Body Gallery
Abdominoplasty 02a
Description:
CASE DESCRIPTION:
42 y.o. 5’5 ½” 135 lb. with daughters age 3 and 10 yr.
The covering over her stomach (abdominal) muscles (the fascia) was stretched by her two pregnancies. Despite sit-ups she always had to “hold her stomach in”. Abdomen bulged above the top of her jeans. Skin laxity about her abdomen prevented performing just liposuction.
Tummy tuck surgery (full abdominoplasty) removed all skin and fat from just above her pubic area to just above the belly button (navel). The covering over the muscle was tightened (fascial plication) to give a firmer flatter abdomen. Abdominal skin and fat removed weighed 1 lb. 12 oz (788 gm.). She also underwent liposuction to her hips, inner & outer thigh, knee, and upper arm at the same time.
After pictures taken 5 yr. 5 mo. after surgery now 140 lb.
Although she had undergone breast augmentation with Dr. Pertsch 8 years before her abdominoplasty and liposuction she felt the abdominoplasty was the best thing she ever did for herself. Jeans fit and looked much better.
Breastlift/Abdplasty
Description:
Patient weighed over 230 lb. for years and had no pregnancies. With Weight Watchers and exercise she lost about 130 lb. over 3 years. Now 138 lb. at age 46 5’ 8 ½ “ she felt her “skin was too big”. She wanted to be less saggy and improve her self esteem. Her breasts had shrunk from 44DDD to current 36 D. She wanted breast improvement without implants.
First Surgery: Abdominoplasty extended circumferentially removing 1107 grams (2.3 lb.)
Second Surgery 2 weeks later: Breast lift short scar technique (“vertical” style i.e. excessive skin from side of breast used to give better projection and more conical shape yet scar only around areolar and down, no scar side to side under breast) Small amount of breast tissue removed, more from the left, to improve symmetry. R 14.2 gm. removed, L 85.2 gm. removed. No implants were used.
Third Surgery 3 weeks later: Inner thigh lift with R 36 grams, L 42 gm. skin removed
Minor “touch up” surgery in office treatment room 4 months after breast surgery removed residual wrinkles under both breasts.
After pictures taken 1 year 3.5 months after first surgery.
Weight Loss 03a
Description:
39 year old lady overweight since 4th grade lost from 255 lb. -> 170 including 35 lb. over this year before surgery by diet and exercise. Patient has had two full term pregnancies each by C-section and is an Insulin dependent diabetic. Patient 5′ 1″ started surgery at 170 lb. and ultimately achieved her goal of 115 pounds.
First surgery: abdominoplasty/belt lipectomy
Specimen weighed 8 3/4 lb.
after picture (side view) 4 yrs. 6 months after surgery
Second surgery: Brachioplasty (arm lift)
Specimen weighed a total of 11 oz. An infection delayed healing of R arm wound.
after picture 4 yrs. 6.5 months after surgery
Third surgery: Lateral chest reduction
Specimen weight 620 gm. total
after pictures 4 years 3 months after surgery
Fourth surgery: Outer thigh reduction
Specimen weight 1 1/2 lb. (739 gm.)
after pictures 2 years after surgery
Fifth surgery: Inner thigh lift, liposuction entire abdomen and lateral chest
after pictures 12 months after surgery
Sixth surgery: Liposuction upper arms, monsplasty, touch-up abdominoplasty after further weight reduction
Specimen sizes R arm 400 cc, l arm 525 cc, mons 73.8 gm., abdominoplasty 51 gm.
after pictures 8 months after surgery
Seventh surgery: Breast lift, touch up arm-lift (brachioplasty) (central/inferior pedicle)
after pictures 5 months after surgery
After pictures patient weighed ~140 pounds and went on to get down to 115 lb.
Weight Loss 03e
Description:
39 year old lady overweight since 4th grade lost from 255 lb. -> 170 including 35 lb. over this year before surgery by diet and exercise. Patient has had two full term pregnancies each by C-section and is an Insulin dependent diabetic. Patient 5′ 1″ started surgery at 170 lb. and ultimately achieved her goal of 115 pounds.
First surgery: abdominoplasty/belt lipectomy
Specimen weighed 8 3/4 lb.
after picture (side view) 4 yrs. 6 months after surgery
Second surgery: Brachioplasty (arm lift)
Specimen weighed a total of 11 oz. An infection delayed healing of R arm wound.
after picture 4 yrs. 6.5 months after surgery
Third surgery: Lateral chest reduction
Specimen weight 620 gm. total
after pictures 4 years 3 months after surgery
Fourth surgery: Outer thigh reduction
Specimen weight 1 1/2 lb. (739 gm.)
after pictures 2 years after surgery
Fifth surgery: Inner thigh lift, liposuction entire abdomen and lateral chest
after pictures 12 months after surgery
Sixth surgery: Liposuction upper arms, monsplasty, touch-up abdominoplasty after further weight reduction
Specimen sizes R arm 400 cc, l arm 525 cc, mons 73.8 gm., abdominoplasty 51 gm.
after pictures 8 months after surgery
Seventh surgery: Breast lift, touch up arm-lift (brachioplasty) (central/inferior pedicle)
after pictures 5 months after surgery
After pictures patient weighed ~140 pounds and went on to get down to 115 lb.
Liposuction 01a
Description:
CASE DESCRIPTION:
After liposuction thigh shape improvement is maintained despite 20 lb. weight gain.
30 year old single mother of 9 yr. old daughter and 5 1/2 yr. old son. She is 5’8” high and her weight as fluctuated between 110 to 130 but even at her lowest she still had fullness of her inner and outer thighs, excess fat just below her buttock crease in the upper thigh, and hips. Her skin tone was very good to support liposuction.
At surgery 1400 cc of fat was removed (just over 3 lb.). About 200 cc from each hip, 360 cc from each outer thigh and back of her thigh, and 150 cc from each inner thigh. Fluid was evenly put into her tissues while under anesthesia to maximize fat removal.
Patient gained 20 lb. to 150 lb. when after surgery photos taken 2 yrs. 7.5 months after her procedure.
Despite gaining 20 lb. her post operative photographs show her shape remains improved after surgery. i.e. the figure faults about the thighs remain improved.
Weight gained after a liposuction procedure is more evenly distributed than a similar weight gain before liposuction.
She “Loved the lipo” and “best thing she’s ever done, great result”.