The surgeries that risk more significant scarring are the much more common vertical or “lollipop” lift and the inverted T or “anchor” lift, which feature two and three incisions respectively. As they are more invasive surgeries than a crescent lift, you can expect more extensive scarring, but as long as you and your surgeon can provide proper care and observation, these can fade and can be easily hidden while you’re waiting for them to fade.
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. You are a much better candidate for one of these two options. These approaches help cone the breast for a perky look but both require the vertical scar you mentioned. The anchor lift adds an additional scar hidden within the breast fold that is not very visible. The anchor lift removes more excess skin than the lollipop lift and is better suited in certain patients. 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.
Doctors disagree on the issues of scarring with not suturing versus resolution of the swelling allowed by leaving the wounds open to drain fluid. Since the incisions are small, and the amount of fluid that must drain out is large, some surgeons opt to leave the incisions open, while others suture them only partially, leaving space for the fluid to drain out.
Dr. Jugenburg uses advanced wound closure techniques and dissolvable deep sutures to support the repositioned skin and tissue on the breasts and minimize the risk of visible scar stretching. In some patients, permanent Gore-Tex sutures may also be used to provide long-term support. All patients are required to wear a surgical support bra at all times for 6 weeks after surgery, which will lessen tension on the incision lines and prevent scar stretching. Patients are also instructed to sleep on their backs during this time to avoid pressure on the breasts.
At this point, opinions vary. Some doctors seem to agree that having a tummy tuck and a Brazilian butt lift simultaneously is the recommended way so that the patient does not have to undergo a second surgery and second-time anaesthesia. Also, costs are less if those two surgeries are performed in one go. Other surgeons suggest the butt lift and tummy tuck are done separately. This is because the recovery after a tummy tuck involves the patient remains in any flexed or bent position at the hips while the recovery after a butt augmentation requires that the patient reduces the pressure applied to the butt region, as much as possible. So, for a patient that has had both procedures at the same time, it will be difficult to find a position that makes them feel comfortable. The rest of the plastic surgeons recommend the patient has the butt lift first, where fat is aggressively being removed from the waist and abdomen, and then schedules to have a tummy tuck to address the loose skin in the trunk and the abdomen after they have recovered from the butt lift.
Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy. Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat. UAL is beneficial in people with a particular skin tone, in liposuction of areas that are more difficult to remove fat, that include treatment of gynecomastia, or areas where secondary liposuction is being performed.
A Brazilian butt lift is a specific procedure that aims to enhance your natural curves to give you a firm and youthful behind. Otherwise known as a gluteal augmentation, a Brazilian butt lift relies on the transfer of fat from other parts of the body. The fat is removed via tumescent liposuction, cleaned and purified, then re-injected or grafted back onto the buttocks.