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.
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.
The most common incision patterns for a breast lift include incisions around the areola, down from the areola to the crease of the breast, and horizontally along the crease. Immediately after surgery, your incision lines will likely seem to be far more prominent than they will become later on. As you heal, they will become less apparent and like all scars, will fade over time.
An “Internal” Bra: This is one of the most interesting procedures, as it is a mesh type of bra that is inserted surgically to lift your breasts. The mesh bra provides a little extra structure although over time the mesh is broken down and absorbed by your own tissues. This procedure is called the Breform, and you can expect a surgery of about four hours in the hospital with a few nights in recovery before you are released. The Breform is inserted through a scar in the nipple area or in the crease under the breast.
The surgical technique used during your breast lift procedure will also influence the appearance of your scars. Your surgeon will explain the typical scarring associated with each technique, including the standard (anchor) breast lift surgery, doughnut mastopexy, and laser bra lift techniques; together, you can determine which is appropriate for you.
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.
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.
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.
In any case, you can probably find the average costs of all procedures in different cities right here on Realself. Plastic surgery fees vary a lot from surgeon to surgeon, from place to place, and country to country.But beware of choosing a surgeon solely on price. Make sure to do your research and make sure he or she is a board certified plastic surgeon.
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.