One of the most worrisome aspects of breast lift surgery for most patients is the potential for noticeable scarring. As a procedure designed to improve the aesthetic look of your body, a poorly performed procedure can end up leaving noticeable marks, typically under the breast. Fortunately, advancements in technology during and after the procedure have reduced the risk greatly in terms of the creation of scarring that’s noticeable.
I recently performed liposuction for Tara, 49, an active woman who wanted to rejuvenate her figure.  "Diet and exercise were not enough at this juncture in my life," Tara said. "I wanted to look - and, more importantly - feel better about my appearance both in and out of my clothes. It was definitely worth the cost. Self-confidence is always worth the cost."
Some surgeons prefer to give prospective patients an itemized list of all the anticipated costs of liposuction. These separate costs might include the surgical fee (money paid to the surgeon for his services), anesthesiologist’s fee, operating room fee, pre-operative laboratory test fees, charges for post-operative elastic compression garments, and possibly prices for antibiotics and other recommended drugs. Sometimes itemized prices are used when the surgeon cannot control all of the related expenses, such as when the lipo surgery is to be done in a hospital operating room with a hospital anesthesiologist. Itemized lipo prices are also used by surgeons who are in the habit of doing multiple unrelated surgical procedures at the same time that the liposuction is done.
In many cases, liposuction is performed for purely cosmetic reasons. Our society values a lean, youthful body tone, and healthy living alone is often not enough to help us reach our goals. When the patient simply wishes to improve his or her appearance, the price will likely be paid out of pocket. Practices accept cash, checks, and credit cards, and often work with third-party financing companies. Some practices finance treatments themselves.
1. Keloid Scarring – This type of scarring would only be the result of a procedure that causes an unusual amount of damage to the skin. This type of scarring is essentially “aggressive healing,” as the body sends excessive amounts of collagen to the area in an attempt to fix the skin.For a portion of the population, keloid scarring occurs even for relatively minor procedures and wounds, leading to the area of the skin becoming red, raised and slightly waxy. If you are prone to keloid scarring, tell your plastic surgeon before undergoing the procedure.

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.


For tumescent liposuction, the most common technique, your doctor will make one or more small (one-quarter inch or less) incisions in the area to be treated and inject a large quantity of a mixture of saline (salt water), local anesthesia, and epinephrine into your tissue. The fluid causes the fat to become swollen, firm, and easier to remove. (It also constricts your blood vessels, which reduces bruising, blood loss, and recovery time.) The surgeon then inserts the cannula through the same incision and passes it back and forth under the skin to break up the fat before suctioning it out. For a very small area, the procedure takes around 30 minutes, while a 360 liposuction—which includes the abdomen, flanks, back, and all around the torso—lasts three to four hours. 

Less common is the Vertical Scar Technique, which has less scarring than the Wise pattern, but has a vertical scar visible in the middle underside of the breast. The vertical scar has the advantage that it can give the breast a better shape and the scar does eventually fade with time.  I use this technique primarily for breast lifts and breast reductions of any size.  
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.
Recovery time differs for each patient, but in general, you can return to work two to four days after your liposuction treatment. The exact time will depend on the area you had treated and your body's natural healing process. If you have an extremely physical job, you may need to take more time off; doctors recommend that patients wait at least three weeks after liposuction before engaging in aerobic exercise.
The expected time and effort that is required to accomplish a liposuction surgery is the most important factor in determining the cost of liposuction. Factors that typically affect the surgeon’s time and effort include 1) Number of areas being treated, 2) Size of the patient, 3) Anticipated degree of difficulty. Thus, cost of liposuction of the abdomen alone is less than the cost of doing liposuction on both the abdomen as well as the inner thighs and knees. Similarly, the cost for abdominal liposuction on a patient who weighs 80 kilograms (176 pounds) might be more than the cost for liposuction of the abdomen of a patient who has never weighed more than 60 kilograms (132 pounds). Liposuction is more difficult and requires more time if the patient has previously gained and then lost a significant amount of weight. In any area previously treated with liposuction, the fat often contains scar tissue which makes liposuction in the same area more difficult.
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.
Thursday's launch marks SpaceX's 18th cargo run to the International Space Station. The Dragon supply ship atop the Falcon 9 was making its third trip to the lab complex, this time loaded with 5,000 pounds of crew supplies, equipment and high-tech science gear, including a low-tech container of bright green Nickelodeon "slime" for educational outreach. Watch the rocket launch here.

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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