Procedures

Tummy Tuck (Abdominoplasty)

A tummy tuck is designed to reduce the appearance of a protruding abdomen that can result from pregnancy or weight loss. A tummy tuck is also helpful for those who have loose, sagging skin. During the procedure, excess fat and skin is removed and the muscles of the abdominal wall are tightened, resulting in a flatter abdomen and a more natural shape. An abdominoplasty does leave a permanent scar just above the pubic area which is most often concealed by a bikini or low-cut underwear. The best candidates for this surgery have pockets of fat or loose skin that have not responded to diet and/or exercise.

Typical surgery time: 2 – 5 hours.
Anesthesia: General.
May be combined with: Liposuction.

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Mini Tummy Tuck (Partial Abdominoplasty)

A mini tummy tuck is an alternative to the tummy tuck procedure. In a mini tummy tuck, only the appearance of the abdomen below the navel is improved. The incision is smaller and the skin is lifted to the navel, giving a flatter appearance to the abdomen.

Typical surgery time: 2 – 3 hours.
Anesthesia: General.
May be combined with: Liposuction.

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Liposuction (Lipoplasty)

As the most popular cosmetic surgery procedure in the U.S., liposuction sculpts the body by removing undesirable fat that is genetically distributed unevenly or has not responded to diet and exercise. Liposuction can be used to slim the hips, thighs, waist, neck, flatten the abdomen, shape calves, knees, buttocks, cheeks, ankles, and upper arms or remove a double chin.

Dr. Fazilat utilizes suction assisted lipectomy (SAL) and power assisted lipectomy (PAL). In both techniques, a solution of electrolytes and a very dilute amount of epinephrine (used to decrease bruising and bleeding) is injected into the area planned for treatment. This method is often referred to as tumescent technique. It is to be noted that Dr. Fazilat does not add lidocaine (a local anesthetic) to the solution as he believes that the complications from lidocaine use out-weigh the benefits. Patients are prescribed analgesics to alleviate discomfort after surgery.

During the procedure, tiny incisions are made near the area to be treated, and when possible, within the fold or natural creases in the skin. Patients who have greater skin elasticity will achieve the smoothest end result.

Typical surgery time: 1 – 5 hours.
Anesthesia: General or local.
May be combined with: Other body procedures.  

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Body Lift (Circumferential Abdominoplasty)

Also called a belt lipectomy, the body lift is performed to remove excess skin and fat from the abdomen and torso. Body lifts tighten and tone the abdomen, back, buttocks, hips, and thighs. Candidates for a body lift usually have loose (inelastic) skin on many or most areas of the body as a result of age, childbearing or significant weight loss from diet, exercise, or bariatric surgery.

Dr. Fazilat specializes in body lifts and many other post weight loss procedures. At your consultation, you will be provided with an individualized surgical plan that best fits your body type and needs.

Typical surgery time: 4 – 6 hours.
Anesthesia: General.
May be combined with: Breast lift, arm lift or liposuction.

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Thigh Lift

A thigh lift is performed to remove and/or tighten loose and sagging skin from the thigh. During the procedure, an incision is made in the inner thigh along the line where the leg meets the groin. A thigh lift results in an improvement in appearance and relief from constant rubbing.

Typical surgery time: 2 – 3 hours.
Anesthesia: General.
May be combined with: Liposuction, Tummy Tuck or other body contouring procedures.

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Arm Lift (Brachioplasty)

An arm lift removes excess skin and fat from the upper arm that develops because of substantial weight loss, weight gain, or the effects of aging. Over time skin loses thickness, elasticity, and adherence to the underlying tissue. It is also affected by gravity and decrease in the amount of elastic tissue and collagen present in the dermis. These changes are especially apparent in the upper arm. Tightening the loose skin in the upper arm results in a firmer, more youthful look.

Typical surgery time: 2 – 3 hours.
Anesthesia: General.
May be combined with: Liposuction, Tummy Tuck or other body contouring procedures.

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Mommy Makeovers

Many mothers, after childbirth, observe that their bodies have changed in undesirable ways. They may experience protruding bellies with extra loose skin and stretch marks, as well as deflated sagging breasts after breastfeeding. These problems may be corrected in a “Mommy Makeover” procedure that includes performing a tummy-tuck, liposuction, and breast surgery (augmentation and/or lifts). Each surgery may be performed either at the same time or staged to suit the schedule, needs, and safety of the patient.

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Post-Weight Loss Surgery

As the number of bariatric procedures increase each year, many patients attain their ideal body weight but are also left with excess skin in many different parts of their body. Dr. Fazilat has extensive training and experience with all the surgical options available which include: breast lift, breast augmentation, tummy tuck, body lift, face lift, liposuction, arm lift and thigh lift. During your consultation, all areas of concern will be addressed. Dr. Fazilat can help you plan the timing and appropriate combination of procedures to meet your needs.

Please feel free to search for Dr. Fazilat at Obesityhelp.com to learn, connect, and share with others regarding your weight loss journey. Obesityhelp.com is dedicated to the education, empowerment, and support of all individuals affected by obesity.  

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