Scars are inevitable after any incision in the skin, of course, because scarring is part of the body’s “self-repair” process. Breast lift surgery, in my experience, is a very satisfying procedure for the vast majority of patients–even with the unavoidable, often minimal, scarring. Scars may be in an anchor shape, in the crease below the breast and from the center of the crease up to the areola, although there are other types of scarring. When you choose an experienced surgeon, you’ll find that your breast lift scars are well hidden, even when wearing low-cut clothing. This is one of the signs of a skilled breast lift surgeon.
Following breast lift surgery, patients may experience discomfort, swelling, and bruising, which typically last from two to three weeks. Prescription pain medications may make patients more comfortable during the first week of breast lift recovery. Patients are required to avoid sleeping on their stomachs for the first two weeks, and are advised to take sponge baths until the sutures are removed. Your doctor will make other suggestions to maximize comfort during the recovery period.
Dr. Jugenburg uses advanced wound closure techniques and dissolvable deep sutures to support the repositioned skin and tissue on the breasts and minimize the risk of visible scar stretching. In some patients, permanent Gore-Tex sutures may also be used to provide long-term support. All patients are required to wear a surgical support bra at all times for 6 weeks after surgery, which will lessen tension on the incision lines and prevent scar stretching. Patients are also instructed to sleep on their backs during this time to avoid pressure on the breasts.
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.
Over time, these hidden scars often fade to thin, white lines when complete healing has taken place. Provided that you follow instructions for preparation and recovery, you should have a beautiful result from your breast lift surgery. Upon seeing their final result, women who have undergone breast lifts typically rate the experience as “well worthwhile”
Unfortunately, there are no completely scarless breast lifts. There are 4 main types of breast lifts performed depending on the amount of sagging, excess skin, surgeon preference, and patient preference. Each one has a slightly different scar pattern. The ones with the least amount of scarring also tend to be the least effective in terms of lifting and coning the breasts into a more perky shape. The moon-shape (crescent) lift involves a scar hidden along the upper half of the areola border. The donut (circumareolar) lift involves a scar hidden around the entire circumference of the areola border. These scars camouflage very well where the darkly pigmented skin of the areola meets the lighter skin of the rest of the breast. These lifts work well when the nipple is only slightly downward pointing. One of the disadvantages of these lifts is that they can only raise the areola up to a maximum of about 2 cm. They also tend to flatten the breast shape and are not ideal when there is saggy breast tissue in the lower pole.
Nonsurgical fat reduction treatments can also treat small pockets of fat, but be aware that RealSelf members give these procedures a lower Worth It Rating than they do liposuction. They usually require multiple treatments, over many months, to see a significant improvement—and the results are typically not as dramatic as those you’d get with lipo. After a nonsurgical fat reduction procedure, the body flushes out the damaged fat cells over time. Dr. Marosan also cations that “Patients who undergo nonsurgical fat reduction and then opt for liposuction surgery are more difficult to treat, due to the extensive internal scarring. In my practice, over 50% of my body sculpting patients had previous nonsurgical or surgical fat reduction, with suboptimal or poor results.”
The total cost for lipo surgery is the sum of the non-surgical fee plus one or more surgical fees. The non-surgical fees include the cost of the operating room, nursing staff, pre-operative laboratory tests, post-operative garments and supplies. The surgical fees represent the prices for lipo surgery of each individual area. For example, the total cost for liposuction of the hips, outer thighs and buttocks might be the sum of the surgical fees for hips ($3,400), outer thighs ($3,000), and buttocks ($2,000), plus non-surgical fee ($1,600), which equals $9,200. However, many doctors will bundle these up so you could be looking at a lower cost.
At DePerro Plastic Surgery the cost of Liposuction is $1750 for the first area and $1000 for each additional area. There is also approximately $2000 in costs for anesthesia and the facility fee. We perform all of our liposuction procedures in our attached surgery center under general anesthesia and sterile conditions. This maximizes your safety and comfort so you don't feel any pain during the procedure. Also, because you're asleep we are able to be more thorough and remove more fat. So in total 1 area of liposuction under general anesthesia would cost approximately $3750, two areas $4750.
A recent New York City art exhibition, now at the Musée d'Orsay in Paris, explores the importance of black models as key to the development of 19th and 20th century art, through their representations by French and American artists (including Edouard Manet, Edgar Degas, Frederic Bazille and Jean-Louis André Théodore Géricault). Nancy Giles talks with curator Denise Murrell about how the Harlem Renaissance influenced painters such as Henri Matisse, and with Brooklyn artist Mickalene Thomas about black figures in art at a time of social and political transformation.
Some surgeons will quote a single global liposuction cost that includes almost every possible surgery-related expense in one lump sum. Typically a global liposuction price is the sum of the surgical fees, plus the non-surgical fee, plus the anesthesiologist’s fee (if general anesthesia is used). A global liposuction cost is commonly used when the liposuction surgery is done in the surgeon’s office or surgery center. When a prospective patient telephones a surgeon’s office to inquire about the cost of liposuction, be certain to determine if the quote is for a global fee or merely the surgical fee. An office employee who answers the telephone might only give information about the surgeon’s fee and not mention other important items such as the anesthesiologist’s fee, and operating room fee.
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. Some surgeons recommend lymphatic massage starting at about four weeks post-op, to help drain fluid and bring down swelling. “I don’t suggest self-massage, because you can counteract the surgery,” Dr. Mesa says. “But going to a massage therapist who specializes in post-surgical massage does make the healing process faster and prevent irregularities.”
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.
Gaining in popularity is something called the vertical lift, which involves a scar around the areola and then straight down the breast, eliminating the underneath scar. Proponents think that the shape is good, that the breast maintains a lot of projection over time without bottoming out, and that the underneath scar is avoided. I believe that many of these breasts look overly projecting to my taste, and that bottoming out can be minimized with the inverted T style pattern. I also feel that the underneath scar is rarely seen, and that the scars that are seen - around the areola and going straight down, seem relatively more visible with this technique since it requires some bunching up of the skin during closure. Understand that some of the best surgeons in the world argue with one another about this issue at meetings all the time!