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]
It’s important to note that some cosmetic surgery scars will only be visible when you’re undressed. This is true of breast lift scars. Because they will be located on the bottom portion of your breasts, they will most often be covered by your clothing, bra, or swimsuit. Only you, your doctor, and anyone with whom you’re intimate will ever see your breast lift scars.
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.
Because rhinoplasty is an elective cosmetic procedure, for the majority of people, their insurance will not cover it.  If you have a deviated septum or a serious defect that affects your breathing, you may be able to have insurance cover some of the nose job cost for this septoplasty. An injury, illness or cancer that causes you to lose part of your nose can require a reconstructive rhinoplasty, which may also be partly covered by insurance. This will require preauthorization by the insurance company and other tests or scans to verify the defect.

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.


Although the removed fat cells are unlikely to grow back, body fat has been shown to return to preliposuction levels within a year after the surgery, particularly returning to the abdominal area. Researchers believe the body compensates for the rapid fat loss by putting on more fat. In a trial of 34 women published in the September 2012 edition of the journal “Obesity,” the cosmetic benefits of liposuction were lost after one year. A later study, however, suggested that recurrence of belly fat can be avoided by exercise.
Ive for the most part always had big boobs and i hated them , I want them lifted alot but i dont want that T shaped scarring , i want them done to look better thatd just make another upcoming issue . I was a 40DD gained wait and my boobs got to 40G i lost the weight now my boobs are just saggy instead of as full and big as they use to be . So about how much

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 biggest difference between the open and closed rhinoplasty is a small incision on the columella (bottom) of the nose,” says Dr. Kent V. Hasen, a Naples, Florida plastic surgeon, in a rhinoplasty Q&A. “This 6 mm incision allows the surgeon to peel the skin of the lower nose back to fully visualize the tip and dorsum of the nose. In the closed procedure, there is not as much visualization since the skin is not peeled back.”
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.
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