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Comprehensive and Integrated Proportions

Comprehensive Procedures Integrate Form and Function in an Entire Region

Medical Issues that combine and look at the entire area. What they have in common… Hernia Repair and Abdominoplasty – Both address the functional aspect of the torso with health benefits that also help with the cosmetic benefit… You have to do the entire area. Breast and Body Countouring – Same thing as hernia with Medical and Cosmetic benefit. Addresses the entire ara Endoscopic Neck, Facial and Eyeleids – Addresses the interplay of the eyes, neck and face at the same time.

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Proportionality and Harmony
One of Dr. Belsley’s passions lies in bringing proportionality and harmony back to the body following both medically necessary and cosmetic procedures.

Considering Combined Surgery on an Entire Region

The face is a combination of individual elements including the brow, cheeks, chin, and jaw that contribute to its overall structure and appearance. Facial surgery is a broad term that takes into account many disparate procedures that change the appearance of specific areas of the face. If you are considering having a cosmetic procedure on your face you should be guided by the ideals of proportion, symmetry and youthfulness and appreciate that there is something to celebrate in everyone’s face, as this is part of what defines you. The most successful facial surgeries are generally procedures that aim to achieve proportion, symmetry and youthfulness rather than attempting to drastically alter too much or too many of these individual elements. Success should be measured in terms of the patient achieving an improved and natural looking face as well as their emotional well-being and satisfaction with the result over the long term.

Some of the challenges that patient’s might face include disproportion of specific features for example a large or hooked nose that dominates the face, small thin lips, or lack of definition in the cheek bones. The sum effect being an imbalance within the overall appearance of the face. Clients may also consider plastic surgery to correct asymmetry within the face. This frequently occurs around the eyes and brows but may also affect the mouth, jaw and cheeks. The third and most recurrent reason for electing for facial procedures is aging. Common concerns related to aging include sagging skin around the eyes, neck, and jaw, puffiness, lines and wrinkles and an uneven skin tone. For clients experiencing these ongoing changes, surgery can help to provide a more refreshed appearance and allow the patient to look as vibrant on the outside as they feel on the inside.

What are my options?

There are a wealth of options available for today’s patient to consider when approaching cosmetic procedures for the face. Many clients now opt for multiple small procedures earlier on to hinder the physical affects of aging and to correct imbalances in their facial proportions. The net effect of which is a more natural and consistently younger looking appearance rather than the overly taught artificial look. Dr Belsley is a strong advocate of creating subtle but significant changes in the appearance of the face and can help you to discover the different procedures that will be appropriate for your specific needs and goals.

Tray Containing Surgical Instruments

What is Integrated Breast and Torso Contouring?

One of Dr. Belsley’s passions lies in bringing proportionality and harmony back to the body following both necessary and cosmetic procedures. Integrated breast and torso contouring is a procedure that combines the benefit of both a breast reduction and a breast lift in a way that can often mimic the results of a breast augmentation without an implant. Dr. Belsley achieves an optimized aesthetic outcome by reshaping the breasts, rebuilding portions of their internal support and contouring the surrounding tissues with liposuction so that they match the new breast size and shape.

General advice for clients considering combined surgery

  • Be prepared for healing time, not only in terms of how you will look but also to make arrangements for time taken off work and follow up visits with the surgeon. The exact time depends on the procedure and it is of utmost importance that you follow your surgeon’s advice to avoid complications and allow for the best recovery and outcomes.
  • Rhinoplasty or facial procedures that involve implants should be carefully considered as they result in significant changes to the face’s structure
  • The best candidates for facial cosmetic surgery are people looking for improvement, not perfection in the way they look. If you are physically healthy and realistic in your expectations, you may be a good candidate

Lipobdominoplasty, liposuction of the flanks and hernia repair

before
after

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.

Combined Two and One Quarter Pound Breast Reduction and Torso Liposuction in 32 Year-Old

before
after

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.

Endoscopic brow lift, upper and lower eyelid lift and a short scar face lift with liposuction of the upper neck

before
after

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.

Combined Two-and-a-Half Pound Breast Reduction and Liposuction Torso Contouring in 30-year-old

before
after

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.

Combined Two Pound Breast Reduction and Torso Liposuction in 35 Year-Old

before
after

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.

Combined Two-and-a-Half Pound Breast Reduction and Torso Liposuction in 31 Year-Old

before
after

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.

Abdominoplasty, Circumferential Liposuction and Breast Reduction

before
after

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.

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