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.
While you can read about all of this online, it's best to hear it straight from your doctor's mouth. Also, ask about what your doctor will do on the off chance that something goes wrong with your Botox treatment. If you have significant bruising, will he give you a discounted v-beam laser treatment to minimize the bruising? If you end up with Spock brows, will he fix them free of charge? What if your Botox wears off in a week, will he give you an additional touch-up for free? Do not be afraid to ask questions! It's better to have answers before than after.

For example, if you have very large breasts, sometimes the only reduction that can be made is to detach the nipples and areolas completely from the underlying tissues. If this is done, you will lose sensation in your nipples. Thus, you must think carefully about what will happen during the surgery – and whether or not you can live with the results.
Be on the same page as your doctor - Make sure both you and your physician are clear about what facial areas you want to treat, how you ideally want them to be fixed, and what the ideal final result may be. Different people have different aesthetics. For instance, if the "frozen face" look is your doctor's definition of successful Botox but you disagree, you better make sure both of you are aiming for the same target or you'll end up with a result your doctor thinks is beautiful but you think is horrific.
Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
With more patients wanting to add volume to their rears for a curvier figure, some plastic surgeons have been using dermal fillers to plump the buttocks. Initially developed to smoothen wrinkles and fill out the face, these materials are injected like fat transfers, except they require no liposuction for harvesting and are synthetic. The most popular fillers are:
‘You’ll start to see an effect after 3-5 days’, instructs cosmetic doctor Rita Rakus, ‘however it may take two weeks for maximum results to kick in’. For me, my forehead had less movement after day three, but it wasn't until a full week after the treatment that it felt completely immobile. It’s definitely a strange sensation as you go to lift your brows…but nothing moves.

If you opt for butt implants, solid silicone materials created to suit your preferences for shape, texture, and size, these will be placed at this point. Finally, your doctor will pull your skin tight across your sculpted buttocks, trimming the excess for a smooth appearance. Patients who combine fat transfer with a traditional butt lift will have fat injections at this point in the surgery. This procedure typically takes between two and four hours to complete.


Have excess fat deposits elsewhere in your body that your surgeon can remove with liposuction, purify, and use for fat transfer during your Brazilian butt lift. These deposits should ideally be easily accessible, such as love handles around your hips. Since the fat will need to be purified, you typically need to provide between three and four times the amount of fat that you would like to be transferred. If you lack excess fat deposits, you may need to gain weight before your procedure or consider an alternative.
Finally, patients that cannot quit smoking, which is a critical necessity that can have an impact on the final outcome, for the pre-op period, as well as the recovery phase, are not considered not good candidates for any cosmetic procedure, including Brazilian butt lift. The same goes for binge drinkers. Now, if a patient insists on undergoing the surgery, despite the doctor's recommendations, then they should expect significantly increased costs if the plastic surgeon is willing to take the risk and operate on that patient.
It's important to keep in mind that swelling will fade over the course of the first few weeks to months, and a fair amount of the injected fat will be reabsorbed as well. This means that some of the volume will be lost between the end of the procedure and the end of your recovery, as fat that did not survive the surgery and healing process is slowly cleared from your system.

The study’s authors conducted a study among 989 respondents who shared their views and preferences of the gluteal region. The most attractive buttocks hip-to-waist ratio was deemed to be 0.65 by 44.2% of respondents, and 25% of respondents were of the opinion that 0.6 was the most attractive ratio. Both ratios indicate the potential for a shift towards more dramatic implants, resulting in a “curvier” final result.

A Brazilian butt lift enhances the size and shape of a patient's butt so that it better fits his or her figure and provides an attractive, prominent rear end. In order to perform Brazilian butt lift surgery, fat from areas of the body such as the back, abdomen, hips, and thighs is removed through liposuction. During this process, your surgeon will make a small incision in the region with excess fat and insert a small tube. He or she will then use manual motion, vibration, ultrasonic waves, bursts of air, or even lasers to dissolve fat deposits before gently aspirating them. Liposuction usually only requires local anesthesia to complete, but your doctor may recommend general anesthesia or sedation if you require more extensive fat removal or are particularly nervous about your surgery.


When deciding where to have a Brazilian butt lift surgery, it is crucial to find a plastic surgeon you can trust. For that reason, make sure the one you are considering is board-accredited and certified, has many years of experience in the particular type of surgery, performs many butt lifts every year, runs a stellar practice and operating room, has 5-star reviews, and works with the best medical staff. Also, go to their website and look for before and after photo galleries to get a good sense of who can indeed deliver the results you desire.
‘You’ll start to see an effect after 3-5 days’, instructs cosmetic doctor Rita Rakus, ‘however it may take two weeks for maximum results to kick in’. For me, my forehead had less movement after day three, but it wasn't until a full week after the treatment that it felt completely immobile. It’s definitely a strange sensation as you go to lift your brows…but nothing moves.
All patients experience some pain in their breasts, chest and/or back after surgery. Most patients take only plain acetaminophen  (Tylenol) and Celebrex as prescribed for pain control. If you are unable to take Celebrex, acetaminophen  alone may be sufficient. Begin taking acetaminophen elixir (liquid) or tablets for pain as soon as possible after surgery.  If this is not sufficient to control your pain, begin taking any prescribed narcotic(Vicodin, Percocet, Darvocet, Tylenol  #3) pain pills as directed. If you did not receive a prescription for narcotic pain medication and you feel you need something  stronger for pain control, please contact us as directed below. Prescribed narcotic pain medications can make you sick to your stomach. Take them only after you have had something to eat. I recommend you take a dose of either  acetaminophen or narcotic pain medication before you go to bed the first night or evening after surgery. Set an  alarm clock to wake yourself up 4 hours after you go to bed. Take a second dose of the same pain medication then  resume your rest until morning.  Ice application during the first 24 hours after surgery will also reduce pain and swelling. Apply ice bags to  your breasts for 20 minutes at a time followed by 10 minutes of rest. In other words, apply ice to your  breasts for 20 minutes of every half an hour. When applying the ice bags make sure there is a small amount  of water in with the ice at all times. Your skin should feel cool to the touch. Do not use frozen gel packs.  It is not necessary to apply ice while you are sleeping at night.

Since the fat that is eventually grafted into your bottom is extracted from other areas of your body, the BBL provides an ideal solution for people who would like more shapely glutes but would also like to refine their midsection with liposuction. Moreover, as the fat used for injection is your own tissue, there is no risk of allergic reaction or rejection.

From your description, you seem to be a very good candidate for this new technique and should really get the look that you are desiring without implants or any unnecessary visible scars. I would recommend that you search for an ABPS board certified plastic surgeon who is also a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons in your area or an area that you would like to travel to on holiday who offers the Bellesoma technique to discuss your breast reduction and possible results.  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.
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.
With more patients wanting to add volume to their rears for a curvier figure, some plastic surgeons have been using dermal fillers to plump the buttocks. Initially developed to smoothen wrinkles and fill out the face, these materials are injected like fat transfers, except they require no liposuction for harvesting and are synthetic. The most popular fillers are:
Where do you perform this procedure? Some plastic surgeons have hospital privileges at local facilities, while others perform procedures in their own offices. If your prospective surgeon works out of an independent clinic, make sure the office is accredited, meaning that it meets standards set by organizations like the American Society for Aesthetic Plastic Surgery.
Generally, you can go back to working out two to three weeks after breast lift or breast reduction surgery. This depends on how you feel. Do not lift anything that weighs more than five pounds for three weeks. Avoid contact sports for six weeks. If you had breast enlargement with a breast lift, hereafter avoid all exercises which isolate your pectoralis muscles as these can shift the implant toward you armpit. Workouts must stop if you experience discomfort in your breasts or chest. A balance of rest and reduced activity will speed up your recovery.
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