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!
The horizontal mastopexy goes by many names, including the “Horndesky Method” and “Ultimate Lift.” This technique enables surgeons to create a new position for the nipple without leaving a vertical scar from the areola to the breast crease. Instead, a horizontal incision is made across the entire breast above the areola, and the surgeon excises the skin below it while preserving the nipple.
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.
When there is saggy tissue in the lower pole and the areola needs to be raised a large amount, a lollipop (vertical) lift or anchor (Wise pattern) lift are better options.  These approaches help cone the breast for a perky look but require additional scar length below the areola.  The anchor lift removes more excess skin than the lollipop lift and is better suited in certain patients.  Both of these lifts require the scar around the areola and from the areola down the center of the breast to the fold.  The anchor lift adds an additional scar hidden within the breast fold that is not very visible.  In general, all of these scars tend to heal very well.  However, each person scars differently with some people making more prominent scars than others.  In many cases, a greatly improved breast shape is worth the tradeoff of a well-healed scar.
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. 

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.
Costs vary based on the amount of fat harvested and grafted, but average around $8,000 to $15,000. Insurance rarely covers the cost of procedures that are solely cosmetic. Several treatments may be necessary to achieve the desired results. Unqualified injectors sometimes offer cut-rate buttock injections. This should be a red flag that something is amiss.
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