Body Sculpting
Liposuction

Liposuction removes fat from your body using suction. During liposuction, small, thin, blunt- tipped tubes (cannula) are inserted through tiny cuts in the skin. Fat is suctioned out through these tubes as the doctor moves the tubes around under the skin to target specific fat deposits.

Liposuction is usually done as an outpatient procedure in a properly equipped doctor’s office, ambulatory surgery center, or hospital. In general, it does not require an overnight hospital stay unless a large volume of fat is being removed. Local anesthesia is used in some cases, and you may or may not be given a sedative to help you relax. If a large area or volume of fat is being treated, general anesthesia or deep sedation with a local anesthetic may be used.

Most people are able to get up and move around as soon as the treatment is finished and after the effects of the anesthesia and any sedation have worn off. You can return to your normal activities as soon as you feel comfortable, although this may take several days to a few weeks. Most people can return to work within a few days. Recovery may take longer if large areas were treated.

The main purpose of liposuction is to reshape one or more areas of your body, not to reduce body weight. Liposuction is typically used on “problem” areas that have not responded well to diet and exercise. These areas are often on the outer thighs and hips in women and the waist and back on men. The face, neck, abdomen, back, buttocks, legs, and upper arms are all commonly treated areas.

Liposuction is sometimes used in combination with other cosmetic surgery procedures, such as a “tummy tuck” (abdominoplasty), breast reduction, or face-lift.

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Tummy Tuck

Abdominoplasty, often called a “tummy tuck,” is a very popular surgery that helps to flatten and shape the abdomen and waist by removing excess fat and skin, as well as tighten muscles.

The best candidates for abdominoplasty are in good physical condition with pockets of fat or loose skin that haven’t responded well to diet and exercise. We can also help older, slightly obese people, whose skin has lost some of its elasticity.

Abdominoplasty can also be useful for women with stretched skin and muscles from pregnancy. Results from the tummy tuck procedure will likely diminish if women continue to bear children, so we advise patients who plan to become pregnant to delay abdominoplasty.

We also encourage patients who intend to lose a lot of weight to wait before undergoing the procedure, since skin in the abdominal area typically loosens after substantial weight loss.

Abdominoplasty takes approximately two to five hours under general anesthesia. Recovery time ranges from two weeks to a few months.

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Mini Tummy Tuck

Abdominoplasty enhances the appearance of the abdomen by removing excess fat and skin and tightening the muscles in patients with pockets of fat or loose skin that have not responded to traditional diet and exercise, including those who have undergone weight loss surgery or women with stretched skin and muscles from pregnancy.

Partial abdominoplasty, or “mini tummy tuck”, is similar to the regular tummy tuck procedure, except it involves a shorter incision and the skin is only lifted to the navel, which does not have to be moved.

The “mini” procedure is ideal for patients who need just a little improvement in order to reach their desired results, such as those within 10% of their ideal body weight. It offers patients, many benefits, including less scarring, shorter recovery times and an overall less invasive procedure. You can discuss the differences between these procedures, as well as weigh their benefits and risks with the doctor in order to decide which procedure is best for you.

The partial abdominoplasty procedure is performed on an outpatient basis under either general anesthesia or local anesthesia with sedation, depending on the amount of fat and skin being removed, as well as the overall health and preference of the patient.

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Breast Augmentation

Breast implants can give you a fuller, shapelier, bust line. Choose from silicon or saline, either of which can be placed above or below the chest muscle.During breast enlargement surgery, the doctor makes the breasts larger by putting an implant under the breast tissue or under the chest muscle. An implant is a soft silicone shell filled with silicone gel or a saline (saltwater) solution.

Your doctor makes a cut (incision) in the bottom crease of the breast, the armpit, or along the lower edge of the nipple and the areola (the colored area around the nipple). Then your doctor makes a pocket under the muscle or breast tissue. He or she puts in the implant and adjusts it to the correct shape, size, and position. Your doctor then closes the incision with stitches.Breast enlargement surgery is done to increase the size of the breasts and enhance their shape. You may decide to get breast implants too:

  • Enhance breasts you consider too small. The definition of what is “too small” (or too large, for that matter) varies from woman to woman. There is no universal standard below which breasts are considered too small. If you are content with the size of your breasts, then they are not too small.
  • Restore the size or shape of the breasts after significant weight loss or pregnancy. A breast lift may be done at the same time as the enlargement in these cases.
  • Make the breasts more evenly proportioned. In many women, one breast may be larger or sit higher than the other.

A breast lift may be done at the same time as the breast enlargement. A breast lift can raise sagging or drooping breasts and elevate the nipple and areola. To lift the breasts, excess skin from the bottom of the breast and the area around the areola is removed. The remaining skin is then brought together, which tightens and raises the breast. A breast lift requires larger incisions than a breast enlargement alone. Incisions may extend from the areola down to the crease where the bottom of the breast meets the chest.

Breast enlargements and lifts are usually done as outpatient procedures in a hospital or an outpatient surgery center. An overnight stay in the hospital is not needed unless there are complications during surgery. The surgery takes 1 to 2 hours. General anesthesia is usually used, although local anesthesia or an epidural may be used in some cases.

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Breast Lift

A breast lift can raise sagging or drooping breasts and can pull up the nipple and the colored area around it (areola). To lift the breasts, the doctor removes excess skin from the bottom of the breast or from around the nipple. The remaining skin is sewn together. This tightens and lifts the breast.

Breast Reduction

If you have disproportionately large breasts that are causing neck pain, back pain, or other physical symptoms, you may be considering breast reduction surgery.

Most women who get breast reduction are very satisfied with the results. Men with conditions such as gynecomastia (in which male breasts are abnormally enlarged) may also get breast reduction.

Depending on your personal situation, breast reduction surgery can be done in an outpatient facility, or you may have to stay at least one night in the hospital. In either case, you will get general anesthesia, which means you will be put to “sleep” during the procedure.

Breast reduction surgery will take about two to five hours, sometimes longer. Your surgeon will make a cut around your nipple, then downward to the breast in the form of a keyhole. The operation team will remove extra skin tissue, and fat from your breasts and reposition your nipple. Your surgeon may use drainage tubes and then stitch up your breasts and wrap them in special gauze. You may also need to wear a surgical bra.

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Male Breast Reduction

The overdevelopment of male breasts, also known as gynecomastia, affects an estimated 40 to 60 percent of men. This condition may be caused by a hormonal imbalance, side effects from drugs, or may occur for no particular reason at all. But despite the cause, the condition is significant and may pose a serious problem in a man’s life.

Men with large or sagging breasts can be both physically and emotionally uncomfortable, often restricting themselves from certain activities because they feel self-conscious about their breast size. Male breast reduction is an excellent way to decrease the size of a man’s breast, helping him feel more comfortable and confident. The procedure can be performed on men of all ages who are in good health, both physically and emotionally.

Male breast reduction surgery is usually performed under general anesthesia on an outpatient basis. The surgery typically takes one to three hours. Several techniques can be utilized in male breast reduction, depending on the extent of the procedure.

If the enlarged breasts are primarily caused by excessive fatty tissue, liposuction can be performed through tiny incisions to remove the excess fat. The incision may be made around the edge of the areola (the area around the nipple) or in the underarm. If excess glandular tissue is the primary cause of the enlarged breast, the tissue will be excised, or cut out, in addition to liposuction.

In more extreme instances when large amounts of fat or glandular tissue have been removed, excess skin may have remained that has not reshaped well to the new contour of the breast. In these cases, the excess skin may have to be removed as well. The incisions are then closed using sutures and are usually covered with a dressing. The chest may be wrapped to keep the skin firmly in place.

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Facelift/Necklift

Over time, the long-term effects of gravity, exposure to sun, dry air, and general stress take their toll on an individual’s face and neckline. Jowls can develop under the jawline with folds and fat deposits. Sometimes creases begin to form between the nose and the mouth.

A facelift can considerably reduce these signs of aging by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face. Facelifts can be done alone, or are frequently performed in conjunction with another procedure such as a browlift, eyelid surgery, or nose reshaping. In some cases, a facelift can reduce the outward signs of aging by ten or fifteen years.

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Nose Reshaping

Rhinoplasty is surgery to reshape the nose. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose. During rhinoplasty, the doctor makes incisions to access the bones and cartilage that support the nose.

The incisions are usually made inside the nose so that they are invisible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). After the surgeon has rearranged and reshaped the bone and cartilage, the skin and tissue is redraped over the structure of the nose. A splint is placed outside the nose to support the new shape of the nose as it heals.

Rhinoplasty may be done using general or local anesthesia. It is usually done as an outpatient procedure, but sometimes requires a 1-night stay in the hospital.

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Eyelid Surgery

Eyelid surgery, also called an eyelid lift or blepharoplasty, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and/or lower eyelids. Eyelid surgery may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision.

Blepharoplasty is ideal for the correction of:

  • Loose, sagging and/or folded upper eyelids that may limit vision
  • Puffy fat deposits in the upper eyelids o Under-eye bags
  • Sagging lower eyelids that may show the white of the eyes below the iris
  • Excess skin in the lower eyelids
  • Fine wrinkles in the lower eyelids

Eyelid surgery is performed in the doctor’s clinic, usually with local anesthesia and IV sedation. The procedure can take less than 45 minutes.

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Cheek Augmentation

Many people consider full cheeks very attractive. Weak cheeks can make your face appear gaunt, and create an aged appearance to the under-eye area. Cheek augmentation can restore the fullness to your cheeks if it has been lost with aging, or can create the appearance of strong cheek bones if you never had them. There are many options for aesthetic cheek surgery, depending on your particular appearance, and the look you wish to attain. The operation adds volume to the cheek by effectively augmenting the bone structure of the cheek region, enhancing the foundation of your mid-face.

Aesthetic cheek surgery can be performed alone, or in combination with other surgical procedures. Multiple shapes and sizes of implants are available to fit your particular anatomy and desired change. Depending on the areas that are being addressed, the implants can be placed through the mouth with a small incision at the gum line, or through a lower eyelid incision if eyelid rejuvenation is being performed at the same time. Depending on the approach and your doctor’s preference, the cheek implants can be made of solid silicone or other non-reactive materials. Surgically, a pocket is made for the implant directly over the cheek bone, and the implant placed. The implant is secured either by designing a well-fitting pocket, or affixing it to soft tissue or bone. The incision is closed, completing the cheek augmentation. Usually the whole operation takes about 30 to 45 minutes to complete, unless other procedures are being performed in addition to the cheek augmentation.

Cheek augmentation surgery can be performed under sedation anesthesia, or general anesthesia, depending on the technique utilized.

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Ear Surgery

Ear surgery, or Otoplasty, is a cosmetic procedure to improve the appearance of a person’s ear. Otoplasty typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Ear surgery may also be helpful for the following conditions:

  • Large or protruding ears
  • Lop ear (top of the ear folds downward or inward)
  • Cupped ear (a small ear)
  • Shell ear (no outer curve in the cartilage)
  • Large, stretched, or torn earlobes
  • Earlobes with large creases and wrinkles
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Earlobe Repair

Over time, a pierced earlobe can become stretched if a person frequently wears large or heavy earrings. In addition to creating a long or wide opening, earrings may tear completely through the lobe. A torn earlobe may also result from trauma, such as having an earring pulled off or caught on clothing.

Torn earlobes can be repaired with a quick in-office procedure performed under local anesthesia.

Torn earlobe repair first involves “freshening” the edges of the torn lobe by removing a small amount of skin. Then, using fine sutures, the earlobe is meticulously repaired to reconstruct a normal, rounded earlobe that matches your natural ear shape.

You will be able to return home immediately after the procedure, with only a small bandage covering the stitches. The stitches will be removed after one to two weeks. When the earlobe has healed and the scar has softened, you may re-pierce the repaired earlobe.

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Forehead Lift

A forehead lift is often performed to treat conditions associated with aging. It may be done in conjunction with other cosmetic procedures to achieve a more harmonious facial appearance. A forehead lift is also appropriate for treatment of certain inherited traits. Younger adults who have a low brow or who already have deep frown lines due to stress or over activity of muscles may benefit from the Forehead Lift procedure.

Any one or combination of the following conditions may indicate that you are a good candidate for a Forehead Lift:

  • Sagging or low position of the eyebrows, creating a tired or sad appearance
  • Deep horizontal creases across the forehead
  • Frown lines, or furrows, between the eyebrows and sometimes across the top of the nose

There are many different variations of the Forehead Lift procedure. The Forehead Lift procedure usually involves incisions in the hair-bearing scalp. Occasionally, incisions may be performed in the forehead, and/ or the upper eyelids. Once the incisions are made, various degrees of undermining of the skin are performed, and the deeper layers of the forehead are “lifted.” The skin and deeper layers are often then “fixed” or attached to the bone. The results are a reversal of the effects of gravity and tightening of soft tissues of the forehead to restore a more youthful contour to the upper face.

The incision is made across the top of the scalp, beginning above the ears and hidden within the hair. Sometimes, the incision may be placed at the front of the hairline or, in some cases, toward the middle of the scalp. The incision is designed to be inconspicuous when healed.

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Chemical Peel – VI Peel

The VI Peel will improve the tone, texture and clarity of the skin; reduce or eliminate age spots, freckles, and hyperpigmentation, including melasma; soften lines and wrinkles; clear acne skin conditions; reduce or eliminate acne scars; and stimulate the production of collagen, for firmer, more youthful skin. VI Peel also works well in conjunction with lasers, injectables and post procedure.

The VI Peel contains a synergistic blend of powerful ingredients suitable for all skin types. This peel provides dramatic results with virtually no pain, no skin preparation and little downtime. Why wait weeks or months for results? Enjoy radiant, younger looking skin in about a week with the VI Peel.

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VI Derm Skin Products

Hailed as the “Most Effective Anti-Aging and Acne Treatments Available!” From the makers of the world-renowned VI Peel – featured on Extra, CBS, and NBC. Medical Aesthetics Award Winner for 2009

Dramatic results for young, radiant and flawless skin!

VI Derm™ Advanced Firming Lotion

This formula contains a unique blend of ingredients for visibly younger looking skin. Argireline relaxes facial tension leading to a reduction in superfcial lines and wrinkles. Osilift promotes firmer, smoother skin. Matrixyl 3000 significantly reduces the appearance of wrinkles while improving elasticity and tone

 

VI Derm™ Clear HQ Free Skin Brightener

A hydroquinone free skin brightener with Retinol, Kojic Acid, Azelaic Acid, Arbutin and Licorice extract exfoliates and refines the skin while inhibiting hyperpigmentation, including melasma. It re-textures the skin, helps reduce fine lines and wrinkles and improves skin clarity. This product promotes the correction of uneven skin tone, age spots and scars.

VI Derm™ Cleanser for All Skin Types

This cleanser contains Azelaic Acid which is anti-bacterial and reduces inflammation; Willow Bark, which stimulates new skin cell formation; Apple, Lemon and Sugarcane, botanical extracts that aid in exfoliation and cell renewal. It also contains powerful antioxidants Green Tea and Vitamin E and Essential Oil of Grapefruit, for its refreshing, energizing aroma. This Cleanser is sulfate and paraben free, and suitable for all skin types. Daily use will leave the skin revitalized and radiant

VI Derm™ SPF 55 Sun Protection

SPF 55 provides superior protection from both UVA and UVB rays. It is oil-free, water resistant and leaves skin with a smooth feel. Organic green tea helps fight free radicals from U.V. radiation and other toxins. Micro encapsulation of active ingredients provides a consistent delivery system.

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Meet our Medical Experts

Dr Nic Isse

Plastic Surgeon

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Dr Timm Wolter

Plastic surgeon

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