Recently I read an article on Medscape from the journal “Wounds” about wound healing problems in Breast Reduction and Breast lift (Mastopexy). The article, Treatment of Wounds Following Breast Reduction and Mastopexy With Subsequent Wound Dehiscence With Charged Polystyrene Microspheres, cited that the use of the Inverted T technique (Wise Pattern) has a 10% wound complication rate. IMO, that is a pretty high complication rate, and it is much higher than the other two techniques, the Vertical Scar and the Benelli technique. In my practice, the wound rate with the other scars is less than 5%.

Choosing a liposuction surgeon based on the lowest price might ultimately be the most expensive choice, If the initial cosmetic results are so bad that another surgeon must be paid to repair the work of the first liposuction surgeon. Among the most common undesirable outcomes of liposuction are 1) incomplete liposuction with very little evidence that liposuction was actually done, 2) excessive liposuction producing an unnatural or disfigured appearance, 3) irregular and uneven results with unsightly depressions in the skin, and 4) large scars that reveal that the patient has had liposuction. Caveat emptor (Buyer beware).
Exercise is important because it helps keep off excess pounds and increases muscle definition. Regular physical activity can also have enormous benefits for overall wellness, decreasing the risk for heart disease, high blood pressure, and depression. There is no need for liposuction patients to suddenly take on an extreme exercise routine. However, they should engage in some type of physical activity at least 5 days a week. Good choices include jogging, walking, biking, yoga, swimming, dance classes, and similar activities. Combined with proper diet, regular exercise can help patients keep their figures trim and toned.
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.
"I placed the embrace® strips right over the areas of incision and they were great because they relieved the tension from my everyday movements, which helped to prevent more scarring. They also had silicone in the tape to help soften the scars. I didn't have to worry about remembering to apply gel or damaging my clothes, and my biggest fear of not having the surgery done in the first place  was no longer a problem. Now, months after the procedure, my scars are all white and barely even noticeable."
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.
As with any surgery, a breast lift involves incisions in the skin, it's more important that you focus your research in find a Board Certified Plastic Surgeon who specializes in this kind of procedures than try to refuse what is suggested, not all breast lifts are the same your scar will depend of what kind of technique we can perform according to your body including sagging, size, and shape. keep in mind It’s also important to avoid behaviors that can make breast lift scars worse. 
 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.)
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.
We urge you to partner with a top breast surgeon, and one with whom you can communicate well, to get the outcome you desire from your breast lift. When you’re ready to learn more about your breast lift options, contact Cohen/Winters Aesthetic & Reconstructive Surgery. We offer a personalized consultation to answer your questions about breast lift scars and determine if you are a good candidate. Please contact our Bergen County office for an appointment.
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."
Although the removed fat cells are unlikely to grow back, body fat has been shown to return to preliposuction levels within a year after the surgery, particularly returning to the abdominal area. Researchers believe the body compensates for the rapid fat loss by putting on more fat. In a trial of 34 women published in the September 2012 edition of the journal "Obesity," the cosmetic benefits of liposuction were lost after one year. A later study, however, suggested that recurrence of belly fat can be avoided by exercise.
It may take one to three months for swelling and bruising to subside and up to six months for skin to tighten over the area from which fat has been removed. The finished liposuction results should be visible after six months. Following recovery, patients could enjoy a trimmer figure, more defined muscle tone, reduced cellulite, and a more youthful appearance. Of course, the results are not the same for everyone, but most patients enjoy a huge boost of self-confidence after undergoing liposuction.
Next, your surgeon will insert a thin vacuum tube, called a cannula, through the incision and into the deep fat layer. Your surgeon will move the cannula back and forth to break up the fat cells, and, with the help of an attached syringe or vacuum pump, suction them out. Because a significant amount of blood and other bodily fluids are removed along with the fat, you will receive replacement fluids intravenously during and after the liposuction procedure. Of course, this part of the procedure can vary somewhat, depending on the type of liposuction you select.
According to the American Society for Aesthetic Plastic Surgery®, liposuction is the second most popular cosmetic procedure in the country, surpassed only by breast augmentation. In 2012, the ASAPS there were 313,011 liposuction procedures performed in the US in 2012. While liposuction is the second most popular surgical procedure in general, it is the number one treatment for men seeking cosmetic surgery.[2]
PAL uses an up and down, vibrating-like motion of the cannula to acquire greater fat removal. When compared to simple suction-assisted liposuction, PAL requires less energy for the surgeon to operate while also resulting in greater fat removal. It is commonly used for difficult, secondary, scarred areas, and when harvesting large volumes of fat for transfers to other areas.[9]
A technique called "tumescent liposuction" is the most common method for removing fat around the stomach, buttocks, thighs and ankles. It's also considered the safest. "Tumescent" means that large amounts of buffered salt water are injected into fatty tissue beneath the skin. The doctor makes a cut in the fatty area to be treated, then inserts beneath the flesh a strawlike tube called a cannula that is attached to a vacuum. At the end of the cannula is a stiff wand. The doctor moves it back and forth in rapid motions to loosen fat. The procedure takes 45 minutes to two hours, with a recovery time of up to two weeks. The full effect of liposuction is seen six to 12 weeks after the procedure is performed. After the procedure, the area is bandaged and the patient must wear a compression garment for one to two weeks. Pain and bruising may last up to two weeks, and swelling may last for two weeks to two months.
Finally, there’s the so-called scarless lift. Women who are seeking a mild lift but are dead set against leaving scars anywhere on their breasts may opt for a technique that uses a network of dissolving surgical threads inserted through tiny incisions along the collar bone, guided under the breast tissue, and then anchored to the collar bone, to create an internal bra of sorts. Scar tissue forms around the threads, theoretically providing support to lift the nipple.
Most doctors on RealSelf say that a good compression garment is essential to minimize swelling and bruising, help the skin smoothly adhere to the underlying tissue, and speed up healing; but some don’t think it’s necessary. Doctors who recommend compression garments often have patients wear them 24/7 (with a break for showering) for at least two weeks and then gradually reduce the number of hours they need to be worn over a period of three or more weeks. As a bonus, doctors say, compression helps ease discomfort. Follow your doctor’s instructions. 
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