Abdominoplasty or tummy tuck surgery can improve the shape and contour of the stomach to give you the body you desire. Many women, especially after pregnancy, experience sagging skin and excess fat around their midsection. Even with proper diet and vigorous exercise, it may be hard to get the results you really want. With a tummy tuck, the surgeon removes the excess skin and fat in the tummy area to help patients achieve a firmer, flatter stomach. As a result, tummy tuck patients fit better in their clothes, are more confident with their bodies, and experience higher self esteem.

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While weight loss can improve the health of many obese individuals, drastic weight loss, particularly when associated with bariatric surgery, can leave behind large amounts of excess skin. The excess skin and fat in the lower stomach area that hangs below the belt line is called the pannus, or abdominal “apron,” and can have several negative effects on one’s quality of life. The extra fold or folds of skin can hinder hygiene, put stress on the back, and make everyday activities difficult. Often, the areas in the pubic region under the pannus can become moist as perspiration is trapped. This can cause rashes, sin ulcers, and odor. Clothing may not fit comfortably, and if severe, even simple activities such as standing and walking can become difficult. In such cases, a surgical procedure called panniculectomy may be appropriate.

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The effects of aging skin are familiar to all of us. Over time, the skin changes in four ways: it loses thickness, loses elasticity, loses adherence to the underlying tissue, and is affected by gravity. At the same time, the deep layers of fat, muscle, and bone, thin as well. The amount of elastic tissue and collagen present in the dermis (the deep layer of the skin) also decreases. One area where these changes are especially apparent is the upper arm. Everyone wants to look as youthful as possible and one of the ways to acquire this is by having shapely, contoured arms. If you have loose or excess skin on your upper arms, you may be a candidate for an arm lift. An arm lift is a form of cosmetic surgery that is not meant for weight loss purposes, but can greatly help to improve the condition of the arms, especially as a person ages. The final result of arm lift surgery is skin that is smooth, contoured, and very healthy looking.

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Following weight-loss, many of us find significant changes in the contours and sagging of our bodies. In some patients, these weight-loss results are due to diet or exercise. In other patients, these changes in weight are a result of bariatric surgery and other medical weight loss regimens.

With the epidemic increase of obesity in the USA and with the associated medical complications, there has been the realization that medical and surgical technique should be devoted to assist patients in weight control. All medical techniques, appetite suppression, and regimens of diet and exercise have been developed. The change in weight loss does produce changes in the contour of the body including sagging skin and deformities in the extremities, the arms, legs and thighs, the torso including the abdomen.

The best way to find out if you are a candidate for these procedures is to allow a full evaluation for your problems, to answer your questions, and make an individualized plan for you.

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Belt Lipectomy, also known as the lower body lift, offers the most dramatic transformation of the mid and lower body. It is truly a re-sculpting of the abdomen, hips, thighs, and buttocks. Broken into its components, the lower body lift includes a tummy tuck (abdominoplasty), thigh lift, and buttock lift. The body lift procedure is performed on post-bariatric patients as well as patients who have not had weight loss. The body lift transforms patients that have experienced a massive weight loss and have excess skin. Results are just as dramatic in patients who in addition to a tummy tuck want at tightening of the skin in their thighs and buttocks. The body lift (belt lipectomy) has the advantage that it can be done in one surgical session, or in stages, depending on the patient’s needs.

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The thighs tend to be can area of the body that are often overlooked but one that can greatly benefit from plastic surgery. The thighs can be affected by both redundant skin and an over-accumulation of fatty deposits. There are many reasons why the thighs undergo these changes. The thighs are one area of the body that is particularly prone to fat build-up and deterioration in skin quality. During the aging process, the skin loses elasticity, retaining ligaments stretch, and gravity takes its toll. Thigh skin is especially prone to these changes as it is naturally thinner than skin found elsewhere in the body. Weight gain also plays a role in this process, as the added skin tension further stretches and thins the skin. The problem can become quite noticeable with significant weight loss. Sun exposure and cigarette smoking can also be major contributions to the problem. A thigh lift, liposuction, or both, could be just the answer.

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For many men and women, liposuction is a dream come true. Liposuction is the removal of unwanted lumps, bulges, and areas of fat using thin suction tubes (cannulae) that are placed into the body fat through small incisions. A vacuum is applied through a hose attached to the cannula which is used to draw fat out of the body. Liposuction is usually not intended as a weight loss technique. However, liposuction is commonly used to remove stubborn, diet and exercise resistant fat deposits and to sculpt the body into a slimmer profile. Resistant fat deposits may be an inherited problem, so do not blame yourself for their presence. In women and men, fat deposits may be formed beneath the chin and on the flanks, hips, abdomen, inner and outer thighs, knees, and lower legs. These are some areas where body contouring with liposuction produces impressive results. The most frequently treated areas in women are the abdomen, hips, thighs, and knees. In men, the love handles, abdomen, and enlarged male breasts (gynecomastia) are most often treated. Other areas treated in men include the arms, neck and face. Interestingly, sweat glands in the underarm can be removed by liposuction to reduce excessive sweating without affecting the body’s overall ability to cool itself.

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