- Liposuction - Abdominoplasty (Tummy Tuck) - Brachioplasty (Arm Lift) -
- Body Lift - Thigh lift - Buttock Implants -
Presently the most common cosmetic surgical procedure in both men and women, the removal of localized fat deposits with small suction tubes via minute entry sites may be applied to any area of the body. The most common ones in my practice are under the chin, the abdomen, flanks (love handles), hips, thighs, legs, and knees.
In 1980 I had the opportunity to translate and publish from German the precursor of the technique with large tubes and no suction for the International Microform Journal of Aesthetic Plastic Surgery. The surgery has become highly perfected since then and can be performed with needle sticks most of the time instead of incisions, no sutures, and cannulae only a few millimeters in width.
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|Abdominoplasty (Tummy Tuck)
Weight gain, pregnancy or just aging may cause abdominal laxity, splaying out of the waist, muscular flaccidity, and excess fat deposits.
If the condition is not severe, a mini lift with shortened incisions may make a world of difference. For more advanced situations the incision extends from one hip-bone to the other and the skin and fat are raised up and redraped. Think of it like making a bed; the sheet has to be untucked from the bottom and smoothed down to do it right. Sometimes the mattress cover (think deep layers) has to also be tightened so there will be no ripples and the final look is nice and neat. These incisions should be considered a trade off for a tighter abdomen. The classic one is a flattened "W", however, I generally prefer one that has the configuration of a bicycle handle bar. This provides high tension laterally and is disguised by modern lingerie and swim wear.
Rejuvenating the umbilicus (belly button) is commonly part of the abdominal surgery and can change a flaccid and aging configuration to a more youthful one.
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Referred to as the Bat Wing Deformity in lay language, flaccid and droopy inner arms are unsightly, bothersome, and when very flabby tend to get in the way of recreational activities like golf or tennis. I find that good candidates for this procedures are very gratified with it, and not bothered by the incisions which are placed more to the back of the arms where they are the least conspicuous. Depending on whether there are large fat deposits or not, liposuction may be part of the procedure.
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The body lift is performed to remove excess skin and sometimes also fat from the torso and upper legs. It is a complicated procedure that can take three to seven hours under general anesthesia and involves a difficult recovery period of four to six weeks, but it offers an improvement in appearance for patients who have lost significant amounts of weight due to childbearing, diet, exercise or bariatric surgery, or who have loose, inelastic skin for other reasons. The procedure is often combined with others such as breastlifts
and armlifts to retain a proper body proportion.
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A thigh lift is performed to remove excess skin and fat from the upper legs. Candidates typically suffer from loose, inelastic skin after extreme weight loss due to diet, exercise or bariatric surgery. Because of this, the procedure is often combined with others such as breastlifts
and armlifts to retain an attractive body proportion.
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If you want to enlarge or re-shape your buttocks and have discovered that they do not respond to diet or exercise, buttock implants may be the solution. Implants come in a variety of shapes and sizes and are made of soft silicone, which provides a firm, smooth yet natural feel. They are placed away from the bony area on which you sit. The procedure takes about two hours and is performed under general anesthesia. Incisions are made inconspicuously in the depression between the buttocks. It may be performed in conjunction with liposuction for a more dramatic change in contour.
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