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.
However, minimizing the appearance of scars on the breast will be of vital importance to your surgeon. The whole point of a breast lift procedure is to make the breast more attractive, and conspicuous or heavy scarring defeats that point. Most scars will typically heal and fade within two years, but will always be present. Your surgeon will consider it a part of their job to keep these scars discrete, not a bonus. They may also prescribe cortisone cream and use silicone sheeting to help reduce the appearance of scars after surgery.

Unfortunately, there are no completely scarless breast lifts.  There are 4 main types of breast lifts performed depending on the amount of sagging, excess skin, surgeon preference, and patient preference.  Each one has a slightly different scar pattern.  The ones with the least amount of scarring also tend to be the least effective in terms of lifting and coning the breasts into a more perky shape.  The moon-shape (crescent) lift involves a scar hidden along the upper half of the areola border.  The donut (circumareolar) lift involves a scar hidden around the entire circumference of the areola border.  These scars camouflage very well where the darkly pigmented skin of the areola meets the lighter skin of the rest of the breast.  These lifts work well when the nipple is only slightly downward pointing.  One of the disadvantages of these lifts is that they can only raise the areola up to a maximum of about 2 cm.  They also tend to flatten the breast shape and are not ideal when there is saggy breast tissue in the lower pole.


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.
A Bra Lift with Laser (Laser Bra Lift): Some doctors will want to use a laser bra lift as an insurance policy that your breasts won’t sag. It’s actually not really an alternative to breast lift surgery as it is an extra procedure. In the laser bra surgery, the laser is used to create a bra-like effect that protects the surgical results of the breast lift. Laser energy will always stimulate the production of new collagen fibers, which give you more support of any tissues. Always look at the before and after pictures to see whether or not you think there is enough improvement.
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”.
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.”
“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.”
At DePerro Plastic Surgery the cost of Liposuction is $1750 for the first area and $1000 for each additional area.  There is also approximately $2000 in costs for anesthesia and the facility fee.  We perform all of our liposuction procedures in our attached surgery center under general anesthesia and sterile conditions.  This maximizes your safety and comfort so you don't feel any pain during the procedure.  Also, because you're asleep we are able to be more thorough and remove more fat.  So in total 1 area of liposuction under general anesthesia would cost approximately $3750, two areas $4750.  
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.
Liposuction is often combined with other procedures to provide more comprehensive results. At Macleod Trail Plastic Surgery, our experienced surgeons may recommend enhancing liposuction outcomes with other surgical procedures if this will help achieve your cosmetic goals. A mommy makeover, for example, may combine a tummy tuck and breast augmentation with liposuction for women whose bodies have changed after having children.
Dr. Kamak (PhD in Pharmacy) is an artist with the threads, he loves to use anywhere in the body, and recently he started to use them for a butt lift, especially if the client does not need extra volume. The PDO threads are made of the same material as the wound stitches. The material is hypoallergic, with no metal residue. The material is biocompatible (it blends with the body tissue) and biodegradable (it dissolve by itself over time). The 360 bi-directional barb threads lift the tissue up against the gravity and hold it in place. Over time, new collagen builds up and replace the threads to provide a natural tether to keep the tissue lifted. It is widely used for a non-surgical facelift and we started to use it in different parts of the body
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. 
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