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Body Procedures





Breast Augmentation

Breast augmentation one of the most commonly performed cosmetic, surgical procedures. Millions of women have enhanced their bodies with silicone and saline implants that look and feel natural.

 

For the first time in my adult life I am able to wear sexy matching bra and panties set. It may be simple to some people but it means a great deal to me. – Patient NS


The Procedure

Breast augmentation, traditionally known as augmentation mammoplasty, is a surgical procedure performed to enhance the shape and size of a woman's breasts or to correct an imbalance in a woman's breast size.

 

The Method(S)

A breast augmentation surgery can be performed within one to two hours and there are two possible methods of  insertion and positioning of your implant including periareolar which means around the nipple area and inframammary, which means beneath the breast. The breast tissue and skin are lifted through the incision either above or underneath the pectoral muscle (chest wall muscle), to create a pocket where the implants are positioned.

 

Ideal Candidate

The ideal candidate for a breast augmentation is a non-smoking, adult in good physical health.  The person undergoing the procedure should have realistic expectations for the procedure outcome and should be maintaining a stable weight.

 

Recovery / Post-Operative

  • Temporary fatigue and soreness post surgery
  • No heavy lifting, pushing or straining in immediate post-operative period
  • Return to work within five to seven days

 

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Breast Lift

Over time, the effects of gravity along with the loss of the skin's natural elasticity begin to have an effect on the appearance of a woman's breasts. Pregnancy and nursing may also cause the breasts to lose their youthful shape and appearance.

 

Breast feeding did a number to my breast. The breast lift brought them back to their youthful appearance. Patient DH


The Procedure

Breast lifting, also known as Mastopexy is a surgical procedure to raise and reshape drooping breasts through the removal of excess skin and repositioning of the nipple and remaining tissue. A breast lift can restore the shape and firmness of the breasts, as well as reduce the size areola. Breast implants can be placed either above or beneath the breast and major muscle groups in the chest area in conjunction with a breast lift, if the patient also desires an increase in volume and size.

 

The Method(S)

Breast lift surgery can be performed within two to three hours. The best breast lift technique can be determined with your doctor after taking into account a few factors including the size and shape of your breasts, the size of your areolas, and the extent of sagging. The number and length of incisions needed varies based upon the individual.

 

Common breast lift techniques include:

 

  • Circumareolar or "Doughnut" Mastopexy, incision around areola only
  • Lollipop Mastopexy, or limited incision around areola with vertical line
  • Inverted "T" Mastopexy, or incision around areola with vertical and horizontal lines
  • Augmentation Mastopexy, or simultaneous breast lift and augmentation with breast implants

 

Ideal Candidate

The ideal candidate for breast surgery is a non-smoking adult with drooping breasts, downward pointing nipples/areolas, and breasts lacking substance or firmness. The patient should be in good health and have realistics expectations about their results.

 

Recovery / Post-Operative

  • Typical bruising and swelling of the breasts for 1 to 3 days
  • Slight discomfort for up to seven days post surgery
  • Following the removal of bandages or surgical bra - soft support bra should be worn for three to four weeks
  • Stitches will be removed in stages over a period of three to four weeks
  • Return to work within five to seven days

 

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Breast Reduction

Breast reduction, also known as reduction mammoplasty, is a surgical procedure designed to remove excess fat, glandular tissue, and skin from large and pendulous breasts, to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts. Breast reduction surgery is likely to enhance your overall quality of life and self image.

 

The relief of the pressure on my shoulders and the indents from my bra is priceless. – Patient MS


The Procedure

Breast reduction surgery is performed under general anesthesia, and may take up to 3 or 4 hours. The specific technique used to reduce the size of your breasts will vary based upon individual characteristics, amount of reduction desired, breast composition, aesthetic preferences and doctor recommendations.  In some cases liposuction may be used in conjunction with the excision practices listed below.  

The Method(S)

The most preferred method involves making an anchor shaped incision around your nipple and areola and following the natural crease down the under surface of your breast. Excessive glandular fat tissue and skin are removed and the areola and nipple are reconstructed to a new position on the breast.

 

The incisions are brought together to reshape the reduced breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape close the skin.

 

Ideal Candidate

The ideal candidate for breast reduction is a non-smoking adult who has large, pendulous breasts and suffers from chronic headaches and/or back or neck pain. All appropriate candidates will have realistic expectations of the results after surgery.

 

Recovery / Post-operative

  • Incision lines are permanent, but in most cases will fade somewhat over time
  • An elastic bandage or support bra may be worn to minimize swelling and support the breasts as they heal
  • A thin tube may be temporarily placed under the skin to drain excess blood or fluid that may collect
  • Slight discomfort for up to one to two weeks after surgery
  • Resume normal activities within two weeks following surgery

 

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Brazilian Butt Lift

Buttock augmentation or the "Brazilian Butt Lift" is a method made popular by celebrities such as J Lo. It is intended to produce a fuller, rounded and up-lifted buttock. Studies have shown that many people find a fuller buttock  attractive.   

 

I’m so happy with the way I look in pants and jeans. I have hips and a fuller butt, which makes me feel more feminine. – Patient MV


Procedure

The Brazilian butt lift involves harvesting excess fat from various areas on the body including the abdomen, back, hips, waist, thighs and arms and transferring it into the buttocks. The procedure either fills up deflated buttocks or enlarges the buttocks as requested. Buttock augmentation with micro fat grafting has become the preffered method of enhancement, over buttock implants due to lower complication rates and an easier recovery process.

 

The Method(S)

The Brazilian Butt Lift involves a selective, gentle liposuction technique, which harvests fat from different areas of the body, including the abdomen, back, hips, waist, thighs and arms. After the fat has been harvested it is transferred into the proper area of the buttocks in multiple layers through small syringes connected to micro cannulas of 1.5 to 2 mm in diameter. The fat transfer begins in the deepest layers of the muscle and continues toward the surface in an interlacing fashion.

 

Ideal Candidate

The ideal candidate must be a healthy, non-smoking adult with a significant amount of excess fat available for harvest. It is also important that a patient understand realistic outcomes for their post surgery results.  

 

Recovering / Post-Operative

  • A control garment must be worn for 2 to 4 weeks

  • No sleeping on your back for 3 weeks

  • Minimized, direct sitting on the buttocks for 3 weeks

  • Temporary swelling and area discomfort.
  • Swelling and bruising should diminish within 4 to 6 weeks
  • Most patients return to work after one week

 

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Liposuction

Now amongst the most popular, cosmetic, surgical procedures, liposuction sculpts the body by removing undesirable fat from areas around the thighs, knees, buttocks, waist, hips, abdomen, chin, cheeks, neck and upper arms. 

 

Prior to liposuction my thighs kept me from wearing shorts. Now I can fully enjoy hot summer days. – Patient LM


The Procedure

Liposuction, one of  the most popular, cosmetic surgical procedures in the US , involves a hollow, stainless steel tube cannula and vacuum to remove localized fat deposits from beneath the skin through small incisions. Liposuction can be performed on a number of areas on the body including the thighs, hips and buttocks, abdomen and waist, upper arms, back, inner knee, chest, checks, chin, neck and calves. The procedure can be performed alone or in conjunction with other procedures such as a breast reduction or The Brazilian Butt Lift.  In many cases it can be performed under local anesthesia.

 

The Method(S)

There are several approaches to liposuction including standard liposuction, power-assisted liposuction, and laser-assisted liposuction:

 

  • Standard liposuction utilizes various cannulas (hollow, stainless-steel tubes)
  • Power-assisted liposuction utilizes oscillating cannulas which pre-tunnel the tissue and are especially helpful in difficult areas. Power-assisted liposuction allows surgeons to effectively perform higher volumes of liposuction without burn risks, trauma to fibrous tissues, and in faster time

 

Ideal Candidate

The ideal liposuction patient is a healthy, non-smoking adult. The procedure is an option for those who would like to remove excess fat deposits and have realistic expectations and goals for body contouring.  Fat deposits may form from over eating, lack of exercise and or inherited family traits. 

 

Recovery / Post-Operative

  • Adherence to post-operative and recovery instructions is critical and mandatory
  • Transportation post surgery strongly recommended
  • Possibly of up to several months for swelling to completely disappear
  • Some supplements and vitamins are prohibited to reduce prolonged bleeding

 

 

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Mommy Makeover

Few women can regain their pre-pregnancy shape through diet and exercise alone. Pregnancy and breast-feeding often result in unwanted changes in a woman's body, such as drooping breasts, enlarged areolas, stretch marks, a sagging tummy, and pockets of fat in the abdomen. The loose muscles and stretched skin improve somewhat over time, but the body never completely returns to the way it was before pregnancy.

 

After my kids went to college I wanted to take care of myself. Dr. Jones removed 10 years from my life. – Patient HJ


MOMMY MAKEOVER: BREAST LIFT

The aftermath of pregnancy can leave you with sagging, uneven breasts, lost breast volume, drooping nipples and stretched areolas. A breast lift, or mastopexy, is performed to reverse these changes and return a youthful shape and lift to your breasts. This is accomplished by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a mastopexy, the breasts are higher on the chest and firmer to the touch. Breast lifts after pregnancy can also reduce areola size and reposition downward-pointing nipples.

 

Your post-maternity breast lift will be tailored to you, depending on your individual case and goals. Breast size does not change after a breast lift, nor does the fullness or roundness in the upper part of the breasts. Women who desire larger, smaller or more rounded breasts may want to consider a breast augmentation or breast reduction together with a breast lift.

 

MOMMY MAKEOVER: BREAST REDUCTION

Most women find that their breasts swell to a fuller size and shape while they are pregnant. Afterwards, a natural reduction in breast size leaves some women with the empty-looking, drooping breasts discussed above in the breast lift section. For many other women, however, the breasts remain larger than desired after childbirth. Breast reduction surgery may be the solution in these cases.

 

One reason women may seek breast reduction after giving birth is to return the breasts to the smaller size they had before becoming pregnant. In addition, breast reduction can relieve the common symptoms of large breasts, such as pain, improper posture, rashes, breathing problems, skeletal deformities and low self-esteem. Breast reduction achieves these goals by removing fat and glandular tissue and tightening skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.

 

MOMMY MAKEOVER: TUMMY TUCK

Perhaps nowhere else on the body is pregnancy more unforgiving than in the abdomen. By stretching and weakening the skin and muscles of the tummy and waist, pregnancy can leave you with loose skin, stretch marks and a straighter waistline that no amount of exercise will correct. A tummy tuck, also known as abdominoplasty, can help.

 

Tummy tucks help to flatten and shape the abdomen and waist by removing excess skin and tightening muscles. The result is a firmer tummy and more defined waistline. Our doctors have been performing abdominoplasties with excellent cosmetic results for many years.

 

MOMMY MAKEOVER: LIPOSUCTION

New mothers may find that they have pockets of fat in the lower abdomen that doesn’t respond to diet or exercise. They may also find that they have lost definition in their waistline. Women who had C-sections may also suffer from areas of fat hanging over their surgical scar. Each of these post-maternity body changes can be improved through liposuction.

 

Liposuction sculpts the body after pregnancy by removing undesirable, resistant fat from the abdomen, waist, hips, buttocks and/or thighs. It offers the opportunity to slim and contour areas of the body that did not "spring back" to their pre-baby tone. With liposuction, you can minimize areas of fat caused by pregnancy and enhance the curve of the waistline.

 

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Tummy Tuck

Diet and exercise offen do little to eliminate unwanted fat and loose skin in the abdominal area. If you are bothered by these appearance problems, abdominoplasty may be a good choice for you. 

 

I always felt that I had to do something about the excess skin. Dr. Jones gave me the confidence to take the step towards making the adjustment. - Patient DJ


The Procedure

Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that removes excess fat and skin, tightens abdominal wall muscles, and eliminates stretch marks between the belly button and pubis region. This surgical procedure creates a smoother and defined abdomen region by addressing 3 components of abdominal wall deformity: (1) loose skin and stretch marks (2) muscle weakness, which can occur as a result of pregnancy (3) excess fat tissue, commonly accumulated in the lower abdomen.

 

The Method(S)

A tummy tuck requires an incision, typically below the bikini line that extends from hip to hip along the lower pubic area. The excess skin is stretched and removed to strengthen and flatten the abdominal muscles. Depending upon the scope of the work necessary, the time in surgery for a tummy tuck is approximately two to four hours. The Lexington Plastic Surgeons preferred tummy tuck would be considred classical abdominoplasty.

 

Ideal Candidate

The ideal candidate is a non-smoking adult with weak abdominal muscles or excess fat and skin.  Other good candidates may have protrusion or laxity of the abdomen

 

Recovery / Post-Operative

  • Mandatory compression garments, post-surgery for 12 weeks
  • A temporary tube, applied to incision area to drain any excess blood or fluids that may accumulate
  • Temporary swelling or minor discomfort during the first four weeks
  • You may return to work and light activities after approximately two weeks

 

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