What is Integrated Breast and Torso Contouring?

This is a 21 year old woman with a BMI of 25.5 who had borne one child and became very displeased with the contour of her abdomen as a result.  She had already been told that she had an umbilical hernia and wished to undergo repair of both issues at the same time.

She underwent lipoabdominoplasty, a procedure that treats the front of the abdomen by safely combining liposuction and abdominoplasty, along with liposuction of the bilateral anterior flanks, which refers to the front half of the "sides" of the body.  Her umbilical hernia was repaired at the same time by Scott Belsley, MD, FACS, a board certified general surgeon, using a biological mesh that is incorporated into the body's own tissues over time.  Dr. Scott Belsley and I often collaborate on cases that involve both plastic surgical and general surgical issues.

This individual underwent a breast reduction in which almost two and a quarter pounds of weight was removed from the breasts. The breasts were shortened in length and lifted to give a rounder appearance. This photograph was taken at approximately four months following surgery.

Liposuction of the tissue that lies between the upper outer quadrant of the breast and the upper arm as well as the side of the body directly beneath the arm pit area can decrease bra band size and give the breast a narrower appearance after surgery.

This case depicts a 60 year old woman who wished to undergo facial rejuvenation. She underwent an endoscopic brow lift, upper and lower eyelid lift and a short scar face lift with liposuction of the upper neck. Her post-operative photographs show her at approximately three and one half months after surgery.

Because the brows frame the eyes, a brow lift is as important for rejuvenating the appearance of the eyes as an eyelid lift in certain individuals. The two combined can achieve a result that neither alone is able to obtain.

This individual suffered from large breasts, breast droop and extra tissue in the breast tail and armpit area. She underwent a breast reduction in which slightly more than two and a half pounds of weight was removed from the breasts.

With integrated breast and torso contouring, the breasts are not only shortened in length but then contoured with liposuction to give a rounder appearance. These techniques allow a breast reduction to look like a breast lift. This photograph was taken at approximately five months following surgery. Scars, while still visible, are still expected to mature and fade over the next year.

This individual underwent a breast reduction in which almost two and a half pounds of weight was removed from the breasts. The breasts are shortened in length and lifted to give a rounder appearance. This photograph was taken at approximately four months following surgery. Liposuction of the tissue that lies between the upper outer quadrant of the breast and the upper arm can create a smoother transition between the breast and the arm and improve the fit of certain types of clothing.

In this case, an additional incision was made to remove skin from the tissue that lies between the upper outer quadrant of the breast and the upper arm on the individual’s left side. Only liposuction was performed on the individual’s right side.

This individual underwent a breast reduction in which just over two pounds of weight was removed from the breasts. The breasts were shortened in length and lifted to give a rounder appearance. This photograph was taken at approximately four months following surgery.

Liposuction of the tissue that lies between the upper outer quadrant of the breast and the upper arm can decompress the density of tissue between the breast and the arm and improve the fit of certain types of clothing.

This 25 year old woman with a preoperative BMI of 31.8 underwent abdominoplasty along with circumferential liposuction.  This procedure treats the trunk or mid-section of the body as one unit all the way around.  I believe that this method results in a more harmonious result than treating just the front with an abdominoplasty or just the back with liposuction.  

In my practice, I tend to use ultrasound assisted liposuction to perform liposuction of the back, because I feel that in my hands, this technique allows me to remove more fat, more thoroughly than other forms of liposuction.

I try to keep the lower abdominal scar low enough such that it is not difficult to find a number of swimsuit choices will cover it without difficulty and also as short as possible- usually less than 12 inches in length.