Tummy Tucks and Abdominoplasty – SF Bay Area Plastic Surgery

Posted November 25, 2019 in Home, Liposuction, Mini Tummy Tuck (Mini Abdominoplasty), Mommy Makeover, Tummy Tuck (Abdominoplasty)

The Tummy Tuck is one of my favorite procedures. Considered by many as the gold standard of cosmetic plastic surgery of the abdomen, Tummy Tucks are satisfying for both patient and doctor. The procedure allows me to flatten bellies for a number of different problems.

Illustrated below with before and after pictures are several examples of typical Abdominoplasty results. If you watch my TV show, Body Beautiful on the San Francisco Bay Area’s news station, KRON 4, you can hear me narrate the details of each case, including information about the recovery process for each Tummy Tuck Procedure.

Tummy Tuck Before and After Pictures

Abdominoplasty is frequently used to restore the belly to its pre-pregnancy shape. The patient below has maintained her weight and fitness throughout her pregnancy, but was still left with abdominal wall laxity. She was unhappy with her appearance and her clothes did not fit well. A Tummy Tuck was performed to flatten her belly by tightening her abdominal wall muscles, removing excess abdominal wall fat and removing excess lower abdominal skin. Her clothes fit much better after surgery, and her smile comes more easily.

Tummy Tuck before and after pictures (Abdominoplasty)

Tummy Tuck before and after pictures (Abdominoplasty) – Even after weight loss, this patient has abdominal wall laxity after pregnancy. The Tummy Tuck tightens both the muscle layer and the skin while removing any excess lower abdominal fat.

More Abdominal Laxity Makes More Abdominal Roundness

An increase in abdominal wall laxity means an increase in abdominal girth. The patient below has more skin and abdominal laxity than the case above, but the treatment is similar. The excess skin and attached fat is removed from the lower abdomen, while the muscle wall is repaired directly. In this case, the rectus abdominis muscle fascia is tightened like an internal corset to provide a flatter belly.

Tummy Tuck before and after pictures (Abdominoplasty)

Tummy Tuck before and after pictures (Abdominoplasty) – In the above case, the abdominal wall was completely stretched out. Regardless of the number of sit ups she did, her belly stayed round. The Tummy Tuck tightened her muscles, removed extra skin and flattened her belly.

Another Happy Tummy Tuck Patient

Every few years the patient below emails to let me know how happy she is with her Tummy Tuck Results. This is a woman who works hard to maintain her fitness level, but she was unhappy with her pre-tummy-tuck belly and was feeling hopeless about ever recovering her youthful belly. After her Tummy Tuck, she was happy right as soon as she saw her improved abdominal contour. She has maintained her results for years via a sensible diet and exercise program, as the above photo demonstrates.

Tummy Tuck before and after pictures (Abdominoplasty)

Tummy Tuck before and after pictures (Abdominoplasty) – This patient had disproportionate lower abdominal fat and muscle laxity. Abdominoplasty restored her youthful shape. She still sends me pictures from time to time showing how incredibly well she is maintaining her excellent results.

More Skin Laxity Requires More Skin Removal

The patient below had both abdominal wall laxity and redundant tummy skin despite a diet and exercise program. The excess skin hung over her pants and protruded under her dresses making her quite unhappy. Abdominoplasty provided something that she could not achieve with diet and exercise alone — tighter abdominal muscle fascia and skin. After Abdominoplasty, her abdomen is flat, and her clothes fit much better.

Tummy Tuck before and after pictures (Abdominoplasty)

Tummy Tuck before and after pictures (Abdominoplasty) – This patient had disproportionate lower abdominal fat with skin and muscle laxity. Her Tummy Tuck restored her flat belly by tightening the muscle layer which is the foundation for a flat abdomen.

Mini Tummy Tucks For Smaller Belly Problems

The fitness “addict” below was frustrated with the inability to get her pre-baby belly back. She worked out hard, but was left with lower abdominal skin laxity and a rounder wider central belly. A Mini Tummy Tuck was used to cinch her waist and flatten her abs. Liposuction was also used to smooth areas of disproportionate fat as indicated by the ink in the preoperative photo.

Mini Tummy Tuck before and after pictures (Mini Abdominoplasty)

Mini Tummy Tuck before and after pictures (Mini Abdominoplasty) – This patient had mild skin laxity confined to the area inferior to her belly button with some mild muscle laxity and disproportionate fat. A mini tummy tuck was used to restore her fit contours, something she works hard to maintain.

Tummy Tuck Consultations

If you have had children or have lost weight and would like to learn more about Abdominoplasty, call (925)943-6353 today and schedule a private and personal consultation appointment in our Walnut Creek Plastic Surgery Clinic. I will go over all your options and explain what will work best for your specific situation and goals.

Read More

Gynecomastia Reduction – Male Breast Reduction | San Francisco Bay Area

Posted November 11, 2019 in Breast Reduction, Breast Reduction (Men), Home, Liposuction

Between men and women, the breasts are an area with significant aesthetic differences. For both sexes, shape trumps size. However, size is particularly important for the masculine chest. Male breast enlargement is a source of embarrassment and a common reason that men both young and old seek plastic surgery.

Gynecomastia Reduction - before and after pictures

Gynecomastia Reduction Before and After Pictures – The before picture on the left is of an adolescent male who experienced sudden and severe gynecomastia development while still attending high school. He was more comfortable and happy in the after photo on the right.

Gynecomastia Reduction Surgery is a relatively short outpatient surgical procedure. Also known as Male Breast Reduction, it is often performed for men whose breast tissue has grown too large, making them unhappy with the appearance of their chest.

The Ideal Male Chest

Gynecomastia Reduction before and after photos - Male Bodybuilder

Gynecomastia Reduction before and after photos – The above Male Bodybuilder has spent a lot of time developing and contouring his chest. Unfortunately, he had a small amount of gynecomastia causing puffiness behind his nipples, left greater than right. Gynecomastia reduction improved his symmetry and put the icing on this beefcake.

While a man’s chest is generally flatter than a woman’s, it is not flat. A certain amount of projection and curvature is masculine. On the other hand, too much projection is feminizing. This applies to both the chest mound and the nipples. The lateral aspect of the ideal masculine chest ends at the edge of the pectoralis major muscle. Unlike a woman’s breasts, the masculine chest does not have “side-boob”, and male nipples are smaller and flatter.

Gynecomastia Reduction before and after photos - body builder side view

Gynecomastia Reduction before and after photos – This is the same body builder seen above. On the side view, his puffy nipples due to gynecomastia are more easily seen. The after photos shows his improved appearance.

What Is Gynecomastia?

Gynecomastia is overdeveloped breast tissue in men. It can be a source of embarrassment both in and out of clothing. Even in clothing, an overdeveloped male chest can be hard to disguise. The majority of the breast tissue in a man is behind the nipple. Excess fullness in this area causes the areolae (the circles of colored skin around the nipple) to over project, making the nipples stick out. The more prominent the tissue, the harder it may be to participate in normal activities such as going to the beach or swimming. This is often referred to as “puffy nipples”.

What Is Gynecomastia Reduction?

Gynecomastia Reduction is an outpatient surgical procedure which removes disproportionate breast tissue and fat from the male chest. It is the most effective way to remove gynecomastia and masculinize the chest. Male Breast Reduction, whether for body builders and regular Joes, is one of the most satisfying services I provide every week as a Cosmetic Plastic SurgeonWalnut Creek Plastic Surgery practice.

Gynecomastia reduction with liposuction and direct excision - before and after photos

Gynecomastia reduction before and after photos: Even this hairy chest looked feminine in a shirt. A combination of Liposuction and direct excision was used to remove the excess breast tissue and masculinize this patient’s chest.

Gynecomastia Reduction is usually performed with a combination of Liposuction and direct excision of the excess breast tissue. This two-pronged approach allows for the removal of excess fat via small incisions in the armpits and removal of the firm, rubbery breast tissue from beneath the nipples via periareolar incisions. The incisions are usually discreet, but the results are clearly evident and very satisfying.

Gynecomastia Consultations

Gynecomastia Reduction Consultations should be sought from an experienced, Board Certified Plastic Surgeon. In the San Francisco Bay Area, call (925) 943-6353 for your private and personal consultation appointment. More details about the procedure are available here, on the San Francisco Plastic Surgery Blog, but for the best information, there is no substitute for an in-person evaluation.

Read More

Liposuction Before and After Video

Posted October 28, 2019 in Home, Liposuction, Videos

Liposuction of the Abdomen Before And After Pictures

Liposuction removes disproportionate fat from the abdomen and other areas of the body.

Today’s Liposuction Video

Today’s video presentation is all about Liposuction. Liposuction is a cosmetic plastic surgery procedure used to vacuum away unwanted fat via small, discrete incisions. In the example above, Liposuction contoured the abdominal wall and an Abdominoplasty was unnecessary. The Liposuction Video below is from the San Francisco Bay Area’s News Station, and first aired on KRON 4’s, Body Beautiful. The video provides details about the procedure and illustrates actual results with before and after pictures narrated by San Francisco Bay Area, Board Certified Plastic Surgeon, Dr. Joseph Mele.

Liposuction Video Presentation as seen on TV

The History Of Liposuction

Liposuction has been around for almost 100 years. French surgeon Charles Dujarier first introduced the concept of body contouring with fat removal in the 1920’s. Often a curette, a small sharp edged spoon, was used to scrape, shift or remove fat. The results were often unpredictable and irregular.

Blunt Cannulas and Tumescent Liposuction

Liposuction became more practical and reliable in the mid 1970’s after Italian surgeons, Arpad and Giorgio Fischer, father and son, developed liposuction in Rome utilizing the blunt style of cannula which we still use today. In 1982, French surgeons Yves-Gerard Illouz and Pierre Fournier improved the technique. Illouz was one of the first to popularize the injection of tumescent fluid prior to liposuction, and Fournier developed the criss-cross technique using multiple access points to smooth the results. The combination of blunt cannulas, “wet” techniques and multiple crisscrossing incisions made Liposuction safer, allowed for more extensive fat removal and provided superior results.

Liposuction of the Abdomen and Chest before and after pictures

Liposuction of the Abdomen and Chest contours these areas, reduces fat and improves body proportions.

In the mid 90’s, Dr. Klein revolutionized liposuction with the introduction of the tumescent technique. The introduction of Tumescent Liposuction introduces local anesthetic (like Lidocaine) and a drug that shrinks capillaries (epinephrine) into the wetting solution. This provides pain control and less bleeding allowing for the safe aspiration of larger volumes of fat. It is what allowed liposuction to become a mainstream cosmetic plastic surgery procedure. Despite attempts to improve liposuction outcomes with lasers and ultrasound, Tumescent Liposuction remains the gold standard for Liposuction today.

Liposuction before and after pictures of the neck and under the chin

Liposuction can remove stubborn fat from the neck and under the chin.

Ultrasound, Lasers and Power, Oh My

During the 1990’s various forms of energy were added to Liposuction in an attempt to further increase its effectiveness. The main goal of these devices was to provide additional skin shrinkage. While demonstrable, in their current form, the amount of skin shrinkage provided with these techniques remains minimal. Sadly, corporations have become invested in these “name brand” procedures. They advertise positive, discounting the small magnitude of these advantages and do not discuss the downsides, which can be significant. The use of high energy liposuction devices has lead to an increase in burns and other complications with debatable improvement at best.

Liposuction Consultations

If you are considering Liposuction, be certain to select an experienced and Board Certified Plastic Surgeon like Dr. Joseph Mele. In the San Francisco Bay Area call (925) 943-6353 and schedule a private consultation appointment tailored specifically to your needs.

Read More

Liposuction of the Trunk Before and After Pictures – San Francisco Bay Area

Posted July 15, 2019 in Breast Reduction (Men), Home, Liposuction

Liposuction of the Trunk, in order of popularity includes liposculpture of the:

  • abdomen
  • flanks (sides)
  • back
  • chest

If you have disproportionate collections of fat in these areas that are bothersome, Liposuction may offer a solution.

Liposuction of the Abdomen

Liposuction of the Abdomen removes disproportionate fat from the belly. Fat is removed from between the skin and the abdominal muscles. This is usually stored in the lower abdomen, and may run around to the sides. Less commonly, fat is also deposited on the upper abdomen and along the ribs. Results are best with localized collections of fat, as opposed to globally deposited fat. Tight, thin skin helps reveal the results, while fat inside the abdomen, behind the abdominal muscles, cannot be removed with Liposuction. Internal abdominal fat requires weight loss for removal.

Liposuction of the Abdomen

Liposuction of the abdomen can help flatten the belly.

The woman above is close to her ideal body weight, yet continues to have disproportionate fat of the abdomen, especially within the lower abdominal wall. Tumescent Liposuction was performed to remove fat from the upper and lower abdomen and smooth her belly. Her clothes fit better, and she is much happier after her tummy nipping procedure.

Liposuction of the Flanks and Back

Back fat is annoying for everyone. It impacts the way clothes fit, and sometimes bulges over the top of jeans causing a Muffin Top or the hated Love Handles. It can be stubborn and persistent, even with exercise and after weight loss.

Liposuction of the Back (Love Handles)

Liposuction of the Love Handles or Muffin Top is one of the most popular areas for Liposculpting with a high degree of patient satisfaction.

The gentleman above is in great shape before his Liposculpture; however his physique is hidden under stubborn, localized fat surrounding his flanks and back. Liposuction was performed through small incisions located discretely below the belt line. The excess fat was removed on a Friday, and by Monday he was feeling fine.

Vigorous activities after Liposuction are limited for a week or so to prevent complications and reduce the duration of post-operative swelling. Additionally, an abdominal binder is worn postoperatively for a few weeks to help the skin stay smooth.

Liposuction of the Chest and Abdomen

Liposuction is best for fine tuning fat removal and improving body contours. It is not for weight loss. In fact, the maximum amount of fat that should be removed in one operation is five liters, or about eleven pounds. The more fat that is removed, the more likely the skin will fold, as support provided by the fat is lost. Much like the stuffing in a pillow case, the fat not only makes the skin bigger, but also holds it up. If skin laxity is present before liposuction, removing the fat will shrink the treated area, but it might also make the skin look worse.

Liposuction of the Chest and Abdomen in a Man

Liposuction of the chest can reduce mild gynecomastia. Liposuction of the back and abdomen can give a leaner look.

The patient above is in great shape, but complained of fullness in his chest and abdomen. He had disproportionate fat of the chest (pseudogynecomastia) and abdominal wall. He was a good candidate for Liposuction, because he had little intra-abdominal fat and no skin laxity. Liposuction was performed to remove the bothersome fat. His elastic skin shrunk, revealing better muscle definition and the physique he desired.

Liposuction Consultations

Before and after pictures are a good way to see what Liposuction can do. More Liposuction Before and After Photos with descriptions are available on DrMele.com on our new Liposuction Before and After Page. However, there is no substitute for an in person consultation with an experienced, Board Certified Plastic Surgeon.

To schedule a Liposuction Consultation in our Walnut Creek Plastic Surgery Clinic, call (925) 943-6353 today.

Read More

Tummy Tucks (Abdominoplasty) SF Bay Area

Posted May 13, 2019 in Butt Lifts, Home, Tummy Tuck (Abdominoplasty)

Tummy Tuck Before and After (Abdominoplasty)

The Tummy Tuck tightens loose abdominal muscles, removes excess abdominal skin and reduces abdominal fat.

Abdominoplasty is an elective plastic surgery procedure created to restore the appearance of the belly after weight loss and childbirth. Commonly known as a Tummy Tuck, the procedure is extremely effective because it uses a three-step approach to abdominal rejuvenation.

Why Won’t My Belly Flatten?

A common question my patients ask after childbirth or weight loss is, “Why won’t my belly flatten?” Unfortunately, the abdominal skin and muscles can permanently stretch during pregnancy or weight gain.

The abdomen does not always flatten after weight loss. Diet and exercise can increase abdominal muscle tone and reduce abdominal fat; however, they do not remove excess skin and cannot tighten the abdominal muscle sheath.

How Does Abdominoplasty Work?

As mentioned above, the Tummy Tuck is a three-step procedure. It optimally flattens the abdomen by:

  • Tightening the muscle fascia
  • Removing excess abdominal skin
  • Reducing excess abdominal wall fat

Here are the details.

Tightening The Abdominal Muscles

The patient above has very little excess skin and fat; however, her muscles are stretched out of shape. A Tummy Tuck was performed to tighten her abdominal wall, like an internal corset. Also, the available fat she had was used to reshape her buttocks with a Brazilian Butt Lift.

The patient above has very little excess skin and fat; however, her muscles are stretched out of shape. A Tummy Tuck was performed to tighten her abdominal wall, like an internal corset. Also, the available fat she had was used to reshape her buttocks with a Brazilian Butt Lift.

The muscles of the abdominal wall lie beneath the abdominal skin and subcutaneous fat, and superficial to the abdominal organs. With weight gain and pregnancy, the abdominal muscles get stretched out. The muscle fibers still contract and they are strengthened with exercise; however, the case around the muscles (the muscle fascia) remains distended.

As part of the Tummy Tuck, the lax fascia is tightened. It is like applying an internal corset. Since the muscle is the foundation of the abdominal wall, failure to tighten this leaves the abdomen round and poochy. Abdominoplasty is very effective for candidates who are near their ideal body weight. Unfortunately, fat around the organs cannot be removed during a Tummy Tuck, and this internal fat can interfere with the results. For some patients, weight loss is recommended before Abdominoplasty in order to obtain the optimal result.

Removing Excess Abdominal Skin

Tightening the skin removes any skin that folds over. The above Abdominoplasty Before and After Pictures show a small amount of excess skin, but as the muscle is tightened it increases. The pictures in the next section show a large amount of skin excess.

Tightening the skin removes any skin that folds over. The above Abdominoplasty Before and After Pictures show a small amount of excess skin, but as the muscle is tightened it increases. The pictures in the next section show a large amount of skin excess.

Abdominoplasty means abdomen changing, and one of the biggest changes is the removal of redundant skin. When skin is folding over, weight loss and exercise rarely fix it. Moreover, as additional fat is lost, the support for the skin is reduced, and the skin folds over even more.

Tummy Tucks remove excess skin directly via an incision below the belt line. The low placement of the scar helps keep it well hidden. The wider the skin redundancy, the wider the required incision. In cases of extreme weight loss, the redundancy may extend all the way around the body and a lower body lift is performed.

Reducing Excess Abdominal Wall Fat

My patient above has lost a lot of weight. You can see that her muscle laxity is causing the bulge in her upper abdomen, and that excess skin and fat on the lower abdomen are hiding the results of her work-outs. Her Abdominoplasty tightened skin and muscle and removed excess fat which drastically improved the appearance of her belly and her confidence.

My patient above has lost a lot of weight. You can see that her muscle laxity is causing the bulge in her upper abdomen, and that excess skin and fat on the lower abdomen are hiding the results of her work-outs. Her Abdominoplasty tightened skin and muscle and removed excess fat which drastically improved the appearance of her belly and her confidence.

The subcutaneous fat of the abdominal wall tends to be located on the lower half of the belly. This is convenient because when the skin is removed from the lower abdomen, the fat beneath it is also removed.

Fat that extends around the sides and back can also be removed in the same operation with Liposuction. Liposuction of the central abdomen, however, is often delayed a few months to protect the skin’s circulation and to maximize the fat removal.

Tummy Tuck Consultations

For the safest and most predictable Tummy Tuck results you will want an experienced, Board Certified Plastic Surgeon. In the San Francisco Bay Area call (925) 943-6353. My Walnut Creek Plastic Surgery office will schedule a convenient, private and personalized consultation appointment to review all the details of the Abdominoplasty procedure.

Read More

Liposuction Video – SF Bay Area Plastic Surgery

Posted January 07, 2019 in Home, Liposuction, Videos

As seen in the photo above, disproportionate fat of the sides causes the muffin top, which flows over the top of jeans. Liposuction removes disproportionate fat and flattens the treated area creating a more svelte figure.

As seen in the photo above, disproportionate fat of the sides causes the muffin top, which flows over the top of jeans. Liposuction removes disproportionate fat and flattens the treated area creating a more svelte figure.

Liposuction is used to remove disproportionate fat. It is best for removing bulges caused by fat beneath otherwise firm skin. Popular areas for liposuction include the:

  • Muffin top (waist)
  • Back
  • Abdomen
  • Thighs
  • Male chest
  • Arms
  • Neck

The following Liposuction Video Presentation shows examples of Liposuction of many of the areas mentioned above. A general review of Liposuction, its indications and recovery is also provided along with several before and after pictures.

Liposuction Video Presentation

Liposuction can improve body proportions from head to almost the toes. In this video from KRON 4’s Body Beautiful, San Francisco Bay Area, Board Certified Plastic Surgeon, Dr. Joseph Mele explains and shows examples of his work. Liposuction of the abdomen, thighs, arms and back are narrated with Liposuction Before and After Pictures.

More About Liposuction

While the trunk and thighs are the most common regions for Liposuction, for properly selected patients, liposuction of the arms can provide an aesthetic benefit. When the upper arm is full, and the skin tone is good, Liposuction is used to reduce the girth of the arm, and reveal muscle definition.

Before and after pictures of arm liposuction reveal smaller arms with better muscle definition after liposculpture.

Before and after pictures of arm liposuction reveal smaller arms with better muscle definition after liposculpture.

Liposuction will not significantly shrink the skin, even when a laser or ultrasound is used. If the skin is already loose and hangs off the arm, Brachioplasty (Arm Lift Surgery) should be discussed with your Board Certified Plastic Surgeon.

Gynecomastia Reduction

Next week’s video is about Gynecomastia Reduction (male breast reduction surgery). Not simple Gynecomastia, because there are plenty of “normal” Gynecomastia Reduction Videos on my site already. Next week, I discuss massive gynecomastia, like that seen after massive weight loss. Here is a preview of a more usual case where Liposuction alone, or liposuction with direct excision of the gland, is appropriate.

Liposuction can be used for gynecomastia reduction in selected cases. If the fullness beneath the nipple is fat, liposuction alone may help. If it is glandular tissue, direct excision of the gland is needed.

Liposuction can be used for gynecomastia reduction in selected cases. If the fullness beneath the nipple is fat, liposuction alone may help. If it is glandular tissue, direct excision of the gland is needed.

When the fullness of the male chest is due to fat (pseudogynecomastia), Liposuction alone can often provide adequate reduction. When a collection of firm glandular tissue adds bulk beneath the nipple/areola complex, direct excision of the gland may be necessary. In the above case, the skin is tight, so it will shrink on its own. When the skin is loose, additional surgery is needed, and this is what I will discuss next week, so stay tuned.

Liposuction Consultations

For more information about Liposuction, be sure to visit our Liposuction Page. For personalized information, call (925) 943-6353 for a private consultation appointment. The details of the procedure, treatment options, expected recovery and your goals will be reviewed in detail.

Read More

Tummy Tucks and Mommy Makeovers | SF Bay Area

Posted October 25, 2018 in Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Tummy Tuck (Abdominoplasty), Videos

The Tummy Tuck is half of a Mommy Makeover. The patient shown above wanted her pre-baby belly and breasts back. The combination of Abdominoplasty and Breast Augmentation with a Breast Lift restored what nature had given and taken away.

The Tummy Tuck is half of a Mommy Makeover. The patient shown above wanted her pre-baby belly and breasts back. The combination of Abdominoplasty and Breast Augmentation with a Breast Lift restored what nature had given and taken away.

The Tummy Tuck remains one of the most sought after cosmetic plastic surgery procedures. Also termed, Abdominoplasty, it literally means belly changing, and that is exactly what it does.

Tummy Tuck and Mommy Makeover Video

Today’s episode of Body Beautiful reviews the Tummy Tuck procedure, and beautifully illustrates what Abdominoplasty can do to restore abdominal contours often lost after pregnancy or changes in weight. This video segment is from the Bay Area’s News Station, KRON 4’s, Body Beautiful. The show features the latest in Cosmetic Plastic Surgery, and uses before and after pictures liberally to demonstrate what is possible.

Tummy Tuck After Pregnancy or Weight Loss

After pregnancy or weight loss, the abdomen is often left flaccid. The muscles, even when strong, are stretched out and cannot support the abdominal contents the way they used to. The skin itself is stretched out, often leaving stretch marks and rolls. The result: clothes don’t fit the way they used to.

What is a Mommy Makeover?

The breasts often suffer a similar fate, so restoring breast volume and perkiness is often performed at the same time as the Tummy Tuck via Breast Augmentation, Breast Lift or the combination Breast Augmentation Lift.

More Mommy Makeover before and afters: Again, Abdominoplasty is combined with Breast Enhancement. In this case, a Breast Lift was combined with a Tummy Tuck for a uplifted, aesthetic result.

More Mommy Makeover before and afters: Again, Abdominoplasty is combined with Breast Enhancement. In this case, a Breast Lift was combined with a Tummy Tuck for a uplifted, aesthetic result.

Because this is commonly a problem after pregnancy, the combination of Breast Enhancement and Tummy Tuck goes by the name Mommy Makeover. In the Mommy Makeover Before and After Pictures above, a Breast Lift (Mastopexy) was combined with a Tummy Tuck for maximum aesthetic results.

Tummy Tuck or Mommy Makeover Consultations

There is no substitute for proper training and experience. When considering a Tummy Tuck, Mommy Makeover or any Cosmetic Plastic Surgery, consult with an experienced and Board Certified Plastic Surgeon. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a private and personalized consultation appointment, today.

Read More

Post-Bariatric Plastic Surgery Video – SF Bay Area

Posted April 22, 2018 in Arm Lift (Brachioplasty), Breast Augmentation, Breast Augmentation Lift, Breast Lift (Mastopexy), Home, Lower Body Lift (Belt Lipectomy), Mommy Makeover, Post-Bariatric Surgery (After Weight Loss), Tummy Tuck (Abdominoplasty), Videos

Post-Weight Loss Plastic Surgery Video

Massive weight loss will shrink our volume, but does not reliably shrink our skin. In the before and after pictures above, breast volume is restored with breast implants. Sagging breast skin is tightened with a breast lift.  Excess abdominal skin is removed, and the belly bulge caused by stretched out abdominal muscles is flattened by tightening the muscle sheath.

Massive weight loss will shrink our volume, but does not reliably shrink our skin. In the before and after pictures above, breast volume is restored with breast implants. Sagging breast skin is tightened with a breast lift. Excess abdominal skin is removed, and the belly bulge caused by stretched out abdominal muscles, is flattened by tightening the muscle sheath.

Post-Bariatric Plastic Surgery is Plastic Surgery after Massive Weight Loss. Whether this is after a lifestyle change or after Bariatric Surgery, the amount of skin that persists after weight loss is often large and frustrating. This Post-Weight Loss Plastic Surgery Video reviews several of the most common treatments including: Lower Body Lifts, Tummy Tucks, Breast Augmentation, Breast Lifts and Arm Lifts. The results of Post-Bariatric Plastic Surgery are illustrated and narrated in this video with before and after pictures, which describe and demonstrate what Board Certified Plastic Surgeons can do for the skin excess that often occurs after weight loss.

Post-Bariatric Plastic Surgery Video

Extremity Tightening Procedures

The majority of skin tightening procedures performed after weight loss are for the trunk; however, the face, arms and legs can also develop excess skin. Face Lifts (Rhytidectomy), Arm Lifts (Brachioplasty) and Thigh Lifts can help with excess skin on the face/neck, upper arm and thighs. Below is an example of an arm lift.

Brachioplasty literally means arm changing. An arm lift can change the way an arm looks, feels and fits into sleeves.

Brachioplasty literally means arm changing. An arm lift can change the way an arm looks, feels and fits into sleeves.

Brachioplasty changes the arm by removing the excess skin that often hangs off the upper arm after weight loss. The skin is removed from the lower border of the upper arm, leaving a scar along the bottom of the arm. This is the only procedure that can remove large amounts of excess skin.

Post Bariatric Plastic Surgery Consultations

As an active member of the American Society of Bariatric Plastic Surgeons, post bariatric plastic surgery is an area in which I specialize.

The American Society of Bariatric Plastic Surgeons was formed by Board Certified Plastic Surgeons specializing in skin tightening after massive weight loss.

The American Society of Bariatric Plastic Surgeons was formed by Board Certified Plastic Surgeons specializing in skin tightening after massive weight loss.

When searching for an experienced post-weight loss plastic surgeon, be certain to look for a Board Certified Plastic Surgeon who is a Member of the American Society of Plastic Surgeons. Additionally, members of the American Society for Aesthetic Plastic Surgery specialize in the cosmetic side of plastic surgery, and members of the American Society of Bariatric Plastic Surgeons demonstrate additional dedication to the cosmetic side of post-bariatric plastic surgery.

If you are in the San Francisco Bay Area and want to learn more about your skin reduction options after weight loss, call (925) 943-6353, to schedule your private consultation appointment.

Read More

Male Breast Reduction | Gynecomastia Reduction | SF Bay Area

Posted April 14, 2018 in Breast Reduction, Breast Reduction (Men), Daddy Makeover, Home, Liposuction, Videos

Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures year after year.

Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures, year after year.

Male Breast Reduction Video (Gynecomastia Reduction)

Gynecomastia is the medical term for Male Breast Enlargement. The enlargement can be isolated to the nipple areolar complex (puffy nipples), or may involve the entire chest. This Gynecomastia Reduction Video reviews the most common treatments and illustrates the results of Male Breast Reduction with multiple, narrated male breast reduction before and after pictures.

How Is Gynecomastia Reduction Performed?

Gynecomastia Reduction is often a combination of procedures. The most common combination is Liposuction plus direct excision of any firm glandular tissue which remains attached to the back of the nipple.

In situations where the skin is loose or the gland is saggy, skin reduction may also be necessary. The key it to pick the procedure, or combination, that gets the job done.

With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.

With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.

Which Male Reduction Procedure is the Right One for You?

For more information about Male Breast Reduction, visit the links in this post. For specific information, there is no substitute for an in-person consultation. Call (925) 943-6353 today, and schedule a private and informative consultation appointment. A proper evaluation and plan are the keys to excellent results.

Read More

Liposuction Video SF Bay Area Liposculpture

Posted December 30, 2017 in Daddy Makeover, Home, Liposuction, Mini Tummy Tuck (Mini Abdominoplasty), Tummy Tuck (Abdominoplasty), Videos

Liposuction is great for removing disproportionate, localized areas of fat accumulation. On today’s video I discuss Liposculpture and share numerous Liposuction before and after pictures from my latest segment from KRON 4’s Body Beautiful.

What Are The Best Areas For Liposuction?

Liposuction removes disproportionate fat. In the above before and after pictures, Liposculpture is used to further enhance a Tummy Tuck.

Liposuction removes disproportionate fat. In the above before and after pictures, Liposculpture is used to further enhance a Tummy Tuck.

As a San Francisco Bay Area Board Certified Plastic Surgeon, I perform Liposuction on many areas of the body. The best areas are localized accumulations of fat which stick out from the surrounding areas. The convexities can be contoured with Liposculpture to bring them back into proportion and enhance your appearance. Sometimes the fat can be repurposed like with the Brazilian Buttocks Lift.

Liposuction Video

The following video segment reviews Liposuction and reveals the secrets of Liposculpture with numerous Before and After Pictures.

The video’s preview screen above shows the results of Liposuction alone. Fine Liposuction cannulas were used to contour the belly, flanks, back and thighs, and enhance this patient’s feminine curves.

Liposuction Frequently Asked Questions

Love handles handled with Liposuction. By carefully sculpting the lower back fat, Liposculpture reduces the muffin top. Unsightly bulges are transformed into more attractive curves.

Love handles handled with Liposuction. By carefully sculpting the lower back fat, Liposculpture reduces the muffin top. Unsightly bulges are transformed into more attractive curves.

Many of the frequently asked questions about Liposuction are reviewed in the Liposuction Video above. If you have more questions, be certain to select Liposuction in the sidebar under Search By Category. More information is also available on my main website’s Liposuction Page.

Personalized Answers to Your Questions

I use Liposuction almost every week to treat gynecomastia. The combination of Liposculpture to remove excess chest fat and the direct excision of the firm, stubborn glandular tissue can reduce and masculinize a man's chest.

I use Liposuction almost every week to reduce gynecomastia. The combination of Liposculpture of excess chest fat and the direct excision of the firm, stubborn glandular tissue can flatten and masculinize a man’s chest.

There is a lot of Liposuction information available on the San Francisco Plastic Surgery Blog. It’s a good start; however, the only way to get specific answers to your Liposuction Questions is during an in-person consultation with an experienced qualified professional. Call (925) 943-6353 today, to schedule an appointment at our San Francisco Bay Area Plastic Surgery Clinic in Walnut Creek, CA.

Read More