Body Procedures

Mommy Makeover

“Mommy Makeover” is a nonspecific term that was introduced into the public vocabulary around the year 2010 and has become a very popular expression. Mommy Makeover (MM) does not describe a specific procedure, rather, it describes an end result: cosmetic improvement of the breasts and abdomen. The reason it is best to think of MM as an end result is because each patient presents with unique physical findings and goals. Therefore each patient requires individualized treatment care based on a physical exam and personal values. Breast augmentation, breast lift, breast lift with implants, breast reduction, liposuction, and tummy tuck are all procedures that can be used to achieve MM results!

Usually, MM consists of combined procedures of breast augmentation (implants) with tummy tuck. The breast augmentation restores volume and size of the breast while improving shape and symmetry. The tummy tuck removes excess skin and fat, lower abdominal scars and stretch marks, tightens the abdominal strength layer, and sculpts the torso. Although these procedures are very effective at improving problems created by pregnancy, both have significant recoveries, and the tummy tuck leaves a long but usually unobtrusive scar.

After childbearing and breast-feeding, patients frequently complain that the breast is deflated, lacks upper pole fullness, and sags (breast ptosis). The medical term is “postpartum involution of the breast,” and simply means that the breast gland is smaller and the skin envelope stretched after childbearing. Additionally the supporting breast ligaments (Cooper’s ligaments) stretch, causing the gland to slide down to the lower pole of the breast, leaving upper pole with lack of fullness. Loss of breast projection also results.

If the nipple position is not too low, a breast augmentation alone will usually correct the ptosis and result in a very attractive breast. However, if the nipple sits below the inframammary fold (the crease that the bra underwire sits in), a breast lift (mastopexy) will also be required for optimal cosmetic result. Some patients with ample breast tissue may opt for a breast lift alone, while others may desire a breast augmentation with the breast lift.

Some women choose to have a breast lift without an implant because in general, undergoing a single procedure is less risky, more predictable, less costly, easier recovery (breast augmentation is more painful). Many women wish to avoid having a foreign material implanted that may need additional surgery. One thing to keep in mind is that a breast lift will result in a breast that appears, or is somewhat smaller, and may not completely correct the loss of upper pole fullness.

Many women are quite happy with the breast lift and opt for no additional surgery. Other women however decide at a later date to have a breast augmentation to augment size, improve shape, and improve upper pole fullness. A big advantage of delaying a breast augmentation is that some women will be very happy with the breast lift alone, and hence, can avoid an unnecessary procedure. Remember, surgery can be performed at a later date, but once performed, it cannot be “unperformed.”

The condition of the abdomen determines which procedure is most appropriate. The growing fetus, amniotic fluid, and swelling of the intra-abdominal organs causes the abdominal wall strength layer (“fascia”) to stretch. The fascia acts like an “internal girdle” and significantly contributes to the shape of the abdomen and torso. The fascia supports the core abdominal muscles, and unlike the muscles, is unaffected by exercise. As the fascia stretches more, the abdomen becomes rounded, even in patients who are very lean and have strong core muscles. The fascia is very strong, but once stretched, it is unlikely to return to its original state.

When the fascia is significantly stretched (diastasis recti), it must be surgically tightened or the abdomen will appear fuller and rounder than desired. Tummy tuck is the only procedure that tightens and shapes the fascia. The tummy tuck also removes the skin/fat apron (panniculus) in the lower abdomen along with stretch marks and unsightly scars. The pain and recovery from tummy tuck are significant, and a long scar results, but it is the most powerful procedure to achieve a finely sculpted torso.

Women with minimal or no stretching of the abdominal fascia may only require liposuction to achieve the desired cosmetic improvement. Liposuction is expected to be successful if the overlying skin has the capacity to shrink to the smaller size. A significant panniculus will require surgical removal (panniculectomy).

A MM is better thought of as an end result that may be achieved using appropriate procedures. Procedures can usually be combined during a single trip to the operating room but sometimes, multiple procedures are best staged. If you are considering a mommy makeover, have an open mind regarding procedure selection, and possibly staging the procedures in order to achieve your desired result safely. Remember that these are “elective procedures” so it is important to optimize conditions to minimize risk and optimize outcomes. Keep in mind that it is sometimes more prudent to have multiple procedures performed in more than one session.

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Tummy Tuck

Tummy tuck is also known as abdominoplasty. This name is taken from the words abdomen, and “plasty”. Together, the word describes the operation designed to change the shape or form of the area located between the ribs and pubis, and between the flanks.

A tummy tuck is a significant and very powerful surgery that sculpts the torso. The operation effectively removes excess skin, fat, stretch marks & scars. The procedure also tightens the skin and the “muscle layer” to reshape the torso.

After tummy tuck surgery, both women and men report enhanced self-esteem, and self-confidence. They also report that they are able to wear new and exciting clothing styles, and smaller sizes.

A tummy tuck also effectively corrects problems from skin/fat apron (frequently from old C-section scars) that can be uncomfortable and unattractive.

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Also known as lipoplasty or liposculpture, slims and reshapes specific areas of the body by removing excess fat deposits, improving your body contours and proportion, and ultimately, enhancing your self-image. Liposuction techniques may be used to reduce localized fat deposits of the thighs, hips and buttocks, abdomen and waist, upper arms, back, chin and neck.

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Body Lift

By and large, body contouring procedures to correct the cosmetic defects remaining after massive weight loss (MWL) are modeled on classic cosmetic surgery procedures. The basic anatomy in an MWL (I will define as a weight loss of about 50 pounds, though others may have a different definition) patient is no different from a non-MWL patient. However, there are special considerations, and procedures must be modified to achieve optimum, safe results.

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Arm Lift

Brachioplasty, or upper arm lift, is a contouring procedure designed to sculpt the upper arm. Brachioplasty involves surgically removing the excess skin and fat, usually between the underarm (axilla), and elbow. The deep strength layers are also tightened and liposuction is frequently performed at the same time.

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Throughout history, heat has been used to promote health and well-being. Lipotherme is a revolutionary technique that harnesses the power of heat-generating lasers to selectively break up unwanted body fat and reshape your body.

Lipo means fat, and therme means heat; so Lipotherme is literally the controlled application of heat to liquefy fat.

The clinical term for this type of procedure is laser-assisted lipolysis (also called laser lipolysis or laser lipo for short) which is an evolution of traditional liposuction. Although effective, traditional liposuction is considered a highly-invasive procedure.

By contrast, Lipotherme laser lipolysis is a minimally-invasive procedure with virtually no downtime. Most patients resume normal activities the day after their procedure, however, it is recommended you wait several days before resuming strenuous activity such as exercising.

Depending on your goals and physical condition, Lipotherme can be an alternative to traditional liposuction, or your doctor may recommend a combination therapy of Lipotherme with traditional liposuction.

Lipotherme is the result of years of research into the ideal method for targeting unwanted fat “zones” and eliminating them from the human body. Lipotherme was developed by a team of European researchers and thousands of satisfied patients have benefited from it.

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