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. 
The technique used for your procedure will also influence the appearance of your scars, so talk to your surgeon to get a complete explanation of the typical scarring associated with each technique, including the standard (anchor) breast lift surgery, doughnut mastopexy, and crescent lift techniques. Together, you can determine which option would work best in your particular case.
The “crescent lift” technique is mostly used for women who have a very small amount of sagging to correct, and involves one small incision that runs halfway around the top half of the edge of the areola.  It’s usually only done when a patient is undergoing a breast augmentation, and even then only rarely. It’s more of a preventative measure, unlike the other options, which are focused on breasts that have more advanced sagging.

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.

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.


Some doctors may use ultrasound waves to break down fat cells before suctioning them out. However, ultrasound technology can be an effective tool for fat reduction, even when it is not used in conjunction with liposuction. Your doctor will apply an ultrasound device to the treatment area, and the waves will gently break down the cells, allowing your body to rid itself of the fat over a period of time. Ultrasound fat reduction treatments, such as Liposonix®, typically take about an hour and involve no anesthesia or downtime. They can also boost collagen production and improve skin elasticity. However, these treatments typically do not result in as much fat removal as surgical liposuction.

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.
Most board certified plastic surgeons will give discounts if more than one area is addressed at the same time. Be careful when comparing pricing between surgeons. Some surgeons will only give you their fee with the surgery center and anesthesiologist billing you separately. Other surgeons will give you a package price which will include their fee, the surgery center and anesthesiologists fee.
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.
• WarmSculpting with SculpSure’s diode-laser energy creates heat that kills fat cells during a 25-minute treatment, and multiple areas can be treated at the same time. There are very few side effects and zero downtime. WarmSculpting’s Worth It Rating is almost as high as that of liposuction, and it’s significantly less expensive. Just keep in mind you’ll have to wait up to three months to see your full results, and you might need two or more treatments to reach your goals.
If you deal with the hassle of body-shaping clothes (such as underwire bras) on a daily basis, then you already understand why breast lift surgery is one of the most popular cosmetic surgical procedures. At The Royal Centre of Plastic Surgery, women choose to undergo this cosmetic enhancement to increase confidence and enhance the shape and appearance of their breasts.
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