An abdominoplasty or a “tummy tuck” is a procedure that helps improve both the appearance and function of the abdomen. You might be interested in this procedure after pregnancy, weight loss, or if you have trouble getting a flat abdomen despite a healthy diet and exercise.

An abdominoplasty has three components to it: removing excess skin and fat from the abdomen, moving the umbilicus (belly button), and tightening the abdominal muscles. Sometimes a person does not need all three steps – when the work is focused on the lower half of the abdomen without movement of the umbilicus, it is sometimes referred to as a “mini-abdominoplasty.”

A critical part of any abdominoplasty is the removal of excess skin and fat on the abdomen. This not only improves body contour, making clothes fit better, but can also remove stretch marks from the lower half of the abdomen. Skin is removed from the lower half of the abdomen, and skin from the top half of the abdomen is brought down to close the gap. The location of the abdominal scar can often be hidden in the panty line.

Many patients ask me “I’m doing a lot of sit-ups, why is my abdomen not flatter?” The reason is simple: the strength of the abdomen lies both in the muscles, and the tight fibrous attachments of the muscle that doctors call fascia. By tightening the fascia around the muscles of the abdomen, I can provide a smoother body shape and a natural “internal girdle”.

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Arm Lift

Brachioplasty, or arm lift, helps remove unwanted skin and fat that cannot be removed by diet and exercise alone. The primary difference between a brachioplasty and liposuction of the arms is that excess skin is removed during the surgery. This is necessary when the skin has lost its elasticity, either from age or weight loss. The scar sits discretely on the underside of the arm, from the elbow and into the axilla (arm pit).

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Buttock Lift

A buttock lift removes excess skin overlying the buttock. When appropriate, some of the excess tissue can be used to augment to buttock area, creating a more round and full posterior. It can be performed alone or as part of a lower body lift.

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Kybella, or deoxycholic acid, is a product which is injected into an area of fat in order to destroy fat cells.  It is most commonly injected in the submental area (to remove a double chin).  Injections can also help remove fat from small well defined areas such as fatty breast tissue near the axilla or the inner thigh.  Results take approximately 2 months to occur.  Repeat injection may be needed.

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Liposuction helps to sculpt the shape of the body through the removal of unwanted fat. It can be used on the neck, arms, chest, abdomen, back or thighs. Liposuction can be done at the same time as most other procedures, but is most commonly done with a face and neck lift, tummy tuck, thigh lift or breast lift. In addition, the fat which is removed can be used to augment other parts of the body, such as the cheeks,  lips or buttocks.

After surgery, you will need to wear a compression garment like a girdle for approximately 6 weeks. Final results can take up to 6 months, but are long lasting.

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Lower Body Lift

A lower body lift removes excess skin and fat through a continuous incision around the beltline. It is in essence a combination of an abdominoplasty and a buttock lift. During a lower body lift, the abdomen, outer thighs and buttocks are contoured simultaneously. It is a good choice for patients who desire a more significant change in their silhouette. This surgery is more extensive than either an abdominoplasty or buttock lift alone, and requires one or more days in the hospital.

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There are many sources of varicose veins and spider veins, including weight gain, hormonal changes, pregnancy, trauma, and prolonged standing or sitting. Through sclerotherapy, you can improve the appearance of your legs by permanently removing the varicose and spider veins.

Sclerotherapy works by injecting a chemical called a sclerosant into the vein.  Sclerosants work by creating a ripple effect:  the chemical damages the inside layer of the vein, which in turn causes the vein to clot, and as the body absorbs the clot it removes the vein too.  It works best for spider veins and small varicose veins less than 3mm in diameter.  It will not work for more complex problems like venous insufficiency.

For one week after treatment, you will be asked to wear a compressive stocking to keep the vein collapsed.  As many as 50% to 80% of injected veins disappear after treatment.  Spider veins will respond within 3-6 weeks, and larger veins respond in 3-4 months.  Once the vein responds, it will not reappear. You may need to return if new veins emerge.

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There’s no need to be embarrassed by sweating. Botox and other botulinum toxin products work by temporarily blocking the signals from nerves that activate the sweat gland. The injection does not work immediately – it takes up to two weeks to see results. However, the results can last for up to 4 months. This allows some patients to choose this therapy only for certain seasons of the year.

Did you know that water of any kind, including sweat, can permanently stain silk and some other fabrics? The stains may be immediate, but may also take weeks or months to reveal themselves. For other fabrics, such as rayon, water weakens the fibers, making it more likely to tear at the seam. If you are planning a wedding, or a special function, you may want to consider chemically blocking your axillary sweat glands for your big day. Not only will you look cool as a cucumber, you will protect the investment of your wedding dress for future generations.

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Thigh Lift

A thigh lift removes excess skin from the medial thigh, resulting in more shapely legs. Additional tailoring of the contour can be obtained with liposuction, which can be done at the same time.

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