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.
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!
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.
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.
A: In general, no plastic surgeon can guarantee that breastfeeding will still be possible after the breast lift surgery. But in most cases, you should be able to breastfeed after a breast lift if the nipple was left intact during the procedure, and was still connected to all the anatomical structures underneath the nipple. However, if you are planning to become pregnant, its recommended that you wait until after your pregnancy to have a breast lift. Reason being, as your breasts enlarge during pregnancy the skin will stretch. Depending on the elasticity of your skin before pregnancy and the degree to which your breasts enlarge during pregnancy, your breast skin may permanently stretch. In this case the results of breast lift surgery performed before pregnancy would be lost.