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.

In addition, surgical scars typically heal much more cleanly than accidental trauma and often form a thin, almost imperceptible line. For many of my patients, when the scar is fully mature after one year, it is difficult to see that vertical scar, but scar healing does vary by individual. An important aspect of my surgical patient care is a comprehensive scar care regimen to help optimize your ultimate scar.
A technique called “tumescent liposuction" is the most common method for removing fat around the stomach, buttocks, thighs and ankles. It’s also considered the safest. “Tumescent” means that large amounts of buffered salt water are injected into fatty tissue beneath the skin. The doctor makes a cut in the fatty area to be treated, then inserts beneath the flesh a strawlike tube called a cannula that is attached to a vacuum. At the end of the cannula is a stiff wand. The doctor moves it back and forth in rapid motions to loosen fat. The procedure takes 45 minutes to two hours, with a recovery time of up to two weeks. The full effect of liposuction is seen six to 12 weeks after the procedure is performed. After the procedure, the area is bandaged and the patient must wear a compression garment for one to two weeks. Pain and bruising may last up to two weeks, and swelling may last for two weeks to two months.
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If you are looking for the best looking scar, or the smallest scar, that would be the Benelli. This is eventually a ‘hidden scar’ as it will eventually fade into the nipple line. Most patients are also happy with the Vertical Scar as the scar is on the underside of the breast, and not exposed horizontally on the chest wall. In my opinion, the least attractive scar is the Inverted T technique (Wise Pattern), which is really two scars.
The wonderful thing about our Plastic Surgery Centre is that only doctors exclusively inject our patients. Knowing that the knowledge, ability and personal experience of a doctor are all being employed to ensure the top results helps put clients at ease and makes the experience as safe as possible. Dr. Torgerson is very particular about dermal filler injections and carefully assesses each patient’s facial structure to ensure quality results. Furthermore, companies that produce and distribute injectable filler around the world routinely request Dr. Torgerson to provide innovative training sessions for other physicians and nurses in order to train them in the latest techniques.
Thank you for your question.  This is a difficult question to answer because there is not a set price for liposuction.  Price should not be your determining factor for choosing who does your procedure.  Your first question should be is this individual properly trained?  Are they a board certified plastic surgeon?  How many of these procedures do they do?  Also, what is the technique that they are going to use?  Prices are usually determined by the location that you want treated and the facility you are having the surgery.  We do have a policy of giving larger discounts when there are multiple areas being treated at the same time. Please remember higher prices do not always equal a better result, but the lowest price may not be the best decision either.  This is a decision that should be based on trust and experience.
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
The general anesthesia (intravenous sedation) and the long downtime are huge. Not everyone is qualified to go under general anesthesia. Moreover, harvesting the fats is such a harsh process that leaves lots of bruising and required long downtime. The price is significantly higher than the non-surgical route. This aesthetic plastic surgery has reported deaths from bbl with a high mortality rate.
If desired, the non-surgical rhinoplasty can be performed at the same time as the initial consultation. The treatment itself takes less than 15 minutes and is very comfortable for the patient. Most injectable filler includes Lidocaine, which is a freezing agent that helps the whole experience become tolerable and easy for the patient. Dr. Torgerson carries only the best in injectable filler products, all of which have a great safety record and are approved by Health Canada. Dr. Torgerson and his patients can decide which dermal filler would best suited for the desired result. Patients can choose between Restylane, Perlane, Teosyal Global, Teosyal Kiss, and Juvederm. These dermal fillers each have benefits that work well for a non-surgical nose job. They are created with Hyaluronic Acid and generally last approximately 1 year in the nose. Because of the temporary nature of an injectable filler, a non-surgical nose job will have to be maintained approximately every 9 months to a year, depending on how fast your body metabolizes the product.
Any procedure that lifts the breast will require the surgeon to make an incision and that incision will leave a scar on your breast. In most cases, the scar will eventually fade and the positive aesthetic outcome of the ‘lifted’ breast will far surpass the remnants of a scar. But the fact is, you will have a scar following a breast lift (whether or not an implant is involved in the procedure). In fact, breast lifting actually occurs in breast reductions, too.
Here at Cohen/Winters, we recognize that the dynamic between patient and doctor is a partnership. Finding the right patient is just as important to us as finding the right doctor is to you. If you have any more questions about breast lifts please contact us or visit our Bergen County office so that we can help you make the decision that’s right for you.
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.
Because of the large pattern of skin cutout with the Inverted T scar (Wise-pattern) the scar complication can look really bad. Here is a photo of one of these wounds using this surgical technique. Although it is not a life threatening problem, this wound complication at the incision location could certainly look very scary to the patient. In addition to scars, this procedure also tends to flatten the breast, instead of making them perky. I no longer perform this technique in my practice as I feel that the other surgical techniques are far superior.
Liposuction evolved from work in the late 1960s from surgeons in Europe using techniques to cut away fat, which were limited to regions without many blood vessels due to the amount of bleeding the technique caused.[16] In the mid-1970s Arpad and Giorgio Fischer created the technique of using a blunt cannula linked to suction; they used it only to remove fat on the outer thighs.[18] Illouz and Fournier extended the Fischers' work to the whole body, which they were able to use by using different sized cannulae.[16] Illouz later developed the "wet" technique in which the fat tissue was injected with saline and hyaluronidase, which helped dissolve tissue holding the fat, prior to suctioning.[16] Lidocaine was also added as a local anesthetic.[16] Fournier also advocated using compression after the operation, and travelled and lectured to spread the technique.[16] The Europeans had performed the procedures under general anesthesia; in the 1980s American dermatologists pioneered techniques allowing only local anesthetics to be used.[16] Jeffrey Klein published a method that became known as "tumescent" in which a large volume of very dilute lidocaine, along with epinephrine to help control bleeding via vasoconstriction, and sodium bicarbonate as a buffering agent.[16]
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.
That being said, the regulations per US state, if considering to undergo a BBL there, impose different costs on the surgical facility that needs to be charged to patients. However, in densely populated areas with many plastic surgeons, whose surgical facilities are in particularly close proximity, the operating room charges don't vary that much within these areas. Therefore, if the majority of local operating rooms charge $500/hour and a surgeon is charging half that much, it should raise concerns that something is not being done at the facility; something that might compromise the safety of the procedure.
Office liposuction under tumescent local anesthesia costs from about 4-7500, and more extensive procedures need to be done in the operating room under general anesthesia. Depending on the time the cost can go up to 15,000. Multiple areas are discounted in the sense that when done in the operating room under general, the additional areas are charged by the total time, not per area, which is a savings.
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