we use the collagen-inducing fillers called Sculptra. The ploy lactic acid microsphere in the fillers induce the body to make its one collagen at a different area of injection such as face and neck. Lately, we start using this technique for adding volume to body areas such as buttocks. Using hyaluronic acid fillers is not an option here as it will cost a fortune before achieving satisfactory results.
Any licensed physician can perform liposuction, but it’s usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors’ professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.
Some surgeons prefer to give prospective patients an itemized list of all the anticipated costs of liposuction. These separate costs might include the surgical fee (money paid to the surgeon for his services), anesthesiologist’s fee, operating room fee, pre-operative laboratory test fees, charges for post-operative elastic compression garments, and possibly prices for antibiotics and other recommended drugs. Sometimes itemized prices are used when the surgeon cannot control all of the related expenses, such as when the lipo surgery is to be done in a hospital operating room with a hospital anesthesiologist. Itemized lipo prices are also used by surgeons who are in the habit of doing multiple unrelated surgical procedures at the same time that the liposuction is done.
Other variables affecting price of liposuction include the 1) experience of the surgeon and 2) geographic location of the surgeon. An expert liposuction surgeon who has done thousands of liposuction procedures, who consistently achieves outstanding results, and who is in great demand, will often charge more than a less experienced surgeon. Surgeons who are not busy may offer discounts, or entice prospective patients by offering free consultation. Surgeon’s who have had unhappy patients and who do not have a good reputation might also lower liposuction prices in order to attract new patients. In geographic areas where rents and labor costs are high, one can expect higher prices for liposuction.
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.
• Vanquish uses radiofrequency energy to melt fat cells, in a painless procedure that lasts about 45 minutes. You’ll have to wait about two weeks to start seeing a difference, with full results apparent in four to eight weeks—and most people need four or more treatments to get the results they want. It has a lower Worth It Rating than either CoolSculpting or WarmSculpting.
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.
Dr. Cohen specializes in breast lifts, augmentations, revisions and reductions as well as breast cancer reconstructions. A long time dream of Dr. Cohen’s was to travel to developing countries and provide expert surgical care to those who have no other possible access to medical care. This became a reality in 2007 when she became a founding member and Vice President of ISMS Operation Kids.
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.
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!
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.
Some people choose to have liposuction revision, a second procedure, due to irregularities in the results of the original procedure. These might include asymmetry between one side and another, dimpling, or bumps, to name a few common reasons for revision lipo. According to Dr. Mesa, liposuction revision is often needed when the provider was inexperienced—but it can also just be the result of the way a person heals.
The patient's medical history and overall health can elevate the level of difficulty of the surgery. For example, if you are suffering from an immune deficiency or a chronic condition, such as uncontrolled diabetes, you instantly increase the complexity of the surgery. This also affects your recovery. You may need more time to relapse and get back to your everyday routine, which might mean you will need to take more medications after the surgery (for a longer time than usual), and potentially more time off work. All that equals more money spent on your behalf.
Following surgery, Breast Lift scars are red and normally slightly raised, but over 3 – 6 months after surgery they usually fade and flatten out, becoming thin, barely visible lines. For incisions along the areolar border, the scars are usually partially disguised by the skin color contrast (between the dark areola and lighter breast skin) and the uneven surface of the areola.
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.
A: It’s difficult to answer “how much” sensitivity you can expect to lose after breast lift surgery but most patients report that they are able to retain complete or near complete sensation. During the initial postoperative period, there may be a temporary loss or decrease in sensation primarily due to swelling. As the swelling subsides, the sensation will return. There is the potential that you may experience a change in the sensitivity of your nipples and the skin of your breast. On occasion, patients have reported that their nipples are “supersensitive.” In this case desensitization, exercises can be performed to diminish the sensitivity. This involves gently rubbing the nipples with cotton ball and then progressing to a more course material.
Renato Saltz, MD, is a board certified plastic surgeon with practices in Salt Lake City and Park City, Utah. He is the immediate past president of the American Society for Aesthetic Plastic Surgery and the second vice president of the International Society of Aesthetic Plastic Surgery. Dr. Saltz is a former associate professor of plastic surgery at the University of Utah in Salt Lake City, and the past president of the Rocky Mountain Association of Plastic Surgeons. He is a diplomate of the American Board of Plastic Surgery and the American Board of Surgery and a fellow of the American College of Surgeons. Dr. Saltz is also the founder of Image Reborn Foundation of Utah, a non-profit group dedicated to helping women with breast cancer.