The most common Mommy Makeover combination is the one depicted above: Breast Augmentation and a Tummy Tuck. Breast Implants restore the lost breast volume, while the Tummy Tuck flattens and tightens the abdominal wall.
Mommy Makeovers remain one of the most popular body shaping combinations for women. The combination of Breast Enhancement and Belly Embellishment is often performed after childbirth and/or weight loss, with the goal of reestablishing more shapely and youthful proportions. While Breast Augmentation with a Tummy Tuck is the most common combination, it is important to pick the procedures most appropriate to your needs. Below, I discuss the options for rejuvenation of the breasts and the belly.
Breasts often change with pregnancy and breast feeding. Variations are common, but typically breasts increase with pregnancy and then end up smaller after lactation ceases. The problems come when the postpartum breasts are too small, too saggy or remain too large (less common but, can be just as annoying).
Breast atrophy after pregnancy is very common. Breast Implants can restore lost volume and restore the proportions that enhance the breasts’ shape both in and out of clothing.
It is best to wait at least three months after lactation ceases before having any breast procedure. This allows the breasts to settle down to a consistent shape, providing more predictable and safer surgery. Depending on your experience and goals, options for Breast Enhancement include:
Bellies, too, get stretched out during pregnancy. Subsequent pregnancies tend to increase injury, especially if close together. Working out and abdominal exercises help, especially if you are in good shape before pregnancy and maintain a healthy weight during pregnancy. Even under the best circumstances, a big healthy baby can trump a flat healthy belly. The options for tummy rejuvenation include:
After pregnancy or weight loss, the abdominal muscles, skin and fat can all be compromised. Fortunately, a Tummy Tuck repairs all three areas. An experienced Board Certified Plastic Surgeon is the best choice for your Mommy Makeover.
Liposuction can also be used in combination with either of the Tummy Tucks, and the fat removed with Liposuction can be repurposed to enhance other curves, like the buttocks when combined with a Brazilian Butt Lift. If you are wondering which procedure is best for you, an in-person consultation is the best way to find out. I have a page on my main website that explains some of the decision points when trying to decide: Liposuction or Tummy Tuck?
Mommy Makeover Consultations
To explore all your body rebuilding options, call (925) 943-6353, and schedule a personal consultation appointment in our San Francisco Bay Area plastic surgery clinic. A Board Certified Plastic Surgeon is your best guide for explaining what Cosmetic Plastic Surgery can offer. Since we offer a wide variety of procedures, we can offer you the best choices for your Mommy Makeover.
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 Chin and the Neck are neighbors, so it makes sense that when Plastic Surgery is being considered to enhance one, the other should also be evaluated. This San Francisco Plastic Surgery Blog post considers three patients who presented to my Walnut Creek Plastic Surgery Clinic. Each of them had different problems, but all of them wanted something to improve the profile of their necks.
Neck Liposuction Before and After Pictures
The “full” neck responds well to Neck Liposuction, as long as the skin tone is good. This is demonstrated by the Neck Liposuction Before and After Pictures shown above.
The Full Neck
The ideal Neck Liposuction patient is someone who has disproportionate fat under their chin and good skin tone. The excess fat can be safely and predictably removed with Liposuction, and elastic skin will easily shrink-wrap to the new, tighter profile.
The first patient, whose neck profile is shown in the above Neck Liposuction Before and After Photos, is a good candidate for the procedure. There is excess fat and the skin tone is good enough to show-off the new and improved contour. The definition between the face and neck is enhanced, and the angle of the neck is better defined. What happens when there is not a lot of excess fat, or when there is just too much skin? Read on; the next two examples explain.
Neck Liposuction With A Chin Implant Before and After Pictures
A weak chin can affect the neck profile. When the chin is small, it decreases the definition between the chin and the neck. In the case above, Neck Liposuction was combined with a Chin Implant to maximize the definition and the results.
The Small Chin and the Full Neck
Sometimes, the appearance of the full neck is compounded by a weak chin. With less area, it takes less fat to fill the neck. Liposuction alone would provide some improvement, but would be less effective than it is for someone with a proportionate chin. The Neck Liposuction With Chin Augmentation Before and After Pictures above show what the combination can accomplish.
In the above example, the excess fullness of the neck is removed with Liposuction. The profile is further improved by increasing the projection of the chin with a well proportioned Chin Implant. The “ideal” position of the chin on profile is equal to the projection the lower lip.
Neck Liposuction With A Neck Lift Before and After Pictures
Sometimes there is too much skin for Liposuction to be successful. In the Neck Liposuction with Neck Lift Before and After Pictures shown above, a Neck Lift was used to remove the excess skin, and to reveal the contour created by removing the excess neck fat with neck liposuction.
Neck Liposuction With A Neck Lift
In cases when disproportionate neck fat is combined with excess neck skin, a Neck Lift or Face Lift is used with Neck Liposuction to give the best results. Liposuction alone would leave the neck skin deflated, like a loose sail of skin. By adding a skin lift, the excess is removed, and the skin that remains is tight to the newly sculpted neck profile.
Neck Enhancement Consultations
The secret to excellent Neck Contouring results is a combination of good technique and selecting the procedure that is right for your neck. There are many procedures which can be used to improve the profile of the neck, and searching them all on the Internet can be confusing. Let a qualified and experienced Board Certified Plastic Surgeon be your guide.
If you would like to learn more about what Plastic Surgery can offer you, call (925) 943-6353 today, and schedule a private, personalized consultation appointment in my San Francisco Bay Area Plastic Surgery Clinic.
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.
Liposuction remains one of the most popular Cosmetic Plastic Surgery procedures.
Liposuction is Popular
When it comes to controlling the shape of our bodies, American’s put their money where there mouths take them. Collectively, we spend over 2.6 billion on gym memberships and over one billion dollars on Liposuction each year. With over 300,000 Liposuction procedures performed by Board Certified Plastic Surgeons alone. So, what can Liposculpture really do?
Liposculpture Before And After Pictures
First off, Liposculpture and Liposuction are the same thing. Liposculpture emphasizes that the procedure allows for selective removal of fat cells and as a result, sculpting of the body. Liposuction is more objective and emphasizes that the procedure removes fat by vacuuming it out.
The following is a video segment from my latest appearance on the San Francisco Bay Area’s New Station, KRON 4. The show is broadcast live, and gives me the opportunity to talk about the latest that cosmetic plastic surgery has to offer. This television segment is about Liposculpture and includes many Liposuction Before and After Pictures to illustrate what the procedure has to offer. It also includes several complementary treatments for the stubborn neck area.
Liposuction Video Presentation
Liposuction Consultation Appointments
When considering Liposuction, 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.
Miami, Florida, seems to be hot bed for Deceptive Plastic Surgery Practices, and is giving good Miami Plastic Surgeons a bad name. The most recent incident to make the national news is a Botched Brazilian Butt Lift at Encore Plastic Surgery. The clinic is linked to a chain that focuses on cheap plastic surgery for medical tourists visiting Florida for a procedure and a vacation.
Fake San Francisco Plastic Surgery
Miami is not unique, however. This year, Carlos Guzmangarza was sentenced to 20 years in prison for performing illegal plastic surgery out of his fake San Francisco, California “plastic surgery” clinic. His Mission District clinic preyed on many Central American immigrants. Allegations include: smoking a cigar during surgery, flushing Liposuction fat down the toilet, sexual assault, the injection of unknown skin fillers and leaving a four inch needle in a patient’s buttocks. Eventually, he was convicted of thirty-three felonies and eight misdemeanors.
Caveat Emptor – Let the Buyer Beware
In most cases, there are clues that everything is not up to the usual standard of care. In the case of Mr. Guzmangarza, not only was he not a Board Certified Plastic Surgeon, he was not a doctor. He did not have a medical license, and that’s something that anyone could check.
Check the Medical License
Notice the medical license is for a “Physician and Surgeon.” California, like all states, does not differentiate.
I am Certified by the American Board of Plastic Surgery. The only ABMS recognized board for Plastic Surgery.
The American Board of Plastic Surgery offers a free, online certification lookup. Click here to see if your doctor is certified by the American Board of Plastic Surgery. Most doctors claiming the title “Plastic Surgeon” are not certified by the American Board of Plastic Surgery. In fact, it is estimated that only one in twelve practitioners practicing plastic surgery are Certified by the American Board of Plastic Surgery. Does your doctor have the best training?
Check For Other Board for Certifications
I am also certified by the American Board of Surgery, because I completed a residency in General Surgery, too.
If your doctor is certified by the American Board of Ophthalmology, they are trained in surgery of the eyes. So if you are having Eyelid Surgery, they should have had the appropriate training. On the other hand, if you are having Liposuction, buyer beware.
If your doctor is certified by the American Board of Otolaryngology, the are trained in ear, nose and throat surgery, so Facial Plastic Surgery is within the scope of their training. If you are having Rhinoplasty, this is an appropriate board for certification. If you are having Breast Augmentation, buyer beware.
Non-Surgical Board Certification
The non-plastic surgery boards listed above are at least surgical boards. Some “cosmetic surgeons” have non-surgical board certifications. Certification by Family Practice and Internal Medicine Boards is not reassuring if you are having a surgical procedure. Proof of additional surgical training should be made available, and it should be years or training, not a weekend course.
Do Your Homework
A well trained, experienced practitioner will be up-front and honest about their training and abilities, but those who are not honest may be even more convincing. You need to do your homework. Use the links above to confirm what you are being told. If it does not fit, do not commit.
It is no secret that the number of Buttocks Augmentations has been growing exponentially in the United States over the last decade. The procedure most responsible for this rise in popularity is the Brazilian Butt Lift.
Brazilian Butt Lift
Tummy Tuck and Brazilian Butt Lift Before and After Pictures: In this case, fat is harvested from the abdomen, back and flanks and is transplanted to create fuller, curvier buttocks.
The Brazilian Butt Lift was pioneered by Brazilian Plastic Surgeon Ivo Pitanguy. It involves three steps.
First, fat is collected via Liposuction, so if you are considering Buttocks Enhancement with Fat Grafting, you need to have a little extra fat to donate.
Second, the fat is cleaned. While many methods exist, decanting, centrifuging and filtering remain the most popular. At the recent American Society of Plastic Surgery Meeting in Los Angeles, all methods were shown to be safe and effective; however, the original decanting method seems to provide the greatest amount of fat take in the buttocks.
Fat in syringes ready for grafting.
Third, the best fat cells are transplanted into the buttocks. The greatest benefit of Fat Grafting to the Buttocks is its ability to not only enlarge, but to reshape the buttocks. Fat can be placed selectively into the areas that need it more. The primary limits to the amount of fat that can be grafted are the amount available, and the blood supply available to support it. Too much fat in one area can lead to less graft take and a greater change of contour irregularities. This is where craftsmanship counts.
Alternatives to Buttocks Fat Grafting
A simple Google search for Buttock Enlargement reveals that there are other ways to get a larger posterior, but are they effective? Other surgical techniques include Buttock Implants and the injection of other substances. The pressure for these types of operations comes from the fact that often, there is not enough fat available for grafting into the buttocks. Unfortunately, the results are not great. Buttocks Implants tend to ride higher that the cosmetic ideal and cannot selectively enhance specific quadrants of the buttocks. Fillers have a long history of disaster associated with them, including infections, granulomas, redness, hardening and even death. There are no FDA approved fillers for the buttocks, and many of the substances used for Buttocks Enlargement, silicone and PMMA, are well known to cause permanent disfigurement, and should be avoided.
Non-surgical alternatives include exercise and creams. Exercise is a very healthy alternative and has many other benefits that fat grafting does not provide. Leg curls, squats and lunges have been proposed as buttocks enhancers. Like muscle building in general, it will work for some, but not many. For women in particular, it is more difficult to build bulky muscle, which is want is needed for any significant enlargement. So while exercise is safe, it is often not effective. Buttocks creams have been available in Brazil for many years. I will not get into the details, but none have received FDA approval for safety or efficacy, so buyer beware.
Buttocks Enhancement Consultation
If you are considering a Brazilian Butt Lift, be certain to seek an experienced Board Certified Plastic Surgeon. It is a highly artistic procedure and is as dependent on technique and craftsmanship as it is on the method selected.
A personal consultation is the best way to learn what the procedure can do for you. Call (925) 943-6353 to speak directly with our San Francisco Bay Area Plastic Surgery staff in the East Bay City of Walnut Creek for your private, confidential appointment.
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.