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.
Hello,  thank you for your question regarding breast left, breast augmentation and trying to avoid a vertical breast scar.  Based on only a single picture, a measurement of “29”,  and not a physical examination I would suggest the following options.   For the best results, I would suggest a breast implant and a breast lift.  Based on your picture, the bigger implant you  select, the less breast lift you will need —  up to a point.  If you choose an 800cc implant, this is not gonna work. 
The complexity of the surgery itself is one factor that people tend to forget when considering the overall cost of a good nose job. Depending on whether you have thick or thin skin, multiple injuries to the nose or severe nasal deviations, the complexity of the surgery required may vary, and so too will the cost. The more complex the surgery, the more expensive it will be.  When planning your finances, be sure remember to factor in time spent off work and travel costs as well.
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. 

While I would need to examine you in person, 29 may be the distance in centimeters from sternal notch to nipple. That measurement is relatively long, implying that you have a significant amount of ptosis or sag. From your image, I would actually say that you don’t need the anchor incision breast lift, which requires the greatest scar burden, but it does appear that you would be best suited for a vertical breast lift with an incisional scar around the areola plus one down the lower pole of the breast. To achieve the degrees of lift you likely need, you need that vertical incision.

Ignoring recommendations for successful recovery (exercising or sitting and sleeping on the back after surgery) can result in impaired wound healing and uneven shape of the buttock. Because of unpredictable fat retention and survival of fat cells, the procedure may need to be repeated over the following 3 months after surgery in order to obtain satisfying results.

To understand the cost of liposuction surgery, it helps to understand what the procedure is. Liposuction removes localized fat cells from deep underneath the skin through a cannula (small tube) that is attached to a vacuum. The surgeon makes a small incision in the skin then inserts the cannula and moves it around to break up the fat cells so they can be suctioned away.
Although the mastopexy procedure is one of the safest and most rewarding plastic surgeries, concern about breast lift scars is natural for women who are considering the procedure. As a woman and a breast surgeon, I have a deep understanding of the mix of emotions that can accompany a breast lift. You’re longing for a return to the high, perky breasts you had in younger years, before major weight loss or prior to pregnancy and breastfeeding. At the same time, you realize any surgery carries risk and excess scarring is one of them. Here we’ll provide expert tips to help you avoid visible breast lift scars.

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.


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.
We think you shouldn’t have to wait to look better, and more importantly, feel better about yourself. To help our patients afford liposuction, we offer financing options. When you apply, we’ll take a look at your credit history to determine your qualification and financing amount. Upon approval, you can book a date for your procedure. Afterward, you’ll make monthly payments. Financing can help you get where you want to be sooner rather than later.

Our clinic works with highly professional and educated surgeons. They have 10-15 years of experience in the field of plastic and reconstructive surgery. They perform over 2000 surgeries per year. Our surgeons are board-certified in the UK, Sweden and Denmark. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international.
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.
Be very careful!  You are a set up for a bad result.  50% of my revisional patients are people who were just like you and did not want what they NEEDED and ended up making compromises and ended up with terrible results.  The irony is they ended up getting what they NEEDED originally except with more cost and suffering.  You need what you need.  Do not just fill your breast to make up for excess skin. It will look good for a short period of time while it is swollen and then bottom out.  Spend more time looking for a surgeon who gets good results and closes incisions well.  The vertical scar can in many instances become invisible.
I had a consultation today for a breast lift with implant. I really do not want that long verticle scar that accompanies most breast lifts. The surgeon measured me and said I was a 29? He said that I would need the lift with the anchor incision, or I could just have the implant without lift, but the implant would go on top of the muscle. I'm really dissapointed because I do not want that large vertical scar. What are my other options for a lift? I have another consultation scheduled with a different surgeon, but I want to know if they are just going to tell me the same thing.

Also known as a vertical lift, this technique requires surgeons to make a keyhole shaped incision on the breast, preserving the nipple but removing any excess skin below it. The areola is then shifted up into its new position, while suturing the skin edges together results in a lollipop shaped scar around the nipple and a vertical line down to the breast crease.
Some surgeons prefer to give prospective patients an itemized list of all the anticipated costs of liposuction. These separate costs might include the surgical fee (money paid to the surgeon for his services), anesthesiologist’s fee, operating room fee, pre-operative laboratory test fees, charges for post-operative elastic compression garments, and possibly prices for antibiotics and other recommended drugs. Sometimes itemized prices are used when the surgeon cannot control all of the related expenses, such as when the lipo surgery is to be done in a hospital operating room with a hospital anesthesiologist. Itemized lipo prices are also used by surgeons who are in the habit of doing multiple unrelated surgical procedures at the same time that the liposuction is done.

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.


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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.
It’s important to understand exactly what your doctor’s quote includes. Does the number only include your surgeon’s fee? Or will it cover anesthesia, hospital fees, pre- or post-op appointments, and medications you’ll need throughout your recovery? If your doctor’s estimate doesn’t consider all those costs, be sure to factor them into your budget. Also be sure to ask how your surgeon handles revisions, in case you aren’t happy with your initial results.
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.
Over time, these hidden scars often fade to thin, white lines when complete healing has taken place. Provided that you follow instructions for preparation and recovery, you should have a beautiful result from your breast lift surgery. Upon seeing their final result, women who have undergone breast lifts typically rate the experience as “well worthwhile”
Usually, patients can expect to get back to their usual routine within two days after surgery. However, it is crucial to avoid sitting directly on the buttocks for at least 6-8 weeks. Putting pressure on the operated areas might restrict blood flow, thus potentially killing transplanted fat cells. If sitting is an absolute necessity, the patient should use a doughnut-shaped pillow, so that the majority of the weight is distributed on the thighs. 
Although liposuction is used to get rid of fat, it’s not a weight-loss solution. Liposuction works best on deposits of fat that are concentrated in particular areas and resistant to exercise, particularly around the stomach, thighs, hips and buttocks. You might lose a little weight, but it’s not likely to be significant. Liposuction also won’t fix a bulging stomach that’s caused by weakness in the abdominal wall, and it won't tighten loose skin. For toning and flattening the abdominal area, however, liposuction is sometimes combined with abdominoplasty, also known as a tummy tuck, in which fat is removed from the belly, the muscle wall repaired and excess skin removed.

Note that patients are strongly advised to avoid smoking and alcohol consumption 6 weeks before and after the procedure. Those habits highly interfere with wound healing, prolong recovery and increase the risk of infection. Health specialists also suggest patients maintain nutrient rich diet, drink enough water and exercise daily. Avoid fatty foods (steaks, fried foods and desserts) as they have a negative impact on the healing processes by increasing inflammation. The patient might be asked to refrain from eating and drinking approximately 6 hours before the surgery. This is done in order to prevent regurgitation and vomiting during the procedure.

“Most people price liposuction based on the number of areas being treated, and in general the per-area cost will come down with additional areas,” says Dr. Mathew A. Plant, a Toronto plastic surgeon, in a RealSelf Q&A. “Usually, the first area is more expensive because this price includes the costs of the operating room, equipment, and anesthetic. Once you’re into additional areas, those costs have mostly been covered, and you’re simply adding time, which allows a price drop.”
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