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 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.
There tends to be some numbness in the nipples and skin after breast lift surgery; this should disappear in approximately six weeks; in some rare cases this numbness can be permanent. Some patients experience a burning or tingling sensation in the breasts during breast lift recovery as the nerves begin to return to normal function. Breast lift surgery patients should not lift anything over their head for three to four weeks following surgery, and should avoid lifting anything heavy for four to six weeks.
The “crescent lift” technique is mostly used for women who have a very small amount of sagging to correct, and involves one small incision that runs halfway around the top half of the edge of the areola. It’s usually only done when a patient is undergoing a breast augmentation, and even then only rarely. It’s more of a preventative measure, unlike the other options, which are focused on breasts that have more advanced sagging.
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.
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.
Unfortunately, scarring is a reality of any breast lift surgery. The amount of scarring and positioning of the incision, however, can be personalized and tailored to the patient’s condition. Generally, a patient who needs a more pronounced lift may need a full anchor scar, while a patient with milder sagging can get away with a single vertical scar. A board certified plastic surgeon will guide you toward the correct type of breast lift for your condition, but it is important to understand that this scarring is the tradeoff that results from having perkier, more youthful breasts.
“Adding a breast implant to the procedure sometimes allows the surgeon to shorten or even eliminate scarring, since the implant will then take up some of the slack caused by the breasts’ sagging,” says Fort Worth, TX plastic surgeon Dr. Jonathan Heistein. “Some breast augmentation patients may even be candidates for a radiofrequency treatment called BodyTite, which can provide a slight lift without requiring additional surgery.”
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.
I would recommend an in-person consultation with a plastic surgeon where a thorough physical examination and measurements will be made to determine the best treatment plan for you. At the consultation, you should view before-and-after photos of various breast lift techniques in patients with breasts similar to yours to see if you like the results before undergoing surgery. Best of luck!
It is almost impossible to provide an accurate estimate of liposuction price unless the surgeon has had the opportunity to examine the patient. One can expect to be given a range of liposuction prices or at least the smallest fee charged for a specific area. For example, if Dr. Jones always quotes an all-inclusive global price, then, for example, the receptionist should be able to state that “for abdominal liposuction, the minimal price is $4000 and may be as much as $8000 for a very large abdomen”.
The expected time and effort that is required to accomplish a liposuction surgery is the most important factor in determining the cost of liposuction. Factors that typically affect the surgeon’s time and effort include 1) Number of areas being treated, 2) Size of the patient, 3) Anticipated degree of difficulty. Thus, cost of liposuction of the abdomen alone is less than the cost of doing liposuction on both the abdomen as well as the inner thighs and knees. Similarly, the cost for abdominal liposuction on a patient who weighs 80 kilograms (176 pounds) might be more than the cost for liposuction of the abdomen of a patient who has never weighed more than 60 kilograms (132 pounds). Liposuction is more difficult and requires more time if the patient has previously gained and then lost a significant amount of weight. In any area previously treated with liposuction, the fat often contains scar tissue which makes liposuction in the same area more difficult.