Hello and thanks for your post and questions. It seems that you would potentially be a fantastic candidate to have a breast reduction and lift using the Bellesoma technique with NO vertical scar! With this technique you should be able to reach a smaller,  but perky and proportional breast size that fits your frame along with achieving upper pole fullness. You've provided great information - the only thing that would be more helpful in order to give you the best advice about your options would be an in-person exam.

For safety reasons, it’s recommended that patients have a BMI of 30 or less, especially when it comes to a Brazilian buttock lift. It’s possible that some patients are suitable for surgery above 30 after the surgeon has evaluated the patient to determine which areas can undergo surgery. However, a patient over 30 is considered getting into the obese range. Some patients may be advised to lose a little bit of weight to reduce the risk of complications. Yet the BMI is not the most important factor to consider but rather the availability of fat and quality of the patient’s skin.
Saline-filled breast implants contain a silicone outer shell filled with a sterile saltwater (saline) solution. Some are pre-filled and others are filled during the implant operation. Saline-filled implants come in different sizes and have either smooth or textured shells. The FDA approved saline-filled breast implants for breast augmentation in women age 18 or older and for breast reconstruction in women of any age. They are also used in revision surgeries, which correct or improve the result of an original surgery.
A more experienced and esteemed plastic surgeon that specializes in Brazilian butt lift and receives a high demand from patients will probably charge a higher fee. This is why the particular procedure is overwhelmingly surgeon-dependent. That being said, though, the American Society of Plastic Surgeons recommends that patients should select the most appropriate surgeon for the cosmetic procedure they need to undergo, rather than make a decision based on the surgeon's fee. This is because working with the most qualified surgeons, who usually cost more up-front, will indeed save you expense in the long-term, considering that they tend to provide exceptional outcomes with a much lower risk of complications.

It is certainly possible to lift a breast without changing the volume or removing any tissue, however, the breast will sometimes appear smaller after this procedure due to its position. It is also possible to reduce breast volume without lifting the tissue (usually via liposuction) but all reductions that are performed by making incisions will also include a lift.

The patient's medical history and overall health can elevate the level of difficulty of the surgery. For example, if you are suffering from an immune deficiency or a chronic condition, such as uncontrolled diabetes, you instantly increase the complexity of the surgery. This also affects your recovery. You may need more time to relapse and get back to your everyday routine, which might mean you will need to take more medications after the surgery (for a longer time than usual), and potentially more time off work. All that equals more money spent on your behalf.
Suture complications. Brazilian butt lifts usually require just one suture, if any, but traditional butt lifts use long incisions that can involve many sutures. If you have sutures, your cosmetic surgeon will remove them several weeks after your surgery. Sometimes, sutures emerge through the incision line as the tissue heals. If this happens, your surgeon can safely remove them and clean the surrounding skin so you can continue healing.
There are two basic types of butt lift surgery. In the traditional procedure, the surgeon lifts your buttocks by removing excess skin, fat, and tissue, pulling the skin taut and repositioning it for a lighter, younger look. The less invasive Brazilian butt lift requires only very minor incisions and a fat transfer. Each of these procedures has its own benefits and disadvantages, so the type you choose will be depend on your unique needs and wishes.
This procedure involves fat elimination through liposuction from several areas of the body such as the hips, abdomen, back and thighs. During the liposuction, the Plastic Surgeon will make minimal incisions and extract only the smallest fat particles using a small tool called a cannula. Doctors have found that the most effective fat grafts are made using smaller fat particles. During this same step, the doctor begins the contour process to create the desire figure.
By and large, there is no 'perfect type' of breast implant. What looked stunning on one of your best friends doesn't necessarily mean that the same implant will be the best choice for you. This is why we recommend face-to-face consultations; an honest discussion with an experienced, knowledgeable plastic surgeon about your desired enhancement is a must. And you'll want to consider your surgeon's opinion and recommendations based on your existing body type and physical assessment.
They are essentially very similar procedures. The difference is in the amount of breast tissue removed. In a breast lift procedure, the nipple areolar complex is lift to a better position on the breast, and some breast tissue is removed and the breast envelope tightened. In a breast reduction, the nipple areolar complex is also lifted, but much more breast tissue is removed. 
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.
Directly following your butt lift, you may feel groggy and disoriented, especially if you have been under sedation or general anesthesia. Your buttocks will also most likely be swollen and bruised from surgery. For this reason, you will need someone to drive you home from your procedure and take care of you. Before you leave the surgeon's office, you will need to:
Determine when in your schedule you could have your butt lift surgery, understanding that this procedure will require at least a week off of work. If you qualify and feel comfortable with your surgical plan, you may schedule your procedure at the end of your initial consultation, so you should be prepared, especially since plastic surgeons' schedules can fill up quickly.
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.
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