During the course of a woman’s life, the breasts change in appearance and oftentimes sag. Don’t worry, this is NOT an uncommon condition. In fact, the clinical term for female breasts that sag is called ‘breast ptosis.’ There are many causes of breast ptosis including pregnancy, cigarette smoking, high body mass, gravity and the natural aging process. There are also different degrees of ptosis as shown in the illustration below. Fortunately, breast ptosis can easily be treated with breast lift surgery. 

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.
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.
The most common procedure is something that involves an "inverted T" or an "anchor" scar,one that goes around the areola, goes straight down, and then underneath. It's a lot of scar. Advocates - and I am one - feel that it gives the best shape, tightens the breast most completely and thoroughly, and because tension is distributed evenly along the length of the scars, that though long, the quality of the scar is likely to be good. Critics think that the benefits of the shape do not justify the length of the scar, and that this technique is prone to something called "bottoming out", which is when the lower part of the breast stretches. 

A: In general, no plastic surgeon can guarantee that breastfeeding will still be possible after the breast lift surgery. But in most cases, you should be able to breastfeed after a breast lift if the nipple was left intact during the procedure, and was still connected to all the anatomical structures underneath the nipple. However, if you are planning to become pregnant, its recommended that you wait until after your pregnancy to have a breast lift. Reason being, as your breasts enlarge during pregnancy the skin will stretch. Depending on the elasticity of your skin before pregnancy and the degree to which your breasts enlarge during pregnancy, your breast skin may permanently stretch. In this case the results of breast lift surgery performed before pregnancy would be lost.
However, minimizing the appearance of scars on the breast will be of vital importance to your surgeon. The whole point of a breast lift procedure is to make the breast more attractive, and conspicuous or heavy scarring defeats that point. Most scars will typically heal and fade within two years, but will always be present. Your surgeon will consider it a part of their job to keep these scars discrete, not a bonus. They may also prescribe cortisone cream and use silicone sheeting to help reduce the appearance of scars after surgery.
I would recommend an in-person consultation with a plastic surgeon where a thorough physical examination and measurements will be made to determine the best treatment plan for you.  At the consultation, you should view before-and-after photos of various breast lift techniques in patients with breasts similar to yours to see if you like the results before undergoing surgery.  Best of luck!
Dr. Fouda Neel performs liposuction using IV sedation or general anesthetic, depending on the number of treatment areas and amount of fat being removed. He injects a large volume of tumescent solution into the areas of unwanted superficial fat to control pain and bleeding. This solution also makes the fat firm and easier to remove. Next, he makes tiny incisions near the targeted areas and inserts a hollow, stainless steel tube called a cannula into the fat. He moves the cannula in and out to break up the fat cells and suction them out of the body.

The average cost of liposuction is about $6,000. Your cost will vary based on factors like your surgeon’s level of experience and office location, the amount of fat being removed, and if you’ve had liposuction before. “Most people price liposuction based on the number of areas being treated—and in general, the per-area cost will come down with additional areas,” says Toronto plastic surgeon Dr. Mathew A. Plant, in a RealSelf Q&A. “Usually, the first area is more expensive, because this price includes the costs of the operating room, equipment, and anesthetic. Once you’re into additional areas, those costs have mostly been covered, and you’re simply adding time, which allows for a price drop.” Liposuction is considered a cosmetic procedure, which means your health insurance will likely not cover it.
A Bra Lift with Laser (Laser Bra Lift): Some doctors will want to use a laser bra lift as an insurance policy that your breasts won’t sag. It’s actually not really an alternative to breast lift surgery as it is an extra procedure. In the laser bra surgery, the laser is used to create a bra-like effect that protects the surgical results of the breast lift. Laser energy will always stimulate the production of new collagen fibers, which give you more support of any tissues. Always look at the before and after pictures to see whether or not you think there is enough improvement. 

Cost is incredibly variable. It depends on the city and the provider. If you go to a plastic surgeon in New York City, it costs a lot more than seeing a non-plastic surgeon in a rural area. There are plenty of non-plastic surgeons offering discount liposuction. But, this can be somewhat risky due to their limited training backgrounds. And bad liposuction is very difficult to fix - I perform a lot of revision liposuction trying to fix poorly performed liposuction.
Liposuction is often combined with other procedures to provide more comprehensive results. At Macleod Trail Plastic Surgery, our experienced surgeons may recommend enhancing liposuction outcomes with other surgical procedures if this will help achieve your cosmetic goals. A mommy makeover, for example, may combine a tummy tuck and breast augmentation with liposuction for women whose bodies have changed after having children.
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.
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.

Experienced breast surgeons create a personalized surgical strategy just for you in advance of your breast lift. The plan takes into account your specific goals for the breast lift, along with your body size, age, skin tone and elasticity and more. The best breast surgeons never perform a generic breast lift—every procedure should be designed to fit your unique needs and your anatomy.


Choosing a liposuction surgeon based on the lowest price might ultimately be the most expensive choice, If the initial cosmetic results are so bad that another surgeon must be paid to repair the work of the first liposuction surgeon. Among the most common undesirable outcomes of liposuction are 1) incomplete liposuction with very little evidence that liposuction was actually done, 2) excessive liposuction producing an unnatural or disfigured appearance, 3) irregular and uneven results with unsightly depressions in the skin, and 4) large scars that reveal that the patient has had liposuction. Caveat emptor (Buyer beware).

While on the subject of minimizing lift scars, many people use breast implants to fill up an empty or slightly droopy breast. Though this is just a semantic way of thinking about it, droopy breasts need to be lifted, and deflated/collapsed breasts may be fixable with an implant. Of course, a woman has to want to have implants and be larger to approach droopiness with an implant. And one of the most common problems I see in women with implants is women who really needed a lift, but instead chose to put in a big implant, making them larger than they wanted to be and stretching and thinning their tissue out more.
Dr. Cohen specializes in breast lifts, augmentations, revisions and reductions as well as breast cancer reconstructions. A long time dream of Dr. Cohen’s was to travel to developing countries and provide expert surgical care to those who have no other possible access to medical care. This became a reality in 2007 when she became a founding member and Vice President of ISMS Operation Kids.
Liposuction is often combined with other procedures to provide more comprehensive results. At Macleod Trail Plastic Surgery, our experienced surgeons may recommend enhancing liposuction outcomes with other surgical procedures if this will help achieve your cosmetic goals. A mommy makeover, for example, may combine a tummy tuck and breast augmentation with liposuction for women whose bodies have changed after having children. 

The most common procedure is something that involves an "inverted T" or an "anchor" scar,one that goes around the areola, goes straight down, and then underneath. It's a lot of scar. Advocates - and I am one - feel that it gives the best shape, tightens the breast most completely and thoroughly, and because tension is distributed evenly along the length of the scars, that though long, the quality of the scar is likely to be good. Critics think that the benefits of the shape do not justify the length of the scar, and that this technique is prone to something called "bottoming out", which is when the lower part of the breast stretches.
At the Toronto Cosmetic Surgery Institute, Dr. Jugenburg is an expert at creating minimal Breast Lift scars that are barely visible. While a traditional Breast Lift procedure typically involves the placement of an invertedT-shaped scar (the Standard of Full-Anchor Breast Lift), Dr. Jugenburg’ssurgical expertise allow him to achieve optimal results bylimiting the incisionsto the areola, and if a significant lift is required, the addition of a small vertical incision only. The large incision usually placed within, or directly above, the breast fold (infra-mammary fold) is thereby completely avoided.
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.”
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.
The cost of living is different among different geographical locations. In general, the cost of cosmetic surgery tends to be higher in areas of the country where the cost of living is high. For example, a practice located in Los Angeles will change more for a buttocks lift than a practice situated in San Francisco due to the higher cost of living index, which affects all kinds of services and goods in that area, including plastic surgery services and related costs (see cost of anaesthesia and operating room below). Likewise, a practice in, say, India or Turkey, will perform a butt augmentation at a lower cost than in Paris (from $2,400 vs. $7,300 respectively), while a patient opting to have a butt lift in Switzerland will be called to pay, at least, $6,600 for the liposuction alone.
Here at Cohen/Winters, we recognize that the dynamic between patient and doctor is a partnership. Finding the right patient is just as important to us as finding the right doctor is to you. If you have any more questions about breast lifts please contact us or visit our Bergen County office so that we can help you make the decision that’s right for you.
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.

Dr. Cohen specializes in breast lifts, augmentations, revisions and reductions as well as breast cancer reconstructions. A long time dream of Dr. Cohen’s was to travel to developing countries and provide expert surgical care to those who have no other possible access to medical care. This became a reality in 2007 when she became a founding member and Vice President of ISMS Operation Kids.
Brazilian Butt Lift Miami, BBL is a popular buttock augmentation procedure in Miami, Florida that results in younger, perky buttocks. Plastic surgery becomes an increasingly popular and growing business. It’s becoming important for patients to be well-informed about their options. With the shifts in fashion and the tighter garments on the market today, Brazilian Butt Lift are beginning to rival Breast Augmentation in demand and popularity.
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.
Brazilian Butt Lift Miami, BBL is a popular buttock augmentation procedure in Miami, Florida that results in younger, perky buttocks. Plastic surgery becomes an increasingly popular and growing business. It’s becoming important for patients to be well-informed about their options. With the shifts in fashion and the tighter garments on the market today, Brazilian Butt Lift are beginning to rival Breast Augmentation in demand and popularity. 

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!
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