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.
Botox Breast Lift: There are more and more uses of Botox that researchers are finding as time goes on. A Botox Breast Lift is not an approved use of botox by the FDA. Here’s how it works: Botox is injected into your pectoralis muscle. This causes a relaxation of the muscles in the chest and your back muscles then begin to lift your breast. The lifting is not dramatic though and it only lasts about three to four months. The advantage, however, is that there are no scars because surgery was not done. There’s also no recovery time as there is with a breast lift surgery.
“Adding a breast implant to the procedure sometimes allows the surgeon to shorten or even eliminate scarring, since the implant will then take up some of the slack caused by the breasts’ sagging,” says Fort Worth, TX plastic surgeon Dr. Jonathan Heistein. “Some breast augmentation patients may even be candidates for a radiofrequency treatment called BodyTite, which can provide a slight lift without requiring additional surgery.”
You’re going to feel sore, especially during the first few days after liposuction. You’ll be swollen and bruised, and you’ll need a few days to rest before you head back to work. “I generally recommend that my patients take between three and seven days off after liposuction, depending on how many areas were worked on and your pain tolerance,” says Dr. Samuel Sohn, a plastic surgeon in Henderson, Nevada. Your doctor will prescribe pain medication, though you may find you need only an over-the-counter pain reliever.
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.

The concept of liposuction surgery may seem simple, but, as with any type of surgery, the process is actually quite complex. A skilled physician will be well trained in all aspects of the liposuction procedure, and will be able to explain the process to you in as much detail as you wish. Of course, each procedure can vary significantly, depending on the treatment area and the type of liposuction you select. However, most procedures follow the same basic outline:


Recovery also involves unique expenses. Compression garments are very important in liposuction recovery, aiding the healing process and helping the skin conform to your refined contours. I usually provide one free garment. Subsequent garments can cost between $50 and $100. During your recovery, you will be prescribed pain medication to ensure your comfort. Depending upon whether insurance covered any portion of your treatment, and the specific pain medication prescribed, this can cost can range from under a hundred dollars to several hundred dollars.

The moon-shape (crescent) lift involves a scar hidden along the upper half of the areola border.  The donut (circumareolar) lift involves a scar hidden around the entire circumference of the areola border.  These scars camouflage very well where the darkly pigmented skin of the areola meets the lighter skin of the rest of the breast.  These lifts work well when the nipple is only slightly downward pointing but positioned relatively well on the chest wall.  One of the disadvantages of these lifts is that they can only raise the areola up to a maximum of about 2 cm.  They also tend to flatten the breast shape and are not ideal when there is saggy breast tissue in the lower pole.  Therefore, based on the low position of your nipple areola complex and the amount of breast tissue laxity you have, you would not be a good candidate for either of these lifts.
  Liposuction Cost and Liposuction Price Guide Cost of Liposuction is an important factor when considering liposuction surgery. However, the quality of liposuction is more important than the liposuction cost. If the ultimate goal of liposuction is to have a happy patient, then the surgeon’s expertise and experience are probably more important than finding the […]
While the suctioned fat cells are permanently gone, after a few months overall body fat generally returns to the same level as before treatment.[2] This is despite maintaining the previous diet and exercise regimen. While the fat returned somewhat to the treated area, most of the increased fat occurred in the abdominal area. Visceral fat - the fat surrounding the internal organs - increased, and this condition has been linked to life-shortening diseases such as diabetes, stroke, and heart attack.[2]
At first, liposuction results may seem minimal. This is standard, as swelling and bruising can obscure the final effects. Skin in the treated area may also appear loose, as it takes time for your body to adjust to its new, slender shape. Most physicians will ask the patient to wear a compression garment to aid in recovery. This will help reduce the long-term effects of post-liposuction swelling, bruising, and scarring.
In contrast to laser-assisted liposuction, laser fat reduction does not involve any incisions or downtime. Treatments such as Zerona® and i-lipo TM use cool, safe lasers to break down fat cells. These treatments can physically shrink the fat cells and enable your body to expel them naturally during the detoxification process. Procedures can last between 20 minutes and an hour, although techniques such as i-lipo typically involve a multi-treatment regimen. However, some experts believe that laser therapy can only remove fat cells that are close to the skin, leaving the deeper cells unaffected.
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.
Recovery also involves unique expenses. Compression garments are very important in liposuction recovery, aiding the healing process and helping the skin conform to your refined contours. I usually provide one free garment. Subsequent garments can cost between $50 and $100. During your recovery, you will be prescribed pain medication to ensure your comfort. Depending upon whether insurance covered any portion of your treatment, and the specific pain medication prescribed, this can cost can range from under a hundred dollars to several hundred dollars.

Liposuction is a procedure that can be performed either under local or general anesthesia. Local anesthesia allows you to remain conscious during surgery, but the treatment area is numbed so you will not feel any discomfort. This option can cost about $100 or more per hour. General anesthesia is used to completely sedate the patient. If it is administered by a nurse, general anesthesia can cost $300 or more per hour. When it is administered by an anesthesiologist, it can cost $450 or more per hour. Deciding which method of anesthesia to use largely depends on the extent of treatment. If the patient is having a small amount of fat removed, local anesthesia may be sufficient. On the other hand, if the patient is having extensive liposuction performed, or if it is being performed in conjunction with other procedures, general anesthesia will probably be the best option.
While cost is obviously an important consideration when it comes to liposuction, it is not the most important one. Patients should remember that their health and cosmetic satisfaction are ultimately the top priorities. Choosing an inexperienced doctor to save some money could cost far more in the long run if they require a corrective procedure or if they develop serious health complications. 

I would definitely not recommend placing an implant only without a lift in your case.  The implant will just increase the volume of your breasts without substantially changing the shape or nipple areola complex position.  The implant can also end up positioned high on your chest with descent of the soft tissue resulting in a snoopy/waterfall deformity.  Adding an implant to take up excess skin is not a good strategy to achieve the natural look your desire.
Liposuction can also be used as a form of breast reduction in men, but several important factors must be considered first. The surgeon must determine whether the excess tissue in the breast is fatty or glandular. If the breast is primarily fatty tissue, then liposuction is an excellent method for reducing the size and improving the appearance of the chest.
Dr. George Marosan, a board-certified plastic surgeon in Bellevue, Washington, prefers VASER liposuction in most situations. “Fat comes out more easily with VASER—especially in men, where it’s more fibrous,” Dr. Marosan says. He also points out another great advantage of VASER lipo: While fat that’s liquified by laser lipo isn’t usable, fat broken up by VASER is still viable for transfer to the breasts, butt, or anywhere you want more fullness. “The VASER allows me to sculpt the body, revealing the underlying muscle and bony anatomy. This is an advanced technique that goes way beyond liposuction for fat removal only,” says Dr. Marosan.
Certain health conditions may prevent patients from being suitable liposuction candidates. People with chronic ailments such as diabetes and high blood pressure are more likely to achieve less-than-desirable aesthetic results. Individuals who have compromised immune systems and those who suffer from diabetes, poor blood circulation, heart disease, or lung disease should not undergo liposuction, as they could suffer serious health complications. If patients have recently had another surgery in the area they would like to treat, they should wait until the area has healed before considering liposuction.
There have been cases of children as young as 12 undergoing liposuction. While this is uncommon, there are rare instances in which a doctor may perform liposuction on a teen, especially after major weight loss that may have left one or two lingering bulges of fat. Generally, a doctor will assess a teenager's emotional maturity and self-esteem before agreeing to perform liposuction. The majority of these patients choose to have one problem area contoured to help with self-esteem issues. Some teens are affected by excess fat under the chin, in the calves, hips, or other areas, and it can be a source of embarrassment and ridicule among peers. In these cases, liposuction can eliminate this fat and produce a more sculpted, toned appearance.
Most doctors have pictures of past procedures available to view online or in the office. Take a good look at these pictures and decide if the results are satisfactory. Be wary of doctors who provide few pictures and those whose images are so poor that it is difficult to determine the quality of the work. You should also be concerned if a doctor's photos are all taken from the same angle, as this can obscure ill effects, such as ripples or poor contouring.
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.
Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.[10] Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.[11] UAL is beneficial in people with a particular skin tone, in liposuction of areas that are more difficult to remove fat, that include treatment of gynecomastia, or areas where secondary liposuction is being performed.[12]
Tumescent Liposuction : Tumescent liposuction is similar to traditional liposuction, but experts often hail its innovative use of medication and reduced risks for complications. During tumescent liposuction, the doctor will inject a special solution (a mixture of salt solution, lidocaine, and epinephrine) into the layer of fat. The amount of fluid is usually measured at three times that of the fat being removed. The solution swells the fat cells, making them easier to isolate and remove. It also shrinks blood vessels, and because it contains local anesthesia, it can help ease discomfort without the risks associated with general anesthesia. Any minimal risks involve how much of the solution is injected, and how much lidocaine it contains.
Liposuction is a surgical procedure that removes fat via suction. It’s typically done with a thin tube, called a cannula, attached to a vacuum. No matter how healthy your diet or how often you work out, you can still have pockets of unwanted fat that resist your best efforts. With liposuction, an experienced surgeon can remove fat, contouring your hips, thighs, stomach, abs, waist, chin, or other areas. 
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