Body contouring encompasses numerous procedures. Liposuction, abdominoplasty, body lifts, thigh lifts and arm lifts (brachioplasty) are just a few. Statistics show that the numbers of surgical procedures have increased their fastest rate in the recent years due to massive weight loss patients. These cosmetic procedures are very popular here in South Florida, as tank tops and bathing suits reign.
Abdominoplasty comes in a variety of forms from mini to full. Analyzing the abdomen involves assessing the amount of skin and skin quality, the abdominal muscles and the distribution of fat. Mini abdominoplasties may also be called lower tummy tucks. This operation focuses on the area between the pubic region and the belly button. A mini tummy tuck leaves a limited scar. A full tummy tuck involves contouring the entire abdomen from the pubic region all the way up to the lower sternum and ribs. The full tummy tuck leaves a scar from hip to hip but patients are satisfied with the result and the scar is never a concern since Dr. Dabbah takes the extra time to perform a unique skin closure. Occasionally liposuction is combined with this surgery and other times fat is directly removed without the need for liposuctioning.
Massive weight loss, by dieting or gastric bypass surgery, leaves patients with large amounts of redundant skin, and sometimes fat, on their bodies. Removal of the excessive skin and fat is necessary to achieve a more contoured look. A lower body lift removes excess skin circumferentially around the trunk. It includes a tummy tuck along with the removal of skin and fat from the flanks, hips and outer thighs. The scars are lengthy but patients gladly make the exchange for the significantly tighter and contoured body. Brachioplasty (arm lift), abdominoplasty (tummy tuck), reduction mammaplasty (breast reduction) or mastopexy (breast lift) are all procedures which can help the patient achieve the desired look after large amounts of weight loss.
Liposuction is ideal for those who are at or near their ideal body weight but have fatty deposits they cannot get rid of with proper diet and exercise. Liposuction allows contouring of these areas and results in the happiest patients. Liposuction is not a form of weight loss and is not a substitute for proper nutrition. Although there have been high tech advances in liposuction machines, the philosophy remains the same. Select the right patient, select the appropriate procedure and perform the surgery properly. The surgeon’s expertise determines the result, not the machine used.
Thigh lifts are usually best suited for those who have lost a significant amount of weight such as in bariatric surgery. The upper leg and thigh are left with handing skin and sometimes, fat. Loose skin can be removed in a similar fashion as an arm lift. At times, liposuction is necessary to remove additional fat prior to the thigh lift. Scars are placed on the inner aspect of the thighs and the length varies depending on the severity of the loose skin.
Brachioplasty is the surgical term for arm lift. Hanging skin and excess fat is removed from the upper arm through an incision. The length of the incision is determined by the severity of the problem. Scars may extend from the armpit to the elbow but, again, Dr. Dabbah performs his unique closure so patients are generally so pleased with the result that they are very accepting of the scar. Armlifts have become rather popular here in South Florida. Patients don’t want to hide their arms in long sleeves because of the heat. And many times, it is difficult for these patients to fit their arms into long sleeves.