Otoplasty (cosmetic ear surgery) is performed for men and women, children and adults. The most common reason is to reduce the appearance of prominent ears, sometimes called ear pinning.
Otoplasty – Ear Pinning
In the San Francisco Bay Area, Otoplasty is a popular procedure. This cosmetic ear surgery is used to reduce the appearance of Prominent Ears, and it is probably the most commonly performed cosmetic plastic surgery for children.
The video segment below is from the San Francisco Bay Area’s News Station, KRON 4’s, Body Beautiful show. Included are several examples of Otoplasties and many of the details of cosmetic ear surgery are explained.
Cosmetic Ear Surgery Video (Otoplasty)
Short Hair and Prominent Ears
Short hair does not disguise prominent ears. However, since the incisions are hidden in the fold behind the ears, short hair is not a problem for concealing the Otoplasty incision.
Many men and women leave their hair long to hide their prominent ears, but short hair is not an obstacle for Otoplasty. The incision for cosmetic ear surgery is hidden in the fold behind the ear, and usually heals very well. It is not necessary to cut your hair before Otoplasty; however, after the procedure, you’ll have the option to do so.
To schedule a personal consultation appointment for yourself or your child, call (925) 943-6353, today. Whether it’s just one ear or both, ears that are too prominent or folded over, Otoplasty can help. To learn more about cosmetic ear surgery, visit the links embedded in this post; however, only an in-person consultation can be tailored to your specific needs.
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.
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.
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.
Breast Augmentation Lift combines the Breast Enlargement of Breast Augmentation with the firming and shaping abilities of a Breast Lift.
The desire for the Best Breast can be divided into two areas: The best size and the best shape. This Breast Augmentation and Breast Lift Video discusses combining a breast lift with a breast implant. The procedure allows your plastic surgeon to maximize your results when both shape and size need modification.
Breast Augmentation Lift Video (Mastopexy Augmentation)
This Body Beautiful video segment from the San Francisco Bay Area’s News Station, KRON 4, reviews Breast Lifts combined with Breast Implants and illustrates the benefits of Augmentation Mastopexy with numerous Breast Aug Lift Before and After Photos.
The ideal breast size varies from patient to patient, and it is important to recognize that the more you do your homework in determining what size makes you happy, the easier it will be for your plastic surgeon to give you the result you desire. Most patients request a cup size in the C plus to D minus range, but you should try it out at home, first.
Buy a bra the size you feel you want to be and stuff it. Ziplock bags filled with rice are a simple way to adjust your breast volume. Try it with different clothing to see how you like it. Do your normal activities, and see how it works. Also, think about your overall body size and your activity level. Marathon runners often go smaller, to avoid the added weight and momentum.
Breast size is determined by the volume of breast tissue you have now, plus the volume of the breast implant. When you have a good shape, Breast Augmentation alone is used to enlarge the breasts to the desired size. For most women this is the procedure of choice. When the breasts are saggy, asymmetrical or tubular, a breast lift may be recommended to improve the overall esthetic of the breasts.
Breast Augmentation Lift Before and After Pictures
Deflated, post child birth or post weight loss breasts can be lifted, tightened and enlarged with the breast enhancing Mastopexy Augmentation. Larger lifts require longer scars. In this case, the healing vertical scar is seen on the lower pole of the breast. After this breast augmentation mastopexy, the breasts are fuller, firmer and lifted.
The ideal breast shape also varies from patient to patient. Most patients desire perky, teardrop shaped breasts. A Breast Lift reshapes the breasts by removing excess skin, lifting and firming the breast mound. When the upper pole of the breast is empty, a breast implant is used to add volume. A Breast Implant can balance the upper and lower halves of the breast, or it can enlarge the entire breast.
Breast Lifts come in many sizes. The most common are periareolar (around the areola/nipple), vertical (lollipop) and inverted T (anchor or keyhole). The amount of lifting needed determines the type of lift recommended. It is always desirable to choose the smallest lift expected to work. Smaller lifts come with shorter scars, but they lift less. Be sure to consult a Board Certified Plastic Surgeon near you to learn what is recommended for your particular needs.
Breast Augmentation Lift Consultations
When considering Breast Augmentation, with or without a Breast Lift, be certain to consult an experienced Board Certified Plastic Surgeon. They can explain your options and select the procedure most likely to get you the results you want in the safest and most predictable manner. Call (925) 943-6353 and schedule a personalized consultation appointment, today.
Saggy upper eyelids and lower eyelid bags make us look tired and add years to our face. This is why the Eyelid Lift remains one of the most popular cosmetic plastic surgery procedures which I, and other Board Certified Plastic Surgeons, perform.
Eyelid lifts can literally open our eyes, making us look more awake and alert. As the upper eyelid skin becomes more redundant, it begins to rub off upper eyelid makeup and can come to rest on the eyelashes. The result is a heavy sensation and a worn down appearance, even when we are well rested.
Blepharoplasty means eyelid changing, and it can rejuvenate our appearance and recharge our persona. San Francisco Bay Are Board Certified Plastic Surgeon, Dr. Joseph A. Mele, discusses eyelid rejuvenation and narrates numerous blepharoplasty before and after pictures on this video segment taken from KRON 4’s Body Beautiful.
Blepharoplasty Video (Eyelid Lift)
The following video segment reviews Eyelid Lifts and illustrates what Blepharoplasty can do with numerous Eyelid Lift Before and After Pictures.
The preview screen on the above Blepharoplasty Video shows how excess upper eyelid skin can weigh down the upper eyelid. In the picture on the left, the upper and lateral visual fields are obstructed and the skin is resting on the eyelashes, making the normal use of eye makeup impossible. In the after picture on the right, the eye and the upper eyelid are now visible.
The Correction of Lateral Hooding
In these Blepharoplasty Before and After Pictures, the before picture on the left shows the lateral brow skin completely covering the outer eyelid. In the after picture on the right the brow skin is elevated, giving a much cleaner, refreshed and younger look.
Lateral Hooding occurs when the eyelid or brow skin descends past the outside of the eye opening also known as the lateral orbital rim. Skin in this position blocks the lateral gaze, like blinders do on a horse. It also impacts a sleepy and older look to our eyes. In the above example, simply removing the excess skin corrected the problem. When the brow itself sags, a Brow Lift may be recommended.
Correcting Upper Eyelid Hooding
The upper (before) photo shows severe hooding of the entire upper eyelid. After her blepharoplasty, her upper eyelids are now visible, and a smooth upper eyelid crease has been created.
Sometimes the upper eyelid skin is so excessive that the entire upper lid is hooded. Wearing upper eyelid makeup properly is short lived at best. By removing the excess skin, the upper eyelid and lashes are revealed, and a natural eyelid crease is created.
If you would like to schedule a personalized consultation appointment, give me a call at (925) 943-6353. There is no substitute for an in-person eyelid consultation with an experienced and qualified, Board Certified Plastic Surgeon. A brief exam and medical history are needed to be sure the procedure is right for you. Safety and predictability are the most important aspects of any surgery, but this is especially true of elective plastic surgery.
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 combination of Breast and Belly Enhancement has been coined the Mommy Makeover. Since the breasts and belly often change after childbirth, the combination is most often performed for mommies. Children, however, are not a prerequisite as any weight gain and loss can cause similar changes.
Mommy Makeovers After Weight Loss
Mommy Makeovers can be performed after weight loss, too.
The combination of breast and belly rejuvenation is frequently requested after bariatric surgery or larger weight loss after diet and exercise. As with pregnancy, both areas stretch with weight gain, and then deflate and often sag after the weight is lost, taking the shine off all the hard work. The Mommy Makeover procedure can enhance the breast and the belly in a single operation. The Mommy Makeover Video below shows additional examples.
Mommy Makeover Video (Breast and Belly Enhancement)
This Mommy Makeover video narrates several Mommy Makeover Before and After Pictures and provides additional information on the Mommy Makeover procedure including options and recovery.
Mommy Makeover Results Last
This mommy has been shown here before. She is maintaining her healthy lifestyle and her beautiful results.
You can expect your Mommy Makeover to last. With proper maintenance, the procedure is very effective at improving body contours long term. If you are planning to have children, it is recommended to have them before the Mommy Makeover.
Mommy Makeover With A Brazilian Butt Lift
The Mommy Makeover can also be combined with the Brazilian Buttocks Lift.
For selected patients, the Mommy Makeover can be combined with fat grafting to the buttocks, aka the Brazilian Buttocks Lift. The upside is added shape to the buttocks by grafting fat from the belly and back that would usually be discarded during the tummy tuck. The downside is trying to avoid sitting/laying on the fat grafts while recovering. Sometimes separating the procedures is recommended.
Mommy Makeover Consultations
To schedule your personal Mommy Makeover Consultation, tailored to your specific needs, call (925) 943-6353. As a Board Certified Plastic Surgeon, I offer a wide range of options for both breast enhancement and tummy tightening. Check out the San Francisco Plastic Surgery Blog and my main websites for more information. If you have a question, just ask via the contact forms available on this and all our webpages.
Prominent ears can be a source of embarrassment and teasing. Cosmetic Ear Surgery (Otoplasty) includes Ear Pinning to reduce the appearance of prominent ears. Many of my patients are adults who have thought about having the procedure for some time. One of the most common reactions I hear after surgery is, “I wish I had done this sooner.” Otoplasty is a one or two hour procedure that can be performed as an outpatient, and for the right patient, it can make a huge difference.
Otoplasty For Adults
These otoplasty before and after pictures show how prominent ears can be reduced. The entire ear is pinned back. In this case, the upper ear is brought in more than the lower aspect to balance the projection.
The gentleman above waited years before having Cosmetic Ear Surgery. He had prominent ears, which are typically more prominent at the top. He also had asymmetry of his ears with differences in shape, prominence and rotation. Each area was addresses and improved with his Otoplasty, making him one happy patient.
Ear Pinning Video
This video segment is from the San Francisco Bay Area’s News Station, KRON 4’s, Body Beautiful with Dr. Joseph Mele. The Otoplasty Video reviews the techniques, recovery and procedure of Otoplasty, and illustrates the results with Otoplasty Before and After Pictures.
Otoplasty Video (Ear Reduction)
Otoplasty For Children
There are two peaks in the age of Otoplasty patients. Young adults are the most common, but a significant number of children undergo Otoplasty also. It is one of the most common cosmetic plastic surgery procedures performed for children in my Walnut Creek Plastic Surgery Clinic, and in general. It is important to wait until at least age 5, for the ear to grow to near its adult size before proceeding.
Prominent ears are something we are born with. Ear pinning, or Otoplasty, is deferred until age 5, because at 5 -years-old, the ear is 85% of the adult size.
The patient above has the advantage of long hair to cover her ears; however, her ears gave her trouble when she wanted to wear her hair up. This is a common problem for young athletes in particular. After her ear pinning, she could return to playing sports with confidence.
Once healed, the ear does not require any special treatment, and recovery from surgery is just a few weeks. A head dressing is worn for the first week, and then a sweatband is worn at night for a few months, to keep the ears from folding forward while sleeping. Once the initial dressing is removed, no dressing is needed while awake.
Cosmetic Ear Pinning Consultations
If you are considering Otoplasty for yourself or your child, be certain to consult with a Board Certified Plastic Surgeon in your area for detailed and specific advice. In the greater San Francisco Bay Area, call (925) 943-6353 and schedule a private consultation appointment, tailored to your needs.
Disproportionate development of male breast tissue is called Gynecomastia. It’s also called man boobs, or moobs for short, and Gynecomastia Reduction is a cosmetic plastic surgery procedure which I perform every week.
Gynecomastia Reduction Surgery
The above Gynecomastia reduction surgery before and after photos show what is possible with a combination of liposuction and direct excision for a enlarged male breasts.
Asymmetry is more the rule than the exception for Gynecomastia. For the Gynecomastia Reduction patient shown above, the right breast was significantly larger than the left, both areolae where dilated and the breasts appear feminized. In fact, the feminine appearance of the breasts is what gives rise to the term Gynecomastia (feminine breasts).
Gynecomastia Correction was accomplished with a combination of liposuction to debulk the disproportionate fat and direct excision of the glandular tissue located under the nipple. The end result is a masculine chest that conforms to the pectoralis major muscles, a reduction in the size of the areolae and significant improvement in his asymmetry, all with minimal scarring. A short incision is hidden in each axilla (armpit) and around the lower border of the areolae (from 4 to 8 o’clock).
Gynecomastia Reduction Video (Male Breast Reduction)
The start screen for the above Male Breast Reduction Video shows a man with Puffy Nipples. The enlarged and protuberant areolae are due to overdevelopment of the glandular breast tissue located directly behind the nipple. A focused surgical approach was used in this cases to remove the excess tissue and allow the nipple-areolar complex (NAC) to conform with the chest and look masculine.
The above Gynecomastia Reduction Video is from the San Francisco Bay Area’s News Station, KRON 4‘s, Body Beautiful. This segment discussed Gynecomastia Treatment and shows numerous examples of Gynecomastia Before and After Pictures to illustrate what the procedure can do for the properly selected patient, in the hands of an experienced, Board Certified Plastic Surgeon.
When Gynecomastia is distributed throughout the chest, more must be done. In this case Liposuction was used to remove the bulk of the disproportionate chest tissue. When a glandular component is present beneath the nipple, it is unlikely that liposuction alone will remove it, and this tissue is removed directly.
For more globally distributed Gynecomastia, Liposuction is used. Liposuction has the advantage of a long reach through a small incision. Often the 1/4 – 3/8 inch incision is hidden up in the axilla (armpit). For Pseudogynecomastia, breast enlargement due to fat and not glandular development, Liposuction alone is often enough to contour the chest. When a glandular component is also present, direct excision is also used to avoid creating a puffy nipple.
Gynecomastia Reduction Consultations
Every Gynecomastia Reduction Surgeon should be versed in multiple techniques of Gynecomastia Reduction. Depending on your situation, liposuction, direct excision of the gland, skin reduction or a combination of these may be recommended.
To find out what your options are, call (925) 943-6353 today and schedule a private, personalized consultation in our Walnut Creek Plastic Surgery office. If Gynecomastia is bothering you, learn what treatments are available from an experienced, Board Certified Plastic Surgeon.
Breast Augmentation with Breast Implants remains the most popular cosmetic plastic surgery. Three to four-hundred-thousand women have Breast Augmentation each year in the US alone. It is the safest and most effective means of enlarging the breasts available, but even FDA approved devices, like Breast Implants, need touch-ups from time-to-time.
Do I Need Breast Implant Revision Surgery?
The following Breast Implant Revision Surgery Video originally aired on the San Francisco Bay Area‘s news Station, KRON 4. It reviews Breast Augmentation Revision Options and describes some of the most common breast augmentation revisions. Multiple before and after pictures are included as examples.
Breast Augmentation Revision Surgery Video
Breast Implant Deflation
The introductory photo for the video above shows deflation of this patient’s left breast implant. For Saline Breast Implants, loss of the breast implant’s shell integrity results in complete deflation and loss of breast augmentation. Replacement of a deflated breast implant can be done with minimal downtime. It is also a good time to consider if your breast implants are the right size, profile or style (saline vs silicone), as there is no better time to replace both implants. In situations like the above, it is extremely helpful if you know what type and size of breast implants you have.
Breast Implant Revision – Bigger
The most common reason for Breast Augmentation Revisions is to go bigger. This is especially common after pregnancy with preexisting breast implants as shown above.
The above Breast Implant Revision Before and After Pictures show two common reasons for revision. The first, and the most common, is to go larger. The second, and often seen after pregnancy with preexisting breast implants, is to correct breast tissue sagging off the breast implants.
This patient has already had a Breast Augmentation Mastopexy, also known as a breast lift, using breast implants for additional volume. The larger the preexisting breast tissue volume, the more likely the breast is to sag. This is true with or without breast implants. She desired larger breasts and a perkier appearance. A larger Breast Implant provides both additional volume and support for her breasts.
Breast Implant Revision – Smaller
The above Breast Augmentation Revision pictures demonstrate the correction of bottoming out.
Sometimes, the breast implants are too large to be supported. The before picture, in the above Breast Augmentation Revision Before and After Pictures, demonstrates what happens when breast implants are too large, even with a breast lift. Over time, the Breast Implants have over-stretched the skin of the lower breast and moved down the chest. The previous breast lift (mastopexy) scar is red and irritated, and the nipple is riding high. This patient presented with a desire for correction of the shape of her breasts, and also wanted to be smaller.
The after photo shows the results after the mastopexy was revised and the breast implants were replaced with smaller, lower profile, Breast Implants. The mastopexy scar looks less irritated. The distance between the nipples and the bottom of the breast is reduced to normal. The new breast implants are smaller, but maintain the width of the breast to preserve cleavage.
Breast Implant Revision Surgery Consultations
With the popularity of Breast Implants it is not surprising that Breast Augmentation Revision Surgery has become its own specialty. If you have breast implants which are:
too close together
too far apart
deflated or leaking
not supporting your breast tissue
then give my San Francisco Bay Area Plastic Surgery Clinic a call at (925) 943-6353. With 20 years of experience, I will give you up-to-date options that are personalized to your unique situation. Previous operative reports and your before and after pictures help, so bring them with you, too.