Body
Aesthetic Genital Surgery
Aesthetic genital plastic surgery encompasses a range of procedures aimed at enhancing appearance and alleviating discomfort. These include labiaplasty for reshaping the labia minora, clitoral hood reduction to address excess skin around the clitoris, labia majoraplasty for altering the labia majora, monsplasty for correcting the mons pubis area, and vaginoplasty to tighten the vaginal canal. These surgeries are often sought by those experiencing physical discomfort or self-consciousness due to the natural changes in their genital area.
Candidates for these procedures typically experience discomfort or irritation from twisting or pulling of the labia during activities, or may seek to reduce clitoral hood skin and folds. Others may wish to reduce excess skin and fat in the mons pubis area. These procedures aim to restore and rejuvenate the skin and soft tissue structures, often altered due to aging or other factors.
The increasing popularity of aesthetic genital plastic surgeries reflects a growing awareness and openness regarding these options. Many women, previously hesitant to discuss their discomfort, find significant satisfaction and relief post-surgery. Procedures like labiaplasty and vaginoplasty not only improve physical comfort but can also enhance sexual function and self-confidence.
Butt Augmentation
Buttock augmentation, also known as gluteal augmentation, is a cosmetic procedure designed to enhance the volume, shape, and contour of the buttocks. This can be achieved through various techniques such as fat grafting (commonly known as a Brazilian Butt Lift or BBL), silicone implants, or a combination of both. These methods aim to provide a more aesthetically pleasing and fuller appearance to the buttocks.
The rising popularity of BBLs has led to an increase in procedures performed by non-board-certified surgeons, which raises safety concerns. Gluteal augmentation, including BBLs, is a complex surgery that requires a deep understanding of the buttocks’ anatomy and neurovasculature. The procedure involves small incisions and the use of a blunt metal cannula for fat transfer.
Buttock augmentation may be an appropriate choice for individuals who are at a stable and healthy weight but dissatisfied with the appearance of their buttocks. Ideal candidates are those without excessive sagging skin; if sagging is present, a combination of a buttock lift and augmentation might be necessary for optimal results. This procedure is particularly beneficial for those seeking to correct asymmetry, flatness, or lack of volume in the buttocks, aiming to achieve a more balanced and enhanced contour.
Liposuction Surgery
Liposuction is a surgical procedure that targets the removal of stubborn fat deposits through a minimally invasive suction technique. It’s designed to sculpt the body and enhance its contours, rather than to serve as a weight loss method. While the fat removal is permanent, it’s important to note that liposuction is not about losing a significant amount of weight but rather reshaping specific areas for a more defined silhouette.
Ideal candidates for liposuction are those at a stable weight who are looking to eliminate localized fat deposits in areas like the flanks, arms, or thighs. Factors such as genetics, lifestyle, pregnancy, and aging can influence fat distribution and its resistance to diet and exercise. For those who have struggled with these stubborn fat pockets, liposuction can offer a lasting solution, particularly effective for those who have maintained a consistent weight for at least six months before the procedure.
However, liposuction is not a remedy for loose, saggy skin or cellulite, and works best for patients with good skin elasticity. Those who have experienced massive weight loss, multiple pregnancies, or skin laxity due to aging may need additional body contouring procedures, such as a tummy tuck or thigh lift, alongside liposuction to achieve optimal results. The procedure is a way to fine-tune and enhance body contours, complementing a healthy lifestyle and weight management.
Body Contouring Surgery
Body contouring surgery is a transformative procedure often pursued after significant weight loss. It involves removing excess skin and tissue to achieve smoother body contours. This surgery is typically considered by individuals who have experienced substantial weight loss, either naturally or post weight-loss surgery, and are left with loose skin folds in areas like the abdomen, thighs, arms, chin, and breasts.
The procedure, performed by a cosmetic surgeon, entails excising surplus skin and fat from targeted areas. For example, incisions may be made around the midsection to eliminate excess skin around the belly. Depending on individual requirements, the surgeon might also address other areas such as the arms, thighs, or breasts, lifting and removing excess tissue to refine the body’s shape. The surgery is conducted under general anesthesia, ensuring patients are comfortably asleep during the process.
Individuals who undergo massive weight loss might consider body-contouring surgery to address the discomfort and aesthetic concerns caused by excess skin folds. These folds can lead to issues like irritation, rashes, or ulcers, especially in the groin area, potentially resulting in infections. They can also interfere with hygiene, mobility, urinary functions, sexual activity, and significantly impact self-esteem, making body contouring a beneficial option for both physical comfort and improved self-image.
Arm Lift
Brachioplasty, commonly known as an arm lift, is a surgical procedure designed to reshape the upper arm, stretching from the shoulder to the elbow. It primarily involves the removal of excess skin and tissue to smooth and enhance the arm’s appearance. This procedure becomes particularly relevant for individuals who have experienced significant weight gain and loss, leading to stretched skin that lacks the elasticity to return to its original state, causing sagging under the arms.
Typically performed as part of body-contouring surgeries following substantial weight loss, including post-bariatric surgery, brachioplasty can often be combined with other contouring procedures around areas like the midsection, chin, or thighs. During the surgery, the cosmetic surgeon removes excess skin and fat from the underside of the upper arm through an incision along the inner or back of the arm. In some cases, the procedure extends to removing tissue along the side of the chest or includes liposuction to refine the contour further.
Brachioplasty is suitable for individuals who have undergone major weight loss and are left with excess, uncomfortable underarm skin folds. These skin folds can lead to issues such as irritation, rashes, infections, and hygiene difficulties, significantly impacting a person’s self-esteem and daily comfort. The surgery, performed under general anesthesia, can effectively address these problems, enhancing both the aesthetic appearance and functional comfort of the upper arms.
Body Contouring Implants
Body contouring implants offer a solution for enhancing underdeveloped body areas, providing a more balanced and proportionate physique without extensive workouts. These implants, customized for specific body areas, are inserted surgically to enhance and define the targeted region.
Pectoral implants are ideal for those looking to augment their chest muscles. This procedure involves placing a silicone implant between the pectoralis muscle and rib cage through an incision in the axilla. Post-surgery, patients wear a garment to manage swelling and discomfort, with a recovery period of about six weeks.
Calf implants cater to individuals with underdeveloped calves, creating a more toned and proportionate lower leg appearance. The procedure, lasting about an hour under local anesthesia, involves inserting implants through an incision behind the knee, above the calf muscle. This results in calves that match the body’s natural contours, complementing the knees and ankles for a harmonious look.
Ultrasonic Liposuction
Ultrasonic liposuction utilizes high-frequency ultrasonic waves to liquefy fat cells in specific body areas before removal. This technique is particularly effective for tough-to-treat regions like the knees, neck, chin, feet, and ankles. The liquified fat is then extracted using a cannula, a slender tube-like instrument, optimizing the fat removal process.
There are two main forms of ultrasonic liposuction: internal and external. Internal ultrasonic liposuction involves inserting a probe directly into the target area. This probe releases sonic vibrations that disrupt and break down the fat cells. In contrast, external ultrasonic liposuction uses a paddle-shaped device applied to the skin’s surface. This non-invasive approach transmits sonic vibrations through the skin to the fat layers beneath.
While external ultrasonic liposuction avoids incisions, it carries risks like potential nerve disruption leading to loss of sensation, as well as bruising and skin necrosis. On the other hand, internal ultrasonic liposuction, though more invasive, provides more direct fat breakdown. It’s crucial to consult with a healthcare professional to determine the most suitable method based on individual needs and the specific areas being treated.
High volume liposuction
High-BMI liposuction, also known as high-volume or plus-size liposuction, is a specialized procedure for patients with a higher body mass index, falling under the overweight or obese categories. This procedure often involves removing more than 5 liters of fat to achieve effective body contouring. The term emphasizes safe practices rather than extreme fat removal, avoiding any risky surgical methods.
The selection process for high-volume liposuction candidates is rigorous, focusing on both physiological and psychological suitability. Overweight individuals with uncontrolled medical conditions, or those with cardiovascular, pulmonary, renal, hepatic, or thyroid diseases, are generally not suitable candidates. Additionally, a history of sleep apnea or coagulation disorders significantly increases postoperative risks, necessitating thorough preoperative evaluations and consultations with specialists.
Ideal candidates for this procedure are physically and mentally healthy, with stable or decreasing weight through diet and exercise. Patients experiencing weight gain are advised to adopt a healthier lifestyle before considering the surgery. It’s crucial to discontinue any diet medications well before the procedure and address any abnormalities in preoperative tests or ECGs with appropriate medical evaluations.
Microneedling RF
Radiofrequency skin tightening offers two main types: non-ablative Endymed 3DRF and RF Microneedling (MNRF). Endymed 3DRF, a non-invasive method, heats the skin’s deeper layer, the dermis, using energy waves to stimulate collagen remodeling. This results in firmer, smoother skin, addressing common aging signs like wrinkles and sagging.
RF Microneedling combines fine needles with radiofrequency energy to rejuvenate the skin. This minimally invasive procedure is efficient and yields notable results. It stimulates new skin growth, effectively addressing issues such as acne scars, surgical scars, wrinkles, fine lines, stretch marks, hyperpigmentation, and sagging skin.
Both treatments offer solutions for those seeking to reverse early signs of aging and improve skin texture. Endymed 3DRF targets deeper skin layers for overall firmness, while RF Microneedling focuses on surface-level rejuvenation, promoting the healing and renewal of skin to diminish various imperfections. Both methods provide a refreshed, youthful appearance with reduced wrinkles and enhanced skin smoothness.
Tummy Tuck
Abdominoplasty, commonly known as a tummy tuck, is a cosmetic surgery aimed at enhancing the abdomen’s shape and appearance. This procedure involves removing excess skin and fat and often includes tightening the abdominal fascia with sutures. The skin is then repositioned to achieve a more toned appearance, making it a popular choice for individuals seeking to improve their body contour.
Individuals often opt for a tummy tuck to address issues like excess skin or fat near the bellybutton or a weakened abdominal wall, commonly arising from significant weight fluctuations, pregnancy, previous abdominal surgeries like C-sections, aging, or natural body characteristics. This procedure not only removes sagging skin and fat but also tightens the abdominal area and can eliminate stretch marks below the bellybutton. Existing C-section scars can be incorporated into the tummy tuck scar for a more seamless appearance.
However, tummy tucks are not suitable for everyone. Doctors may advise against this procedure for those planning significant weight loss, considering future pregnancies, having severe chronic conditions like heart disease or diabetes, possessing a body mass index over 30, being smokers, or having extensive scar tissue from previous abdominal surgeries. Tummy tucks can also complement other cosmetic procedures, such as breast surgery, especially following liposuction which removes fat but not excess skin.
Thigh Lift
Thigh lift surgery is a cosmetic procedure designed to sculpt the thighs by removing excess skin and fat. This leads to smoother skin and thighs that are more in harmony with the rest of the body’s proportions. The surgery is ideal for individuals seeking a firmer and more youthful appearance when diet and exercise haven’t yielded the desired results.
While thigh lifts primarily focus on reshaping by removing extra skin, they are not solely for fat removal. For cases where excess fat is the only concern and skin elasticity is good, liposuction might be the more appropriate option. Liposuction effectively eliminates fat, allowing the skin to adapt naturally to the altered body contours.
In situations where skin elasticity is compromised, combining a thigh lift with liposuction is often the recommended course. This approach ensures both the removal of unwanted fat and the correction of sagging skin, resulting in a more aesthetically pleasing and well-contoured lower body appearance.
Tattoo removals
Tattoo removal is a process designed to eliminate tattoos from the skin, utilizing various methods like laser treatments, dermabrasion, chemical peels, and surgical excision. The most prevalent method, laser tattoo removal, involves using concentrated light waves to break down tattoo ink into smaller particles, making it easier for the body’s immune system to remove them. This procedure requires multiple sessions, with the exact number depending on the tattoo’s size, design, and color, as some inks are more challenging to erase than others. A six-week interval between sessions is recommended for optimal healing and ink absorption.
Other tattoo removal techniques include dermabrasion, which sands away ink-containing skin layers; chemical peels, using mild acids to peel away the tattooed skin; and surgical excision, where the tattooed skin is cut out. Each method results in an open wound that necessitates careful aftercare, including cleaning, applying antibiotic ointment, and covering with a dressing. Healing times vary, with laser and chemical peel wounds typically healing within about a week, while dermabrasion and surgical excisions might take longer. These alternative methods to laser treatment are generally less common due to their invasiveness and potential for more significant scarring.
Fat grafting
Fat grafting, also known as fat transfer or fat injections, is a surgical technique that relocates fat from one part of the body to another to enhance or augment the target area’s appearance. This procedure has gained popularity since the 1990s for cosmetic improvements across various body parts including the face, breasts, hands, feet, hips, and buttocks. Beyond aesthetic applications, fat grafting has shown therapeutic benefits in healing wounds, scars, and repairing breast tissue damage post-radiation.
The fat grafting procedure unfolds in three primary steps: extraction, processing, and reinjection. Initially, fat is harvested from a chosen donor site through liposuction, employing manual techniques to ensure the viability of fat cells. Subsequently, the extracted fat undergoes decanting and centrifugation, or an alternative washing process, to purify the fat by removing non-viable cells and debris. Finally, the processed fat is meticulously reinjected into the recipient site in small droplets to optimize the survival of the graft by ensuring adequate blood supply to each fat cell.
The volume of fat reinjected varies based on the specifics of each patient’s case and the target area’s requirements, marking fat grafting as a versatile and effective method for both cosmetic enhancement and therapeutic recovery.
Stem Cell Therapy
Skin rejuvenation with stem cell therapy offers a groundbreaking approach to combat aging by replenishing the skin’s cellular components, particularly fibroblasts, responsible for maintaining youthful skin. Our skin remains vibrant and youthful until around the age of 28-30, thanks to a 100% presence of fibroblast cells that produce collagen and maintain connective tissues.
However, as we age, starting around 30, we lose approximately 2% of these crucial cells annually, leading to visible signs of aging such as wrinkles, sagging, and diminished skin quality.
Stem cell therapy aims to reverse this trend by restoring lost fibroblast cells, thereby rejuvenating the skin’s appearance and structure. Approved stem cell laboratories can regenerate these cells, offering a solution to restore and maintain youthful skin. This therapy can be applied to various areas, including the face, neck, jowls, cleavage, and hands, addressing wrinkles, laxity, sagging, and discoloration.
Suitable for anyone seeking to improve their skin’s appearance, stem cell skin therapy uses the patient’s cells, minimizing risks of allergic reactions or side effects. It stands out as a natural, effective treatment to replenish what time has diminished, serving as a personalized youth elixir that bolsters stem cell numbers in targeted regions, thereby offering a potent anti-aging solution.
Abdominal/Body Etching
Abdominal etching, a specialized form of liposuction also known as 3D or Hi Definition liposuction, is designed to remove fat in targeted areas around the midsection. This procedure enhances the visibility of abdominal muscles, creating a more defined 6-pack appearance. It’s particularly effective for those who struggle with stubborn abdominal fat that is resistant to diet and exercise.
The results of abdominal etching are essentially permanent because the fat cells removed during the procedure don’t return. However, it’s important to note that the remaining fat cells can still expand with weight gain, and natural aging processes like skin sagging or muscle loss may impact the long-term results. Maintaining a constant body weight and strong musculature through regular exercise and a healthy diet is key to preserving the sculpted abs effect.
Ideal candidates for abdominal etching are individuals who are in good health and near their ideal body weight, generally within about 20% of it. Optimal results are more likely to be achieved by those with fit musculature and youthful, elastic skin. This procedure is best suited for those seeking to accentuate an already fit physique with more dramatic abdominal definition.
Belt lipectomy and post bariatric surgery contouring
A belt lipectomy is a comprehensive surgical procedure aimed at removing excess skin and fat from around the waist or “belt line,” commonly sought after significant weight loss, including post-weight-loss surgery. This procedure, also known as an abdominal lipectomy, tummy tuck, or panniculectomy, addresses the sagging skin that fails to retract following substantial weight reduction, eliminating “love handles” and improving the appearance of the belly, lower back, upper arms, under the chin, and inner thighs.
During the surgery, a cosmetic surgeon excises redundant skin and fat through an incision encircling the lower back and abdomen, then sutures the remaining tissue to enhance the body’s contour. This not only flattens the stomach but also lifts the buttocks and outer thighs under general anesthesia. Belt lipectomy, part of body-contouring surgeries, is especially beneficial for those who have undergone bariatric surgery and are left with excess, hanging skin that can cause physical discomfort, hygiene issues, and impact self-esteem.
The procedure can significantly improve one’s quality of life, addressing not just cosmetic concerns but also reducing the risk of skin infections and other complications associated with large folds of skin. For individuals looking to refine their silhouette after massive weight loss, a belt lipectomy offers a transformative solution, contributing to a smoother, more proportionate body contour.
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Amrita
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English.
Amrita
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English.
Amrita
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English.
Amrita
It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English.
Dr. Sanjeev Sasmith
Sr Consultant Plastic Surgeon
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