Any licensed physician can perform liposuction, but it’s usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors’ professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.

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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 

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.


Thank you for your question. All surgical procedures leave scars. Breast lift, or mastopexy is a surgical procedure used to raise and reshape sagging breasts.  Factors such as pregnancy, nursing, weight change, aging and gravity produce changes in the appearance of a woman’s breasts.  As the skin loses its elasticity, the breasts often lose their shape and begin to sag. If your breasts are small or have lost volume after pregnancy, breast implants inserted in conjunction with mastopexy can increase both firmness and size. There are a variety of different surgical techniques used for the reshaping and lifting of the female breast. I recommend that you make an appointment with a board certified plastic surgeon to discuss your options.

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.


The goal of a breast lift or mastopexy is to reshape the breasts, bring the nipple to the appropriate height and reposition the breast tissue to provide for a more youthful, perky and cosmetically appealing breast shape.  If you are interested in having a breast lift, my best recommendation would be to consult with board-certified plastic surgeons who are well-experienced in these procedures.  Remember that scarring is necessary and a reality of a breast lift procedure, and while a good plastic surgeon will do their best to minimize the appearance of a scar, your propensity for a 'good' or 'bad' scar is more genetic than anything.  I hope you find this helpful and best of luck!
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.”
Office liposuction under tumescent local anesthesia costs from about 4-7500, and more extensive procedures need to be done in the operating room under general anesthesia. Depending on the time the cost can go up to 15,000. Multiple areas are discounted in the sense that when done in the operating room under general, the additional areas are charged by the total time, not per area, which is a savings.
Many patients find it difficult to give up their daily run, however, it’s incredibly important that you cease any strenuous activity for a period of time after your procedure. In order to get the best breast lift results, you need to allow your body to heal. Exercise and other high-intensity activities can cause damage to the surgical site and increase swelling.
The more complex the procedure, the more it will last; hence, the more expensive it is going to be. If, for example, a patient requests for a 6-inch increase in their measurement, they should be prepared for a lengthier and more difficult procedure. In this case, it might be necessary to combine various procedures to achieve the desired outcome. These might include the combined use of liposuction and autologous fat transfer. For this procedure, the average brazilian butt lift cost for most cases is around $10,000 in the US and about $8,500 in Canada.
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. 

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.”
BBL procedure at Spectrum Aesthetics, Miami not only helps round out your buttocks with fat transfers and implants, but it also helps to provide a more shapely and perky buttock appearance. We do this BBL surgery by removing fat from the lower end of the buttocks as well as the sides. By removing fat from these sections of the buttocks, your buttocks gains a perky and full look in its center and top regions providing a youthful, beach-ready appearance.
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.
1. Keloid Scarring – This type of scarring would only be the result of a procedure that causes an unusual amount of damage to the skin. This type of scarring is essentially “aggressive healing,” as the body sends excessive amounts of collagen to the area in an attempt to fix the skin.For a portion of the population, keloid scarring occurs even for relatively minor procedures and wounds, leading to the area of the skin becoming red, raised and slightly waxy. If you are prone to keloid scarring, tell your plastic surgeon before undergoing the procedure.
Any licensed physician can perform liposuction, but it’s usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors’ professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.
Following surgery, Breast Lift scars are red and normally slightly raised, but over 3 – 6 months after surgery they usually fade and flatten out, becoming thin, barely visible lines. For incisions along the areolar border, the scars are usually partially disguised by the skin color contrast (between the dark areola and lighter breast skin) and the uneven surface of the areola.
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.
When skin is damaged, the body repairs it by creating new collagen fibers, which gives the healing area a different look and texture: a scar. The “mended” skin will be less flexible than the skin around it, and it may have no hair follicles. The scarred skin might be a different color than surrounding skin and the color will change as healing progresses. This is completely natural.
Call your surgeon: If you have any concerns at all during your recovery and healing process, I’m always available to my patients during this time—I prefer you to call rather than worry about a symptom. I will explain what indicators to watch out for as you recover that might indicate infection or poor healing. I will be checking your progress regularly as well. Any top surgeon should be willing to be there for you during your recovery process.

• Vanquish uses radiofrequency energy to melt fat cells, in a painless procedure that lasts about 45 minutes. You’ll have to wait about two weeks to start seeing a difference, with full results apparent in four to eight weeks—and most people need four or more treatments to get the results they want. It has a lower Worth It Rating than either CoolSculpting or WarmSculpting.
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.
In addition to a breast lift, many women also consider having other procedures performed at the same time to enhance the overall result. For example, a “mommy makeover” is a combination of different surgical procedures reserved for women who have been pregnant and want to look like they did before the pregnancy. This may include a tummy tuck, liposuction surgery and breast enlargement or breast reduction. There is also a cost savings of having multiple procedures done at the same time.
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.

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.
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.
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