The horizontal mastopexy goes by many names, including the “Horndesky Method” and “Ultimate Lift.” This technique enables surgeons to create a new position for the nipple without leaving a vertical scar from the areola to the breast crease. Instead, a horizontal incision is made across the entire breast above the areola, and the surgeon excises the skin below it while preserving the nipple.
Usually, medically necessary surgery dictates where incisions must be made, and it’s sometimes difficult to place those incisions where visibility is reduced. In addition, because medical surgery is performed to improve your health—or possibly even save your life—the surgeon’s focus will be on the primary purpose of the procedure rather than the cosmetic aspects. This may mean closing the incision in one layer, or using staples, which themselves cause scars in addition to the incision.
The cost of living is different among different geographical locations. In general, the cost of cosmetic surgery tends to be higher in areas of the country where the cost of living is high. For example, a practice located in Los Angeles will change more for a buttocks lift than a practice situated in San Francisco due to the higher cost of living index, which affects all kinds of services and goods in that area, including plastic surgery services and related costs (see cost of anaesthesia and operating room below). Likewise, a practice in, say, India or Turkey, will perform a butt augmentation at a lower cost than in Paris (from $2,400 vs. $7,300 respectively), while a patient opting to have a butt lift in Switzerland will be called to pay, at least, $6,600 for the liposuction alone.
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.
After being injected, patients are pleased to discover they can resume their normal activities immediately. The results are also visible right away, which gives instant gratification. Although there may be minor swelling due to the injections, the majority of this swelling will subside within the first 24 hours. Patients typically find the non-surgical nose job to be an easy, quick, and exciting process that results in an aesthetically beautiful and pleasing appearance.
With this procedure, a surgeon creates an incision on or around the perimeter of the areola and later a second outer incision to remove the “donut” of skin around it. The nipple is sutured back to the breast skin, tightening it in the process. This method provides more lift than the crescent, but again only a relatively small amount of sagging can be repaired.
“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.”
Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
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 but positioned relatively well on the chest wall.  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.  Therefore, based on the low position of your nipple areola complex and the amount of breast tissue laxity you have, you would not be a good candidate for either of these lifts.
Your comfort with the scars are a very personal aspect of the surgery, but to the extent you are able, I urge you to keep in perspective the lesser importance of the incision pattern. I advise patients never to compromise contour for a lesser scar. I’d argue that it is more important to choose a highly experienced board-certified plastic surgeon who is a specialist in cosmetic surgery of the breast and body. Good luck with your surgical journey!

Full breast lift uses an anchor incision, which is the most invasive of all incisions used in cosmetic breast surgery. This technique uses a similar pattern to the vertical technique, with the addition of a long horizontal inframammary incision along the natural breast fold. Scarring from this extreme procedure will be the most noticeable, but might still only look like light lines on the breast, if the surgeon is particularly skilled.
The cost of living is different among different geographical locations. In general, the cost of cosmetic surgery tends to be higher in areas of the country where the cost of living is high. For example, a practice located in Los Angeles will change more for a buttocks lift than a practice situated in San Francisco due to the higher cost of living index, which affects all kinds of services and goods in that area, including plastic surgery services and related costs (see cost of anaesthesia and operating room below). Likewise, a practice in, say, India or Turkey, will perform a butt augmentation at a lower cost than in Paris (from $2,400 vs. $7,300 respectively), while a patient opting to have a butt lift in Switzerland will be called to pay, at least, $6,600 for the liposuction alone.
If you deal with the hassle of body-shaping clothes (such as underwire bras) on a daily basis, then you already understand why breast lift surgery is one of the most popular cosmetic surgical procedures. At The Royal Centre of Plastic Surgery, women choose to undergo this cosmetic enhancement to increase confidence and enhance the shape and appearance of their breasts.
The cost of a butt surgery is an important consideration among most patients planning cosmetic surgery to enhance their contour and acquire a fuller, rounder, sexier derriere. However, unlike other plastic surgery procedures, a butt augmentation is the most surgeon-dependent one. Of course, it goes without saying that you do need to find elite plastic surgeons with stellar credentials and a wealth of experience in the particular cosmetic surgery procedure so that you can ensure optimal results. This is one of the most distinct cases when cheap and quality do not go hand-in-hand. It is important to understand that your budget can indeed affect the outcome so it is strongly advised to balance a lower price tag with other factors, such as the doctor's training and experience, before making a final decision.

Like you, I do have patients who come to me concerned about scarring before their surgery. Afterward, however, few patients ever mention it to me, because the overall surgical result is so transformative. There is a surgical technique called the periareolar breast lift, which only involves an incision around the nipple / areolar complex, and the incision hides well along the border of the more darkly pigmented areola. However, you would be better suited for the vertical breast lift, and it is important not to choose the wrong technique in pursuit of fewer scars. The technique used determines how much lift can be achieved. In general, there is a significant difference in the aesthetic outcome of a mediocre versus a high quality breast lift, and by choosing a suboptimal surgical technique, you may compromise your ultimate aesthetic result in terms of breast shape or perkiness.
If you deal with the hassle of body-shaping clothes (such as underwire bras) on a daily basis, then you already understand why breast lift surgery is one of the most popular cosmetic surgical procedures. At The Royal Centre of Plastic Surgery, women choose to undergo this cosmetic enhancement to increase confidence and enhance the shape and appearance of their breasts.
Regnault breast lifts utilize a complete periareolar incision with the addition of a crescent shaped incision running from the bottom of the areola to the outer edge of the breast. This procedure can accomplish a significant lift and will leave the typical thin areola border scar and the crescent line scar on the lower outer portion of the breast mound. For performance to scar ratio, this is one of the best techniques available for patients with medium sized breasts.
One of the most worrisome aspects of breast lift surgery for most patients is the potential for noticeable scarring. As a procedure designed to improve the aesthetic look of your body, a poorly performed procedure can end up leaving noticeable marks, typically under the breast. Fortunately, advancements in technology during and after the procedure have reduced the risk greatly in terms of the creation of scarring that’s noticeable.
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.
Many patients find it difficult to give up their daily run, however, it’s incredibly important that you cease any strenuous activity for a period of time after your procedure. In order to get the best breast lift results, you need to allow your body to heal. Exercise and other high-intensity activities can cause damage to the surgical site and increase swelling.

At the Toronto Cosmetic Surgery Institute, Dr. Jugenburg is an expert at creating minimal Breast Lift scars that are barely visible. While a traditional Breast Lift procedure typically involves the placement of an invertedT-shaped scar (the Standard of Full-Anchor Breast Lift), Dr. Jugenburg’ssurgical expertise allow him to achieve optimal results bylimiting the incisionsto the areola, and if a significant lift is required, the addition of a small vertical incision only. The large incision usually placed within, or directly above, the breast fold (infra-mammary fold) is thereby completely avoided.
The anesthesiologist charges a separate fee for their services. Your doctor may use an anesthesiologist or a certified nurse anesthetist. You can either have IV sedation, which means you are heavily sedated but not asleep during the procedure, or general anesthesia. These two options carry different price tags. A nurse anesthetist typically charges a little less than an anesthesiologist. The difference between the two is that an anesthetist typically only has to complete a nursing program, while an anesthesiologist is a licensed medical doctor who went through medical school.

For more invasive liposuction procedures, we encourage our patients to stay with a friend or family member afterward. If this is not possible, you may want to consider hiring a home health care worker to help take care of you. The cost of this will depend on the type of worker you hire (registered nurse, registered practical nurse, or personal support worker), and how long they stay.

Very few surgeons use the Benelli scar because it is technically more difficult. I like it because the scar is well camouflaged as it forms the border of the areola. The only downside with this type of scar is that it can not be used in large breast reductions. However, it is ideal for small breast reductions, breast lifts, and breast lift with implants.


While butt implants are available as an option to our patients but it is not recommended. Sixty percent of all buttocks implants are rejected by the patient’s body, which is followed by a cost to remove them. On the other hand, fat transfer to buttock are completely safe as it is own body fat. Doctors at Spectrum Aesthetics, recommend this buttock fat transfer (Brazilian Butt Lift) method.
A breast lift involves both repositioning the nipple areola complex higher on the chest wall and reshaping the breast.  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.  
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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.
Dr. Torgerson offers free consult appointments for clients, so we welcome you to book one by easily calling 647-343-0207 or by completing our Contact Form. We endeavour to promptly reply within 1 business day. When you arrive at the consultation, the surgeon will personally meet with you to determine whether you are a good candidate as well as the risks involved. If you decide you’d like to proceed with the injectable filler treatment afterwards, this can be accommodated on the same day. Dr. Torgerson is the only professional at our clinic who performs non surgical rhinoplasty owing to our commitment to superior results and standards. He is one of the best injectors in Canada and routinely trains other nurses, physicians, and surgeons in the latest best practices for dermal filler.
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