Once you decide to have liposuction, you want to find a surgeon you can trust to perform it. When looking for a plastic surgeon, find someone who has the proper skill and expertise, knows which procedure will be most effective, makes you feel comfortable, and respects your decisions. At the Royal Centre of Plastic Surgery, we pride ourselves on exceptional patient care.
As with any surgery, a breast lift involves incisions in the skin, it's more important that you focus your research in find a Board Certified Plastic Surgeon who specializes in this kind of procedures than try to refuse what is suggested, not all breast lifts are the same your scar will depend of what kind of technique we can perform according to your body including sagging, size, and shape. keep in mind It’s also important to avoid behaviors that can make breast lift scars worse.
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.
I perform a liposuction breast lift/reduction known as Breast LipoLift®. This specialized technique spares more nerves and blood supply as well as removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast, I then remove the excess skin to tighten the breast and create a more proportional silhouette with better cleavage. This procedure is also more accurate than traditional breast lifts or reductions since I use 3D measurements to uncover size asymmetries. During the procedure I remove exactly whatever is more from the larger side to get as close to symmetry as possible. Since I perform this less invasively the recovery time is faster and drains are not necessary. Over 90% of my patients are out to dinner the next evening taking only Advil and Tylenol if even needed. The size would depend on the proportion with your body versus going for a cup size. It has been proven to have less complications than traditional breast reduction (please see my Breast LipoLift® page web page) and should not affect nipple sensation, mammograms, cancer risk or breast-feeding.
In recent years, significant advancements have been made with dermal fillers. For the most part, Injectable Fillers now contain Lidocaine, which is a freezing agent mixed into the actual injectable filler product. Lidocaine works to numb the region being injected so that the patient usually does not feel any pain. That means increased comfort and ease for patients who want a non-surgical rhinoplasty.
Liposuction is generally used in an attempt to change the body's shape. Weight loss from liposuction appears to be of a short term nature with little long term effect. After a few months fat typically returns and redistributes. Liposuction does not help obesity related metabolic disorders like insulin resistance. It can also be used to remove excess fat in the chronic medical condition lymphedema.