The 2016 ASPS National Plastic Surgery Statistic were released this week.
This week the American Society of Plastic Surgeons (ASPS) published the United States’ national Plastic Surgery Statistics for 2016. It is always interesting to me to see how the national statistics correlate with my own Cosmetic Plastic Surgery practice here in the San Francisco Bay Area. Last year, the correlation was pretty close.
Top Ten Cosmetic Plastic Surgery Procedures
As a group, surgical procedures grew 4% from 2015 to 2016. The top five Cosmetic Plastic Surgery procedures are almost the same. Facelifts edged out Tummy Tucks for the fifth spot, but the popularity of the two procedures remains very close. Here are the top five procedures as reported by the ASPS:
The fastest growing procedure last year was the Brazilian Butt Lift (BBL). The BBL is not really a buttocks lifts, but more a buttocks enlargement. During the procedure, fat grafting is used to enlarge the buttocks and selectively enhance its shape. The results can be quite dramatic and the resultant shape is usually much nicer than that obtained from buttocks implants.
The Brazilian Buttocks Lifts is again the fastest growing cosmetic plastic surgery procedure. Significant improvement in the size and shape of the buttocks is possible by removing disproportionate fat from other areas, the lower back in this example, and selectively inserting the excess fat into the buttocks.
The number of Brazilian Butt Lifts increased 26%, from 14,705 to 18,489 in 2016. The procedure was also the fastest growing procedure of 2015 when it grew 28%, from 11,505 to 14,705. In fact, for the US population, the number of BBL’s has doubled from 2013 to 2016, and shows no signs of slowing in 2017.
Minimally Invasive Plastic Surgery Procedures
Minimally invasive plastic surgery procedures grew 3% in 2016. The top five procedures remain:
Botulinum Toxin Type A (Botox®, Dysport®, Xeomin®)
If you live near the San Francisco Bay Area and are considering Cosmetic Plastic Surgery, be certain to seek out an experienced and Board Certified Plastic Surgeon in your area. To schedule a private consultation, tailored to your specific needs, call (925) 943-6353, today.
The Tummy Tuck is the Plastic Surgery workhorse for repairing the abdominal contour after childbirth or weight loss. Abdominoplasty is consistently one of the most frequently performed cosmetic plastic surgery procedures, because it can provide the best, safest and most predictable results possible.
Abdominoplasty on Body Beautiful
I had the opportunity to speak about Tummy Tuck surgery on the San Francisco Bay Area’s News Station, KRON 4’s, Body Beautiful. The following Abdominoplasty Video contains multiple sets of Tummy Tuck Before and After Pictures. Each exemplifies the possibilities available with Abdominoplasty.
Tummy Tuck Video (Abdominoplasty)
Abdominoplasty Consultation Appointments
When considering your Tummy Tuck, be certain to ask how the procedure is performed, what can be improved and what will remain the same. I prefer to keep my Abdominoplasty patients overnight. This allows for a supervised and more comfortable recovery, and assistance with mobility. I find once the initial pain is well controlled, and you are confident in your ability to move about, the recovery goes much smoother.
Be certain to consult a Board Certified Plastic Surgeon in your area who has years of experience with the techniques currently available. If you are in the San Francisco Bay Area and would like to schedule a personalized appointment in my Walnut Creek Plastic Surgery clinic, give me a call today at (925) 943-6353.
Every Mommy Makeover includes enhancement of both the belly and the breasts. The most common combination is Breast Augmentation with a Tummy Tuck (Abdominoplasty). However, other options include:
Breast Implants with Breast Lift
Mini Tummy Tucks
Other Body Enhancements
Brazilian Butt Lift
Lower Body Lift
The combination best for you depends on what you need, tempered by safety and predictability.
Mommy Makeover Video Presentation
The television segment included below is all about Mommy Makeovers and includes many of the most popular variations. The Mommy Makeover Video includes Mommy Makeover Before and After Pictures that illustrate what the procedure has to offer.
The following video segment is from my latest appearance on the San Francisco Bay Area’s New Station, KRON 4. The show gives me the opportunity to talk about the latest Cosmetic Plastic Surgery News.
Mommy Makeover Video
Make Your Mommy Makeover Consultation Appointment
When considering a Mommy Makeover, be certain to find a Board Certified Plastic Surgeon in your area who has years of experience with the techniques currently available. If you are in the San Francisco Bay Area and would like to schedule a personalized appointment in my Walnut Creek Plastic Surgery clinic, give me a call today at (925) 943-6353.
Dr. Joseph Mele appears on the Bay Area’s News Channel, KRON 4’s Body Beautiful this week discussing Breast Augmentation, Breast Lifts, Tummy Tucks, Liposuction and Mommy Makeovers.
Body Beautiful Live Wednesday at noon on KRON 4
San Francisco Bay Area’s News Station, KRON 4, will be airing the latest installment of Body Beautiful this week. The show will be broadcast live, at noon, this Wednesday (Dec 7, 2016) on channel 4, and will include the latest in Cosmetic Plastic Surgery with the emphasis on Body Sculpting.
Liposuction – Sculpting the body by removing disproportionate fat
Abdominoplasty – Using a Tummy Tuck to tighten the abdominal wall and remove excess skin and fat
Mommy Makeover – Combining Breast Enhancement with Abdominal Enhancement to reverse the damage done by pregnancy
So Many Topics; So Little Time
I try to keep the show fast-paced, accurate and informative, but I did not learn about these topics in a half-hour television show. More information is available online by clicking on the links above, but nothing can substitute for an in-person consultation tailored to your specific needs. If you are serious about learning what Cosmetic Plastic Surgery can offer you call my Walnut Creek Plastic Surgery Clinic at (925) 943-6353.
Last week, I blogged about What to Expect After Breast Augmentation Surgery. Well, several of my proactive patients wanted to know what they could do before surgery to help their recovery. Great question, so today we are talking about how to plan for your Cosmetic Plastic Surgery.
How To Prepare For Cosmetic Plastic Surgery
First and foremost, Cosmetic Surgery is elective. Since you are making the choice to proceed, you should also plan to succeed with a quick and safe recovery. Making a few arrangements and taking a few precautions can really boost the safety and predictability of your procedure.
Timing Is Everything
Very few of us have a plethora of free time. Recovery takes time, and giving yourself adequate time for recovery is very important. For some procedures, doing too much activity will increase swelling and discomfort, for others, it can reverse the progress made with your procedures. Be sure to ask your Board Certified Plastic Surgeon about how much time you will need and what precautions to take, specific to your body and your procedure.
You want to arrange your schedule so that you have the time necessary to take care of yourself. So get your resources organized early, and have your recovery tools ready. Ice packs, prescriptions and a little help from your friends should all be arranged before surgery. With the crack-down on the abuse of prescription drugs, it can take more than one visit to the pharmacy to get pain pills. If you have small children, additional child-care may be very helpful during the days after surgery. Preparing a few days of meals that can be easily warmed up can also help.
Eat A Healthy Diet
Eating healthy is always a good idea, but it is especially important to consume the building blocks your body needs to heal. Balance is important, and more is not better. Supplementing in situations were vital elements of nutrition are lacking can be important, but filling these needs through a healthy diet is always the first choice. In certain situations, like after Bariatric Surgery, certain nutrients may need to be supplemented to make up for the malabsorption these procedures are designed to produce.
Hydration is equally as important. Dehydration contributes to increased nausea after surgery, so stay hydrated before and after surgery. Dehydration after surgery leads to lower blood pressure, decreased circulation and slower healing.
In case you haven’t heard this yet, smoking is bad for you. If you’re a smoker, smoking cessation will improve your results, your recovery and your health in general. For some operations, smoking increases your risk of wound healing problems by 600%, and most Plastic Surgeons will ask you to stop at least four weeks before and after them.
Operations that have a problem with smoking include:
Smoking tobacco is bad, but smoking marijuana may be worse, because unlike cigarettes, pot often it is inhaled completely unfiltered. Even casual pot smoking, now legal in California, will restrict the blood flow to the surgical site, leading to decreased healing, prolonged inflammation and swelling and a reduced result. Marijuana is not the only herb you should avoid before surgery.
Avoid Things That Will Make You Bleed
Certain medications, supplements and herbal remedies are known to increase bleeding. You should review your diet, and everything thing else you take before your surgery. Many herbal remedies seem harmless, but those derived from root and bark often contain salicylates, which will make you bleed just like aspirin can. You can find lists of supplements to avoid on the Internet, like this short List from the Otolaryngologist at Stanford, but the best thing to do it to bring all your medications, herbs and supplements to your pre-op visit for your surgeon to review.
It’s Harder To Hit A Moving Object
Keep moving. The better shape you are in before surgery, the easier it will be to get up and move after surgery, too. Be certain to follow your surgeon’s limitation for activity, but do not become a “couch potato”. Early ambulation has been shown to decrease the risk of problems like pneumonia and blood clots, but it will also make you feel better faster. Humans were not designed to sit around.
Ask Your Surgeon
Be certain to ask your surgeon what you can do to speed your recovery. They can tailor their recommendations to you and your surgery, and help you feel better faster. If you are considering Cosmetic Plastic Surgery in the San Francisco Bay Area, give me a call at (925) 943-6353, and we can go over all the details, together.
Tummy Tuck Before and After: These side views of Abdominoplasty before and after pictures show what a Tummy Tuck can do to address overstretched abdominal muscles and abdominal skin laxity seen after pregnancy or weight loss.
The Tummy Tuck remains one of my most frequently performed cosmetic plastic surgery procedures, and one of my favorites. Plastic Surgeons have to be a bit obsessive to get the very best results. The Tummy Tuck, or Abdominoplasty, gives us the ability to not only remove fat, like Liposuction, and remove extra skin like a panniculectomy, but also allows a Plastic Surgeon to tighten the abdominal wall muscles. Tightening the abdominal muscles is the only way to tighten the foundation of the abdominal wall and obtain the flattest possible results.
Muscle Tightening – The Foundation of the Tummy Tuck
The Tummy Tuck Before and After Pictures above show what can be accomplished. The bulge that starts well above her belly button is from laxity of the muscles that make up the abdominal wall. This is often seen after pregnancy, and no matter how many sit-ups are performed, if the muscle fascia is over-stretched, the muscles will not tighten properly.
During your Abdominoplasty, the tough case the covers the front of abdominal muscles (the fascia) is tightened. Sutures are placed that act like an internal corset and flatten the belly. It is effective as long as the fascia is normal and the belly is not full of fat. Tummy Tucks are best performed when we are near our ideal body weight and are not planning to have more children.
Abdominoplasty Before and After Pictures
Abdominoplasty Before and After Pictures: The front view of the above Abdominoplasty shows how much the abdominal muscles and skin are tightened. The shadows of the muscles are brought closer to the midline and skin is much smoother. The belly button is also rejuvenated.
Skin Tightening – The Icing of the Tummy Tuck
Sometimes the abdominal muscles are in good shape, but there is too much skin covering them. Abdominoplasties directly remove extra skin right off the front of the belly, and the skin removal is sometimes continued around the sides for an extended Tummy Tuck, if the skin excess continues around to the sides. An Abdominoplasty will not tighten the skin of the back. This is why the Lower Body Lift was invented.
Fat Removal for Disproportionate Fat
Liposuction is frequently combined with the Tummy Tuck to maintain the trunk’s proportions. If the sides or back are full, but the skin is tight, Liposuction can be used to reduce this fullness. More recently, this fat has also been repurposed to enhance the buttocks as part of a Brazilian Butt Lift (BBL). In the BBL, fat is grafted into the buttocks to enhance its shape and restore absent volume. An example is shown below.
Tummy Tuck and Brazilian Butt Lift Before and After Pictures: In this case, Abdominoplasty is combined with Liposuction of the back and flanks. The fat is harvested and grafted into the buttocks to create fuller, curvier buttocks.
Tummy Tuck Consultations
If you are considering a Tummy Tuck, give my San Francisco Bay Area Plastic Surgery office a call today at (925) 943-6353. My friendly staff can help arrange a convenient appointment time, so that we can discuss the details of your procedure, and choose the type of Abdominoplasty that is best suited to your needs.
When is a Mini Tummy Tuck enough? It’s a question I answer every day. Cosmetic Plastic Surgery options for Abdominal Rejuvenation range from Liposuction to Tummy Tuck, with the Mini Tummy Tuck covering some of the middle ground. Unlike Liposuction alone, the Mini Abdominoplasty can tighten the skin and muscle wall of the lower abdomen. But a Mini Tummy Tuck doesn’t do everything a Tummy Tuck can, and it’s important to know the benefits, as well as the limitations, before proceeding.
Mini Tummy Tuck Video (Mini Abdominoplasty)
The Mini Abdominoplasty is discussed below. This video segment is taken from a recent Body Beautiful episode, which originally aired on the San Francisco Bay Area’s News Station, KRON 4. The following Mini Tummy Tuck Video answers many of the frequently asked questions about Mini Abdominoplasty and reviews the results that can be achieved. Indications for a Mini Tummy Tuck vs. Full Tummy Tuck or Liposuction are reviewed. The information provided is accurate, but cannot be considered medical advice. An in-person consultation with a Board Certified Plastic Surgeon is always recommended prior to choosing a treatment plan.
YouTube videos sometimes get stuck in Apple’s latest Safari Browser (9.1.1). This video may hang at 1:04. Click on the red time bar to fast forward to 1:05 and it should play to the end. Alternatively, you could use another browser.
Mini Abdominoplasty Before and After Pictures
Mini Tummy Tuck Before and After Pictures are included in the video above. The indications and results are illustrated and explained. Additional before and after photos are also available on my main website. For more information about determining what Liposuction, Mini Tummy Tucks and Tummy Tucks can do, see my Liposuction or Tummy Tuck Article.
What Is A Foopa?
Foopa comes from the acronym F.U.P.A., which is short for Fat Upper Pubic Area. Originally, this was meant to identify a disproportionate collection of fat above the privates and below the belt line; however, its meaning has expanded to include all lower belly fat, especially the fat that sticks out above a C-section scar. Foopas cause the fullness seen in “Mom Jeans.” Larger foopas can simulate the appearance of early pregnancy.
Can A Mini Abdominoplasty Fix A Foopa?
Small foopas, both above and below the belt-line, can often be fixed with a Mini Abdominoplasty. Larger foopas are associated with larger amounts of abdominal laxity, and often require a Full Tummy Tuck for the best results.
Mini Tummy Tuck Quick Check
Here is an easy way to check if a Mini Tummy Tuck is enough. Cover the area below the belly button and look at the belly. If the area above the belly button looks good, a Mini Tummy Tuck will often be enough to obtain a good result. If there is loose skin above the belly button, or if the abdomen bulges above the belly button, a Full Tummy Tuck will give a superior result. If the area below the belly button is full, but the skin is tight, Liposuction may be the easiest fix.
Liposuction, Mini Tummy Tuck or Tummy Tuck?
The decision between Liposuction, Mini Tummy Tuck or Tummy Tuck is not always easy. When in doubt, consult a professional. A Board Certified Plastic Surgeon can sort it out and review your options in less time than it takes to read this article. If you would like to schedule a private, in-person Mini Tummy Tuck consultation call (925) 943-6353 today. A personalized approach is taken with each patient.
Dr. Mele and Body Beautiful host Janelle Marie in the KRON 4 Bay Area News studio.
Since my first Body Beautiful appearance in 2007, the goal has remained the same: to explain what Cosmetic Plastic Surgery can and cannot do. The show began in the old KRON 4 Van Ness studios as a live broadcast, giving San Francisco Bay Area plastic surgery curious viewers the ability to call in and have their questions answered on the air.
Body Beautiful – Still Going Strong
The KRON 4 line up has changed through the decade, and so has the Body Beautiful broadcast time. Originally, part of the Medical Mondays lineup, we followed the morning news. As the daytime line up changed, we moved to Wednesday mornings and on occasion, the show was taped and rebroadcast on Saturday mornings.
Dr. Mele discusses Breast Lifts (Mastopexy), Breast Reductions (Reduction Mammoplasty), Arm Lifts (Brachioplasty) and Mini Tummy Tucks (Mini Abdominoplasty) LIVE next Wednesday, June 8, 2016, at noon on the Bay Area's News Station, KRON 4’s Body Beautiful.
This Wednesday Body Beautiful is LIVE
This week’s show is special. We will again be broadcasting LIVE, on Wednesday, June 8, 2016, at noon. It’s a new time, a new show, and it’s from the new KRON 4 studios, but the goal of demystifying Cosmetic Plastic Surgery remains the same. This week’s topics on Body Beautiful are all about Body Shaping:
As usual, the segments from the show will be posted here on the San Francisco Plastic Surgery Blog. Currently, there are 128 Plastic Surgery Videos on the blog, so if you are looking for Cosmetic Plastic Surgery information, you are in the right place. Use the links under Categories to explore the procedures you are interested in learning more about. This blog, as well as my other plastic surgery web sites, are constantly being updated, as new information and options become available. And don’t forget to watch our next live show this Wednesday at noon on KRON 4.
Cosmetic Plastic Surgery Consultations
The Internet is a great place to get information, but there is no filter on it. There is no substitution for an in-person consultation with an experienced and Board Certified Plastic Surgeon. To schedule your personalized and informative, private plastic surgery consultation, call (925) 943-6353, today.
Mommy Makeovers are a combination of cosmetic plastic surgery procedures that enhance, or repair, the breasts and belly. Since both areas take a hit with pregnancy, it is most commonly performed for mommies, but Mommy Makeover procedures are also performed after weight loss. Post Bariatric Surgery patients often have loose skin on their breasts, bellies and other areas, so Mommy Makeovers are performed after weight loss also.
The Mommy Makeover helps by enhancing both the breasts and the belly in a single combination plastic surgery procedure. Above, a Breast Augmentation Lift (Augmentation Mastopexy) is combined with a Tummy Tuck for the optimal result.
The Mommy Makeover is a not a specific operation, but rather a combination of breast and belly enhancement procedures. Each area is evaluated separately and we choose one from column A (breast enhancement) and one from column B (belly enhancement) and the combo plate is termed a Mommy Makeover. The ability to mix and match is what makes the procedure so powerful. The best procedures for each area are combined.
Mommy Makeover – Breast Enhancement
Breast Enhancement is half of the Mommy Makeover. In this case, a Breast Augmentation Mastopexy is performed. A Breast Implant is used to increase the breast volume, while a Breast Lift is used to raise the nipple and reshape the breast. A larger implant without a lift would not make a pretty breast. A larger implant would make larger breasts, too large for this patient’s desires. Additionally, the larger implant would push the nipple lower on the breast.
Breast Enhancement includes many options. The most common are Breast Augmentation and Breast Lifts, though for those women whose breasts do not shrink after pregnancy, Breast Reduction is also a possibility. Below is a list of Breast Enhancement procedures with links to additional information:
The gold standard of Belly Enhancement is the Tummy Tuck. It reduces loose abdominal skin, removes excess belly fat and tightens muscle laxity including rectus diastasis (muscle separation).
Belly Enhancement also includes several options. The classic Mommy Makeover is a Breast Augmentation combined with a Tummy Tuck. The Tummy Tuck (Abdominoplasty) is the work horse. Abdominoplasty can correct loose skin, lax muscle fascia and remove excess fat. It is the only procedure that addresses all three areas over the entire belly. Sometimes, a Tummy Tuck is more than is needed so “smaller” procedures, like Mini Tummy Tucks or Even Liposuction can be substituted for selected patients. Links to more information about the Tummy Tightening Procedures are provided below:
Liposuction can also be added to help with other problem areas like the love handles, muffin top, thighs, arms or chin, too.
Mommy Makeover – Putting It All Together
Choice is good, but sometimes too many choices leads to confusion. The beauty is that you don’t have to decide on your own. An Experienced Board Certified Plastic Surgeon is skilled in all your options, and can explain which procedure best accomplishes your goal. This can help you choose the best procedures, and help you know before committing, if a Mommy Makeover is right for you.
Mommy Makeover Consultations
If you are considering a combination of Cosmetic Plastic Surgery like a Mommy Makeover, call (925) 943-6353 today, and schedule a personalized and private consultation. The best breast and belly procedures will be discussed, and a specific plan created just for your body.
When I started my San Francisco Bay Area Plastic Surgery practice in 1997, cosmetic procedures were performed one eighth as often as they are today.
In 1997, over 1.6 million cosmetic plastic surgery procedures were performed, and most of them were surgical. The breakdown was 55% (900,933) surgical and 45% (740,751) non-surgical.
In 2015, almost 13 million cosmetic plastic surgery procedures were performed. The number of surgical procedure performed more than doubled, from 900,933 to 1,912,468. Percentage-wise, however, surgery slipped to only 15% of all cosmetic procedures. There was a tremendous surge in the number of non-surgical procedures performed driven by new technology and expanded FDA approval. In 2015 10,879,909 non-surgical procedures were performed, a 1400% increase.
Non-surgical Plastic Surgery Procedures Then and Now
The nonsurgical procedures of 1997 were not the same as today’s. The sole filler was collagen, which only lasted a few weeks, sometimes months. Botox was available, but the use of Botox for wrinkles was not FDA approved. In 1997, using Botox for frown lines and wrinkles was strictly an off label, use confined to selective Dermatology and Plastic Surgery practices (like mine).
In 2016, there are a variety of FDA approved fillers are available, each lasting months, sometimes years. The most commonly used dermal fillers are Hyaluronic Acid based including: Restylane, Juvederm, Restylane Lift (Perlane), but Radiesse (Calcium Hydroxyapatite spheres) has also emerged for boney augmentation (Cheeks and Chins) and the nasolabial folds. Botox is FDA approved for wrinkles, and is now found in just about every spa in the San Francisco Bay Area.
Surgical Plastic Surgery Procedures Then and Now
Unlike their non-surgical counterparts, the majority of the surgical procedures performed today are largely the same. New techniques and material (sutures and implants), have developed, but the most popular procedures of 1997 are the most popular procedure of 2015 too. To date, they have not been replaced by non-invasive procedures because non-invasive procedures cannot accomplish the same results. Women continue to dominate men in numbers, so let’s break down the procedures desired by each sex.
Plastic Surgery for Women
The headlines read that Buttocks Augmentation is the fastest growing cosmetic surgery. The 30% increase is statistically true, but is magnified by the fact that not as many Buttocks Augmentation are done as Breast Augmentation. Looking at the number of cases performed in 2015 reveals the popularity of the procedures:
Buttocks Implants – 5678
Buttocks Lifts – 5008
Brazilian Butt Lifts (Fat Grafting to the Buttocks) – 15,705
Breast Implants – 305,856
Comparing Buttocks to Breast Augmentation, if 3000 more Brazilian Butt Lifts are performed this year, that will almost be a 20% increase. On the other hand, if 3000 more Breast Augmentations are performed, that will be an increase of less than 1%. It’s all relative to how many procedures are performed.
The most popular Cosmetic Plastic Surgeries for women are Liposuction, Breast Augmentation, Tummy Tuck, Breast Lift and Eyelid Lift.
The most popular Cosmetic Plastic Surgery procedures from women have been pretty consistent over the last 18 years:
Comparing the male and female procedures, Rhinoplasty, Facelifts and Breast Reduction are pushed out of the top five by Mommy Makeovers; however, they are next. Cosmetic nasal surgery was number 6; Facelifts was number 7, and breast reduction was number 8 for women. When it comes to Cosmetic Plastic Surgery, men and women seem to want the same things.
Cosmetic Plastic Surgery Consultation
If you are considering Cosmetic Plastic Surgery in the San Francisco Bay Area, call (925) 943-6353 today, and schedule a private consultation appointment. Every consultation is tailored to your specific needs. The decision to proceed, or even to explore, cosmetic surgery is personal. My goal is to provide you the information you need to make your own informed decision.