Surgical Procedures

Liposuction

Also known as lipoplasty and body contouring surgery.

Liposuction surgery sculpts your body, eliminating unwanted pockets of exercise and diet-resistant fat from the buttocks, hips, love handles, saddlebags, thighs, calves, ankles, breasts (including male breasts), back, arms and neck. Liposuction is often combined with other procedures to create a desired shape and is one of the safest and most popular cosmetic procedures.

  • If you have localized areas of fat deposits that are disproportionate with the rest of your body.
  • If you would like more definition or a sleeker contour in certain areas of your body.
  • If your skin elasticity is good (Liposuction removes fat, but does not tighten skin).
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Related Procedures

 Many people who consider liposuction also consider a tummy tuck, a mommy makeover and nonsurgical skin tightening.

Considerations

Pros

  • Will make your clothes fit better and your body appear slimmer.
  • Uses small incisions, which result in smaller scars than open body contouring procedures.
  • Can be done under sedation with less risks and shorter operating times than similar open body contouring procedures.

Cons

  • Results may be affected by weight gain, aging and pregnancy.
  • Liposuction is not meant to improve the look of cellulite or loose skin.
  • You may need to lose weight to be a better candidate for liposuction.

Am I a good candidate for liposuction?

For certain individuals, diet and exercise will never get rid of stubborn pockets of fat. The following are some common reasons why you may want to consider liposuction:

  • You have a minimal amount of excess skin and good skin elasticity. Loss of skin elasticity with age can compromise liposuction results, but if your skin maintains elasticity, age alone is not a contraindication for liposuction surgery.
  • You have localized deposits of fat in your abdomen, arms, thighs and/or neck, which may be the result of heredity and do not disappear with exercise and diet.
  • You are physically fit, no more than 20 pounds overweight, and your weight is stable. If you are planning to lose a significant amount of weight or even gain weight (for example, due to pregnancy), this is not the time to undergo liposuction.
  • Keep in mind that liposuction does not remove cellulite and cannot tighten loose skin. Your surgeon will be able to recommend other procedures to improve those conditions.

If you are in good general health and have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

A. The most ideal patient has a steady weight, stubborn fat pockets, but good skin elasticity.

B. After recovering from surgery, your body contour will appear smoother and slimmer.

Gynecomastia Treatment

Also known as male breast reduction

The goal of gynecomastia treatment is to reduce breast size in men who are embarrassed by overly large breasts. Reduction methods include liposuction, cutting out excess glandular tissue or using a combination of liposuction and excision. If you are treated by a board-certified plastic surgeon, gynecomastia can be effectively and safely improved or corrected completely.

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When to Consider Gynecomastia Treatment

  • If you are reluctant to remove your shirt in public, to swim, to participate in sports or to exercise at a gym.
  • If you want to improve your overall body proportions.
  • If you experience psychological discomfort associated with large breasts.
  • If you want to increase your social confidence.

Hair Transplantation

Also known as hair restoration and hair replacement surgery

Hair loss, or alopecia, is a common problem that affects both men and women and can be caused by stress, diseases, some medical treatments and genes. While some of these factors are temporary or can be reversed, many suffer permanent hair loss that can lead to self-confidence issues. Hair transplantation surgery can help men and women suffering from baldness or thinning hair.

When to Consider Hair Transplantation

  • If you have thinning hair
  • If you have bald spots
  • If you have a receding hairline

Related Procedures

Many people who consider hair transplantation also consider facelift and fillers.

Considerations

Pros

  • Gives you a more youthful look
  • Reduces or eliminates the need for a hairpiece or wig
  • Provides a permanent solution to hair loss

Cons

  • It might take months for hair to grow into the area
  • Multiple sessions spanning over one to two years might be required
  • No guarantee that hair will be consistent with previous hair growth

These are the top three pros and cons to weigh when considering hair transplantation. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon.

Am I a good candidate for hair transplantation?

The following are some common reasons why you may want to consider hair transplantation:

  • You suffer from male or female pattern baldness and have thinning hair
  • Your hair loss is not a result of medication, stress or medical treatment
  • Your hair loss is permanent and cannot be treated non-surgically
  • You have adequate hair growth or follicles than can be used for transplantation
  • You understand that treatment may take several months to several years

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Fat Transfer

Also known as fat grafting or fat injection

A fat grafting procedure transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. This safe, long-lasting, well-tolerated procedure produces natural-looking results. Every year, thousands of people undergo successful fat grafting and are pleased with the results.

When to Consider Fat Transfer

  • If you have facial areas that appear creased and sunken
  • If you desire more permanent correction than is provided by temporary fillers
  • If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate your hands and face
  • For use in breast reconstruction, to fill in contour irregularities or hide obvious signs of breast implants

Related Procedures

Many people who consider fat transfer also consider liposuction, buttock augmentation, botulinum toxin and fillers.

Considerations

Pros

  • Autologous fat (from your own body), as opposed to dermal fillers, replaces “like with like,” reducing the chance of allergic reactions to foreign substances.
  • Fat transfer results are natural, long lasting and safe.
  • Fat transfer is a noninvasive method for achieving facial rejuvenation.

Cons

  • It is time consuming to prepare fat tissue before transferring it, compared to dermal fillers, which are prepackaged.
  • Though longer lasting than dermal fillers, fat transfer costs more.
  • For augmentation, you may require multiple sessions to achieve your desired breast or buttock size.

These are the top three pros and cons to weigh when considering fat transfer. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon.

Am I a good candidate for a fat transfer?

The purpose of fat grafting is to augment or fill in volume-deficient areas. Commonly grafted, or injected, areas include the hands, face (including the lips), depressions in the skin (following liposuction and scarring) and the breast and buttock (for augmentation). Of course, you must have donor sites from which fat can be taken. It is important that you do not have any circulation problems, either from a medical condition or smoking.

Facial fat transfer: If you have facial creases, such as laugh lines, smile lines, and crow’s-feet, fat can be removed from your abdomen, thighs, or other areas and be injected into your face. Acne scars and sunken areas of the face, lips, and cheeks can also be filled in. Your plastic surgeon can even use grafted fat to minimize lines between your nose and mouth, correct skin depressions or indentations and minimize forehead wrinkles.

Breast augmentation: If you desire a modest increase in breast size, you are a good candidate for fat grafting to the breast, but your breasts should already have a nice shape and good skin tone. If you have poor skin, sagging breasts, or want a significant increase in breast size, breast augmentation with fat transfer is not for you. The problem with only using fat for breast enhancement lies in getting large volumes of fat to predictably “take.”

Breast implants plus fat grafting: If your breast shape needs optimizing during a breast implant procedure, fat grafting can be useful. If you have residual breast irregularities after undergoing breast augmentation with implants, the irregularities can be filled in with fat to produce a smooth contour and an optimal shape.

Breast reconstruction with fat grafting: If you have breast defects following lumpectomy for breast cancer, fat grafting is an effective method for filling in these defects. Fat grafting is also an option for total breast reconstruction following mastectomy; however, to achieve sufficient breast volume, this is usually a multistage process that requires at least two to four sequential fat grafting procedures.

Buttock augmentation with fat grafting: Many people who desire a fuller, more rounded buttock will opt for a “Brazilian butt lift,” which uses fat transfer to provide a more curvaceous buttock without the use of an implant. Liposuction is commonly used to both sculpt the surrounding area and collect the autologous fat to be injected.

Hand rejuvenation with fat grafting: Fat grafting into your hands is effective for adding volume, “plumping up” wrinkled areas, covering underlying vessels and tendons and improving the quality of your skin over time.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

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