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.

After care from the experts was pretty simple and didn’t require anything too strenuous. To keep results looking optimum I’m told to avoid things such as smoking, excess alcohol, sun exposure and getting stressed - which can all help break down collagen faster, decreasing the longevity of Botox. ‘I always recommend that my clients use a daily antioxidant topical serum and an SPF 50 too,’ advises Spyrou.
In general, silicone-gel-filled implants are smoother, softer and feel more like natural breast tissue than their saline-filled counterparts. Silicone implants feel like a semisolid gel, while saline implants are often likened to water balloons. Silicone-gel implants are also less likely to wrinkle and ripple than saline breast implants. Wrinkling is actually considered one of the major disadvantages of saline implants. The thinner the woman and the less breast tissue she has, the more likely the saline implant's crinkles and wrinkles will be felt and even seen.
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.

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.
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.
To learn more about the potential results of your butt lift surgery, discuss your expectations, desired outcomes, and concerns with your plastic surgeon. Staying informed about your procedure and following your surgeon's instructions can help you enjoy your new backside. One of the best ways to learn about butt lift results is to look at other patients' outcomes by asking to view before-and-after photos of doctors' actual patients.
To help make butt lift surgery more affordable, many surgeons' practices offer payment plans or financing. These may be provided directly through the clinic or by outside lenders. Most financing programs allow you to spread the cost of your surgery between six months and several years, but you will need to pay interest on your loan. Alternatively, some plastic surgeons' offices may provide incentives such as discounts for paying the full amount up-front.
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.
Jolie’s specialized Brazilian Butt Lift surgeons understand that patients may be nervous or concerned about undergoing a cosmetic procedure. Therefore, they are always available to answer any questions a patient may have. They provide each patient with individualized instructions about what to expect before and after the butt augmentation procedure.
A simple trick you can try that's remarkably effective at keeping you from putting too much pressure on your new butt while sitting is to use a towel. Roll the towel into a cylindrical shape, then put it under your thighs as you sit down, keeping your weight off your buttocks. Just be careful that you don't cut off the blood supply to your butt, which can also contribute to fat cell death.
Breast implants are not lifetime devices and breast implantation may not be a one-time surgery. The most common complications for breast augmentation and reconstruction with MemoryGel® Implants include any reoperation, capsular contracture, and implant removal with or without replacement. The most common complications with MemoryShape® Implants for breast augmentation include reoperation for any reason, implant removal with or without replacement, and ptosis. The most common complications with MemoryShape® Implants for breast reconstruction include reoperation for any reason, implant removal with or without replacement, and capsular contracture. A lower risk of complication is rupture. The health consequences of a ruptured silicone gel breast implant have not been fully established. MRI screenings are recommended three years after initial implant surgery and then every two years after to detect silent rupture. The most common complications with MENTOR® Saline-filled Implants include reoperation, implant removal, capsular contracture, breast pain, and implant deflation.
That being said, the regulations per US state, if considering to undergo a BBL there, impose different costs on the surgical facility that needs to be charged to patients. However, in densely populated areas with many plastic surgeons, whose surgical facilities are in particularly close proximity, the operating room charges don't vary that much within these areas. Therefore, if the majority of local operating rooms charge $500/hour and a surgeon is charging half that much, it should raise concerns that something is not being done at the facility; something that might compromise the safety of the procedure.
Searching review sites for overall ratings and previous patients' reviews. A highly-rated surgeon likely does excellent work for his or her patients, while you might decide to stay away from doctors with only one star and a host of negative comments. Reading patient testimonials can help you learn more about the surgeon and better understand what to expect from your butt lift procedure.
The woman wanting a lift is usually slightly different. She had breasts she was happy with before, she had loving kids who she may or may not have breastfed, exercised and had a good life. They come wanting to restore the youthful breast they once they had(or better), they hate that it is slightly more deflated than before and it's slightly more south then they'd like. The formal name of this operation is "Mastopexy" and that's why you hear terms like "Mastopexy augmentation" because often in order to restore the youthfulness of the breast you not only need to reposition the nipple/areolar complex "up" with a mastopexy, you also need to provide some additional volume with an implant, hence augmentation as well. The discussion with implant also is entirely different discussion all together, but this highlights the primary difference in the reduction and a lift.
For detailed indications, contraindications, warnings, and precautions associated with the use of all MENTOR® Implantable Devices, which include MENTOR® Saline-filled Implants, MemoryGel® Implants, MemoryShape® Implants, ARTOURA™ Expanders, and CONTOUR PROFILE® Expanders, please refer to the Instructions for Use (IFU) provided with each product or visit www.mentorwwllc.com.

MENTOR® MemoryGel® Breast Implants, MENTOR® MemoryShape® Breast Implants, and MENTOR® Saline-filled Breast Implants are indicated for breast augmentation in women (at least 22 years old for MemoryGel® Implants and MemoryShape® Implants, and 18 years old for Saline Implants) or for breast reconstruction. Breast implant surgery should not be performed in women with active infection anywhere in their body, with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions, or who are currently pregnant or nursing.
After the procedure, patients are taken to the recovery room for a few hours and then released from the facility. Patients must come with a friend or family member in order to be driven home and cared for at all times during the first three days after surgery. If the patient does not have a friend or family in the area, for an additional cost, Jolie offers recovery houses for patients who have undergone a procedure.
Searching review sites for overall ratings and previous patients' reviews. A highly-rated surgeon likely does excellent work for his or her patients, while you might decide to stay away from doctors with only one star and a host of negative comments. Reading patient testimonials can help you learn more about the surgeon and better understand what to expect from your butt lift procedure.
Apart from the plastic surgery itself, the patient would also need to consider extra costs that are not included in the price quote they receive. These can comprise of the cost of prescription drugs the patient may need to take, the surgical garments required for after the surgery, and the costs of medical tests if necessary, among others. It should be noted, though, that some plastic doctors exclude the anaesthesiologist's fee and operating room charges from their quote, so it is always recommended to read the small letters or ask what's included in the offered package so you can have the right overall cost estimate for the Brazilian buttock augmentation.
If forehead creases are bringing you down, injections of botulinum toxin (Botox, Dysport, and Xeomin) can provide a temporary fix. They're made with a purified version of the toxin from botulinum bacteria. In tiny doses, this toxin relaxes the clenched facial muscles that cause crow's feet, frown lines, and the like. The shots take only a few minutes and cause little pain.

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.

For me, the main area of concern is my forehead, which I’m told by all the greatest in injectables, to be the most common for those under thirty. After too many holiday sunburns, and recognising that I speak with very expressive eyebrows, the fine faint lines horizontally across my forehead have become much more prominent. So, in the name of beauty journalism I decided to give botox a try, here's what I learnt...


This technique is one of the most modernized and improved variations of the Brazilian Butt Lift Miami. It involves a small incision that runs down the natural crevasse of the buttocks that can be easily hidden. The size of the incision depends on the amount of fat that was extracted and the fullness of the inner fold. This technique has the ability to augment, enhance, and create a more contoured attractive figure. Fat is re-injected into the buttocks to increase volume and into the lower hips to create curvature.
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.
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.
Since traditional butt lift surgery is a more involved procedure, your plastic surgeon will typically administer either general anesthesia or local anesthesia and sedation to keep you safe and comfortable throughout your butt lift. Then, he or she will make an upper, lower, butterfly, or lateral incision into your buttocks to access the tissue beneath. Next, your plastic surgeon will remove any stubborn areas of fat using a scalpel or, in some cases, liposuction. He or she will then reposition the remaining tissue for a perkier, firmer look, suturing it to deep hip muscles or even to your hipbones.
When most people think about breast enhancement options they typically think of breast augmentation surgery. While there are many women who wish to increase the size of their breasts (breast augmentation continues to be the most popular plastic surgery procedure in the U.S.), there are also many women who seek to reduce or reposition their breasts without adding extra volume.
At the initial consultation, your plastic surgeon will discuss his or her ideas on how the procedure will be done as well as what type of results you can expect. He or she should have a large book of before and after photos that you can spend time looking at. When looking at these, consider the height, weight and build of the person in the photos and whether it matches yours or not. If it matches your specs, then it’s more likely you could have similar results.
Both breast reduction and breast lift surgeries are similar in that they both serve to reshape the breasts. Breast lift, through any of the various techniques, basically serves to reposition the breast and nipple on the chest to reverse the effects of time and gravity. The same changes that are noted in ptotic, or sagging, breasts are often seen in large breasts that require reduction: the nipple position is often low and there is excess skin (in addition to the excess breast tissue). The breast reduction then combines a lift with removal of extra tissue to create a breast that has a higher nipple position, reduced extra skin, and smaller and more balanced breast size.
I needed very little convincing before making my way down to the Cadogan Clinic, one of the very best locations in London (might I add) to speak to Nurse Libbie Wallace, a master in her field. After filling in a short consultation form, Nurse Libbie asks me how old I am. After replying 28, she chuckles a little, but continues… I’m not the youngest client she’s had walk through the door, but she does tell me that she would only ever treat those that actually can benefit from the treatment, ‘It’s important that I manage patients expectations’. 

If forehead creases are bringing you down, injections of botulinum toxin (Botox, Dysport, and Xeomin) can provide a temporary fix. They're made with a purified version of the toxin from botulinum bacteria. In tiny doses, this toxin relaxes the clenched facial muscles that cause crow's feet, frown lines, and the like. The shots take only a few minutes and cause little pain.
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.
Nonsurgical cosmetic procedures are not without risks. You might have an allergic reaction to anesthetics on your skin or injectable fillers. Chemical peels, microdermabrasion, and lasers can cause scarring or make your skin lose color. But they're often less risky than cosmetic surgery. Talk to your dermatologist about what to consider before you schedule a procedure.
The ‘gummy bear’ implant comes in both round and teardrop shapes. They have a firmer gel, which may give a better shape and may last longer. The round gummy bear implant is often a good choice for women with looser tissues and who want a more durable implant that remains soft. The teardrop shaped gummy bear implant may be a good choice for women whose tissues are relatively tight and desire a very proportionate and natural looking enhancement with less fullness of the upper portion of the breast and more projection and fullness of the lower portion of the breast. 
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