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Archive for October, 2011

Combined Muffin Top and Banana Roll Liposculpturing

Friday, October 28th, 2011

The patient to the left presents with a gynoid appearance with severe lipodystrophy of the iliac crest rolls.  She has a disproportionate amount of fat on the hip area.  She also has significant banana rolls which extend under the infragluteal fold out to the lateral thigh saddlebags.  This patient underwent tumescent liposculpture technique in a bidirectional fashion [...]

Abdominoplasties with Concurrent Hernia Repairs

Thursday, October 27th, 2011

Recently, the patient presented with a very large periumbilical lower abdominal epigastric hernia combined with significant amounts of abdominal skin laxity.  This patient will require both a concurrent epigastric umbilical hernia repair with our general surgeon at the same time as the elective panniculectomy/abdominoplasty.  Patients who present with hernias should be seen by general surgeons [...]

Micro Liposulpture of Beverly Hills

Wednesday, October 26th, 2011

Patients who present for revision liposculpture may require the use of very small cannulas.  The example below is a patient who underwent four liposuctions in Toronto, Canada as well as in Britain.  Unfortunately, she was left with some contour deformity of the periumbilical abdominal area which will be very difficult to correct without the use [...]

Status Post Gastric Bypass Breast Reconstruction Revision

Monday, October 24th, 2011

This patient underwent a gastric bypass procedure using the Roux-en-Y Gastroplasty at over a 130-pound weight loss.  She subsequently underwent augmentation mammoplasty procedure and a breast lift formal mastopexy by a different surgeon for severe involutional upper pole atrophy, and severe grade 3 ptosis.  Her preoperative photos indicate unfortunate complete malposition of the implants.  There is [...]

BREAST LIFT, BREAST AUGMENTATION REVISION

Saturday, October 22nd, 2011

The tubular examples show patients who underwent breast augmentation and breast lifting by a different surgeon with unsatisfactory results.  Both of these patients had breast lifts that were performed with inadequate amounts of skin removed as well as with implants placed in the malposition.  As a result, these patients have required total breast reconstruction requiring [...]

LIPOSUCTION REVISION BEVERLY HILLS

Wednesday, October 19th, 2011

Liposculpture requires finesse, experience and judgment.  Removing just the amount of fat is not always as easy as it may seem.  Apparently, some patients do present with over-liposuctioning which can occur from either inadequate judgment or patients, as in this case, having been operated under IV sedation without an anesthesiologist in which she was in [...]

DOW CORNING RUPTURED IMPLANTS

Friday, October 14th, 2011

We see patients who present with implants from the Dow Corning era.  Those are implants placed well over 20 to 35 years ago.  These implants are obviously no longer allowed on the market.  The company is no longer producing these implants.  The Dow Corning implants were smooth shelled implants that had a Dacron patch on [...]

PEAR SHAPE GYNOID APPEARANCE

Thursday, October 6th, 2011

Patients present weekly to us for liposculpture of the lower third of their bodies associated with gynoid or pear-shaped appearance.  Although their upper and middle third may have a nice trim appearance and be quite sleek in character, the lower third can also be disproportionately large, leading the patient to be greatly distressed.  Women often [...]

BREAST CANCER AWARENESS

Monday, October 3rd, 2011

October 2011 Because my practice is so focused on body sculpting of women, including a high emphasis on breast augmentation, breast revision, breast reduction, breast and breast reconstruction, Breast Cancer Awareness Month is extraordinarily important and close to my heart.  I see patients every day in the operating room where I remove tissue and send [...]