Body contouring surgery is used to enhance and improve the appearance of ones body, by reshaping it to attain a more normal body appearance. Following major weight loss, either through dieting and exercise or bariatric surgery, the skin usually is lacking in elasticity and hence cannot conform to the reduced size of the body. This results in saggy, heavy, loose skin, which hangs in problematic folds. For instance the upper arms may appear loose and saggy, the abdomen may result in an apron like overhang, or lastly there may be hanging pockets of skin around the groin, buttocks and thighs. This may not only be upsetting for the individual, hence affecting their self esteem, however may contribute to the development of health problems. The problems which can be caused by heavy and excess skin include personal hygiene issues, skin thinning, skin tearing, back and shoulder aches and pains, poor posture, infections and chronic rashes within the skin folds, as well as difficulty in exercising and walking.
Body contouring surgery is aimed to improve various body areas, such as the upper torso and arms, the waist, abdomen, buttocks and thighs. It is important to note that such a surgery is not a weight loss alternative nor a method of fat reduction, however, should be considered as final phase of your weight loss experience. In addition, liposuction alone should not be considered as the sole option for contouring the body, as liposuction does not achieve skin tightening, and the issue is excess skin not fat. Body contouring surgery is commonly carried out in stages, and Dr Lim will develop a surgical plan that is inclusive of your current condition and desired goals.
Several surgical techniques can be performed to reshape the body by removing excessive amounts of skin and correcting the remaining skin that is left. These techniques include a body lift, which is also known as a truncoplasty or Belt Lipectomy with or without liposuction, an upper arm lift or Brachioplasty, and a medial thigh lift.
Body Lift (Truncoplasty; Belt Lipectomy)
A body lift procedure entails removing the belt of excess skin and fat on the lower abdomen, waist, hips, upper buttocks and outer upper thighs, which can be carried out in one operation or in several stages. The extent of fat and skin to be removed will vary from each patient and may be estimated prior to the surgery. The circumferential incision of a body lift is carefully placed so that can be hidden below the underwear line. Body contouring surgery is performed over several hours, however it is important to note that such a long period of time in surgery is not suitable for every patient. Dr Lim will advise you as to how much skin can be removed safely, keeping in mind your personal objectives.
The technique used to reduce the lower abdomen is similar to an abdominoplasty or tummy tuck, where the existing navel is repositioned, the excess skin that exists on the lower abdomen is removed, and the skin of the upper abdomen is pulled down and joined to the lower fold on the abdomen. The excess skin on the back is usually removed as well, and the remaining skin is tightened. Extra skin and fat on the sides of the hips are also removed, in which the skin over the outer sides of the thighs is tightened, leaving a scar around the hip. In order to lift and tighten the buttocks and thighs, excess skin and fat is also removed, and the scar is placed on the upper part of the buttocks, which dips into the cleft, thus the circle of lifted skin is completed. In some cases in order to enhance the shape of the treated area, liposuction can also be used within the body lift procedure. A buttock flap may also be used to enhance the size and shape of the buttock as these have usually lost its volume and shape.
Upper Arm Lift or Brachioplasty
In an upper arm lift the excess skin that hangs from the under-surface of the upper arm is removed. The amount of skin removed varies and is dependent on the patient. The incision from the underarm area extends along the inside of the upper arm, starting from the armpit to the elbow, so that the scar is hidden when the arms are positioned close to the body. It is important to note that healing around the arm area is quite unpredictable and may result in the scar being thickened or widened. However, the results of upper arm contouring are visible almost instantly, in which tighter and smoother contours are evident on the arms, and the quality of the skin is dramatically improved.
Medial Thigh Lift
A medial thigh lift reshapes the upper inner thighs by removing the excess skin and fat. This is achieved by creating an incision that begins at the fold where groin and thigh meet, and extends along the inner part of the thigh towards the knee, where it is under controlled tension that the excess skin is removed. As a result, the skin is tightened and the contour of the inner thigh is greatly improved
Dermal fillers that use proprietary HYLACROSS technology are new, non-animal, and natural injectable gels which acts as a skin filler to gently restore structure and volume to skin. They are used either to softly enhance your lips or to smooth out facial wrinkles and folds, providing a natural look and feel. The results from dermal fillers that use proprietary HYLACROSS technology should last for 6 -12 months.
Dermal fillers that use proprietary HYLACROSS technology are dermal (skin) fillers which are carefully injected beneath the skin's surface to diminish the depth of facial folds and wrinkles, and provide definition and volume to the lips.
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