Cosmetic Surgery

The most prevalent aesthetic/cosmetic procedures include:

Abdominoplasty (“tummy tuck”): reshaping and firming of the abdomen Abdominoplasty or “tummy tuck” is a cosmetic surgery procedure used to make the abdomen thinner and more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. This type of surgery is usually sought by patients with loose or sagging tissues after pregnancy or major weight loss.

In general, a complete (or full) abdominoplasty follows these steps:

  1. An incision is made from hip to hip just above the pubic area.
  2. Another incision is made to free the navel from the surrounding skin.
  3. The skin is detached from the abdominal wall to reveal the muscles and fascia to be tightened. The muscle fascia wall is tightened with sutures.
  4. Liposuction is often used to refine the transition zones of the abdominal sculpture.
  5. A dressing and sometimes acompression garment are applied and any excess fluid from the site is drained.

Full abdominoplasty consisting of musculofascial plication abdominal dermal lipectomy, suction-assisted lipectomy of hips.

A partial (or mini) abdominoplasty proceeds as follows:

  1. A smaller incision is made.
  2. The skin and fat of the lower abdomen are detached in a more limited fashion from the muscle fascia. The skin is stretched down and excess skin removed.
  3. Sometimes the belly button stalk is divided from the muscle below and the belly button slid down lower on the abdominal wall.
  4. Sometimes a portion of the abdominal muscle fascia wall is tightened.
  5. Liposuction is often used to contour the transition zone.
  6. The flap is stitched back into place.

Liposuction or simply lipo, is a type of cosmetic surgery that removes fat from the human body in an attempt to change its shape. Areas operated on can include the abdomen, thighs, buttocks, and backs of the arms. The procedure may be performed under general, regional, or local anesthesia. It then involves using a cannulae and negative pressure to suck out fat. People operated on should generally have a normal weight and good skin elasticity.

A laser is used to melt the fat in the target area, making it easier to remove. This laser is administered through a fiber threaded through a microcannula. Tumescent liposuction is a technique that provides local anesthesia to large volumes of subcutaneous fat and thus permits liposuction totally by local anesthesia. The tumescent liposuction technique eliminates both the need for general anesthesia and intravenous narcotics and sedatives while minimizing blood loss.

Liposuction and tightening / lifting skin

The removal of quantities of fat from under the skin allows the elastic skin to potentially retract after Liposuction . Good examples of this effect are seen after liposuction to the arms, stomach areas and breasts. The level of skin retraction following liposuction is affected by the age of the patient, quality of skin, presence of underlying disease or smoking and the presence of previous skin damage such as caused by childbirth and surgery. Liposuction techniques such as subdermal undermining using fine cannulas can stimulate further skin retraction but are more frequently associated with contour irregularity. While subdermal undermining may help the skin contract, patients with severe elasticity loss and heavy stretch marks prior to liposculpture may require removal of redundant skin by surgical means after liposculpture. Usually this can be performed after 6 months.

Surgical lifts such as a rhytidectomy (facelift), mastopexy (breast lift), abdominoplasty (tummy tuck), Lipotuck (combination abdominoplasty and liposuction), or lower body lift, thigh lift, or buttock lift can be utilized when sagging skin alone is the issue or after massive weight loss when the combination of large amounts of skin and shrunken fat cause significant skin droop.

  Mommy Makeover

Following childbirth, some women seem to return to their pre-baby bodies with ease, but for most women this can become an impossible task. Body changes that result from pregnancy and/or aging include weight gain, stretch marks, loss of muscle tone, sagging breasts, and many others. A Mommy Makeover is a combination of cosmetic procedures designed to reverse these effects and may include any of the following treatments:

  1. Liposuction Body Sculptingto remove and sculpt areas of stubborn fat
  2. Tummy Tuckto flatten the abdomen, tighten the abdominal muscles, and shape the waist
  3. Breast Liftto raise sagging breasts and give a youthful pertness
  4. Breast Augmentationto restore volume to breasts that have become deflated
  5. A combination ofBreast Lift and Breast Implant Augmentation
  6. Thigh Liftto contour and reduce the width of the inner thighs
  7. Arm Liftto tighten the skin on the upper arms
  8. Butt Liftto raise and contour a sagging butt
  9. Brazilian Butt Liftto add volume to the butt and sculpt the waist
  10. Vaginal Rejuvenationto restore vaginal tightness and shape

 

  • Brachioplasty (“Arm lift”): reducing excess skin and fat between the underarm and the elbow
  • Thigh lift surgery reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body.If fitness and weight loss efforts have not achieved your goals for a body that is firmer, more youthful-looking and more proportionate to your overall body image, a surgical lift may be right for yo
  • Blepharoplasty (“eyelid surgery”): reshaping of the eyelids or the application of permanent eyeliner, including Asian blepharoplasty
  • Mammoplasty:
    • Breast augmentations (“breast implant” or “boob job”): augmentation of the breasts by means of fat grafting, saline, or silicone gel prosthetics, which was initially performed to women with micromastia
    • Reduction mammoplasty (“breast reduction”): removal of skin and glandular tissue, which is done to reduce back and shoulder pain in women with gigantomastia and/or for psychological benefit men with gynecomastia
    • Mastopexy (“breast lift”): Lifting or reshaping of breasts to make them less saggy, often after weight loss (after a pregnancy, for example). It involves removal of breast skin as opposed to glandular tissue

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