STATUS POST MASSIVE WEIGHT LOSS
The patient presents with significant weight loss, well over 120 pounds, leaving her with severe breast asymmetry, grade 3 ptosis, massive abdominal pannus, skin laxity with residual lipodystrophy of the iliac crest roll hips. The patient presented for breast enhancement, breast mastopexy and full tummy tuck procedure. The frontal views show significant asymmetry with the right breast larger and saggier than the left. She underwent augmentation mammoplasty procedure with 500 to 600 cc high profile Natrelle saline implants, a complete formal mastopexy using the inferior pedicle Wise-pattern The claimant with more skin taken from the right breast than the left in order to recreate symmetry. Looking at her frontal postoperative view, the nipple areolar complex sits with excellent symmetry. The upper pole fullness of her breast is excellent compared to her preoperative view with complete loss of fullness with a high profile saline implant placed subpectorally through the dual plane technique. The scars have healed nicely. Her oblique view shows good symmetry with nipple position straight out and well-healing to the scars at six weeks postop.
The abdominoplasty panniculectomy shows excellent tightening of the rectus abdominis muscle and the midline plication of the rectus sheath with complete correction of the lower abdominal skin laxity. The lower abdominal hips show excellent contouring with loss of the significant dog-ear skin that is seen along the iliac crest rolls.
This patient is six weeks postop breast augmentation with high profile saline implants, subpectoral, formal breast lift and full tummy tuck with lipo body sculpting of the hips. Her result is a standardized result with excellent contouring which is safe to perform all procedures, implant lift and tummy tuck on a healthy patient such as this that has been preoperatively cleared by her internist. She will continue with vitamin E and Bio Corneum on the incisions with a Dr. Linder Bra and with an abdominal binder for another four to six weeks.
BREAST DYSPHORIA, INVOLUTIONAL ATROPHY AND ABDOMINAL LAXITY
This patient presents with bilateral breast dysphoria, involution upper pole atrophy, abdominal rectus diastasis and lipodystrophy of the iliac crest rolls. Her before photo shows complete loss of fullness of the upper poles of her breast as well as lipodystrophy of a muffin top and a lower abdominal skin laxity. The patient underwent bilateral breast augmentation using the dual plane technique, 425 to 460 high profile saline implants through the subpectoral periareolar approach as well as full abdominoplasty with plication of the midline rectus sheath, and tumescent liposuction of the hips. Her oblique views show beautiful contouring of the hips from smoothing out with the flattening of the rectus muscle and a nice tight midline. Her upper pole of her breast on frontal views show excellent fullness which was obtained with a high profile smooth saline implant placed in the dual plane positioned through the periareolar approach. This patient is now six weeks postop and has an excellent result. Patients with involutional upper pole atrophy do well with high profile implants that give increased upper pole fullness.
SexyShapewear.com website is now live and available to be seen on the Internet!
SexyShapewear™ was created by Dr. Stuart Linder, internationally recognized Board Certified Beverly Hills Plastic and Reconstructive Surgeon. Dr. Linder created this ultimate sports bra and athletic bra for women worldwide. This is the ultimate sports bra for vigorous exercise, ultimate training and marathon running.
MULTIPLE BODY RECONSTRUCTIONS
The patient presents with severe Baker IV capsular contracture, painful breast deformity with bilateral breast implants presented over 15 years ago by a different surgeon. She also has multiple abdominal wall hernias both epigastric and umbilical and incisional status post midline laparotomy for 11 ulcerations in her gastric region. The patient underwent bilateral open periprosthetic capsulectomy, removal and replacement with 500 to 550 cc smooth saline implants, abdominoplasty with epigastric umbilical hernia repair and tightening of the lower abdominal rectus fascia. The patient’s postoperative results show excellent tightening of the lower abdominal muscle with revision of the lower abdominal scar. The hernia is both incisional epigastric and umbilical had been repaired. She has increased projection with her breasts with softening and decrease in scar tissue contracture. Notice the softness of the hips, the resolution of skin laxity both upper and lower abdomen and the pink scar that will take well over one year to heal. Patients often undergo multiple cosmetic and functional surgeries concurrently. This is an example in which both the breasts and the abdomen were functionally reconstructed for severe encapsulation and Baker IV capsules as well as multiple hernias. She has a beautiful postoperative result with soft breasts and hernias repaired with a nice smoothing of the stomach from the abdominoplasty.
Patients present worldwide for plastic surgery here in Beverly Hills. Dr. Linder has a very large population of Latino patients presenting from all over the Los Angeles area. Because Los Angeles is a melting pot for cultures, race and ethnicities from worldwide, we see patients of all ethnicities and cultures. Interestingly, we see patients every day from Latin American countries, including Mexico, Guatemala, El Salvador, Honduras, Costa Rica, etc. These patients are exceptionally wonderful in that they are very appreciative of their body sculpting procedures. Latin women often present desiring augmentation mammoplasty, breast lifts and tummy tucks after having had children. They also present for liposuction of their thighs, abdomen, hips and lateral breast. We are very thankful for our large population of Latina women who are excellent patients and very grateful for the results that I obtain on sculpting their bodies in my Beverly Hills practice.