Hydrogel may be used for: BUTTOCKS AUGMENTATION – This is the most common use for Hydrogel , popular for patients wanting rounder, more firmly shaped buttocks. Benefits of this procedure over other procedures such as traditional implants or fat grafting are:

Update 2013: Due to recent studies released, SSI no longer offers Injections of any kind for buttock augmentation. Our only methods that we can offer are Fat Grafting and Implants. Please feel free to contact us and request a quote for buttock augmentation even if you think your body type does not qualify. We have amazing surgeons who can do miracles sometimes and be enough to perform buttock augmentation for those who have low body fat.

CALF AUGMENTATION – Hydrogel is used to enhance the legs, particularly the calves when the patient wants to improve the shape of their legs, increase the size of the calves, enlarge the muscle and add definition. Men normally have calf augmentation to enlarge the calf muscles .Women normally want to enhance the curves in their lower leg. Calf augmentation patients are looking for lower legs that are in better balance to the rest of the body, especially the thighs. Hydrogel calf augmentation it an outpatient procedure needs neither hospitalization nor general anesthetic.

CHEEK CHEEKBONE AUGMENTATION – Hydrogel is used to enhance the facial structure, The cheekbones are an obvious choice for dramatic changes and improvement. Hydrogel injections in the cheekbones are for patients who want the high, prominent cheekbones that are almost universally considered beautiful. Cheek implants with Hydrogel can balance the facial structure by correcting a depressed cheek area due to heredity, age-related bone restoration or facial trauma.

LIP ENHANCEMENT– Hydrogel is used for lip enhancement to increase both projection and volume. The lips are generally considered the sensual point on a woman’s face. Hydrogel is injected into the lips and molded to give a pleasing sensual shape. At the same time imbalance in the lips is also corrected by varying the injection on either side of the mouth. This is an outpatient procedure taking about 30 minutes and does not require hospitalization nor general anesthetic.

CHIN ENHANCEMENT – Hydrogel is used for chin enhancement. In order for a face to appear balanced and in proportion the chin is a point of reference to the cheekbones and overall face shape. A week chin can be corrected by injection and molding of Hydrogel to the desired shape. This is often an issue if a patient is enlarging the cheekbones or the lips by a large degree. This is an outpatient procedure taking about 50 minutes and does not require hospitalization nor general anesthetic.

NASOLABIAL FOLDS – (LAUGHLINES) Hydrogel is used for removing and reducing the laugh lines from the face. As we get older lines from the outside of the nose to the corners of the mouth deepen and become permanent. Genetic factors, age, and smoking are all elements which can accelerate this process. Hydrogel injections in this are dramatically reduce and even eliminate this clear sign of aging. This is an outpatient procedure taking about 30 minutes and does not require hospitalization nor general anesthetic.

FACIAL WRINKLES – Hydrogel is used to fill multiple points in the face, including crow’s feet, deep brow frowns and perioral lines. Any depression where lines or an unpleasing symmetry is visible is a candidate for Hydrogel injections. All of these procedures are handled as an outpatient procedure taking about 30 minutes and do not require hospitalization nor general anesthetic.

VAGINOPLASTY – Hydrogel is used to fill vaginal spacial defects and general beautification of the vaginal area. This is an outpatient procedure taking about 30 minutes and does not require hospitalization nor general anesthetic..

What other type of permanent fillers are there? Silicone. Several forms of liquid injectable silicone are FDA-approved for ophthalmic but not cosmetic uses. The American Society for Aesthetic Plastic Surgery has warned against the use of liquid injectable silicone for cosmetic purposes pending further investigation. Unfortunately, silicone oil injections can cause granulomas and long-term inflammatory changes and can migrate. Several series and anecdotes report the use of liquid silicone for HIV-related lipoatrophy, building on experience with use in other forms of lipoatrophy. Given the potential risk of silicone relative to alternative agents, it is not a preferred treatment option. Studies evaluating the risk versus the benefit of silicone oil in HIV-associated facial lipoatrophy are ongoing.

Expanded Polytetrafluoroethylene (ePTFE) Implants (Gore-Tex/Gore SAM, SoftForm). These FDA-approved implants are more appropriate for correction of significant facial abnormalities. They can be inserted using a small incision while the patient is under local anesthesia. There are potential problems with lumpiness and physical obviousness of the implant. In general, cosmetic use of ePTFE implants is reported to cause adverse events, including movement of the implant, infection, swelling, induration, and uncommonly extrusion (emergence of the implant through the skin).

Calcium Hydrogel (Radiance). Preparations based on calcium hydroxylapatite (CaHA) microspheres suspended in carboxymethylcellulose gel were first FDA-approved for vocal cord injections and for use in a range of orthopedic surgery approaches and in radiology (CaHA is radiopaque) but have also been widely used for treatment of wrinkles and lip augmentation. CaHA is bioabsorbable over several years. Reported problems include hardening and overcollaginization requiring corticosteroid injections. Limited data exist regarding its use in HIV-associated lipoatrophy. Polymethylmethacrylate (Artecoll/Artefill).

Polymethylmethacrylate (PMMA) in smooth microspheres suspended in bovine collagen has also been approved by the FDA. The bovine collagen in the implant is reabsorbed over time, but the presence of the PMMA microspheres generates new collagen production in that same site. PMMA has been used in Europe for close to a decade and is available in other countries. A large series in Brazil described its use in HIV-associated lipoatrophy, although clear systematic collection of safety data was lacking. Side effects reported included postinjection swelling and pain. Ultrasonographic data indicated an increase of dermal thickness sustained up to 5 years.

Polyacrylamide gel (Aquamid, Contura, Bio-alcamid). These agents are not FDA-approved, but they have been used in clinics in Europe (where they are approved) and Latin America. Reported data consist mostly of large clinical series accompanied by impressive photographs. Some systematically collected data have been reported with Bio-alcamid. The different polyacrylamide gel products have similar characteristics. They are relatively viscous and are injected subcutaneously. Some authors suggest that use of a dental block is advisable to limit discomfort at the time of facial injection. Following injection, the substances encapsulate, enabling at least partial removal, such as with a large-bore needle, at a later time. This makes them of interest for use in a condition that may partially resolve over time. In a case series of 73 HIV-infected patients with up to 3 years of follow-up, “excellent” aesthetic results were reported, with no episodes of implant dislocation, migration, granuloma, or allergic reaction recorded.

What are the risks involved in having Hydrogel Buttocks injections?

Most patients will recover smoothly after Injections surgery. But as in every medical procedure, complications are always possible. These instances are uncommon and are virtually always treatable.

Possible Complications and reactions to be aware of:

• Injection area damage
• The skin around the injection could become infected
• The body filler can be absorbed
• Painful allergic reaction
• Immunity issues, if incorrect (black market) filler is used
• Swelling
• Redness
• Pain
• Tenderness and warmth in the butt area

Infection is a possibility with any buttocks Injection. Reactions to anesthesia or pain medication

• Advise your doctor or anesthesiologist if you had ever experienced a reaction during a previous procedure.

Going Home after Buttocks Injections Discharge instructions

• Your Doctor will give you a set of guidelines of what to do and expect over the first week.

Recovery

• A full recovery is expected in three days
• You will be given leave to go home about one hour after the procedure.
• You must take it very easy the first three days and avoid sitting directly on the injection area

Medication Resume medications you were taking before your procedure, unless directed by your Surgeon. As pain decreases, take Tylenol . Your Surgeon may prescribe medication although for buttocks Injections this is not very common. Activity Physical Guidelines

• Follow the physical activity guidelines instructed by your doctor.

Buttocks precautions:

• Limit sitting in the injection area to an absolute minimum for the first three days.
• Sleep on your Stomach . Even for laying in bed to watch television, lay or your side or stomach
• Watch for signs of infection and swelling.

Bathroom

• Avoid Public toilets. Use sterilized toilet in your home when possible for first three days
• Avoid sitting down when going to the bathroom

Stairs

• Avoid any large amount of stairs for the first two day as this puts pressure on your glutinous muscles .

Sports

• No participate sports during the first three days after getting your body filler
• No exercise equipment, or spas until your doctor tells you it is okay.

Sexual activity After buttocks Injections, most people are concerned about resuming sex.The general rule is until you are cleared for sports by your doctor, having sex is not recommended.

Driving

• No driving for at least two days.

Care of your wound

• If your injection area was closed with sutures you will need the doctor to remove them
• Wash your incision area with only mild soap and take care to pat it dry
• Do not take a bath.
• No lotions on your incision unless directed by your doctor

Signs of infection-what to keep an eye out for. Each day with your shower, Check the injection area for any of these signs of infection:

• Redness
• Drainage
• Sudden Swelling
• If you see any of these signs, call your doctor ASAP.

Antibiotics

• Are generally no prescribed for body fillers and body injections in general

Swelling

• Swelling ( edema) is to be expected after any procedure, this is common and should go down in a few hours to one day for this procedure.

Follow-up

• If sutures were used for your injection, these will be removed in three days normally

How do I get a fabulous, sensuous and rounded buttock?

The great news is you have options and even combinations within those options!
There are two techniques used to create curves where you have none.

At a Glance

Buttock Augmentation with Fat grafting technique– This technique uses your own fat from the abdomen or thighs using Liposuction. The fat is then processed and then used to sculpt and contour your buttocks to the desired shape and size.

Buttock Augmentation with Implants – This technique uses a silicone buttock implant (different shapes, sizes and textures) to create a rounder and fuller shape. Fat grafting and Liposuction is commonly done in conjunction with this procedure to create the contour and shape desired.

Buttock Augmentation with Implants
Are a you good candidate?

A good candidate for a buttock implant:

• is in good health
• is a non-smoker
• is willing to follow all recovery recommendations
• has realistic expectations

An ideal candidate for any type of cosmetic surgery will understand that cosmetic surgery is intended as a means of enhancement. A Buttock Augmentation / Enhancement with implants can have very dramatic results depending on the patient, but individuals should be realistic about the results they can achieve through surgery.

You are also at increased risk for complications if you have diabetes, poor circulation, heart, lung or liver disease, smoke, have a family history of blood clots, take certain medications, etc. You’ll want to discuss your medical history thoroughly with your physician before you choose to undergo surgery.

The Initial Consultation

The surgeon will request digital photos to be sent and for you to fill out our medical history form. Then we can arrange an online consultation. Your doctor will ask you to describe in detail what you would like improved. Be specific about what you would like done. Bring up all of your concerns no matter how small. This is your time to discuss your wants and desires so your surgeon fully understands your expectations. Now that your surgeon knows what you expect he’ll be able to determine whether your goals are realistic.

If you have chosen to have Buttock Augmentation / Enhancement with Implants your surgeon will discuss the following with you.

• Implant Selection
• Incision Location
• Implant Location-Above or Below the muscle
• To Lipo or not to Lipo or to Fat graft or not to Fat Graft
• What to expect during recovery
• Risks and complications

If you would like SSI and the surgeon to put together a possible before and after presentation for you just let us know.

What decisions need to be made?

Although the operation is fairly straightforward, there are many technical aspects to the procedure that may be done differently depending on the surgeons training, experience, and philosophy. The operation involves placing an implant that is made of silicone (either cohesive silicone gel or solid silicone) in the buttock area to improve size, shape and contour. In order to understand your options and the operation, let us go through the five decisions that will need to be made. The issues are the following:

1. Implant selection :The implant is either round or oval shaped (so-called anatomic implant). Like breast implants, it comes with either a smooth or a textured surface. The content of the implant can be either solid silicone or cohesive silicone gel. The most commonly used is a solid silicone implant. The fact that the implant is solid is excellent since it cannot rupture, spill, or deflate. The cohesive gel is not available in the United States . The decision as to which type of implant is used will be heavily influenced by your surgeon’s preference and philosophy. The augmented buttock has a natural feel, it can be somewhat firm to the touch, but it just feels like you have been working out for a long time.
2. Incision Location : Once the implant has been selected the next task is to decide the type of incision to be used.The incision can be placed in several locations:

• Superiorly on both sides of the upper buttock – Although the scars can be hidden in your undergarment or bikini, it is not recommended since the scar can be quite visible when not wearing clothing, and it requires two incisions.
• Inferiorly in both of the gluteal creases where the “cheek” meets the back of the thigh. This choice will leave you with two scars that also can be visible.
• One incision, which is, placed down the center of the sacrum – a small 4-6 cm vertical incision down the buttocks crease. This incision extremely well hidden and this approach only involves one scar. The only drawback is that it may have a higher infection rate than the other incisions. However, if this happens it is usually solved with antibiotics and wound care. If you choose this incision site you must be willing to follow your surgeons recommendations and at the first hint of infection contact your surgeon immediately.

Above or below the muscle : Once the type of incision has been chosen, the next step is to decide on the placement of the buttock implant. Will it be below the muscle? Or on top of the muscle?

• This again will heavily depend on your surgeon’s preference; many nice results have been attained with either position. However this will depend heavily on your anatomy.

To liposuction or not to liposuction or to Fat Graft :

The final decision will be whether liposuction is to be combined with the procedure in order to add further contour to the buttock or possibly some fat grafting.

• For some people just having an implant is not enough to create the desired results. So you surgeon may recommend either Liposuction or Fat Grafting along with the implants. Your surgeon will discuss this with you during your initial consultation.

Pre Surgery Instructions

• Do not take aspirin or anti-inflammatory medications, Vitamin A or any blood thinning medications for 2 weeks prior to surgery. To see a complete list of medications click here
• If you smoke, quit smoking for at least 1 month prior to your surgery (and anticipate no smoking for the recovery, smoking greatly increases your risk of complications)
• Laboratory tests or blood work will be required several days prior. This checks your CBC for any present bodily infections, immune system deficiencies and general health.
• You will also have a thorough examination by a cardiologist and xrays
• Your personal assistant will help you fill prescriptions such as pain medication and antibiotics before surgery
• You may want to consider purchasing any homeopathic medicines (i.e. Bromelain and Arnica Gel, for swelling and bruising) Be sure to discuss this with your doctor
• Talk to your doctor about low-sodium foods to reduce swelling
• Set up a hotel recovery area: lots of pillows, books, magazines, journal, stationery, lotion, baby wipes, tv, videos, remote control, etc.
• Black out windows so you can rest during the day
• Prepare icepacks to reduce post-op swelling
• Laxatives (pain medications are often binding
• DO NOT eat or drink anything after midnight on the evening prior to your surgery.
• DO NOT bring rings, watches, or other jewelry or large sums of money to the the hospital; leave these items at safely at home.
• If you bruise easily, notify the office immediately and certain medications will be prescribed for you prior to surgery to help prevent bruising.
• Take Vitamin C capsules or tablets for approximately 3-4 weeks prior to surgery. This is necessary to promote good healing. You may continue this vitamin after surgery. [Also, Discuss with your doctor the use of SinEcch or Bromelain, a pineapple extract, for added anti bruising and anti swelling properties. As always discuss this with your surgeon before you take ANYTHING.]
• Prior to surgery, should you develop any fever, chills or other signs of a cold or other infection, call the office immediately.
• Morning of surgery, wash thoroughly with an antibacterial soap.
• On the day of surgery, wear loose clothing which will be easy to get off and on after operation (consider a shirt that buttons in front)
• Follow your physician’s directions carefully regarding medications, eating & drinking, etc.

Possible Risks and Complications

All surgery has potential complications. Although complications are not very common in cosmetic surgery, they do occur and when thinking about procedures such as buttock implants or any other surgical procedure you should be informed, before you decide on the surgery.

Infections- Buttock Implants are less common than they probably should be considering the area of the surgery. Typically infections take place within 4 to 5 days and may require the implant to be removed for a few months. It is important to note infection could happen as late as one month after the surgery which would also require the implants to be taken out. Your surgeon will educate you about the symptoms of an infection. If you think you do have an infection. Call SSI or your surgeon immediately.

Bleeding– This is possible as with any surgery. This in the worse case may require another operation to stop the bleeding although this is seldom required.

Pain– Buttock implant is indeed a painful operation. The pain can last up to a month. Although ty.pically the first week is the worst.

Nerve Injury– Small and large nerves could be injured during the operation but his is very rare. Although it is common for mild temporary numbness for the first few weeks.

Swelling– Swelling is normal and may take longer than a month for noticeable swelling to subside.

Skin Damage– It is possible that the overlying skin can become scarred or stretched. This may be temporary or permanent. This may also result if there is an infection.

Need for another surgery– Whether due to complications, infection, accident, or revisions needed in size or shape there is always a risk you may need another surgery.
Implant Breakage– Although implants are considered strong, it is possible to break them and they may require replacement.
Cosmetic issues- These are visual problems such as one implant too low or too high. You may be able to see the edge of the implant through the skin. Typically we do not see these complications when the implant is under the muscle. This may mean that you would require a revision operation to achieve a more symmetrical appearance.

Buttock Augmentation:
Cost from $ 3,950 (fat grafts)
Cost with Financing $ 60 per month
Buttocks Augmentation / Enhancement with Fat Grafting Information

The Initial Consultation

The surgeon will request digital photos to be sent and for you to fill out our medical history form. Then we can arrange an online consultation. Your doctor will ask you to describe in detail what you would like improved. Be specific about what you would like done. Bring up all of your concerns no matter how small. This is your time to discuss your wants and desires so your surgeon fully understands your expectations. Now that your surgeon knows what you expect he’ll be able to determine whether your goals are realistic and will determine if you have enough existing body fat to achieve the results you want. It is imperative that you have enough body fat to harvest for use in the enhancement.

How much fat can you expect to retain after surgery?

When fat is transplanted into areas that are not predetermined fat areas, like the lips, the chance of fat survival is nominal after the first implantation if no vascularity is introduced to the inner most areas of fat. This results in fat necrosis (fat cell death) which your body will safely absorb and your augmentation results, lessened. With this procedure, reportedly there is nominal fat necrosis/absorption.

Pre Surgery Instructions

• Do not take aspirin or anti-inflammatory medications, Vitamin A or any blood thinning medications for 2 weeks prior to surgery. To see a complete list of medications click here
• If you smoke, quit smoking for at least 1 month prior to your surgery (and anticipate no smoking for the recovery, smoking greatly increases your risk of complications)
• Laboratory tests or blood work will be required several days prior. This checks your CBC for any present bodily infections, immune system deficiencies and general health.
• You will also have a thorough examination by a cardiologist and xrays
• Your personal assistant will help you fill prescriptions such as pain medication and antibiotics before surgery
• You may want to consider purchasing any homeopathic medicines (i.e. Bromelain and Arnica Gel, for swelling and bruising) Be sure to discuss this with your doctor
• Talk to your doctor about low-sodium foods to reduce swelling
• Set up a hotel recovery area: lots of pillows, books, magazines, journal, stationery, lotion, baby wipes, tv, videos, remote control, etc.
• Black out windows so you can rest during the day
• Prepare icepacks to reduce post-op swelling
• Laxatives (pain medications are often binding DO NOT eat or drink anything after midnight on the evening prior to your surgery.
• DO NOT bring rings, watches, or other jewelry or large sums of money to the the hospital; leave these items at safely at home.
• If you bruise easily, notify the office immediately and certain medications will be prescribed for you prior to surgery to help prevent bruising.
• Take Vitamin C capsules or tablets for approximately 3-4 weeks prior to surgery. This is necessary to promote good healing. You may continue this vitamin after surgery. [Also, Discuss with your doctor the use of SinEcch or Bromelain, a pineapple extract, for added anti bruising and anti swelling properties. As always discuss this with your surgeon before you take ANYTHING.]
• Prior to surgery, should you develop any fever, chills or other signs of a cold or other infection, call the office immediately.
• Morning of surgery, wash thoroughly with an antibacterial soap.
• On the day of surgery, wear loose clothing which will be easy to get off and on after operation (consider a shirt that buttons in front)
• Follow your physician’s directions carefully regarding medications, eating & drinking, etc.

The Operation

SSI provides an overnight stay in the hospital for all Buttock augmentation / enhancement procedures to ensure your comfort and monitor your recovery. SSI and the plastic surgeons we work with do not categorize this procedure as an out patient procedure.

Anesthesia: General or Epidural Anesthetic
Location :SSI performs every surgery in a Hospital Surgery Time: 2-4 hours Discomfort or pain level:  Moderate
The surgery will last usually around 3 hours depending on how many areas are being liposuctioned to harvest the fat for the grafting. The surgery begins with the fat is gently removed using low-vacuum liposuction with a special cannula that is very thin and least-damaging. The fat particles are then purified, then inserted into the layers of the buttocks. The tiny droplets of fat are carefully implanted near tiny vessels so that improved vascularity and adequate blood supply is given to the newly placed fat cells to increase chances for survival.

What to expect after the surgery and during your recovery?

Immediately after you will be taken to a recovery room where your assistant and nurse will monitor your recovery. The next day your surgeon will visit you and if all is well, will let you return to your hotel. An air conditioned van( so you can lay on your stomach comfortably) will pick you up and you and your assistant will go to the hotel. Expect to be sore for the first days.

There will be swelling and bruising which can be helped with medication and icepacks. You will probably be more comfortable sleeping on your stomach for the first week. You will need to wear a garment in any area you received liposuction as well as your buttock area for about 4 to 12 weeks.n This will help with the skin re-draping.You will notice a definite difference in your contour, but since you are swollen the buttock will appear very. Swelling should subside within the first two weeks.

Within a month you should see the final results Your nurse will check on you throughout your entire stay and you will be checked by your surgeon. The sutures are taken out in about 7 to 10 days.

Liposuction today : As the population has gotten larger and as plastic surgery is increasingly turned to as a means to correct weight issues, plastic surgeons have been taking ever increasing percentages of body weight from their clients. There are several schools of thought about how many liters of fat, liquid and blood can be taken without causing harm to a patient.

How much fat is safe to remove?

The American Society of plastic surgery and The Brazilian Society of plastic surgery opinions differ on this issue, but the average opinion is between 7 to 10 % of the total body weight. For the average patient that means around a gallon of fat, liquid and blood which equals generally less than 6 pounds total weight loss realized 2-3 months after surgery.

This is an average, but as you can see it is not a weight loss fix but a way to sculpt the body into a better shape.

LVL, large volume liposuction

For patients that want to have more than 7 to 10% of their body weight liposuctioned are categorized as Large Volume Liposuction (LVL). Large Volume Liposuction is a liposuction performed over the 7 to 10% limits, but with an increased risk to the patient. This is still Liposuction, but with a completely different set of safety requirements.

The trauma placed upon the body during LVL is very similar to the trauma a third degree burn victim may encounter. The patient loses large amounts of intravascular fluids which causes a sharp decrease in blood pressure and severe dehydration. In rare cases it has been reported that patients have gone into cardiac arrest during LVL due to the large loss of intravascular fluid.

To avoid these and other complications it is critical to have a senior anesthesiologist and surgeon that can manage the patient as an intensive care patient during and after the surgery with expansion fluids and blood transfusions.

Blood transfusion in LVL are performed as auto transfusion (using your own blood) to avoid blood related diseases. In a period of one or two months before the surgery blood from the patient is collected until there are 3 or 4 units for the surgery. With the auto transfusion we can take 15 to 20% of the body weight or 2 1/2 gallons of liposuction fluid. This must be performed in a hospital with a critical care unit for safety. LVL will involve two days in the hospital minimum for the patient.

Large Volume Liposuction is indicated to reduce major volumes of localized fat such as thighs and hips or other special cases. It is not safe to perform multiple areas LVL. LVL will not replace the personal commitment to loosing weight, good nutrition and exercise. Please note LVL, is not included in SSI’s Packages and is only available upon consultation with your SSI plastic surgeon.
Large Volume Liposuction after surgery details
Discomfort and reported pain levels: Based on volume removed and the procedure. large volume patients report heavy discomfort

Time under pain medications :4-21 days

Body Swelling: From three weeks to two months

Expected Skin Discoloration|Bruising: One to two weeks

Loss of Sensitivity | Numbness: One week up to three months

Frequency of Bandage Changes: Every one to two days

Return to Work Time Frame: Depending on type of work, after two weeks
How Long Till You See The Final result: With large volume liposuction this is typically three plus months.

A small incision is made in the skin just large enough to accommodate a small hollow tube called a cannula. The cannula suctions the fat from selected areas of the body to create the desired contour. This procedure is ideal for those who are within 30% of their ideal body weight and would like to contour specific areas.
Liposuction is usually performed under general anesthesia and takes from one to 3 or more hours depending on the area and amount of fat being removed. Recovery also depends upon the extent of your surgery. Sutures are removed in one week. Normal athletic activities can be resumed in about three weeks.

Tumescent Technique:

The tumescent technique for liposuction is still the most commonly used method for achieving desired results in contouring areas such as the waist, hips, thighs and buttocks. This technique works by injecting controlled amounts of a special fluid under the skin. This fluid causes the fat to swell such that it is easier to remove.This fluid also numbs and constricts blood flow to the area to reduce blood loss. Because there is so little blood loss, there is minimal bruising.

Medication is also added to this fluid such that post-operative pain is reduced for 18 to 24 hours after surgery. After the fluid is injected, a special hollow tube called a cannula is connected to a suction machine and then inserted under the skin. The cannula is moved back and forth to create thousands of tiny tunnels where the fat has been removed.

After surgery, a compression garment, or girdle, is put on the patient. The tiny tunnels collapse under the pressure of the garment. The garment is worn most of the time for the next 6 weeks.

The tissue continues to contract within the tunnel, creating a slimmer appearance. A new method, called Ultrasonic Assisted Liposuction, or UAL, is now being used in conjunction with tumescent techniques.

Ultrasonic Technique:
A new method, called Ultrasonic Assisted Liposuction, or UAL , is now being used in conjunction with tumescent liposuction techniques. UAL works by converting ultrasonic energy into heat, literally melting the fat cells, allowing the remains to be suctioned away. This method reduces the amount of trauma to the tissue, since less force is needed by the surgeon, leaving fibrous tissue and vascular structures intact. There is minimal blood loss, less bruising, and better retraction of tissue.

1.What is liposuction?(top)
The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body’s contour by removing excess fat deposits located between the skin and muscle. Liposuction involves the use of a small stainless steel tube, called a cannula (from the Latin word for reed, tube, cane). The liposuction cannula, typically connected to a powerful suction pump, is inserted into the fat through small incisions in the skin, and fat is removed by suction as the cannula creates tiny tunnels through the fat. During the healing process after liposuction, these tiny tunnels shrink and disappear, resulting in an improved body contour.

2. Who is a good candidate for liposuction?(top)

A good candidate for liposuction is defined as any patient who is likely to be happy with the results of liposuction. The best candidates for liposuction are in good health and have realistic expectations of what liposuction can accomplish. Liposuction can provide a good candidate with a significant improvement, but it is unlikely to achieve perfection. There is no definite age or weight limit for patients who are “good candidates” for liposuction. Many liposuction patients are of average size but are concerned about localized accumulations of fat. However, some of the happiest patients have been individuals who are somewhat obese. A good candidate usually has one or more localized accumulations of fat that can be removed by liposuction

3. Who is not a good candidate for liposuction?(top)

A person who expects absolute perfection is not a good candidate for liposuction. Excessively obese patients are usually not good candidates for liposuction. A person who has a serious medical problem is not a good candidate for liposuction.
4. Is liposuction a reasonable treatment for obesity?(top)

Liposuction is not a good treatment of obesity. Liposuction is not effective, even as a last resort, for people who are unable to lose weight by dieting and exercise. Obese patients almost always regain the weight that is removed by liposuction unless there is a dramatic reduction in calorie intake (by dieting) or a significant increase in calorie expenditure (by exercising). Whenever large-volume liposuction has been used in an attempt to treat obesity by surgery, there has been a significant increase in the incidence of serious surgical complications. It is not safe to remove huge amounts of fat by liposuction. It is dangerous to remove more than 8 to 10 pounds of fat by liposuction in a single day. Thus, liposuction will not be of any significant benefit for an obese patient who believes that liposuction will aid in the effort to lose weight.

On the other hand, an overweight person whose weight has been stable for many years and has certain problem-areas of fat may be a good candidate for liposuction. Liposuction in an obese patient is reasonable when the goal is to improve a troublesome body contour area. It is not reasonable to use liposuction as a surgical technique for weight loss.

5. What is a successful liposuction surgery?(top)

A liposuction surgery is a success when the patient is happy with the results. The surgeon’s goal is to obtain an optimal aesthetic result rather than to maximize the amount of fat removed. One of the most common causes for disappointment in the results of liposuction surgery is the removal of too much fat, which produces an abnormal or unusual appearance. The cosmetic success of a liposuction surgery is often the result of removing an amount of fat equivalent to less than a pound or two of butter from a woman’s saddlebag area or from a man’s love handle area. While this amount of fat is relatively small compared to a person’s total body weight, it does produce a dramatic change in the patient’s silhouette.

6. Does liposuction always remove cellulite?(top)

Liposuction improves the silhouette of the body, but does not necessarily eliminate the pre-existing subtle “puckering” of the skin that is often referred to as “cellulite.” Liposuction does reduce the degree of cellulite to a degree but it is unlikely to completely eliminate cellulite.

7. Does liposuction produce permanent results?(top)

After liposuction the body’s new shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back. As long as the patient does not gain excessive amounts of weight, the new, more pleasing silhouette is permanent. Of course after liposuction the clock keeps ticking, and advancing age will produce the usual changes in the shape of the body associated with the aging process. If a person gains weight after liposuction, she/he will not accumulate as much fat in the treated areas as would have happened if liposuction had not been done.

8. Does the fat come back in other spots after liposuction?(top)

If a patient does not gain weight after liposuction, then fat does not accumulate in other areas of the body. However, if a patient gains a significant amount of weight, say more than 10 pounds (5 kg), after liposuction, then the fat must go somewhere. In fact, the fat accumulates in every area of the body in proportion to the amount of fat cells in each area. Areas where fat cells have been removed by liposuction will accumulate relatively little fat, while areas not treated by liposuction will collect relatively more fat. For example, if a woman gains weight after liposuction of her hips, outer thighs, and abdomen, then most of the fat will be deposited elsewhere such as the woman’s breasts, face, back and legs.

9. Does liposuction cause dimpling or indentations in the skin?(top)

Dimpling and indentations in the skin is a known risk of liposuction. However skin irregularities are unusual in the hands of a skilled surgeon. The use of large diameter cannulas tends to increase the risk of irregularities, while the use of microcannulas (less than 2.8 mm in outside diameter) reduces this risk. The use of microcannulas and multiple adits (very tiny 1.5 mm round holes placed in the skin) allows the surgeon to make a criss-cross pattern of tiny tunnels throughout the fat which produces smoother liposuction results compared to using larger cannulas and only two or three entrance incisions. When large cannulas are used, any inadvertent passage of the cannula too close to the skin may leave a depression or furrow, whereas one pass too close to the skin with a microcannula will not leave a visible depression.

10. What Alternatives Are There to Liposuction?(top)

Liposuction is never absolutely necessary. If you decide that liposuction is not for you, then you may consider the following alternatives to liposuction. Weight loss without liposuction can produce excellent aesthetic results. Weight loss can be achieved by dieting (decreased calorie intake) or by increased exercise (expenditure of calories). An alternative to abdominal liposuction is a tummy tuck.

Let’s explore this recent trend in makeover plastic surgery that is injecting new hope into mothers across the world. Lots of women, some mothers, some not, are now undergoing combination surgeries to give them that much needed makeover and to help them escape the feeling of being “just a mother.”
Plastic Surgeons have recently made it public that mothers are now their largest target demographic. Full statistical details can be found here. These figures are not that surprising when you take into account that nearly all women will gain 30-80 pounds during their pregnancy. Most will not lose all of it.

When you couple the inevitable weight gain, with the stress put on the body by breast feeding. Add the late nights and long hours; it can mean that women have little time or energy to exercise, and as such it can leave them with a drooping chest and stretch marks. These are just a few of the reasons why the surgical options of a makeover have become so popular. The mommy makeover is seen as a cure for all that will ail the post-pregnancy figure.

The Future of the Mommy Makeover

Now women can experience the miracle of birth and raising a child, without the lifelong burden of constantly trying to chase their old figure, or former youth.
Some of the favorite mommy makeover procedures among those wanting to seize their figure back are;

• Breast Augmentation
• Breast Lift
• Tummy Tuck
• Buttock Lift
• liposuction

Whether it’s for an augmentation or a breast lift, expect more mommy’s to be receiving these types of surgeries in the future. The popularity of all of these types of procedure has seen a dramatic increase over the past several years. The new mom makeover trend catching on, a contributing factor for the rise in the mommy types of operations is in part, due to people’s change in perspective towards the plastic surgery profession..gonfiabile gigante

Plastic surgery is no longer as daunting a prospect as it once was, the medical profession has improved drastically in recent years and these types of lifts, tucks, and augmentations have become common place for an increasing portion of the population.

There is no longer the promise of the pain and long recovery periods that would have been common only a decade ago. Improved medical equipment and training, coupled with recovery times shrinking rapidly as medical science improves, has led to lots more women wanting to receive the surgical transformation promised by the makeover surgeries. These shorter recovery times also mean that women will no longer find themselves recovering in a hospital bed for long weeks, a luxury which no mother can afford.

Aside from vanity, most moms find that this form of surgery really helps to improve both their home and work life. These women feel more attractive and confident thanks to their new, younger, sexier look, and because of these changes they have a far more positive outlook on their lives. Makeover are the perfect way to enhance your lifestyle and to bring some vitality back into your life.
These forms of makeovers are most definitely a trend which is set to continue for the foreseeable future. As the price and recovery time of plastic surgery decreases, the availability of procedures increases to allow more and more women the option to receive a makeover. You should expect to see far mommy makeover procedures and lots more refreshed and voluptuous mommy’s at your kid’s soccer games for year’s to come.

Are these procedures right for me?

A breast augmentation and tummy tuck is commonly put together by plastic surgeons in a package price.For many women, these are the perfect two procedures needed to get back into that bikini again!

This technique is used in the following situations.

• There is excess skin in the abdominal area.
• Muscle repair is needed to abdomen.
• Small/medium breasts that have the correct nipple location.
• Excessive stretch marks on the stomach.
• Patient has drooping breasts.
• Patient must be in good health as any collection of surgeries is harder on the body that a single procedure.

Helpful hints for getting the best results.

• Be in the best health possible before your surgery.
• Do not participate in any extreme diets, which could decrease your iron count and make your immune system weak.
• Exercise three times a week or as recommended by your doctor.

• Eat a well balanced diet, take vitamins and mineral supplements, increase your vitamin C intake if possible.
• Prepare your skin by drinking lots of water and lathering it in lotions. There are some lotions that help prevent stretch marks.
• Ask your surgeon about supplements such as Arnica Montana or bromelin.

Quit Smoking at least one month before your surgeon and plan on not smoking for two months or more after. Smoking exponentially increases your risk of complications, slows the healing process and affects the final results.

In some cases, patients may be able to undergo partial abdominoplasty, also known as a mini tummy tuck, instead of the complete procedure. This is especially true for patients who want to flatten primarily the lower abdominal area .

A mini tummy tuck, or partial abdominoplasty, may be recommended for patients that are within 10% of their ideal body weight. This procedure is less invasive and can be done on an outpatient basis. While a full tummy tuck involves an incision around the navel and across the lower abdomen, a mini tummy tuck leaves the navel intact and requires a smaller incision. Liposuction is frequently performed in addition to a mini tummy tuck to obtain the best results.

If your abdominal muscles require more extensive tightening and your body weight is more than 20% above your ideal weight, your plastic surgeon is more likely to recommend a full abdominoplasty. If you plan to loose a lot of weight or plan future pregnancies you should probably postpone having a mini tummy tuck.
Abdominoplasty, commonly referred to as a Tummy Tuck, is a popular cosmetic surgery procedure used to tighten overly stretched abdominal muscles and skin in an effort to achieve a smoother, flatter appearance. Whether stretched by factors such as weight gain, weight loss, pregnancy, etc., the abdomen frequently fails to return to its original shape. Stretched beyond the capacity to return to normal, abdominal tissues don’t always respond to various exercise and diet programs. In such cases, a tummy tuck may provide a highly effective, immediate solution in the treatment of stubborn abdominal areas. In short, a tummy tuck may dramatically tighten the abdominal muscles as well as remove sagging, excess skin and accumulated fatty tissue. As an added benefit of the tummy tuck, not only will the abdominal region be firmer and flatter, but the waist will be smaller as well.
While the degree of improvement varies significantly depending on the magnitude of the abdominoplasty surgery, other factors contribute to the surgical outcome such as the patient’s skin tone, body build, and the individual healing process. Aside from these issues, most patients are happy with the results offered through abdominoplasty and maintain a more favorable body image following the surgery.

How is the Mini Tummy Tuck Performed?

In an effort to achieve the best tummy tuck result, several different surgical techniques are available. The most appropriate technique will be selected based on the condition of the patient, the extent of the procedure as well as the patient/surgeon preference. Most tummy tuck procedures are performed under general anesthesia. In what many surgeons refer to as a full tummy tuck procedure, a surgical incision is made across the lower abdomen right above the pubic area. Following the creation of this initial incision, a second incision is made around the patient’s belly button as a means of loosening the surrounding skin. Next, the patient’s skin is separated from the wall of abdomen. Following this surgical maneuver, the surgeon pulls the loose abdominal muscles from the left and right flanks and sutures them together. This action results in tighter abdominal muscles, creating a stronger, firmer abdominal wall as well as a smaller waist. Directly after the tightening and suturing of the abdominal muscles, excess skin is removed and a new opening is made in the correct position for the belly button.

To complete the abdominoplasty, any remaining incisions are closed with sutures (stitches) and/or staples. Lastly, surgical gauze is placed over the incision area in an effort to keep the abdominal region clean and free from infection. A second option different from a full tummy tuck , and designed to treat problem areas existing below the belly button, is a partial tummy tuck . This less invasive form of abdominoplasty is frequently performed on an outpatient basis and typically requires a local form of anesthetic. Contingent on the patient’s desired outcome, as well as their pre-operative status, the surgeon may recommend that either a partial or full tummy tuck be done in conjunction with Liposuction . Liposuction is frequently incorporated into those tummy tuck cases where additional fat deposits need to be removed from the hips, resulting in more rejuvenated, dramatic body contour. Occasionally, liposuction alone may offer the best results. The most appropriate treatment options will be discussed during the surgeon-patient consultation. A tummy tuck generally requires about two to five hours, depending on the extent of the procedure (i.e., “full tummy tuck” vs. “partial tummy tuck”), the desired out come and the pre-operative condition of the patient. Typically, a “partial tummy tuck” takes about one to two hours. While many tummy tuck procedures are performed in a hospital setting, some are done in an office surgical suite. The location of where the tummy tuck procedure is to be performed will depend on the patient’s preferences as well as the surgeon’s. Furthermore, depending on the extent of the tummy tuck, an overnight stay in a hospital is common. This allows for the patient’s recovery process to be monitored by trained medical staff. If the treatment area is minimal, the patient may return home the same day. These issues are usually discussed and decided by the surgeon and patient during the initial consultation. While it may take most tummy tuck patients several weeks to feel completely back to normal, those patients who are in good physical condition will experience faster recovery times. Additionally, some tummy tuck patients are able to return to work after two weeks, others will require up to four weeks to recuperate. Many surgeons recommend that tummy tuck patients begin a program of light exercise following surgery. The motion afforded by this activity will reduce swelling, decrease the possibility of developing blood clots and enhance skin tone. Vigorous exercise, such as lifting heavy objects, etc., should be put off until it may be done comfortably and the surgeon has provided their consent to do so. As with most surgical procedures, scars do result from tummy tucks. Typically, surgical scars appear to worsen during the first few months following a tummy tuck – this is normal. In some tummy tuck cases it may take up to a year before most scars flatten out and lighten in color. While scars never disappear completely, tummy tuck scars are placed in areas that will subsequently be covered by clothes, bathing suits, etc.

How Much Pain is Associated With a Tummy Tuck?

For the first few days following a Tummy Tuck, expect some degree of swelling in the abdominal region. Furthermore, it is likely that the patient will experience some pain and discomfort which may be controlled by various pain medications. In an effort to reduce any pain and discomfort associated with a tummy tuck, it is common that two to three days of bed rest is recommended. During this time, the surgeon may suggest that the patient keep their legs slightly bent at the hips to reduce the amount of strain placed on the abdominal muscles. Furthermore, most surgeons will provide the patient with an “abdominal binder” which serves to offer support to the tightened areas. The surgeon will provide additional instructions for various activities such as showering, changing the surgical dressings and walking. It is frequently recommended that patients walk as soon as possible, even though they may not be able to stand straight up initially. Stitches and sutures are typically removed within the first five to seven days following surgery. Deeper sutures with ends that protrude through the skin, those used at deeper levels under the skin, will come out in two to three weeks.

Who Would Best Represent an Ideal Candidate for a Mini Tummy Tuck / Abdominoplasty ?

There are several important factors one must consider in determining whether or not abdominoplasty is the appropriate procedure for them. During the consultation visit with the surgeon, it is recommended that the patient ask the surgeon if they feel the patient is a good candidate for abdominoplasty. In determining one’s readiness for abdominoplasty, the patient should:

• Be realistic with the tummy tuck expectations
• Be 18 years of age or older
• Be mature enough to fully understand the procedure
• Be in relatively good physical condition
• Be in good psychological health
• Not be pregnant or planning on becoming pregnant
• Not be severely overweight
• What Are The Risks and Limitations of a Tummy Tuck?

All surgical procedures, including the tummy tuck, have potential risks associated with their performance. Basic risks include, bleeding, potential reaction to the anesthetic, and infection. Some scaring is to be expected with a tummy tuck. As mentioned earlier, scars will become lighter and flatter with time. Smoking may increase the risk of complications and may delay healing. Furthermore, smoking could potentially lead to larger scars. Most risks and complications associated with the tummy tuck may be reduced significantly by closely following any and all of the surgeon’s instructions.

What is the Long-Term Effect of a Tummy Tuck?

For most tummy tuck patients, the long-term results associated with the procedure are excellent. Issues such as keeping one’s weight relatively constant, eating a healthy diet, exercising regularly, and carefully following the surgeon’s instructions regarding physical activity, etc., determine the overall effect associated with a tummy tuck.

This procedure is often combined with other procedures like Breast lifts or
Liposuction to produce a very popular series of surgeries called Mommy Makeovers.

Along with the tummy tuck, your surgeon may recommend liposuction to remove
excess fat deposits… creating a more desirable body contour. Patients who plan to
lose a lot of weight or plan future pregnancies should probably postpone having a
tummy tuck.

This procedure is usually performed in 2 to 5 hours with a minimum of one to two
days in the hospital to monitor your recovery and ensure your comfort and safety.
The recovery period is usually 1-2 weeks.

Abdominoplasty, commonly referred to as a Tummy Tuck, is a popular cosmetic
surgery procedure used to tighten overly stretched abdominal muscles and skin in an
effort to achieve a smoother, flatter appearance. Whether stretched by factors such
as weight gain, weight loss, pregnancy, etc., the abdomen frequently fails to return
to its original shape. Stretched beyond the capacity to return to normal, abdominal
tissues don’t always respond to various exercise and diet programs. In such cases, a
tummy tuck may provide a highly effective, immediate solution in the treatment of
stubborn abdominal areas.

In short, a tummy tuck may dramatically tighten the abdominal muscles as well as
remove sagging, excess skin and accumulated fatty tissue. As an added benefit of the
tummy tuck, not only will the abdominal region be firmer and flatter, but the waist
will be smaller as well.

While the degree of improvement varies significantly depending on the magnitude
of the abdominoplasty surgery, other factors contribute to the surgical outcome such
as the patient’s skin tone, body build, and the individual healing process. Aside from
these issues, most patients are happy with the results offered through
abdominoplasty and maintain a more favorable body image following the surgery.

Women frequently choose breast reduction because of severe back, neck and shoulder aches created by the large size of their breasts also the feeling that they are severely limited in what clothing they feel they can wear. The physical discomfort that is caused by very heavy, large breasts can limit participation in certain activities or exercise, In addition, breasts that are out of proportion to a women’s body can be a source of embarrassment and self-consciousness.

Breast reduction can be performed at any age on a healthy woman, but it is usually recommended to wait until the breasts are fully developed. Some women decide to wait to have the surgery until their childbearing is over since childbirth and breastfeeding can cause unpredictable changes to the breasts and breast-feeding may not be possible after breast reduction surgery.

The Reduction / Mammoplasty Procedure

There are several different techniques and incisions that can be used to reduce the breasts. The most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. This is the most common style being used in the US.

The surgeon removes excess glandular tissue, skin and fat, and moves the nipple and areola into their new position to match the breasts new contours. The surgeon then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may sometimes be used to remove excess fat from the armpit area.

New options for Breast Reduction/ Mammoplasty

The latest advancements in Breast Reduction surgery today have made several important advancements you should be aware of. Formally Breast Reductions and most breast lifts were done with what had been called an inverted T or anchor scar. This placed an incision around the nipple-areola, one vertically downward from there and one in the fold. This operation enhanced the shape of the breast while reducing and/or lifting it. However, some patient’s formed very visible scars following this operation that did not resolve over time. This left the patient with a better shape but with scars on her breast that were sometimes noticeable in bathing suits and lower cut tops.

In order to minimize large scars, new techniques have now been developed in the Europe and South America to limit the amount of scarring. In most cases the scar can be either limited to around the nipple-areola, or for larger breasts a short vertical scar going down from the areola. With this technique the incision under the breast has now been done away with. This is great news if you are thinking about a Breast Reduction

Better result with less scarring!

Very few surgeons in the United States have adopted or are even aware of this technique, but at SSI, we use exclusively South American trained Plastic Surgeons, We have been offering minimal scar Breast Reductions for several years now. We have had great results with patients who have been very happy that they have gone with this newer technique.

With breast surgery Our goal is to give each patient the most attractive looking breast with as little scarring as possible.

Warning: This herb should NEVER be taken in raw form. This plant, like many medicinal plants if ingested, can cause intestinal bleeding, abdominal cramping and sickness. Homeopathy is the medicinal use of tinctures and suspensions using herbs and other plants and should never be consumed without proper preparation. Only respectable homeopathic remedies and tinctures should be consumed. Arnica montana has been used in Europe for centuries to treat swelling, soreness and bruising. This product is often misunderstood when confused with ingesting the arnica plant in its raw form. When properly prepared, Arnica may significantly decrease healing time or the appearance of such. There are many formulations from different
companies although many sub-lingual (under the tongue) brands can be considered mild and not strong enough for more traumatic planned traumas such as plastic surgery. There is a stronger formulation that many plastic surgeons recommend for their patients. Many patients do use weaker formulations available and standard health food stores. Ask your surgeon before using anything new! .

Do I Need A Breast Lift?

Well there are many different ways that you can determine whether you need a breast lift. Below we have put a few of your options but please realize that there is nothing that can substitute a consultation with a surgeon for a proper diagnosis.

First method

Essentially breast ptosis indicates that the breast is falling on the chest as well as rotating downward. Plastic surgeons usually divide ptosis into degrees to describe various amounts of the descent of the breast. The basic criteria for ptosis frequently accepted by most plastic surgeons looks at the relative position of the nipple areolar and the fold under the breast known as the inframammary fold. Remember that the fold is essentially stationary as the breast is falling. Therefore, if the nipple areolar is above the level of the IMF there is no sag.

When the areola is at the same level or slightly lower than the mammory fold this is known as first degree ptosis.
If the areola is 2-3 cm below the fold this is second degree ptosis

If the areola is lower than 2-3 cm and pointing toward the floor (rotated 90o) this is third degree ptosis.
Other important relative measurements include the distance from the notch in the top of the sternum (breast bone) to the nipple and the distance from the areola to the mammory fold.

There are two other conditions that need to be mentioned and distinguished from ptosis.

The first is an empty sac syndrome. Here there is a loss of volume of the breast while the skin envelope remains the same size. The breast appears empty and is often confused with ptosis, but the areola and mammory fold are in the correct relationship. The procedure to correct an empty sac syndrome is to fill the breast with an implant.

The second condition is called pseudoptosis. Here a large percentage of the breast volume is at or below the level of the areola creating a hollow in the upper part of the breast. In this condition the relationship of the areola to the mammory fold is acceptable and again the usual solution is an implant to acquire some volume in the part of the breast above the areola.

To calculate ptosis, a ruler is placed across the chest into the inframmary crease and the distance between the center of the nipple and the top of the ruler is measured. If the nipple is above or just over the ruler, this is called Grade 1 ptosis. Grade 2 ptosis is defined as the nipple measuring 1-3 cm below the ruler, If the center of the nipple is more than 3 cm below the top of the ruler, this is called Grade 3 ptosis. Pseudoptosis occurs when the nipple is above the mammary crease but the breast itself is flattened and droopy.

When should I have a breast lift?

A breast lift can be performed at any age but plastic surgeons usually recommend waiting until breast development has stopped. Pregnancy and breast-feeding may affect the size and shape of your breasts, so you may wish to postpone surgery until after having children. Still, many women elect to go forward with the surgery before having children, knowing that they can address any pregnancy-related changes later. The milk ducts and nipples typically are not affected during breast lift surgery, so usually the procedure will not alter your ability to breast-feed.

Difference between Breast lift and Breast Reduction

Breast lifts and breast reductions are two common plastic surgeries used for breast enhancement. Breast lift surgery and breast reduction surgery are actually very similar operations. Both the breast lift and breast reduction surgeries strive to raise the overall position of the breast mound and both also will reposition or lift the nipple and areolar tissue to a higher and more youthful position on the breast mound. The major difference between a breast lift and breast reduction is that a breast reduction surgery will reduce the overall breast volume and make the breast mounds smaller. A breast lift does not necessarily require that any breast tissue be removed. In fact, some breast lift operations are also performed while placing breast implants for breast enlargement. So a breast lift mainly is responsible for lifting the nipple and areolar position to a higher position, it does not imply a breast volume change. A breast reduction does lift the breast and does imply a breast volume change.

How is a breast lift performed?

Mastopexy can be performed with local or general anesthesia. The surgery can take anywhere from 1.5 to 4 hours under normal circumstances.
Below are descriptions of different procedures that are used; note that there are many different names for similar procedures.

The Crescent procedure involves removing a crescent shaped piece of tissue from above the areola (from 10 o’clock to 2 o’clock) and then suturing the incision closed which lifts the nipple and breast upwards. This technique is often done during a breast augmentation and is only recommended for those women who have only a small amount of ptosis.
The Benelli lift or Periareolar lift removes a donut-shaped piece of tissue from around the areola. Once this incision is made, the surgeon is able to tighten the breast tissue in all directions. The periareolar breast lift procedure can also enhance breast appearance by reducing the size of the areola and repositioning the nipple (slightly upward). A periareolar breast lift procedure is most appropriate for women with a small degree of breast and/or nipple malposition.

The Benelli-Lollipop uses the same technique as the Benelli lift but also includes an incision from the areola to the inframammary fold. This allows more skin and breast tissue to be removed and reshaped. This is for those who have medium ptosis, too much for the Benelli only and too little for a full anchor incision.
The most common approach, the “anchor” incision, is actually three incisions. The first incision is made around the areola. The next runs from the bottom of the areola down to the breast crease and the third incision follows the horizontal breast crease. Working through these incisions, excess skin is removed from the lower portion of the breast. Areolas that have been stretched over time can be resized and the tissue is repositioned to reshape the breast. The breast tissue and nipple are lifted into the higher position, and the nipple is repositioned

What is the recovery period like after a breast lift procedure?

Immediately after surgery, your breast will be sore and swollen. You will have bandages, sometimes a drain (to drain excess fluid), and a supportive bra. You will need to wear a supportive bra twenty four hours a day for several weeks. Drainage of fluid and crusting is normal. You should be up the first day after surgery but most patients do not return to work for about a week. Strenuous activities, including sexual activities, should be avoided for several weeks. Your breast shape will appear flat at the bottom and full on the top for several weeks but will gradually take their natural shape.

After surgery your skin may be dry and the skin may appear to be thin. Your breasts may also have “tingling” sensations, occasional pain and loss of nipple sensation. Incisions need to be cleaned regularly and may become bright red and raised during the healing process but after 6 months to a year incisions should become less noticeable.

Depending on the surgeons technique of choice he may use internal sutures that will not need to be removed at any time and will slowy dissolve or he may use external sutures to close the incision which will need to be removed 2 to 3 weeks after the surgery.

What are the risks of mastopexy or breast lift?

There are multiple risks associated with mastopexy. It is critical to understand these risks and to have realistic expectations about the outcome of your surgery. Only through an in-depth discussion with your surgeon will you be able to understand the risks, benefits, and expected outcomes. Nipple necrosis leading to loss of the areola and/or nipple is a rare but serious side effect. Nipple necrosis is caused by impaired blood flow to the nipple and areola after surgery. The risk of this complication is higher in smokers. Asymmetry of the size, shape and level of the nipple is a common complication. It is impossible to create perfect symmetry and small differences should be expected. Major asymmetries can be corrected through an additional procedure. Inability to breast feed after breast lift can occur but many of the procedures used today usually do not affect breast feeding. The risk varies with the type surgery. Mastopexy can lead to changes in the skin sensitivity because removal of skin involves cutting through nerves that are in the skin. Often, sensation in the nipple returns over months to years. Fluid accumulation in the breast, called a seroma, can occur after mastopexy. Seromas can be drained and usually resolve within a few weeks. Accumulation of blood in the skin after surgery is called a hematoma and usually must be removed surgically. Hematomas can increase the risk of infection and may increase the scarring. It is important that you stop all over the counter, herbal, and prescription medications and vitamins that affect bleeding to decrease your risk of hematoma formation. Scarring occurs with any surgery and final scar appearance cannot be predicted. A scar can vary from a nearly invisible line to a large, raised, discolored scar. Unattractive scars can be treated through medical or surgical intervention. Infection is always a risk of surgery. You may be given antibiotics after the surgery and post operative wound care is important as well.