This case depicts a 55 year old woman who after losing almost 100 pounds had developed sagging skin in the upper arms. Because of the significant skin excess that remained after such dramatic weight loss, liposuction alone was not possible as a method of arm contouring.

Although this procedure involves an incision beginning in the arm pit or axilla and extending down toward the elbow, the results allow individuals to fit into items of clothing in which they could not prior to their surgery.

The post-operative photographs depict this woman's appearance approximately six months after surgery.

This case depicts a 41 year old woman who had borne one child via c-section. Because her skin had remained relatively undamaged by the distensing effects of pregnancy, she elected to undergo abdominal recontouring by liposuction, A previous pregnancy does not indicate that an individual is not a candidate for liposuction of the abdomen.

In some instances, both liposuction and an abdominoplasty may be possible. Each has different pros and cons, which must be discussed prior to selecting the appropriate method. The post-operative photographs depict this woman's appearance approximately 3 months after surgery.

This case depicts a 33 year old woman who was fit, slender and had never been pregnant. She had, however, a genetic tendency to accumulate fat in the mid-body- front and back. Because she had excellent skin tone and skin elasticity, this type of individual was the optimal candidate for liposuction.

Once the excess fat is removed from beneath the skin, the skin will shrink down and hug the new body contour without any sagging. The incisions required for this type of body contouring are a few millimeters in length. Notice the significant change in this woman's body shape to a desirable "hourglass".

This 49 year old woman reached her plateau weight after losing 100 pounds following bariatric surgery.  She is an excellent example of an individual whose breast tissue had been largely replaced with fat and as such, after massive weight loss, there was not enough breast tissue remaining to rearrange into a new breast shape that appeared typical of what one might expect after a breast lift or mastopexy.

From an aesthetic standpoint, this woman informed me that she would be satisfied with any improvement in her breast shape.  Her primary goal, however, was to remove the extra skin that otherwise laid across her abdomen unless she wore an underwire bra.  Her skin had lost a great deal of its elasticity and was unlikely to tolerate insertion of an implant to replace lost volume without sagging or becoming ptotic in a relatively short period of time.  The use of commercially available skin substitutes, which would have allowed use of an implant, was not an option for her.

Her post surgical photographs show her result after I performed a breast lift or mastopexy using a short scar technique that leaves behind scars in the shape of a “lollipop.” 

This 37 year old woman reached her plateau weight after losing 91 pounds following bariatric surgery.  She had a breast lift or mastopexy using a technique which leaves behind scars in the shape of an “anchor.”

A breast lift or mastopexy is an operation which rearranges breast tissue so that the new breast shape is typically shorter and rounder.  Unfortunately, patients who have lost a large amount of weight often do not have enough breast tissue remaining to rearrange into a naturally appearing breast.  This woman was fortunate to have enough breast tissue after a 90 pound weight loss to achieve the breast shape that is visible in her post surgery photographs.

While an implant can provide the volume that is lacking after massive weight loss, the weight of the implant can also be very taxing on compromised skin, such as that which is typical after massive weight loss.  Commercially available skin substitutes can provide the strength needed for successful use of implants in such cases. 

This is a 32 year old woman with a BMI of 24 who underwent mid-body liposuction using ultrasound assisted liposuction.  She had borne one child and had a few stretch marks over her anterior abdomen.  Typically, such patients are better candidates for an abdominoplasty, but this woman's skin elasticity was fairly intact and her abominal wall muscles had not been overly stretched by the pregnancy either.  She very much wished to avoid any scarring over her abdomen.  She and I were both willing to accept a minor amount of skin looseness and so after much discussion, I proceeded with ultrasound assisted liposuction of her entire trunk, front and back.

Her result shows a significant improvement with which she is quite pleased.  Other individuals who wished to have "tight" skin would achieve an exceptional result with a lipoabdominoplasty, which would entail an 10 to 12 inch long scar in the lower abdomen.

This case depicts a 57 year old woman who wanted to achieve a more youthful appearance. She underwent an upper and lower eyelid lift, a face lift and a neck lift.

Her post-operative photographs show her just under six months after surgery.

The gentle curve of the neck after surgery approximates the appearance of this individual's neck when she was in her 20's.

This 33 year old woman embarked upon a diet and exercise program that resulted in a 100 pounds weight loss over a 10 month period.  Significant changes in her body's appearance occured, but because there is a limit to how much an individual's skin can shrink down to a smaller contour, some issues remained.  

These types of issues are ideally adressed by performing an abdominoplasty along with tailored liposuction.

This individual suffered from gigantomastia and underwent a breast reduction in which almost three and a quarter pounds of weight was removed from the breasts.

The breast reduction was performed in a manner that so that the breasts were shortened in length and lifted. This photograph was taken at approximately four months following surgery. No liposuction was performed in this procedure.