Any surgery—medical or cosmetic—that requires cutting the skin is going to leave a scar. The scar’s size will depend on the length of the incision that must be made, which will depend on the procedure being performed. When you have a breast lift (also called a mastopexy), you will be left with vertical scars that extend from the bottom of your areola to the inframammary fold, the area where your breast meets your chest.
• CoolSculpting destroys small pockets of fat by freezing the fat cells. After one treatment session, you’ll gradually lose about 25% of the fat cells in the treatment area. It takes about a month to start seeing results, with improvements for up to 20 weeks. At that point, many RealSelf members opted for a second treatment to get the results they were after. Dr. Marosan notes that “There are an increasing number of reports of fat hyperplasia [a hardened area] in the treated areas, which require liposuction to correct it.”
A technique called “tumescent liposuction" is the most common method for removing fat around the stomach, buttocks, thighs and ankles. It’s also considered the safest. “Tumescent” means that large amounts of buffered salt water are injected into fatty tissue beneath the skin. The doctor makes a cut in the fatty area to be treated, then inserts beneath the flesh a strawlike tube called a cannula that is attached to a vacuum. At the end of the cannula is a stiff wand. The doctor moves it back and forth in rapid motions to loosen fat. The procedure takes 45 minutes to two hours, with a recovery time of up to two weeks. The full effect of liposuction is seen six to 12 weeks after the procedure is performed. After the procedure, the area is bandaged and the patient must wear a compression garment for one to two weeks. Pain and bruising may last up to two weeks, and swelling may last for two weeks to two months.
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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