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 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.
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.
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.
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.
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.
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 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.
The Tummy Tuck is one of the most requested cosmetic plastic surgery procedures I perform. Whether after childbirth, or weight loss, the procedure removes excess fat and loose skin and tightens the abdominal muscles. On the most recent Body Beautiful on the San Francisco Bay Area’ News Station, KRON 4, I had the opportunity to discuss the latest in Cosmetic Plastic Surgery including Abdominoplasty.
Tummy Tuck Video (Abdominoplasty)
Abdominoplasty Video Presentation
The above Abdominoplasty Video discusses the procedure, its recovery, and I narrate the results for multiple Tummy Tuck Before and After Pictures. Examples of combining Abdominoplasty with Mommy Makeovers and Brazilian Butt Lifts are included, too. More on these next.
Tummy Tuck With Brazilian Butt Lift
Abdominoplasty can be combined with other procedures. The most common add-on is Liposuction. It is used to contour the lateral hip and lower back and reduce the undesirable the muffin top. In some cases, the fat removed with Liposuction is repurposed to augment the buttocks. Also known as the Brazilian Buttocks Lift, the procedure can create, or restore, the fullness to the buttocks and hips. An example is depicted below.
The Above Tummy Tuck before and after pictures show an example of what the combination of Tummy Tuck, Liposuction and Brazilian Buttock Lift can do. In the post operative picture on the right, the abdomen is flatter, the muffin top is missing and the buttocks are fuller and rounder.
Abdominoplasty With Breast Augmentation Lift
Tummy Tucks can be combined with Breast Enhancement also. This class of combination cosmetic plastic surgery is termed the Mommy Makeover. The most common combination is Abdominoplasty with Breast Augmentation using Breast Implants. The Mommy Makeover Before and After Pictures shown below illustrate the combination of Breast Augmentation Lift (Periareolar) with a Tummy Tuck.
Mommy Makeovers are a class of cosmetic plastic surgery procedures that enhance both the breasts and the belly. The Mommy Makeover before and after pictures above are an example of what can be accomplished with the combination of Breast Augmentation Lift and Tummy Tuck. As with all plastic surgery, careful patient selection is very important.
Tummy Tuck Consultations
If you are considering a Tummy Tuck, Brazilian Buttocks Lift or Breast Augmentation, be certain to consult a Board Certified Plastic Surgeon in your area. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a convenient, personalized consultation appointment. My office specializes in Cosmetic Plastic Surgery and discretion. Come in and learn more.
Dr. Mele discusses Cosmetic Plastic Surgery on Body Beautiful – September 12, 2017, at Noon.
Hey San Francisco Bay Area. Body Beautiful will be broadcast this Tuesday, September 12, at noon. You may not have noticed, but KRON 4 was acquired by Nexstar. The good news is that they have decided to continue Body Beautiful, so I’ve got new Plastic Surgery News to share with you.
Body Beautiful on KRON 4
KRON 4’s Body Beautiful with Vicki Liviakis and yours truly on the San Francisco Bay Area’s News Station.
I have been doing Body Beautiful live for the last 10 years. The original show was with host Vicki Liviakis, and we would take viewer calls live, on the air. It certainly added excitement. Since we were on the air live, even the “unusual” questions had to be answered.
The latest version of Body Beautiful with host Janelle Marie.
Now Janelle Marie is the host, but the format remains the same. This week’s show was taped last week. Maybe KRON’s new management was a little nervous about an amateur, me, on the air live. But don’t worry, you can still submit questions for the show via email or the contact form here in the margin.
This Week’s Body Beautiful Discussion
This week’s show is dedicated to four Cosmetic Plastic Surgery Procedures:
The links above will take to more detailed information about these procedures.
Body Beautiful Airs Tuesday At Noon
Body Beautiful will be broadcast this Tuesday, September 12, at noon. Be sure to tune in or set your DVR. I you miss it, don’t worry. I will be posting the segments from the show here, and the San Francisco Plastic Surgery Blog and on my YouTube channel.
The Tummy Tuck remains one of the most popular Cosmetic Plastic Surgery procedures. Also called Abdominoplasty, the procedure tightens the abdominal wall and is especially useful after pregnancy or weight loss.
Tummy Tucks After Other Abdominal Surgery
The question of how preexisting abdominal surgery effects Tummy Tuck planning, execution and recovery often arrises. While most the time an Abdominoplasty can be safely performed, there are some incisions that make the procedure dangerous. Today, we will talk about how scar location may change your Tummy Tightening Procedure.
Where Is The Tummy Tuck Scar?
The above Tummy Tuck before and after pictures show where the skin is removed.
To understand how previous surgery effects Abdominoplasty, it is important to know the location of the removed skin and the circulation that supplies the remaining skin. As the Tummy Tuck Before and After Pictures above show, the lower abdominal skin is excised to remove the excess from the lower belly, to lift the skin above the pubic region (the FUPA) and to leave a scar which is low enough that it hides below the belt-line. The circulation that keeps the remaining skin alive travels in the superficial circulation of the skin that is located above and lateral (toward the sides). It’s the circulatory pattern of the remaining skin that really determines which, if any, of the surgeries performed prior to the Tummy Tuck are likely to cause problems.
Common Surgeries That Do Not Effect Abdominoplasty
In general, any surgery which leaves a scar within the excised skin is safe. This includes c-section, hernia and low appendectomy scars. Surgeries which leave small scars, such as laparoscopic surgery are safe.
Longer scars in the midline are also safe. Since the blood supply comes from each side independently, an incision that runs up and down the middle is unlikely to cause wound healing problems. Below is an extreme example.
The Fleur-de-Lis Tummy Tuck
The Fleur-de-Lis Tummy Tuck is an unusual Tummy Tuck that includes not only the usual low abdominal skin resection, but also removes skin from the middle of the abdominal wall to tighten side to side.
The Fleur-de-Lis Tummy Tuck is used in cases of extreme weight loss, when the upper abdominal skin is loose from side-to-side. In the example above, my patient had a pre-existing midline scar running from the rib cage to the pubic region. Since the scar is in the middle, it is not cutting across the blood supply and is removed with the excess skin.
The previous scar was excised with the loose upper abdominal skin as evidenced by the removal of the excess skin in her underwear, as well as the excess skin located above the underwear. Her clothes fit much better after her surgery, and her mobility is improved thanks to the loss of the excess abdominal skin. The muscle, too, was tightened to further improve the cosmetic results and to provide better muscular support for her abdominal wall.
No More FUPAs
The FUPA (fat upper pubic area) is the excess fullness located above the pubic region and below the excess belly skin. If not addressed at the time of a Tummy Tuck, this excess skin can be a continued source of annoyance and embarrassment.
The FUPA (fat upper pubic area) can be seen in the Abdominoplasty Before and After Photos above. It is the separate skin fold / bulge seen below the redundant abdominal wall skin and above the pubic region. If a standard Tummy Tuck is performed, the FUPA remains a source of annoyance and embarrassment. These pictures were originally shown on my TV show, Body Beautiful. The before picture did not require censorship, because the FUPA covered the private area.The after picture, on the other hand, had to be covered. The scar from the Tummy Tuck can be seen extending laterally from the sides of the blacked out pubic region.
Common Surgeries That Complicate Abdominoplasty
The most common surgeries that can negatively impact the healing after a Tummy Tuck include the traditional “open” cholecystectomy (gall bladder) and pancreatic or any other upper abdominal surgery performed through a “chevron” incision.
The traditional cholecystectomy scar runs diagonally across the right upper quadrant of the abdomen, parallel to the lower edge of the rib cage. This incision cuts the blood vessels supplying the skin below the scar and can lead to problems with circulation to the sin between the scar and the Abdominoplasty scar. Problems can range from slight redness, to complete skin loss. Options are available to “delay” the skin flap, a smaller operation a few weeks before the Tummy Tuck to improve the circulation to the skin, but sometimes performing the Tummy Tuck may be too risky.
The extreme is the “chevron: incision. This scar extends across the entire upper abdomen from side-to-side, just below the ribs. A traditional Tummy Tuck is usually not advisable after this surgical approach. Instead, a reverse Abdominoplasty may be recommended. The Reverse Abdominoplasty is an abdominal wall tightening procedure which is performed across the top of the abdomen, rather than the across the bottom. In most cases, the skin cannot be tightened as well as with the traditional approach, but in select cases, the improvement is still very good.
Tummy Tuck Consultations
In most cases, previous abdominal surgery is not a contraindication for Abdominoplasty; however, you should discuss your specific situation with a Board Certified Plastic Surgeon, prior to scheduling any elective surgery. If you are in the San Francisco Bay Area call (925) 943-6353 today, to schedule a private consultation tailored to your specific needs.
The Mommy Makeover combines the most common body shaping procedures, breast augmentation and tummy tuck, into one, maximum result, breast and belly shaper.
The Mommy Makeover is one of my favorite combos. The ability to reshape the damage done to a woman’s body after childbirth or weight loss, in a single operation, makes it one of the most satisfying Cosmetic Plastic Surgery procedures.
What Is A Mommy Makeover?
The Mommy Makeover is not a specific procedure, but rather the combination of breast and belly enhancement performed in a single operation. Breast Enhancement may include Breast Augmentation, Breast Lift, Breast Augmentation with a Lift or Breast Reduction. It all depends on what needs fixing. Belly Enhancement is usually a Tummy Tuck; however, for the patient who needs less, Mini Tummy Tucks or Liposuction may be the procedure of choice.
Mommy Makeover Video Presentation
Recently, I had the opportunity to discuss Mommy Makeovers with the San Francisco Bay Area television audience. Body Beautiful airs on KRON 4, the San Francisco Bay Area’s News Station. The Mommy Makeover features the best and the latest in Cosmetic Plastic Surgery. This week, the spotlight is on Mommy Makeovers.
Mommy Makeover Video
More About Mommy Makeovers
The Mommy Makeover Video segment featured above reviews many of the available options and outcomes of the procedure for several of my patients. Additional Mommy Makeover Videos are available here, on the San Francisco Plastic Surgery Blog, and on my main site’s Mommy Makeover Video Page.
Mommy Makeover Consultations
When you are considering a Mommy Makeover, be certain to consult with a Board Certified Plastic Surgeon. Call (925) 943-6353 today, to schedule a private, personalized Mommy Makeover consultation in our San Francisco Bay Area Plastic Surgery Clinic.
Learn the latest plastic surgery news on the Bay Area’s News Station’s, KRON 4’s, Body Beautiful with Dr. Mele.
Getting ready for today’s live show with Janelle Marie. Body Beautiful airs at noon (June 7, 2017) on the San Francisco Bay Area’s News Station, KRON 4. Tune in to hear the latest plastic surgery news. Today’s topics include:
Breast Augmentation Lifts (Augmentation Mastopexy)
Brazilian Butt Lifts (Fat Grafting to the Buttocks)
Thigh Lifts (Thighplasty)
The previous post has more details about the topics to be covered. If you are reading this after the show airs, segments from the show will be posted on the San Francisco Plastic Surgery Blog.
EDIT – The first Plastic Surgery Video segment on Mommy Makeovers is up and live right here: Mommy Makeover Video.
The Mommy Makeover is the most popular, and one of the most satisfying, combination cosmetic plastic surgery procedures. With the ability to reshape the breast and flatten the belly, the Mommy Makeover is the procedure of choice to rejuvenate the female form after pregnancy or weight loss.
This Wednesday, June 7, 2017, I will be on the San Francisco Bay Area’s News Station, KRON 4’s Body Beautiful. The show airs live at noon. As usual, the discussion is focussed on the latest Cosmetic Plastic Surgery News for the San Francisco Bay Area.
Body Beautiful Plastic Surgery Topics
This week’s half-hour television show discusses Cosmetic Plastic Surgery of the Body. Planned topics include:
The Mommy Makeover Before and After Pictures that leads this post demonstrate the most popular combination cosmetic plastic surgery. By combining Breast Augmentation and Tummy Tucks, the two areas the often sag after pregnancy, the breasts and the belly, are both addressed. Of course, the procedures can be performed without having had children. The term Mommy Makeover was coined because of the frequent request from mommies to repair the damages of pregnancy on their breast and bellies. Another common situation in which Mommy Makeovers are performed is significant weight loss.
EDIT – The first Plastic Surgery Video segment on Mommy Makeovers is up and live right here: Mommy Makeover Video.
Breast Augmentation Mastopexy (Breast Implants with Breast Lifts)
Breast Augmentation remains the most popular single plastic surgery procedure. Breast implants can provide volume, and as many as 40% of patients also benefit from a breast lift. Breast lifts can improve breast shape in ways the Breast Augmentation alone cannot.
Breast Augmentation is still one of the most frequently performed cosmetic plastic surgery procedures, but what happens if the breasts are saggy, or the nipple is very low on the breasts? Breast Augmentation in these situations may provide larger breasts, but not necessarily perky ones. As many as 40% of Breast Augmentations combine some sort of Breast Lift. The most common reasons for this are low set nipples or saggy breasts due to excess skin.
Additional procedures can also be added to correct other breast problems, Fine details of the breasts that are often targeted for improvement are: Areola Reduction, the improvement of Breast Asymmetry, Breast Implant Revision for women who had Breast Implants before pregnancy and Inverted Nipple Repair. Breast Reduction, perhaps paradoxically, can also be combined with Breast Augmentation Mastopexy when heavy lower breast tissue is distorting the shape of the breasts.
Brazilian Buttocks Lift
The fastest growing procedure is the Brazilian Butt Lift. The procedure takes fat from areas where it is not desired and repurposes it, to enhance the shape of the buttocks.
A newer body procedure is allowing Board Certified Plastic Surgeons to shape an area that traditionally has been difficult. The Brazilian Buttock Lift (BBL), allows us to remove fat with Liposuction and reuse it to enhance the buttock contours. Pioneered by Brazilian Plastic Surgeon, Ivo Pitanguy, the procedure allows for customized augmentation of the buttocks, and shape that is more pleasing to the eye than Buttocks Implants can provide.
Thigh Lifts in the SF Bay Area
The Thigh Lift is used most often after weight loss. Excess skin and fat from the inner thigh is removed to reduce the size of the thighs and tighten the skin.
Thigh Lifts are one of the less frequently performed cosmetic plastic surgery procedures. The numbers have risen in response to Bariatric Surgery and the massive weight loss associated with it. As weight is lost, the thigh skin that is stretched during weight gain becomes loose. As the volume of the thigh decreases, so does the support that the extra fat provides the thigh skin. As a result, the skin can hang like drapery. The Thigh Lift removes this excess skin, and helps to tighten the thigh, especially the upper, inner thigh.
Watch Body Beautiful June 7, 2017, on KRON at Noon Wednesday
If you are interested in learning more about any of the above procedures, I have provided links in this post, and I encourage you to watch me live on KRON 4, this Wednesday at noon. Segments from the show will be posted here, on the San Francisco Plastic Surgery Blog, in the coming days. So if you miss the live show, you can still catch up here or on my local San Francisco Plastic Surgery Web Sites.
Internet education can be very helpful, and it is the goal of the San Francisco Plastic Surgery Blog; however, because information on the Internet is designed to apply to the general population, it is generic in nature. Medical advice cannot be giving without the personal contact that an in-person consultation appointment provides. To get “brand name” plastic surgery information, tailored to your specific needs, call my San Francisco Bay Area Plastic Surgery Clinic today, at (925) 943-6353, and schedule an appointment to get your personal, Board Certified Plastic Surgery information.
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.