Dr. Cohen and Dr. Winters have been conducting breast lifts for the past 15 years in Bergen County and have found certain things can enhance the experience for everyone involved. Following surgery, we’ve found that it is important to break the recovery process into 4 main areas: pain, scars, bras and exercise. Each section details what you need to know in relation to recovery and things you can do to prepare.
Liposuction is a very popular procedure during which a thin tube called a cannula is inserted through a tiny incision and is utilized to break up and suction fat cells from the body. Since its introduction several decades ago, the procedure has been improved with numerous innovations. Tumescent liposuction has become standard, and reduces bruising, swelling, and bleeding, and facilitates improved results. It involves infusing the treatment area with a large volume of a solution of lidocaine and epinephrine. This causes fat cells to become swollen and firm (tumescent), which makes them easier to break apart and remove. The solution also anesthetizes the area and temporarily shrinks blood vessels, limiting bleeding during the surgery. The tumescent technique enhances your comfort both during and after the procedure and reduces bruising and swelling.

It’s a popular method because the incision enables doctors to reshape breast tissue and insert implants either above or below the muscle, leaving only a small scar along the top of the areola. However, it also has its downsides: only a minimal amount of lift can be achieved, not all sizes and types of implants will fit, and the majority of women desire a bigger boost than this method can deliver.
All scars are visible initially following surgery. Thereafter, some patients heal with virtually invisible scars, while others are more prone to prominent scarring. Past scarring from previous injuries and/or surgeries may be indicative of how prone an individual may be to visible scarring. This could influence Dr. Jugenburg's decision on how best to perform a Breast Lift procedure (or cosmetic breast surgery in general) in order to achieve an optimal balance between breast

We think you shouldn’t have to wait to look better, and more importantly, feel better about yourself. To help our patients afford liposuction, we offer financing options. When you apply, we’ll take a look at your credit history to determine your qualification and financing amount. Upon approval, you can book a date for your procedure. Afterward, you’ll make monthly payments. Financing can help you get where you want to be sooner rather than later.

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Despite the increase in research on fat grafting to the butt, many questions remain. For example, there is no exact science behind how much fat to harvest or inject. The fat that is injected must develop its own blood supply to survive — and, on average, just half of it does. This means that 50 percent of the injected fat dissolves. To compensate, some plastic surgeons will over-inject. They don’t always get it right, and repeat treatments are often needed.
Specialized bras are not necessary for breast lift recovery. A surgical bra will be placed on you during surgery, but it may not be the most comfortable support system for you. It is important to have mild compression and support in the early phases of recovery. However, this does not mean that you cannot adjust or exchange the surgical bra if it is uncomfortable.

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.
A recent New York City art exhibition, now at the Musée d'Orsay in Paris, explores the importance of black models as key to the development of 19th and 20th century art, through their representations by French and American artists (including Edouard Manet, Edgar Degas, Frederic Bazille and Jean-Louis André Théodore Géricault). Nancy Giles talks with curator Denise Murrell about how the Harlem Renaissance influenced painters such as Henri Matisse, and with Brooklyn artist Mickalene Thomas about black figures in art at a time of social and political transformation.
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.
Finally, lifts can be done with a scar just around the areola. A frenchman named Louis Benelli popularized this procedure, as did a Brazilian named Goes. But they do extensive work on the inside to shape the breast, something that few american surgeons actually do. In their hands, terrific results can be achieved, but I have seen inconsistent results with this procedure with american surgeons. Allegedly, it is the operation that has the highest incidence of malpractice suits. This is not due to anything inherently wrong with the procedure, but that the procedure is being used in breasts that are probably too droopy, heavy, and loose for this technique. I have achieved excellent results with this, but only on breast that are relatively small and light, and that don't have a lot of droopiness.

Although the removed fat cells are unlikely to grow back, body fat has been shown to return to preliposuction levels within a year after the surgery, particularly returning to the abdominal area. Researchers believe the body compensates for the rapid fat loss by putting on more fat. In a trial of 34 women published in the September 2012 edition of the journal “Obesity,” the cosmetic benefits of liposuction were lost after one year. A later study, however, suggested that recurrence of belly fat can be avoided by exercise.
• WarmSculpting with SculpSure’s diode-laser energy creates heat that kills fat cells during a 25-minute treatment, and multiple areas can be treated at the same time. There are very few side effects and zero downtime. WarmSculpting’s Worth It Rating is almost as high as that of liposuction, and it’s significantly less expensive. Just keep in mind you’ll have to wait up to three months to see your full results, and you might need two or more treatments to reach your goals.
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).
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 Brazilian butt lift is a specific procedure that aims to enhance your natural curves to give you a firm and youthful behind. Otherwise known as a gluteal augmentation, a Brazilian butt lift relies on the transfer of fat from other parts of the body. The fat is removed via tumescent liposuction, cleaned and purified, then re-injected or grafted back onto the buttocks.
A recent New York City art exhibition, now at the Musée d'Orsay in Paris, explores the importance of black models as key to the development of 19th and 20th century art, through their representations by French and American artists (including Edouard Manet, Edgar Degas, Frederic Bazille and Jean-Louis André Théodore Géricault). Nancy Giles talks with curator Denise Murrell about how the Harlem Renaissance influenced painters such as Henri Matisse, and with Brooklyn artist Mickalene Thomas about black figures in art at a time of social and political transformation.
The surgeries that risk more significant scarring are the much more common vertical or “lollipop” lift and the inverted T or “anchor” lift, which feature two and three incisions respectively. As they are more invasive surgeries than a crescent lift, you can expect more extensive scarring, but as long as you and your surgeon can provide proper care and observation, these can fade and can be easily hidden while you’re waiting for them to fade.
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.
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!
Some people see lumpy areas after the swelling starts to go down. This should improve after a few weeks, but wearing a compression garment can help prevent lumps. Less commonly, patients can have a hematoma (a temporary pooling of blood under the skin) or seroma (a pocket of fluid under the skin that requires draining by your doctor); changes in skin color or sensation; or scarring from thermal burning, either above or below the skin (usually an issue only with laser- and ultrasound-assisted lipo, if skin ports aren’t used). If you’re concerned about anything you experience as you recover, don’t hesitate to call your doctor.
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.
Thank you for your question. There are three types of surgical techniques for breast lifts. The most common is the vertical technique, which does involve the scar down the lower pole of the breast. However, surgical scars typically heal more cleanly than accidental trauma. After twelve months, many of my patients have thin, almost imperceptible lines. I also offer a comprehensive scar care regimen after surgery to optimize the appearance of the ultimate scar.

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.
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.

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.” 

Some people see lumpy areas after the swelling starts to go down. This should improve after a few weeks, but wearing a compression garment can help prevent lumps. Less commonly, patients can have a hematoma (a temporary pooling of blood under the skin) or seroma (a pocket of fluid under the skin that requires draining by your doctor); changes in skin color or sensation; or scarring from thermal burning, either above or below the skin (usually an issue only with laser- and ultrasound-assisted lipo, if skin ports aren’t used). If you’re concerned about anything you experience as you recover, don’t hesitate to call your doctor.
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