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. 
With fat grafting, a doctor can reduce the size of one area on the body and enhance another area at the same time. To perform this procedure, the cosmetic surgeon will perform liposuction on a common trouble spot, such as the abdomen, thighs, or upper arms. Then she will purify the fat cells, spinning them in a powerful centrifuge, to separate them from the surrounding fluid. Finally, she will inject these cells in another area of the body to give patients a fuller figure or reduce the signs of aging. Fat grafting can achieve a number of affects, including:
Dr. Kao specifically designed the Alexandra Breast Lift as a hybrid lift combining the best of the two techniques. It shapes and condenses the breasts without creating any unattractive scars. By combining the strengths of the circumareolar lift and the inverted-T lift, the Alexandra Breast Lift performed by Dr. Kao can dramatically enhance the appearance of your breasts.
If your doctor recommends breast reduction or breast augmentation, these are additional costs. Average cost of breast reduction is $6,500 to $12,000 while the average cost of surgery for breast augmentation is $5,000 to $10,000. In many cases, if your combining procedures there will be a discounted rate. Remember that the more experienced the plastic surgeon, the more expensive the surgery could be. However, you are investing in yourself by choosing an experienced surgeon.
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.
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