This patient has had previous surgery to her abdominal wall and excessive fat in the upper part of her abdomen. A fleur de Lys abdominoplasty leads to a vertical scar in combination with a horizontal scar. The previous scar has been removed and the vertical excision allows a better definition of the abdomen. Liposuction has also been performed although often liposuction in this scenario is better performed at a second stage. This image is seen 4 months postoperatively and will continue to fade over time.
This patient has had many previous abdominal surgeries with many scars on her lower abdomen. Even with midline scars a modified fleur de lis abdominoplasty can improve the contour. All other scars can be removed and revised in the lower abdomen. A vertical scar is required where there is not a lot of excess skin. The scars can be asymmetrical due to the differing anatomy on each side of the abdomen. The patient has also had a bowel resection, many previous hernia repairs and several laparoscopic procedures. The initial postop picture photo is taken at 6 weeks months postop. The final pictures are seen several years later when the swelling has settled and the scars have faded.
At a consultation, It is important to run through all the pros and cons and the various options of abdominal rejuvenation surgery and to look at preop and postop images so that you can be empowered to proceed or not to proceed.
This lady has had a thigh lift through a horizontal scar in the groin crease. The scar curves around the underside of the buttock region and is well hidden. When combined with liposuction one can improve not only the excess fat but also the excess skin that often occurs following liposuction only.
This lady has had a thigh lift through a horizontal scar in the groin crease. The scar curves around the underside of the buttock region and is well hidden. When combined with liposuction one can improve not only the excess fat but also the excess skin that often occurs following liposuction only.
This lady has excess skin in the inner thigh. She wished to have a tightening of the skin and a thigh lift with a scar running in the crease of the thigh has allowed the skin to be tightened. There are limitations to how much skin can be removed in this manner and the amount of tightening that can be achieved. In patients with good thigh contour this often is a better method than a long vertical scar thigh lift. The horizontal scar technique does not tighten as much as the vertical scar technique but the resulting scar is much better aesthetically and patients need to weigh up the pros and cons of each method.
This lady has previously had removal of a lot of fat through liposuction performed elsewhere. This has left a lot of excess skin which has been removed by a thigh lift
Excess tissue of the inner thighs following weight loss. Following liposuction the excess skin has been removed in two directions both upwards (horizontally) via a groin scar and tightened by a vertical scar that runs from the inner thigh down the inner leg. Liposuction and repositioning of the inner tissues of the thigh improves the contour.
For patients with minimal skin excess of the inner thighs and in younger patients removal of excess skin can be achieved by an incision in the groin and buttock crease. This is scar is easily hidden and although it does not reduce volume as much as a vertical scar the scar is in a more aesthetic position. The pros and cons of this should be discussed at a consultation
This lady has lost a considerable amount of weight and has achieved her ideal weight and been weight stable for some time. Liposuction only in the presence of excess skin is not recommended but when combined with excisional techniques can be a very good way to provide arm rejuvenation. Patients must be aware of the length of the scar and possibility that it can become stretched. The results are seen at 6 weeks when the wounds have all healed. There can still be some swelling at this stage and patients need to massage the scars which are often red at this time. Often these scars can be well hidden and improve patients quality of life greatly allowing them to wear clothes they felt they would never be seen in again.
At a consultation for arm lifting, it is important to run through all the pros and cons and the various options and other combination site surgery so that you can be empowered to proceed.
Mr. Ross is a plastic surgeon that underwent specific training in plastic surgery. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) Association of Breast Surgeons (ABS) and the British Association of Head and Neck Oncologists (BAHNO) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS, ABS and BAHNO.
This lady has lost a considerable amount of weight and has achieved her ideal weight and been weight stable for some time. She has significant skin excess but also has a contour irregularity with a lot of fat deposited in an isolated area close to the armpit. Liposuction only in the presence of excess skin is not recommended but when combined with excisional techniques can be a very good way to provide arm rejuvenation. Patients must be aware of the length of the scar and possibility that it can become stretched. It is important for patients around the 4-6 weeks’ phase to start massaging the wounds to stop the formation of contracture bands that can cause a functional issue.
At a consultation for arm lifting, it is important to run through all the pros and cons and the various options and other combination site surgery so that you can be empowered to proceed.
