Breast implants are not lifetime devices. The longer a woman has implants, the more likely it is that she will need to have surgery to remove or replace them. The most frequent complications and adverse outcomes experienced by breast implant patients include capsular contracture, reoperation, and implant removal (with or without replacement). Other common complications include implant rupture with deflation, wrinkling, asymmetry, scarring, pain, and infection. In addition, women with breast implants may have a very low but increased likelihood of being diagnosed with anaplastic large cell lymphoma (ALCL).


A: During your initial consultation, you will discuss your desired results with Dr. Hochstein so he can fully understand your expectations. You will be provided with before and after photos so that you can see some of the results Dr. Hochstein has achieved with his other patients. He will examine your breasts and evaluate other factors that may affect the outcome of your surgery. This will help determine the appropriate breast size and incision location.

Fill Filled with a highly cohesive gel for durable shape retention designed to give a youthful feel. Filled with a proprietary cohesive gel that hold together uniformly while retaining the natural give that resembles breast tissue. Filled with a saltwater solution similar to the fluid that makes up most of the human body; slightly firmer feel than gel.
This type of butt lift is very popular because it requires only small incisions and can give patients a perkier rear. During a Brazilian butt lift, your cosmetic surgeon sculpts your body using liposuction. He or she removes stubborn, unwanted fats from other areas such as your thighs or abdomen, purifies them, and injects them into your buttocks. Adding volume can create a younger, lifted look for your buttocks, but it does not address excess, sagging skin. Patients who have lost a significant amount of weight may need to have a traditional butt lift or lower body lift, after which they may choose to undergo a fat transfer.

A breast reduction typically includes a lift.  However, a lift does not necessarily require a reduction.  Both operations have similar incision patterns and resultant scars, but they have different indications.  One of the first questions I ask a patient who desires an improved appearance of her breasts is if she would like to be the same size, smaller, or larger.  The patient who wants to be the same size and is happy with her breasts when wearing a bra but unhappy with the amount of sagging without a bra is a candidate for a breast lift alone.  The patient who desires to be smaller or has one breast noticeably larger than the other, is a candidate for a breast reduction-lift combination.  Sometimes patients feel their breasts look smaller after removal of the excess skin with the lift even though no breast tissue was removed; the reason for this is that some of what fills your bra cup is excess skin.  The patient with sagging who desires to have larger breasts is a candidate for a breast lift with implants.

Please call the office between 8:30AM and 4:30PM during the workweek to make arrangements for me to see you one week after your surgery. Please call for appointments for follow up visits at six weeks, six months, and twelve months. The reason for this extended care is because it takes six months to one year for complete healing to occur. There are no charges for any of your aftercare office visits. It would be my pleasure to see you at any time to answer any questions about your breast surgery or any other cosmetic surgery you read or hear about. Finally, please mention me to you family and friends when they bring up the topic of cosmetic surgery or therapeutic injections. It has been my pleasure helping you through this cosmetic surgery experience!
Don't be afraid to ask questions. Make a list of questions you want to ask your physician and bring it with you to your Botox consultation. That way you won't forget what you want to ask. Ask how much the treatment will cost, how many units of Botox you will need, how long the he/she has been giving Botox injections, etc. Ask about side effects, risks, and how you should take care of your skin after Botox and how often someone with your skin condition should get Botox.
Complications after breast lifts are relatively rare. The main three are bleeding, infection, and scarring. Your surgeon will give you instructions for preparing that will help lower your risk of complications. Those instructions will include such things as not smoking, making sure you are off medications that may make bleeding more likely, and taking antibiotics if necessary.
Many patients want to know how much fat actually survives. This is a very relevant question to ask, but it's also incredibly difficult to accurately answer. Most conservative estimates put the survival rate of transferred fat at roughly 50%, although many surgeons claim to be able to save a more significant amount. The fat that remains after 3 months of recovery will be your actual final result, not the results immediately after surgery.
The BBL surgery not only enhances the buttocks, but it can also improve the overall contour of different areas of the body through liposuction. Most patients choose to have liposuction on the most troubling areas such as the abdomen, hips, back and thighs. Removing fat from these areas immediately reshapes the body creating an hourglass figure. Board Certified Plastic Surgeon Dr. Fisher of expands on the benefits of the fat transfer procedure by stating:

Chemical peels use an acid solution to remove old, dead cells from the outer layers of skin. The solution often has a mix of glycolic acid, lactic acid, salicylic acid, phenol, or trichloroacetic acid (TCA). It can take about 15 minutes to apply, and you might feel some stinging and irritation. Over the next few days, your skin's upper layers will peel, revealing newer, smoother-looking skin.
I care about you and your concerns very much. Please call me at any time you have any questions about your breast lift or breast reduction surgery. Call if you have any excessive swelling, bleeding, soreness, fever, chills redness, or unusual wound drainage. It is particularly important if symptoms are present on only one side. During office hours (8:30AM to 4:30PM, Monday through Friday), call 952.449.4900 and we will answer your questions.  If the concern is not urgent and is able to wait until the next business day, you may leave a message at 952.449.4900 after hours or on weekends.
Sometime during this period, depending on your recovery, you'll most likely feel healed enough to return to your normal activities. Your transferred fat cells should be stable and strong enough to handle the stress of everyday life. That includes more intense fat-burning exercises, like jogging. Athletes will be able to rejoin their teams and enjoy outdoor sports like soccer or baseball once again.
Like lasers, IPL goes below the surface to a deeper layer of skin called the dermis. Short pulses of light heat and destroy cells to start renewing your skin. Unlike a laser, IPL uses a broad spectrum of light that can treat different kinds of  blemishes at the same time. The treatment is usually painful, so ask your doctor how you can be more comfortable.
Do not wear a bra for the first week after breast lift or breast reduction surgery. This will reduce your postoperative pain and reduce the risk of shifting the position of the implants after breast enlargement surgery. You may wear any type of undergarment you choose after the first week provided it does not give you pain. It is not necessary to wear a bra at all times.
Like lasers, IPL goes below the surface to a deeper layer of skin called the dermis. Short pulses of light heat and destroy cells to start renewing your skin. Unlike a laser, IPL uses a broad spectrum of light that can treat different kinds of  blemishes at the same time. The treatment is usually painful, so ask your doctor how you can be more comfortable.
Chemical peels use an acid solution to remove old, dead cells from the outer layers of skin. The solution often has a mix of glycolic acid, lactic acid, salicylic acid, phenol, or trichloroacetic acid (TCA). It can take about 15 minutes to apply, and you might feel some stinging and irritation. Over the next few days, your skin's upper layers will peel, revealing newer, smoother-looking skin.
As a customized cosmetic surgery, the results of a butt lift may vary between patients. Both traditional and Brazilian surgeries typically provide patients with perkier, firmer, rejuvenated rears. Traditional butt lifts may provide more dramatic results, since they involve removing layers of skin, fat, and tissue, while Brazilian butt lifts sculpt unwanted fat from other areas of the body to plump the buttocks and hips for a curvier appearance. While both procedures enhance the look of the backside, a traditional butt lift is more focused on slimming the butt, while a Brazilian butt lift involves adding volume to the rear for a sexier, younger look. The results of both of these surgeries can last for many years, provided you take care of your body and do not experience massive weight fluctuations.

There are two types of breast implants approved by the Food and Drug Administration (FDA): silicone-filled and saline-filled. They come in various sizes and shapes, and with two types of shells: textured shells and smooth shells. A type of silicone-filled implant with a thicker filling, called a form-stable highly cohesive implant, or "gummy bear" breast implant, is currently under investigation and may one day provide another option for women undergoing breast augmentation with implants.
A breast reduction typically includes a lift.  However, a lift does not necessarily require a reduction.  Both operations have similar incision patterns and resultant scars, but they have different indications.  One of the first questions I ask a patient who desires an improved appearance of her breasts is if she would like to be the same size, smaller, or larger.  The patient who wants to be the same size and is happy with her breasts when wearing a bra but unhappy with the amount of sagging without a bra is a candidate for a breast lift alone.  The patient who desires to be smaller or has one breast noticeably larger than the other, is a candidate for a breast reduction-lift combination.  Sometimes patients feel their breasts look smaller after removal of the excess skin with the lift even though no breast tissue was removed; the reason for this is that some of what fills your bra cup is excess skin.  The patient with sagging who desires to have larger breasts is a candidate for a breast lift with implants. 

Traveling long distances or for long periods of time can be problematic after surgery. Generally, I do not recommend traveling longer than one hour for one week after surgery. When you do travel you must have help at all times with your baggage (do not lift more than five pounds for three weeks) and you must get out of your seat and walk for five minutes every hour. Remember, even small vibrations during travel can increase the amount of pain you experience. Finally, you will not have the same energy level as you did immediately before your surgery.
The more complex the procedure, the more it will last; hence, the more expensive it is going to be. If, for example, a patient requests for a 6-inch increase in their measurement, they should be prepared for a lengthier and more difficult procedure. In this case, it might be necessary to combine various procedures to achieve the desired outcome. These might include the combined use of liposuction and autologous fat transfer. For this procedure, the average brazilian butt lift cost for most cases is around $10,000 in the US and about $8,500 in Canada.
The more complex the procedure, the more it will last; hence, the more expensive it is going to be. If, for example, a patient requests for a 6-inch increase in their measurement, they should be prepared for a lengthier and more difficult procedure. In this case, it might be necessary to combine various procedures to achieve the desired outcome. These might include the combined use of liposuction and autologous fat transfer. For this procedure, the average brazilian butt lift cost for most cases is around $10,000 in the US and about $8,500 in Canada.
Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.
It is also important that the patient be in good health standing and have realistic goals and expectations from the procedure. Patients will have to dedicate a few weeks for the recovery period after the procedure is complete. They must be willing to understand that not every patient will have the same butt augmentation result. Therefore, it is important to compare before and after photos of Buttock Lift procedures with fat transfer only if the patients has a similar body type.
Excess skin, fat, and tissue can be heavy, so removing it can cause some weight loss. However, your plastic surgeon may use the excess tissue to reshape your buttocks for a perkier rear, which could lessen the amount of resulting weight loss. In addition, you should not use butt lift surgery as a weight loss technique, since plastic surgery is no substitute for proper nutrition and exercise.
Where you have your butt lift surgery. Due to regional price differences, the cost of butt lift surgery can vary depending on the city in which it is performed. Some patients may choose to travel to a different plastic surgeon for their butt lift to lower costs or work with a more qualified doctor. In this case, you will need to weigh travel expenses into the cost of surgery.
Many patients want to know how much fat actually survives. This is a very relevant question to ask, but it's also incredibly difficult to accurately answer. Most conservative estimates put the survival rate of transferred fat at roughly 50%, although many surgeons claim to be able to save a more significant amount. The fat that remains after 3 months of recovery will be your actual final result, not the results immediately after surgery.

A: During your initial consultation, you will discuss your desired results with Dr. Hochstein so he can fully understand your expectations. You will be provided with before and after photos so that you can see some of the results Dr. Hochstein has achieved with his other patients. He will examine your breasts and evaluate other factors that may affect the outcome of your surgery. This will help determine the appropriate breast size and incision location.


During your consultation, your surgeon will ask about your habits, including whether or not you smoke and what medications you take. You may have to quit smoking for a period before and after surgery to ensure proper healing. You also may have to stop taking certain medications, such as aspirin or other anti-inflammatory drugs such as Motrin or Aleve. Your surgeon will give you instructions about what you need to do.


The BBL surgery not only enhances the buttocks, but it can also improve the overall contour of different areas of the body through liposuction. Most patients choose to have liposuction on the most troubling areas such as the abdomen, hips, back and thighs. Removing fat from these areas immediately reshapes the body creating an hourglass figure. Board Certified Plastic Surgeon Dr. Fisher of expands on the benefits of the fat transfer procedure by stating:

Two to three weeks after your procedure, you may be able to resume normal activities, except for squatting, stretching, or more strenuous exercise. You may be able to stop wearing your compression garment and sit on your buttocks at this time, depending on your surgeon's assessment and instructions. If your drains are still in place, as is typically the case with traditional butt lift surgery, your doctor will likely remove them at this time, as long as their output is low enough. You may be able to drive, provided that you can sit comfortably on a pillow in the car and have stopped taking painkillers.

At this point, opinions vary. Some doctors seem to agree that having a tummy tuck and a Brazilian butt lift simultaneously is the recommended way so that the patient does not have to undergo a second surgery and second-time anaesthesia. Also, costs are less if those two surgeries are performed in one go. Other surgeons suggest the butt lift and tummy tuck are done separately. This is because the recovery after a tummy tuck involves the patient remains in any flexed or bent position at the hips while the recovery after a butt augmentation requires that the patient reduces the pressure applied to the butt region, as much as possible. So, for a patient that has had both procedures at the same time, it will be difficult to find a position that makes them feel comfortable. The rest of the plastic surgeons recommend the patient has the butt lift first, where fat is aggressively being removed from the waist and abdomen, and then schedules to have a tummy tuck to address the loose skin in the trunk and the abdomen after they have recovered from the butt lift.
Your Brazilian but lift may take several months to stabilize, during which some of the transferred fat cells may be reabsorbed, especially if you put any pressure on your buttocks in the first few weeks after surgery. After you have recovered fully, your results can last years or even decades as long as your weight does not fluctuate dramatically and you maintain healthy lifestyle habits.

Smoking has a negative impact on the way your blood moves essential oxygen and nutrients to the various parts of your body. During your BBL recovery, the fat moved into your buttocks forges connections with your blood stream. Smoking directly interferes with this, making it harder for your body to form new blood vessels, and significantly reduces the quality of the blood that does make it to the new fat cells.


Nausea and disorientation. If your surgeon used intravenous sedation or general anesthesia to perform your butt lift procedure, you may feel disoriented, groggy, or nauseated directly after your surgery. For this reason, and due to the effects of painkillers, you will need someone else to drive you home and care for you for at least the rest of the day.
You may have heard of dermabrasion, a procedure that sands away the top layer of skin. It can treat severe sun damage, but it causes bleeding and needs a week of recovery time. Microdermabrasion is a nonsurgical option. Often called a "power peel," it blasts the skin with tiny crystals that exfoliate the outer layer. This can reduce fine lines, brown spots, and mild acne scars -- usually with little recovery time.
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.
There are two types of breast implants approved by the Food and Drug Administration (FDA): silicone-filled and saline-filled. They come in various sizes and shapes, and with two types of shells: textured shells and smooth shells. A type of silicone-filled implant with a thicker filling, called a form-stable highly cohesive implant, or "gummy bear" breast implant, is currently under investigation and may one day provide another option for women undergoing breast augmentation with implants.
A breast reduction with lift surgery combines two procedures to improve the size and shape of the breasts. A reduction involves decreasing the size of overly large breasts by removing excess tissue and skin. A breast lift is done in order to raise and reshape the breasts. The breast reduction and lift procedure helps to alleviate problems caused by overly large, sagging breasts, including:
What kind of follow-up care do you provide? Your recovery can significantly impact the success of your butt lift surgery and the appearance of your results. It is important to work with a surgeon who is willing to be there for you through every step of the process. Comprehensive post-operative care should typically include weekly appointments for several weeks and availability for any questions or concerns that arise after your procedure.
During your search for a surgeon, keep in mind that “as with any cosmetic procedure, the price should not be the primary factor in choosing your surgeon,” Orlando, Florida plastic surgeon Dr. Armando Soto, says in a RealSelf Q&A. “This is not to say that less expensive surgeons are uniformly going to deliver poor care, just that the costs should be secondary to your overall sense of comfort and confidence in the surgeon you choose.”
Given the rising popularity of the Brazilian butt lift, many fitness instructors have created "Brazilian butt lift" workout regimens to target your hips, buttocks, and thighs. Depending on your circumstances, you may be able to use exercise and nutrition as an alternative to butt lift surgery, or as a complement to enhance the results of your procedure.
When a breast mass is discovered, a biopsy is usually necessary. If you have had breast enlargement with a breast lift, care must be taken to avoid damaging the underlying implant. Sharp instruments must not come in contact with the implant due to the risk of implant rupture. Tell your physician you have had breast implant surgery so they can take appropriate precautions.
One advantage of liposuction is that it won’t give you scars or loss of nipple sensation. Women who are in their menopausal years are the best candidates for liposuction because the fat content of the breasts increases during these years. Your skin has to have excellent elasticity for liposuction to work well. You also have to have a normally positioned nipple.
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.
Breast reduction surgery, or reduction mammoplasty, can instantly and effectively reduce breast size through the removal of excess breast tissue. Breast reduction is a surgical procedure that involves the removal of excess skin, fat, and glandular tissue to reduce breast size, eliminating the negative issues associated with breasts that are larger than the patient desires.  Usually, the breast is lifted significantly and enlarged areolas are reduced.  The tissue removed can also be sent to a pathologist for breast cancer screening if the patient desires.
It is also possible for implants to rupture and leak. If saline implants rupture, the saline will be safely absorbed by the body. A silicone leak may stay inside the implant shell or leak outside of the shell. When a saline implant ruptures, it will deflate. But silicone breast implants may cause no obvious symptoms when they rupture. This is called silent rupture.
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