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.
VASER liposuction, a variation of UAL, evenly disperses the ultrasonic energy with a grooved cannula and probe. The ultrasound energy breaks up the fat and frees it from the surrounding tissue, making fat easier to remove, with less swelling, pain, downtime, or potential for sagging skin than traditional lipo. Dr. George Marosan, a board-certified plastic surgeon in Bellevue, Washington, prefers VASER liposuction in most situations. “Fat comes out more easily with VASER—especially in men, where it’s more fibrous,” Dr. Marosan says. He also points out another great advantage of VASER lipo: While fat that’s liquified by laser lipo isn’t usable, fat broken up by VASER is still viable for transfer to the breasts, butt, or anywhere you want more fullness. “The VASER allows me to sculpt the body, revealing the underlying muscle and bony anatomy. This is an advanced technique that goes way beyond liposuction for fat removal only,” says Dr. Marosan.e
Thankfully, there’s a slew of solutions that have been proven to help with scarring, even completely removing the visual effect. One of the first solutions that may be offered is a steroid injection into the area, which helps with the discomfort and redness of scarring. Cortisone creams are another option that may help to reduce the size of the blemish. Targeted cryotherapy, similar to the type of therapy used to remove warts, may also reduce scarring by freezing the tissue away.
One of the most worrisome aspects of breast lift surgery for most patients is the potential for noticeable scarring. As a procedure designed to improve the aesthetic look of your body, a poorly performed procedure can end up leaving noticeable marks, typically under the breast. Fortunately, advancements in technology during and after the procedure have reduced the risk greatly in terms of the creation of scarring that’s noticeable.
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.
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.
Some people choose to have liposuction revision, a second procedure, due to irregularities in the results of the original procedure. These might include asymmetry between one side and another, dimpling, or bumps, to name a few common reasons for revision lipo. According to Dr. Mesa, liposuction revision is often needed when the provider was inexperienced—but it can also just be the result of the way a person heals.
Unfortunately, scarring is a reality of any breast lift surgery. The amount of scarring and positioning of the incision, however, can be personalized and tailored to the patient’s condition. Generally, a patient who needs a more pronounced lift may need a full anchor scar, while a patient with milder sagging can get away with a single vertical scar. A board certified plastic surgeon will guide you toward the correct type of breast lift for your condition, but it is important to understand that this scarring is the tradeoff that results from having perkier, more youthful breasts.
Dr. Nichter and Dr. Horowitz prefer to use a short #scar technique, known as the “lollipop scar” or “donut lift” rather than anchor pattern lift which involve more significant scarring, and is used by the majority of surgeons in the United States. Additionally, scar therapy with scar maturation products (e.g. BioCorneum or Embrace) are suggested for managing scars. However, we recommend you begin usage of scar improving products a few weeks following your surgery. It is always recommend to call and see your surgeon to discuss your #healing concerns.
A major key to making sure that the breast lift process is as comfortable as possible is planning ahead of time. Much of the post-operative discomfort is due to swelling. While wearing a compression bra should help manage some of the swelling and help reduce pain, there are other things that can be done to reduce swelling and make your recovery easier.