“Oh my god, I love the look and feel after being injected with Botox by you! It’s Amazing! Thank you!” – Amanda

Hi,

My name is Valerie Bacon, Dr. Benchetrit’s new injectable nurse.  I’ve been a nurse for 8 years primarily working in the Operating Room.  I love my new job and working with patient’s specific skin types.  Injectable treatments are a passion of mine. I love to see the changes that occur in my patients when I inject whether it’s with Botox or a Dermal Filler. 

I also treat patients using Fraxel, Thermage, IPL or Peels which can really transform  your skin’s look and feel.  

 Feel free to contact our office to have a free consultation.. 514-695-7450 

SPECIAL/SPÉCIALE!!!!!! BOTOX / JUVEDERM

New Lumineyes treatment can turn brown eyes blue

 

26 Dec 2011 Abbie Smith

A doctor in theUS is claiming a laser treatment he has developed can permanently change eyes from being brown to blue in less than a minute

An American doctor has developed a new 20 second laser treatment which he claims can permanently turn the colour of eyes from being brown to blue.

It is estimated Dr Gregg Homer’s Lumineyes treatment would cost in the region of $5,000 (£3,000), but it would mean people would no longer have to rely on coloured contact lenses to change the colour their eyes.

Dr Homer, the founder of the Calfornian-based clinical equipment company Stromer Medical, is also confident his revolutionary technique does no harm to patients’ vision, which has reportedly taken him 10 years to develop and perfect.

The Lumineyes laser treatment works by extracting the brown pigment of melanin from the iris’ upper layer.

Two to three weeks after undergoing the Lumineyes treatment the brown colour is then replaced with a blue colour which is already present in everybody’s eye, it’s just not visible beneath the melanin.

However, once the melanin has been removed from the iris it does not grow back meaning the laser treatment is permanent and irreversible.

While being interviewed about Lumineyes treatment by KTLA Morning News, Dr Homer said: “They say the eyes are the windows to the soul.

“A blue eye is not opaque, you can see deeply into it, while a brown eye is very opaque.

“I think there is something very meaningful about this idea of having open windows to the soul.”

According to British newspaper the Daily Mail, Stromer Medical is looking for an investment of £500,000 to allow it to carry out clinical trials of the Lumineyes treatment.

If an investor should come forward, Dr Homer has said the treatment could be available to patients in theUSwithin 18 months, but has estimated a time period of three years before it is available in locations outside ofAmerica.

Men regain confidence after reduction mammaplasty

Question: My husband is embarrassed to take his shirt off on our boat. He  feels like he has breasts like a woman. Can this be corrected?

Answer: Yes. This condition, called gynecomastia, can be a combination  of excess fat and/or glandular tissue development in one or both breasts. It  can happen on young men as they go through their adolescence or even develop  as men get older.

In some cases, it is a heredity condition. In other males, it may be hormonal  changes, weight loss or gain, or the use of certain medications.

The good news is that breast-reduction procedures for men are relatively  simple with little downtime. In cases where the chest/breast area is  primarily excess fatty tissue, then liposuction may be the solution. If the  breast tissue is glandular, or there is also excess skin drooping, then the  surgical approach would be slightly more involved.

Either way, we have found most males of any age are completely thrilled with  the surgical results. Following surgery, our male patients tells us they  feel less self-conscious in their fitted shirts and are not embarrassed to  go shirtless on the beach, gym or boat.

BRIAN HASS, M.D., PLASTIC SURGEON

Question: I just went through a divorce; is this a good time to have plastic surgery?

Answer: We mark the times of our lives by transitions. Many people take  these times of transition to make other types of changes to themselves,  specifically cosmetically. They are often looking to rejuvenate, renew and  refresh. And let’s face it, plastic surgery is more about  confidence-building than anything else.

Not surprisingly, it is helpful to do what you can to increase your confidence  during times of change. We have found that patients tend to have the  following plastic surgery during times of transition:

DIVORCE. We see requests for facial work — eyes, neck and face lifts, and even  cosmetic breast surgery or liposuction.

After CHILDBIRTH, we see the “Mommy Makeovers” — tummy tucks, breast lifts and  breast augmentations.

For the BIG DECADE BIRTHDAYS. It depends on the decade!

For WEDDINGS (depending on who’s getting married), we see brides doing breast  augmentation and liposuction, and the mothers-of-the bride doing facelifts,  eyelid surgery, and injectables.

For CLASS REUNIONS, it’s usually facial work with face, neck and eyelid  surgery, injectables, and even some liposuction or breast augmentation.

For those GRADUATING, it may be breast augmentation or even rhinoplasty.

For the JOB SEARCH/CHANGE, it’s also facial work with surgeries and  injectables.

Despite the refreshing changes plastic surgery can make it, will not fix a  broken marriage or lock in a new job. However, once you have decided you are  making a life change, we are there to help you go through it looking and  feeling your most confident, so you can be the best “you” when it matters  most!

BRIAN HASS, M.D., PLASTIC SURGEON

Do your homework before getting cosmetic surgery done

By ERIN ELLIS, Vancouver SunMay 8, 2012

Cosmetic surgery — along with its popular sidekicks, the syringe and laser — are really getting in our faces today.

It’s the subject of caterpillar-into-butterfly reality television or gruesome  news items on botched jobs.

Looking at the most popular procedures in Vancouver, compiled by talking to  local clinics and comparing that to U.S. data (similar stats are not available  in Canada) consumers are faced with choosing the right doctor for surgery or  making sure they have a qualified technician for others.

That’s because a dentist can offer a facelift, Botox need only be injected  under a doctor’s supervision and the laser hair removal industry is wide  open.

More than 2,000 plastic surgeons from around the world are now at the  Vancouver Convention and Exhibition Centre for the annual meeting of the  American Society for Aesthetic Plastic Surgery which ends Tuesday.

Vancouver’s Dr. Benjamin Gelfant, who has practised here for 23 years and is  the owner of the Broadway Cosmetic Plastic Surgery Centre, says reducing risk is  a key focus for his colleagues.

“The most important thrust has been safety, safety, safety … Plastic  surgeons have been very concerned about not having disasters that besmirch the  feelings of the general population. We have a tremendous emphasis on quality  care and on prevention of major complications.”

The 2007 death of a 32-year-old Toronto woman who had liposuction by a doctor  who was not a qualified surgeon reminded Canadians that when it comes to  cosmetic procedures it’s buyer beware. B.C., however, has the strictest rules in  the country for “major, invasive” cosmetic surgery.

Perhaps because of its popularization — and cute names such as “tummy tuck” and “mommy makeover” for serious operations conducted under general anesthetic — the B.C. College of Physicians and Surgeons has prepared a checklist for people  considering cosmetic treatments and Health Canada also offers advice.

Angie Kozina, director of 8 West Cosmetic Surgery, says there is a growing  demand among Asian patients for both eyelid surgery and implants to make their  noses more prominent, which her clinic has turned into specialties.

Regional tastes also affect the industry, notes dermatologist and University  of B.C. instructor Dr. Shannon Humphrey. She says she’s seeing growth in  non-surgical treatments, a combination of risk-aversion and individual concepts  of beauty.

“I’m quite happy to be a cosmetic dermatologist in West Coast Canada because  95 per cent of the patients that I see want a natural look.”

Most popular non-surgical cosmetic procedures in Vancouver:

WHAT: Botulinum Toxin type A. Brand names: Botox, Xeomin.

WHAT IT DOES: Paralyzes muscles under the skin, most commonly used to  prevent frown lines, crow’s feet and keep foreheads smooth.

WHO CAN DO IT: Injected by a doctor or someone under the direction of  a doctor.

HEALING TIME: None.

EFFECTIVENESS: Three to four months.

RISKS: Pain and bruising at injection site. Can lead to drooping  eyelids if injected improperly. Some reports of allergic reactions.

COST: $300 to more than $1,000 per session depending on amount  injected.

WHAT: Temporary fillers using hyaluronic acid. Brand names: Juvederm,  Restylane.

WHAT IT DOES: Plumps out lips, creases and wrinkles.

WHO CAN DO IT: Injected by a doctor or under the direction of a  doctor.

HEALING TIME: Pain, bruising, redness and swelling in the injection  area for up to two days.

EFFECTIVENESS: Lasts four months to a year.

RISKS: Few risks because the results fade with time. Permanent fillers  are also on the market but are less popular because surgery may be required if  the microparticles injected are improperly placed.

COST: Starting from $200 to more than $2,000 per session depending on  amount injected.

WHAT: Laser hair removal.

WHAT IT DOES: Permanently stops hair growth by destroying individual  roots with a laser.

WHO CAN DO IT: A trained technician.

HEALING TIME: Redness and sensitivity in treated area for a day or  two.

EFFECTIVENESS: Works best on fair skinned people with dark hair.  Thirty to 80 per cent chance of working the first time. Several sessions  required over a year as hair regrows at different times and the hair follicle  may not be destroyed the first time.

RISKS: Pain during treatment. Burns and scarring in the hands of  poorly trained technicians.

COST: Priced per session, per body part. The number of sessions it  takes to get rid of all hair varies. For example, one 90-minute session on a  man’s back will cost from about $450 to $700, but two to four sessions may be  needed. A single half-hour session on a bikini line will run around $200.

Surgical procedures:

WHAT: Breast augmentation.

WHAT IT DOES: Silicon pouches filled with saline solution or silicon  gel are surgically implanted under the skin or chest muscles to create larger or  more symmetrical breasts

WHO CAN DO IT: Plastic surgeon.

HEALING TIME: Two weeks off work with no lifting and only light  activity, six weeks before resuming strenuous activities.

EFFECTIVENESS: Health Canada says implants are not a lifelong medical  device and may have to be surgically removed at a later date.

RISKS: Reaction to anesthetic, pain, infection, misshapen breasts,  leakage from implants, further surgery.

COST: $7,500 to $8,600.

WHAT: Abdominoplasty (tummy tuck)

WHAT IT DOES: Excess skin is cut away to tighten lower stomach area,  usually after childbirth or weight loss. Depending on the type of operation, it  could include liposuction and tightening of the underlying muscles using  sutures.

WHO CAN DO IT: Plastic surgeon.

HEALING TIME: At least overnight in the clinic, two to three weeks off  work, four weeks before resuming strenuous activities.

EFFECTIVENESS: A successful operation generally flattens the lower  stomach area as long as the patient doesn’t gain a lot of weight. Scars from the  operation are hidden by underwear.

RISKS: Reaction to anesthetic, pain, infection, numbness, embolism  (blocked blood vessel), death.

COST: $10,000 to $13,000.

‘Early-maintenance’ facelift catches aging problem before advanced issues arise

By:  Rochelle Nataloni

• Early-aging deformity is characterized by subtle but distinct sagging of deep facial tissue, loss of facial contour
• Early-maintenance facelifts include SMAS repositioning of the midface, cheek and jowl; minimal or no skin tension; some form of forehead, neck and eyelid surgery

Patients who desire the benefits of an early-maintenance facelift want to stop the clock at a time when they feel they look their best, says Timothy J. Marten, M.D.

“It’s also a common misconception that all patients seeking surgical facial rejuvenation want to look as young as possible,” says Dr. Marten, director and chief of the Marten Clinic of Plastic Surgery in San Francisco. “In fact, many patients think they look their best in the third and fourth decade of their lives.”

Traditionally, facelifts were reserved for older patients and regarded as a way to “repair” an advanced aging deformity, Dr. Marten says. But today, many patients are requesting procedures to rejuvenate the face at a younger age, all with the goal of maintaining — not regaining — a youthful appearance.

Early-aging deformity is characterized chiefly by a subtle but distinct sagging of the deep facial tissue and loss of facial contour that is typically evident as perioral laxity, jowl formation and cheek flattening, Dr. Marten says. Varying degrees of forehead ptosis and loss of neck contour are also usually present, but skin wrinkling, skin laxity and skin redundancy are usually minimal.

“Although the early-aging deformity of the face has been overlooked and underappreciated by all but the most observant and artistically sensitive plastic surgeons, it has been recognized by and has been a cause of concern for many of our patients for some time,” he says.

A NEW PARADIGM
Early-maintenance facelifts typically include SMAS repositioning of the midface, cheek and jowl; minimal or no skin tension; a precise incision plan and meticulous execution of skin excision closure; and some form of forehead, neck and eyelid surgery, Dr. Marten says. Skin resurfacing is not usually needed and fat injections are generally not indicated, although they are sometimes helpful because “the younger patient typically has minimal skin wrinkling and facial atrophy,” he says.

The early-maintenance facelift approach is based on the concept that aging is a continuum and that younger patients have a microform of the same problems older patients have. Thus, they should be treated by more or less the same means, but the procedures must be performed less aggressively and in a very meticulous fashion.

“Patients with forehead ptosis are often best served with a forehead lift even if the ptosis is modest; patients with sagging of the cheek and jowl and loss of a smooth jawline need a facelift that includes SMAS support to correct these problems if a meaningful and sustained improvement free of secondary deformities is to be obtained; and patients with neck problems often are not adequately or attractively rejuvenated with liposuction or by limited surgical or nonsurgical means,” Dr. Marten says. “Skin resurfacing, ‘skin shrinking’ and facial filling may be of help but don’t actually address these problems.”

Dr. Marten says it can be difficult to define exactly what constitutes an “early” facelift because some patients in their 40s are already “emergencies,” while other patients in their 50s could arguably be defined as undergoing early procedures.

“As a general rule, I would say most surgeons regard a patient to traditionally be ready for a facelift and related procedures in their 50s or 60s, and that an ‘early’ facelift would be one performed in one’s 30s or 40s,” Dr. Marten says. “We don’t track numbers specifically, but the average age of facelift patients in our practice is early-to-mid 40s.”

SCAR SUBTERFUGE Concealing scars is of paramount importance in the young patient, Dr. Marten points out. “If we see a bit of a scar on a 60- or 70-year-old we smile to ourselves and think ‘she’s had a facelift,’ but typically don’t pass judgment or cast aspersions on her. If we see a scar on a 30- or 40-year-old, however, this somehow carries more of a stigma. In this sense, operating on a younger patient arguably carries a heightened responsibility. There is no room for error, and every effort must be made to obtain a well-concealed scar,” Dr. Marten says.

“The fallacy of most ‘short scar’ procedures is that they move the scar from a concealed location behind the ear to a much more visible and objectionable location in front of the temporal hairline,” he adds. “While this is often a necessary and worthwhile compromise in the older patient, it is a considerable burden to the younger patient who wears less makeup, leads a more active lifestyle, and who is subject to more shame when this scar is seen by others.

“The ‘early-maintenance’ technique, by comparison, avoids a scar along the temporal hairline,” and the scar behind the ear is situated in a way that allows the patient to wear her hair up or back, or in a ponytail, he says.

The second problem with most short scar techniques is that little, if any, meaningful and sustained support from deep-layer tissues is obtained, and unavoidable skin tension incites hypertrophic healing and poor scar formation. “This is avoided when a full SMAS lift is performed and tension is diverted from the skin to the SMAS layer,” Dr. Marten says. “Finally, most proponents of mini-lifts and short scar procedures view the fact that they can be completed quickly as an advantage to both the patient and surgeon, but in reality, this rushing through the procedure is the typical source of a low quality, poorly situated and poorly concealed scar in many cases.

“In an early-maintenance procedure, 45 minutes or more is often spent concealing the scar on each side, totaling an hour and a half on that part of the procedure alone,” Dr. Marten says. “Many surgeons performing mini-lifts and short scar procedures are trying to complete the entire facelift in that same amount of time. Ultimately, it is incumbent on surgeons performing facelift procedures to remember that it is someone’s face we have been entrusted with, and that it deserves our best effort, not a compromised or half-hearted one.”

Dr. Marten says that patients who have early-maintenance procedures typically recover quickly and can return to their work and social lives in 10 to 14 days. This is due to the fact that they are young and heal well, as well as the fact that pull was placed on the SMAS and not the skin and that the patients have well-concealed incisions (no incision along the temporal hairline).

In addition, they typically don’t need fat injections or skin resurfacing, both of which increase swelling and prolong recovery. “Ultimately, however, no one judges a facelift by how long it took to perform or how fast the patient recovered,” Dr. Marten says. “In the end, what is remembered and what really matters is that the patient looks natural and has no signs that surgery has been performed.”

LESS IS RARELY MORE The “early-maintenance” concept is not limited to just the cheeklift, as are some minimally invasive procedures. “The whole face ages — not just part of it — even in younger patients,” Dr. Marten says. “To achieve a balanced, harmonious and natural appearance, the forehead, eyes and neck often have to be refreshed using a ‘combination’ approach. This is the inherent weakness in any attempt to spot-rejuvenate or refresh the face in a limited way — one part of the face can end up looking younger than the others, and this is something that subliminally, at least, suggests to others that something has been ‘done’ or ‘is not right.’ It is a bit of a paradox and can be difficult to accept at first, but skillfully performed, doing more surgery can actually look more natural … because a balanced and harmonious outcome is achieved.”

Dr. Marten stresses that the early-maintenance technique is not new, but it is also not something that can be adopted by the surgeon performing the occasional facelift.

“The early-maintenance concept is not new or a specific technique of mine,” Dr. Marten says. “A committed group of skilled surgeons have used or are employing a similar approach. However, I published one of the first detailed and comprehensive scientific articles on the technique and the concepts behind it, and as such it has served as a point of reference for surgeons seeking to meet the increased demand we have seen for early-maintenance procedures.

“It has also provided important counterpoint to the often-misguided and overly simplistic approaches advocated by those asserting that the younger patient can be effectively treated by nonsurgical or limited surgical means,” he says.

Mommy Makeover Mania

by Dennis Hurwitz, MD

Dennis Hurwitz, MD, discusses the origin and evolution of the mommy makeover

Before and 1 month after a Total Mommy Makeover in a 35-year-old, 5-foot-5-inch,  55-pound mother of three.

During the past 5 or so years, an extraordinary new social phenomenon has occurred in plastic surgeons’ offices across the country. Middle-aged mothers are having their sagging breasts enhanced, their loose tummies tightened, and any excess waist fat liposuctioned away. This combination of upper- and lower-body contouring procedures is being performed to reverse the natural body changes that follow pregnancy, breast-feeding, and motherhood.

Plastic surgeons often describe this combination of procedures as the “mommy makeover,” a term that currently has more than 1,600,000 citations on Google. It’s not quite as popular in the medical literature. In fact, a search in the Journal of Plastic and Reconstructive Surgery yielded no hits during the past 10 years.

“Mommy makeover” is a concept and a catchy catchphrase that resonates with women who have completed their childbearing years. That said, the individual procedures have long been provided, and the technology is not new. Instead, the standard techniques have been refined so that they can be performed in one or two operations.

Ten years ago, combining and integrating separate body-contouring operations was a new and radical approach that I helped pioneer.¹ But times have changed. Today, refinements in technique and added safety measures have allowed numerous plastic surgeons to respond to the demand. The last 7 years have been devoted to improving body-contouring outcomes in all of our patients through better patient selection and preparation, the use of new techniques and technology, and refinements in postoperative care.²

MARKETING MOMMY MAKEOVERS: THE CONTROVERSY

The appropriateness and marketing of extensive body-altering surgery to treat the aftermath of childbearing and motherhood is controversial. When mommy makeover had become a well-recognized surgical offering in 2007, The New York Times implied that plastic surgeons who offer these makeovers are preying on the vulnerabilities of a large population of women.³ If indeed they request a tummy tuck, the plastic surgeon will up-sell them additional surgery in the form of a breast-reshaping operation, The New York Times alleged.

This does not seem to be the case.

During the past decade, it has become socially acceptable for women to request and undergo cosmetic operations that reverse the changes associated with pregnancy. Today’s mothers often ask friends or search the Internet to find an appropriate surgeon with experience performing mommy makeovers. Most commonly, these operations are breast augmentation with implants, mastopexy, abdominoplasty, and liposuction. Furthermore, today’s savvy moms are aware that several procedures can safely be done at once.

The numbers speak to the demand and desire for these postpregnancy procedures. While mommy makeover is not listed per se, the 2011 procedural statistics released by the American Society for Aesthetic Plastic Surgery (ASAPS) lists the greatest increase in the separate operations that constitute a mommy makeover. Among the most popular operations performed on women, four of the five are part of every mommy makeover, and each experienced an incredible growth in the past 15 years. Since 1997, when ASAPS first started tracking procedure numbers and trends and there was no concept of a mommy makeover, there has been a 208% increase in women’s surgery overall. There was a 539% increase in mastopexy and a more than 339% uptick in abdominoplasty during this same time frame.⁴

The 2011 American Society of Plastic Surgeon (ASPS) statistics back up these trends.⁵ There were 115,902 abdominoplasties in 2011, compared with 62,713 in 2000, representing an 85% increase. There were 90,679 mastopexies in 2011, which is a 27% increase over 2000. Breast augmentation increased 45% during the same time frame.

MOMMY MAKEOVER VERSUS TOTAL BODY LIFT

Predating the onset of the mommy makeover era, I was implementing new operations and their combinations for the rehabilitation of the massive-weight-loss patient.¹ My thesis was that comprehensive and coordinated aesthetic reconstruction after major skin laxity and contour changes can, and should, be performed in as few stages as is safely possible to boost patient satisfaction and self-esteem.

Before and 1 year after photos of a Total Mommy Makeover in a 31-year-old, 5-foot-6-inch, 150-pound mother of two. Partial Front view.

For example, the patient may appreciate her abdominoplasty, but still have low self-esteem and not wear revealing clothing if her thighs remained unacceptable to her. We also embraced team surgery in which a consistent group of experienced multiple operators and assistants work together.

Single-stage total body lift is best performed in those physically and mentally fit who are under the age of 50 and highly motivated. After massive weight loss, they are willing to accept a 65% rate of wound-healing complications.⁶ In general, the skin and contour change after pregnancy is not nearly as severe; hence, the tolerance for complications is less. Furthermore, the 3 to 5 days of in-hospital care required by the massive-weight-loss patient is unlikely to be acceptable to many moms. While 8 hours of operative time is common for the massive-weight-loss patient, we rarely exceed 5 in the postpregnancy mommy makeover patient.

ANATOMY OF A MOMMY MAKEOVER

There is no stereotypical mommy makeover patient. The common denominator between all of them seem to be that they are unwilling to accept the physical changes they witnessed in their own mothers.

We most often perform isolated breast augmentation with or without mastopexy and isolated abdominoplasty. However, many multiparous mothers want correction of their entire torso. If they are healthy, fit, young, not obese, and motivated, we perform a single stage.

Thorough preparation and aftercare are important. To assist in the education of our patients, I wrote a book of instructions that is loaded with testimonials.⁷ Relevant social and nutritional history is taken and coupled with a general physical examination and a battery of micro-nutrients, elements, hematology, and chemistries.⁸ All patients receive a powdered supplement of ProCare MD from NutriEssential modified to our specifications. It contains trace elements, proteins, and amino acids much needed for extensive wound healing.⁹

Preoperative drawings of a Total Mommy Makeover patient.

Immediately preop, the surgical planning and marking of incision lines is made with alcohol-resistant ink markings. Viscot markers leave a consistent thickness line, have more than adequate ink, and image after the new alcohol-based preps have dried.

For a Total Mommy Makeover, surgical planning starts with the breast. The initial examination includes measurements of breast to chest wall distances and base width. Asymmetry, tissue fullness, and elasticity are factored. Examination and breast manipulation continue in front of a mirror.

AxisThree 3D surface scans with virtual implant augmentation are very helpful in presenting the true appearance and then simulating precise changes after specific implant augmentation in either the subpectoral or submammary planes. The nipple-areolar complexes can be raised as needed, demonstrating the change of mastopexy. There are advantages and trade-offs of limited scar mastopexies that are weighed. Then different-sized gel implants are placed in a surgical bra, starting with the best size on the 3D Scanner.

Ultimately, there is agreement on the implant size, projection, and relationship to the pectoris muscle. The surgical markings reflect those decisions as well as the relocation of the nipple and excess skin to be excised.

The patient is marked for an elliptical removal of the skin between the umbilicus and pubis, a circular cutout umbilicoplasty, and areas of nearby trunk liposuction. After excess fat is suctioned from the upper abdominal flap, it is undermined in the midline only. Weakness along the midline is imbricated with a running stitch of #2 PDO Quill. The excess skin is removed from the lower abdomen. Then the upper flap is sutured to the pubic area and groins, while a pull-through central high-tension umbilicoplasty is performed.

Before and 1 year after photos of a Total Mommy Makeover in a 31-year-old, 5-foot-6-inch, 150-pound mother of two. Side view.

Before and 1 year after photos of a Total Mommy Makeover in a 31-year-old, 5-foot-6-inch, 150-pound mother of two. Frontal views.

The patient is placed in an abdominal binder and a surgical bra. Immediate postoperative care is focused fluid management and pain control. For in-patients, there is intravenous patient-controlled analgesia. For outpatients, oral narcotic tablets usually are sufficient. After recovery and instructions on wound and drain care, the patient is discharged. Within a week, endermologie is started and drains are removed. Soon afterward, edema is managed with elastic garments, Hivamat electrophysiologic massage, lymphatic drainage, and pressure pumps.

Patients understand that while a body-contour improvement is expected, the precise change is unpredictable. Should expectations be unmet or complications ensue, the patient may need to undergo additional procedures with limited charges.

As we continue to perfect our surgical techniques and technology improves even further, we will likely see growing numbers of women embrace the mommy makeover.

---

Dennis J. Hurwitz, MD, is the director of the Hurwitz Center for Plastic Surgery in Pittsburgh. He specializes in body contouring, facelift, rhinoplasty, and cleft lip repair. Hurwitz is a clinical professor of surgery at the University of Pittsburgh. A member of the American Society for Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, and the American Association of Plastic Surgeons, he is certified by the American Boards of Plastic Surgery and Board of Surgery

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