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This procedure raises the buttocks and often the outer thighs. It is rare to perform this procedure separately from the lower body lift unless the patient has already had a tummy tuck. This procedure may address some of the skin redundancy on the lower back as the incision is made at about the waist.

Inverted Butt Lift
This procedure addresses very adequately, those that have buttocks that are droopier or have loose skin at the base of the butt (rather than the low back/ top of butt) and the heavy saddle bags at the outer thighs. The incision can be combined with a LBL a TT, and/or an Inner thigh lift, so they meet. The basically begins at the top of the inner groin and comes around and under the butt and the loose skin is resected there. The incision can be extended (via extra skin resection) to continue up and around the outer thighs more at the top of the outer thighs (hip joint area) so that the saddle bags can be addressed better than with the Lower Body Lift or Extended Tummy Tuck. This procedure tends to make the butt slightly more rounded and some tissue can be “molded” into the butt at the base at the incision.

Brazilian Butt Lift
This is a procedure that uses lipo’d fat from other regions of your body and it is injected into the buttocks, shaping them, giving them better definition and filling in where needed. Sometimes the fat is reabsorbed into the body, but generally this area preserves it well.

Insertion of Gluteus Implants
The Gluteus (Butt) implants are inserted through an incision made in the crack of the butt at the top, rendering it virtually invisible. Silimed Silicone Implants are used. http://www.silimed.com/pdf/body_contour.pdf

Butt Flap Technique
If there is enough excess tissue, the butt may be augmented using the patient’s tissue. The patient can sit after one week after the surgery is done, and this is because the flap is placed on the upper half of the butt, so when the patient sits, he/she doesn’t sit on the flap.

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If you need a Back Resection Dr. Fabio will determine the length of the incision and will be as conservative as possible to achieve good results. This procedure will resection the skin across the back in the bra line. For those with skin folds on the back, especially the upper back, this will properly address their removal.

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The extent of the lift and the scar will depend on the amount of tissue or gland to be excised. Generally the anchor incision is used. It involves areola (nipple) size reduction (although the areolas are not removed, so as to preserve sensitivity!) so a cut around the areola, a vertical line down to the breast fold/crease, and then a horizontal incision in the crease/fold. Dr. Fabio’s aesthetic approach will minimize the extent of the scar, and yield pleasing results.

Breast Lift WITH Implants
Silimed Cohesive Gel Round High Profile Silicone Implants are used.

Insertion of Breast Implants without Breast Lift
Silimed Cohesive Gel Round High Profile Silicone Implants are used.

Male Breast Reduction
There are a couple techniques to reduce the size of the breast in males, Sometimes lipo is all that is necessary. If more work is necessary, the extent of the scar will depend on the amount of tissue and/or gland to be excised. Generally the anchor incision is used. It may involve areola (nipple) size reduction (although the areolas are not removed, so as to preserve sensitivity!) so a cut around the areola, a vertical line down to the breast fold/crease, and then a horizontal incision in the crease/fold.

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This procedure uses a Brazilian Plastic Surgery technique that consists of removing the fat/tissue under the skin via lipo, then the flaccid skin is removed with a scalpel. Since the vital lymph nodes are found in the underarm area, simple scalpel excision of the fat/tissue inside the underarm area has been known to result in the accidental removal or disruption of the lymphatic system which can cause incredible swelling, sometimes permanent. However, using the Brazilian technique, the tube (lipo canula) used to suction is rounded and does not harm the lymph nodes.

The incision is a T incision in most cases and would end in the middle of the upper arm. How far it extends down the arm depends on the individual and the amount of skin and tissue to be resected. Unless you have very limited redundant skin, a simple incision and tuck in the underarm, will not address the lift of the skin properly, leaving you dissatisfied with your results.

Underarm Lift/Resection
This is a procedure to address the “armpit jowls” that is not addressed with the pulling down of the “over the bra hang” extended incision nor by the lift through the arm lifts (batwing removal) incision. This is an extremely delicate area filled with lymph nodes and sweat glands. The lipo procedure is also used here so as not to disrupt the glandular system. Generally, this incision will extend from the armpit T of the batwing removal, down through the armpit to meet the “over the bra hang” incision in a T.

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This procedure will include muscle work if needed. The incision is made low across the hips, belly button opening is cut out, skin is loosened from the fascia up to under the breasts and muscles are tightened by sewing them together and pulling them down. Skin is pulled down, and the excess skin is removed. A new hole is created for the belly button and then you are sewn up across the hips. Generally, the skin that is now at your waist on either side of your belly button, ends up right above the pubic area at the incision site.

Extended Abdominoplasty
This procedure extends the abdominoplasty procedure incision around the waist to help lift the outer thighs somewhat and the extra skin often found on the hips.

LipoAbdominoplasty/Panni/ (Mini TT w/tummy lipo)
(no muscle repair and no belly button replacement) This is an acceptable procedure for those that do not have a lot of “above the waist” skin redundancy and muscles are in good shape. This procedure is less invasive. The same incision is made at the hips in the bikini line, but the muscles are not tightened and the belly button is not replaced. The extra skin or apron is simply pulled down and removed. Lipo is usually needed to sculpt the torso a bit. Note: For those that are post-WLS (massive weight loss) this is usually not an option.

Lower Body Lift/Belt Lipectomy
The Lower Body Lift is the most extensive abdominal procedure. It consists of the tummy tuck/ abdominoplasty combined with the butt lift and the outer thigh lift. An incision is made all the way around the body and ends in a V at the top of the buttocks. It addresses the tummy, the outer thighs and the buttocks all at the same time. It will also help some skin redundancy of the lower back.

Vertical Incision Added to Tummy Tuck or Lower Body Lift
This procedure will help address excess “above the waist” skin redundancy and cinch the waist.

Hernia Repair
This procedure will repair of any hernias located in the abdominal region.

Mons Lift
Sometimes the mons area (pubic area) is addressed solely with the lift involved with the tummy tuck or lower body lift. In most post-weight loss surgery cases, a separate mons lift will be needed.

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