naturally incurs a greater expense.
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.
 For your case, I would decide what breast size you want to be.  That will determine what size breast implant you need.  The size the breast implant will determine also what type of breast lift you need.  With a bigger implant, you may be able to get by with a donut breast lift or a circumperiareolar  mastopexy.  This may be the best way to start.  If you still don’t get your desired breast shape and look you desire, you can always convert to a vertical or anchor mastopexy.  I hope this answers your questions regarding avoiding the vertical component of the lollipop or inverted T or anchor last exit. If you have anymore questions regarding breast left, mastopexy, breast augmentation, vertical breast left, lollipop incision breast left for anchor incision breast left, please contact my office. Sincerely, Dr.Katzen. (Certified by the American Board of Plastic Surgey and Member of the American Society of Plastic Surgery.)
First, a circumareolar incision is made to remove a doughnut-shaped area of skin from around the areola. This also allows the nipple-areola complex to be moved up significantly (potentially as much as 8 or 9 centimeters) without causing irregularities, and it leaves almost no visible scars. The skin is then separated from the breast tissue, and the inverted-T technique is used internally to shape and mold the breast tissue. Once your perky, better-defined breast is formed, the skin is redraped. To prolong and maintain your results, a mesh is added as an internal bra beneath the skin. This provides additional support to the breast tissue.
To prepare for liposuction surgery, your doctor will require you to meet for an in-depth planning session. During the meeting, you will discuss the entire procedure, its risks and side effects, and all steps you need to take prior to the operation. Your doctor will give you details about the kind of anesthesia he or she will use, the type of facility where the liposuction procedure will take place, the costs involved, and any medications or supplies you will need to pick up beforehand. The doctor will also explain the different types of liposuction he or she offers, and together you can determine the optimal treatment for your health needs and aesthetic goals. It is important to be as thorough as possible when explaining your objectives to your doctor, as this will help him or her create a treatment plan that is tailored specifically for you.
Technically, any licensed doctor can perform liposuction, but not all doctors offer the same degree of expertise. For example, you would not want a podiatrist performing your cosmetic procedure. For your safety and ultimate satisfaction, you should always choose a physician who is certified by the American Board of Plastic Surgery. To receive this certification, a doctor must have had three to five years of medical training with two to three of them focused on cosmetic surgery. Additionally, doctors must pursue ongoing education to maintain their certification.
Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Yves-Gerard Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Yves-Gerad Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]
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.
In addition to your surgeon's fee, you can expect to pay fees for the surgical venue, anesthesia, supportive surgical garments, pain medication, and other possible needs. Many surgeons have their own surgical suite, staffed by their own nurses and other professionals. If your surgery must be carried out in a hospital suite, it can cost hundreds more. In fact, the Henry J. Kaiser Family Foundation reports that non-profit hospitals charge an average fee of about $2,300 for an outpatient procedure, while state and for-profit hosptials charge an average of about $1,800. However, in some instances, the hospital is the better choice. If you need extensive liposuction, complications are more probable, and it pays to have a hospital's resources available.
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.
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A: In general, no plastic surgeon can guarantee that breastfeeding will still be possible after the breast lift surgery. But in most cases, you should be able to breastfeed after a breast lift if the nipple was left intact during the procedure, and was still connected to all the anatomical structures underneath the nipple. However, if you are planning to become pregnant, its recommended that you wait until after your pregnancy to have a breast lift. Reason being, as your breasts enlarge during pregnancy the skin will stretch. Depending on the elasticity of your skin before pregnancy and the degree to which your breasts enlarge during pregnancy, your breast skin may permanently stretch. In this case the results of breast lift surgery performed before pregnancy would be lost.
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. 

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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