GUADALAJARA, MÉXICO

BODY SURGERY

Plastic Surgery of the Body

Plastic surgery of the body makes it possible to improve or correct the imperfections that may be inhibiting your confidence. These procedures can provide sculpted curves, a toned abdomen, or improvement of very personal areas such as the buttocks or female genitalia. A trained aesthetic plastic surgeon can help you feel more attractive and self-assured in both personal and professional relationships. Juan Gordillo M.D is highly qualified and experienced in a range of body plastic surgery procedures, including:

Abdominoplasty

Improves the appearance of the abdominal area after pregnancy or significant weight loss. Removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  • Aging.
  • Heredity.
  • Pregnancy.
  • Prior surgery.
  • Significant fluctuations in weight.

Procedure

Abdominoplasty, also called tummy tuck surgery, surgically removes the excess skin and fat that lies between the umbilicus and the overhanging skin (or to a cesarean scar) from the abdominal area. Depending on the needs of the patient, the muscles of the abdominal wall are tightened and combined with liposuction of lateral abdomen. The incision is a half-moon shape (length is dependent on the mass of skin and fat to be removed).

What a tummy tuck won’t do

A tummy tuck is not a substitute for weight loss or an appropriate exercise program.

Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies would be advised to postpone a tummy tuck.

A tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised.

Length

Approximately two to three hours.

Anesthesia

Most commonly patients are placed under general anesthesia. This procedure can also be performed with a regional nerve block obtained with local anesthetic agents.

Inpatient/Outpatient

Inpatient one night.

Possible Side Effects

Temporary discomfort, low back pain, post-operative swelling, soreness or tenderness in the surrounding areas, numbness of abdominal skin and bruising are possible side effects.

Risks

Infection, bleeding under the skin flap or at the incision site, pulmonary embolism (a blood clot that travels to the lung), scarring (keloids), delayed healing, or the need for a second reversionary operation are potential risks, enlargement of the scar.

Recovery

The patient may return to work within two to four weeks. The patient may return to activity that is more strenuous after approximately six to eight weeks. Scars should fade and flatten anywhere from three months to one year after surgery. Patients are asked to wear a body girdle for at least four weeks.

Results

The result will last many years, unless the patient gains weight or becomes pregnant.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Mini – Abdominoplasty

Improves the appearance of the abdominal area.

Procedure

A mini abdominoplasty is limited to supra-pubic skin removal (skin above the pubic area) and fat removal using liposuction. The patient must have minimal to moderate skin redundancy, a small amount of abdominal fat, and minor to moderate muscle flaccidity. The surgeon aspirates the abdominal fat, removes the supra-pubic skin redundancy, and in cases of muscle flaccidity, the medial part of the abdominal skin is removed. Finally the skin is sutured with the umbilicus preserved.

Length

One to two hours.

Anesthesia

This surgery can be performed under general, epidural or local anesthesia with sedation, according to surgeon/patient. 

Inpatient/Outpatient

Either is possible and depends on the patient’s health and the doctor’s preference.

Possible Side Effects

Infection, bruising, delayed healing of the wound or keloid scaring in patients with this predisposition, and post-operative complications. Numbness of abdominal skin will recover after several months.

Risks

In young, healthy patients the risk is low. Pulmonary embolism is possible but very rare.

Recovery

Post-operative pain relief is achieved with the use of long-duration effect local anesthetic. The same attention should be taken as for a general or gynecological surgery: seven to ten days of post-operative care. Elastic compression of the abdomen must be used for four weeks.

Results

The result will last many years, unless the patient gains weight or becomes pregnant.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Arm Lift (Brachioplasty)

Is a surgical procedure that:

  • Reduces excess sagging skin that droops downward.
  • Tightens and smoothes the underlying supportive tissue that defines the shape of the upper arm.
  • Reduces localized pockets of fat in the upper arm region.

 

Procedure

The surgical rejuvenation of the upper arms remains a persistent problem for both the patient and the surgeon, despite the many techniques that have been proposed for its improvement. The goal of the arm lift is to reduce skin redundancy and the circumference of the arm. When there is good skin tone or minimal skin sagging, fat deposits can be reduced by liposuction. But marked skin redundancy or laxity can only be improved by surgery. The incision has to be placed in an axillar crease and in the internal aspect of the arm along a line extending from the axilla to the epicondyle of the elbow. Then a piece of skin-dermis and fat is removed and the skin is closed using routine aesthetic suturing.

Length

Two to three hours.

Anesthesia

The anesthesia can be general or local with sedation.

Inpatient/Outpatient

Either is possible and depends on the patient’s health and the doctor’s preference.

Possible Side Effects

In some cases edema or lymphoedema of the arms can result.

Risks

Highly visible or keloid scars and cutaneous nerve injuries.

Recovery

The healing process may take seven to ten days. An elastic bandage or compression garment may be recommended for several months.

Results

Good and stable results can be achieved in young patients with good skin tone as well as in adults of older age, sometimes with the help of several months of postoperative elastic compression.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Thigh Lift

Improves the appearance of the upper legs.

Procedure

A thigh lift refers to a variety of operations that remove skin and fat from the upper leg (thigh) area in order to improve contours by removing bulk and loose soft tissues.

What a thigh lift won’t do

Thigh lifts are not intended strictly for the removal of excess fat. Liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours.

In cases where skin elasticity is poor, a combination of liposuction and thigh lift techniques may be recommended.

Length

Two to four and one half hours depending on the amount of tissue to be removed. Usually requires at least one position change and re-prepping and draping as patients are switched from front to back or vice versa.

Anesthesia

The anesthesia can be general or local with sedation.  

Inpatient/Outpatient

Both options are possible.

Possible Side Effects

The most common side effect is wound breakdown at the intersection of suture lines in the groin because of excessive stretch of the tight closure caused by patient movement. Widened scars can also occur because of tension in these areas.

Risks

Similar to risks associated with any surgery, including infection, hematoma and fluid collection. Pulmonary embolism is a remote possibility.

Recovery

Requires three to four weeks of restricted movement including no spreading of the legs or excessive flexion. This procedure is best done in colder months of the year because special post-operative garment wear for support is important.

Results

This type of surgery is generally well tolerated and appreciated by patients.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Body Lift

Improves the appearance of the lower abdomen from front to back.

Procedure

Belt lipectomy or trunkal body lift is a circumferential removal of loose hanging skin and fat from around the waist or «belt» line of an individual. It could be considered an extensive tummy tuck that continues around the sides to remove the loose «love handle» skin that continues onto the lower back. The advantage to this extensive removal of skin is that the looseness above the buttocks is removed which has the effect of lifting the buttocks as well. Sometimes the fat in this area is used to augment the buttocks during belt lipectomy, restoring the flattened buttocks to a more youthful and projecting shape. The surgery typically begins with the patient in the prone position (belly down) and requires the body be turned onto the back once the initial posterior buttocks and lower back area surgery is completed so that the stomach or abdominal area «tummy tuck» can be performed which completes the «belt» lipectomy.

Length

four to five hours.

Anesthesia

Typically general anesthesia but spinal anesthesia is also an option.

Inpatient/Outpatient

Because of the extensive nature of the procedure an overnight stay is usually required.

Possible Side Effects

Breakdown of the suture line above the buttocks (because of patient’s tendency to bend at the waist when performing normal hygiene which strains the suture closure pulling it apart). This usually leads to a wider scar in the posterior surgical area. Some numbness of the area above and sometimes below the incisions, residual looseness and irregularity of the skin, and all the usual common side effects of any surgical procedure.

Risks

Risks of surgery are the same as with conventional abdominoplasty.

Recovery

Recovery is prolonged because of the requirement of avoiding bending at the waist for a month until adequate healing has occurred.

Results

Results are typically very gratifying.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Buttocks Implants

Improve the appearance of the gluteal area (buttocks). sometimes referred to as a Brazilian butt lift when fat transfer is involved, uses implants, fat grafting or sometimes a combination of both to increase the size of your buttocks.

This procedure can:

  • Increase fullness, roundness and projection of your buttock
  • Improve the balance of your figure
  • Enhance your self-image and self-confidence

Procedure

Buttock augmentation surgery is right for someone who does not like the shape of their buttock or is looking to balance their body. It is commonly performed in one of two ways, with implants or fat transfer. The fat transfer procedure is commonly known as a «Brazilian butt lift.»

Length

Approximately one and a half hours with implants, tow to three hours with fat grafting.

Anesthesia

General anesthesia or epidural blockage is used.  

Inpatient/Outpatient

Either, depending on the patient and doctor decision.

Possible Side Effects

Mild to moderate temporary discomfort, mild swelling or bruising.

Risks

The implant may need to be removed and/or replaced to treat problems including: implant rupture, formation of scar tissue around the implant (capsular contraction), which may cause the gluteus to feel tight or hard, bleeding, and implant misplacement; and with fat problems including infection, reabsorption.

Recovery

Patients must sit as little as possible for the first 72 hours after surgery and should lie face down or stand up most of the time. They can start sitting down but putting their weight on the back of their thighs rather than on their gluteal area. Special devices for sitting down for the first 10 to 15 days after surgery. The patient should wear a tight garment on the gluteal area and should not do any exercise or lift weight for several weeks. The patient should not consume alcohol after surgery. Alcohol consumption may be resumed after three weeks. Bruising and swelling should be gone after several weeks.

Results

The outcome varies from patient to patient; however, the overall effect is the enhancement of the gluteus (buttocks) size for an improved appearance.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Calf Implants

Enhance the appearance of the calves (rear of lower legs).

Procedure

Calf augmentation with implants improves the size and appearance of the calf area of the lower leg by inserting a silicone implant producing a cosmetic enhancement.

Length

Approximately one and a half hours.

Anesthesia

General anesthesia, epidural blockage, or intravenous sedation and local anesthesia are used.

Inpatient/Outpatient

This is an outpatient procedure.

Possible Side Effects

Mild to moderate temporary discomfort and swelling, mild bruising.

Risks

The implant may need to be removed and/or replaced to treat problems including: implant rupture, formation of scar tissue around the implant (capsular contraction), which may cause the calf to feel tight or hard, bleeding, infection and implant misplacement.

Recovery

The patient must wear a compression bandage for two weeks after the surgery and avoid exercise for several weeks. The patient should not consume alcohol after surgery. Alcohol consumption may be resumed after three weeks. Bruising and swelling should be gone after several weeks.

Results

The outcomes vary from patient to patient; however, the overall effect is the enhancement of the calf size for an improved appearance.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Fat Transfer

Enhances the face and body using fat collected from another area of the body.

Procedure

Fat transfer, also called fat grafting, fat injections and lipofilling, is a procedure that uses a person’s own fat to fill in irregularities and grooves. This is now a well-established technique that was perfected in the early nineties to a predictable procedure.

Aesthetic indications for undergoing lipofilling include sunken cheeks, the disappearance of fat from the cheekbones, deep grooves running from the nose to the corners of the mouth, and in some instances of lines between the lower eyelids and the cheek. It is also one of the most common methods used for lip enhancement. In addition, lipofilling can be used to smooth out all types of irregularities such as those resulting from poorly performed liposuction or injuries.

The necessary fat is obtained by a limited liposculpture through one or several 3 to 5 mm incisions. It is normally taken from the abdomen or inner thigh. The aspirated fat is processed by centrifuging, filtering or rinsing. Pure liquid fatty tissue ready for injection is the result.

The fat is then injected where needed. The fat is evenly distributed into the area by injecting minute amounts in the tissues so that the injected fat is well surrounded by healthy tissue. This ensures that the transplanted fat remains in contact with the surrounding tissues that must supply it with oxygen and nutrients.

Length

About an hour, depending on the size of the areas to be treated. 

Anesthesia

Local infiltration anaesthesia of the donor area and the area to be treated.

Inpatient/Outpatient

Either.

Possible Side Effects

Donor area: bruising, swelling, tenderness, up to 24 hours drainage of anaesthetic liquid.

Treated area: bruising, swelling (especially the lips if treated), tenderness.

The areas that have been treated will be rather swollen immediately after the operation, especially the lips if they have been treated. It is therefore important to use a cold pack and a compress in the first few hours to minimize the swelling. A cold pack is a freezer bag filled with ice cubes and water.

The swelling will increase until about the third day, but will then gradually subside. After about a week to ten days patients feel confident about going out and resuming a normal social life. If any bruises have developed, they might remain visible for a little longer but can be hidden reasonably well with makeup.

Patients should have a check-up with the surgeon after five to seven days and again three weeks later. By then most of the swelling will have subsided, but the correction may still look rather exaggerated. Surgeons usually over-correct, which means injecting more fat than is actually needed because 25 to 30% of the transplanted fat cells do not survive. The final result is assessed after three months. The surgeon will then take photographs to be compared with those taken before the procedure. A second session may be scheduled to top up any shortfall in volume.

Risks

Asymmetry, irregularities, overcorrection, and infection.

Recovery

Swelling usually diminishes from the third day on, and social activities can be restarted after about one week, sometimes with the help of some make-up.

Results

Correction of deep wrinkles and folds. Correction of the treated irregularities and dents. Volume augmentation of the treated areas such as cheekbones, cheeks, and the chin. Improved quality of the overlying skin can be a positive side effect. After the body absorbs a percentage of the fat (between 20 and 50%) the correction can be considered permanent.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

Liposuction

Improves facial and body contours by removing unwanted fat deposits.

Procedure

Liposuction surgery removes areas of unwanted fat with a tube and a vacuum device. Liposuction techniques, including tumescent or super-wet, typically are performed after targeted fat cells are infused with a saline solution containing a local anesthetic and adrenalin to decrease blood loss. Benefits of this liposuction technique include increased safety, easier fat removal, as well as diminished postoperative discomfort. This also reduces post-operative bruising and swelling.

The most common locations for liposuction are the chin, cheeks, neck, and upper arms, the area above the breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles.

There are several techniques commonly used including the «Traditional Technique», «Laser Technique,» and the «Ultrasonic Technique (UA).» The Traditional Technique utilizes a hollow tube to remove the fat and the Laser and Ultrasonic Technique utilizes laser or ultrasonic energy to dissolve that fat before it is removed. See your physician regarding which technique would be best for you.

What liposuction won’t do

Liposuction is not a treatment for obesity or a substitute for proper diet and exercise.

It is also not an effective treatment for cellulite – the dimpled skin that typically appears on the thighs, hips, and buttocks – or loose saggy skin.

Length

One to two hours or more.

Anesthesia

General anesthesia can be used or intravenous sedation and local anesthesia are used.

Inpatient/Outpatient

This is an outpatient procedure.

Possible Side Effects

Temporary bruising, swelling, numbness, soreness or burning sensations.

Risks

Infection, asymmetry, rippling of the skin, pigmentation changes (hypo/hyper), injury to the skin, fluid retention and/or excessive loss of blood and fluids.

Recovery

The patient usually returns to work after five to fourteen days. More strenuous activity may be resumed after two to four weeks. Full recovery from swelling and bruising may take one to six months depending upon the amount of fat that is removed and the areas that were treated.

Results

The effect is permanent and must be augmented with a sensible diet and consistent exercise.

* Please do not use the internet as a substitute for medical advice by a qualified plastic surgeon.

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