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Exercise and proper diet are the best way to lose the excess fat, but unfortunately some fat deposits cannot be worked off even with the most intense physical workout regimen. Dr Troell has a practice in Las Vegas and is a national instructor for both the sole United States distributor of the Body-Jet, Eclipsemed Ltd, and the VASER liposuction manufacturer, sound surgical technologies, teaching other plastic surgeons on the Water-Jet Assisted Liposuction technique and the VASER Ultrasound Assisted Liposuction technique as well as face and body fat grafting. Dr Troell also offers “VASER Ultrasound Assisted Liposuction”, which provides the best method for high-definition body sculpting while producing minimal pain and bruising post-treatment. Both of these procedures also harvest fat for permanent, natural volume replacement in the face or body as a substitute for dermal fillers or implants of the breast and buttocks. Both the Water Jet Assisted Liposuction and VASER Ultrasound Assisted Liposuction procedures can be performed under local anesthesia supplemented by minimal oral sedation in our Las Vegas location. Most of our patients report only low to mild pain in the immediate post-operative period and they rarely require narcotic pain relief beyond the first day after the procedure. Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure.
Due to the graphic nature of the content in this photo gallery, please verify that you are at least 18 years of age by clicking the check box below. Patients depicted in our Liposuction gallery have provided their written consent to display their photos online. SmartLipo is one of the most advanced liposuction procedures available today, using laser energy to melt away fat in a technique known as laser liposculpture. This procedure is especially effective in reaching small, tricky areas that traditional liposuction often cannot treat.
SmartLipo is best designed for individuals who are in good overall health and close to their ideal weight.
It is important to have realistic results before undergoing the SmartLipo procedure and to remember that it cannot be used as a means of drastic weight loss, but rather sculpts and smoothes the body.
The results of SmartLipo are visible immediately after the procedure and will continue to improve for up to three months after. These results can be permanent as long as patients maintain their healthy weight through diet and exercise.
Although we all strive to exercise and eat healthy diets, some of us are plagued by “stubborn” fat. Coolsculpting® is a revolutionary, non-invasive treatment to get rid of those stubborn areas of fat that are immune to dieting and exercise. In addition, while some patients may have greater benefits with surgical procedures such as tumescent liposuction, patients with co-existing medical conditions or preferring non-invasive treatments may choose to purse Coolsculplting®. Some patients will combine tumescent liposuction with Coolsculpting® for a complete body contouring plan. It doesn’t matter how many times I am on TV, time flies during live television shows, and this segment was one of the fastest.
On the last episode of KRON4’s Body Beautiful, I discussed how to improve the appearance of the belly.
This video presentation reviews many of the frequently asked Abdominal Rejuvenation questions. If you are considering Liposuction, Tummy Tuck or Mini Tummy Tuck, schedule a private consultation appointment today at (925) 943-6353 or via our contact form.
The Mommy Makeover above included a Tummy Tuck and Breast Implants, but not all Mommy Makeovers include Breast Augmentation or even Abdominoplasty. The alliteration of Mommy Makeover makes it easy to say and remember, but not all mommies need one, and not everyone who gets one is a mommy. If your breast remain large after having children, a Breast Reduction offers the opportunity to correct the size of the breasts to something more proportionate for your body. The Tummy Tuck is the most frequently used procedure for Abdominal Rejuvenation during a Mommy Makeover, but smaller bellies may need smaller procedures like a Mini Tummy Tuck or Liposuction. Observant readers may have noticed the similarities between the Breast Reduction and Tummy Tuck with Liposuction pictures shown above.
The Mommy Makeover above is the result of staged procedures and a combination of Breast Reduction, Tummy Tuck and Liposuction. Tummy Tuck – Before and afters showing fat removal plus tightening of skin and muscle of the abdominal wall.
The Cosmetic Plastic Surgery Procedures listed above each have specific indications, benefits and risks.
On the other hand, I see many patients who are close to their ideal weight, who retain disproportionate fat around their waist.
Liposuction is not a substitute for weight loss, but it provides laser beam focus on the problem areas that just won’t go away. Liposuction – Before and afters show the removal of disproportionate abdominal fat, and delineation of the abdominal muscles. When the problem is isolated to below the belly-button, a Mini Tummy Tuck may be just what the doctor orders. Mini Tummy Tuck – Before and afters reveal significant tightening of the lower abdomen and a more flattering figure. The San Francisco Plastic Surgery Blog cannot substitute for a carefully performed, in person consultation with a qualified Board Certified Plastic Surgeon. If you are considering Plastic Surgery, whether it be Liposuction, Tummy Tuck or any elective cosmetic procedure, you are not just choosing a procedure. If you would like to schedule a personalized consultation appointment, give us a call at (925) 943-6353. We all love our children, but the changes to our bodies that come with having children are not always as loved. This Mommy Makeover Video features before and after photos and more Mommy Makeover information. The Mommy Makeover video segment below was broadcast live on the San Francisco Bay Area’s News Station, KRON4. This Mommy Makeover Video includes answers to more Mommy Makeover frequently asked questions. More Mommy Makeover information is available under the Categories menu to the left and on my websites. My most recent KRON4 Body Beautiful television appearance featuring Mommy Makeovers is packed with information that every woman considering Breast Enhancement or Abdominoplasty (Tummy Tuck) can use.
Mommy Makeover is a generic term for a combination of procedures that restore both the breasts and the belly. When the upper abdominal wall looks good (above the belly-button) and just the lower tummy needs tucking, a Mini Tummy Tuck may be a better choice. This Mommy Makeover Video includes answers to many of the frequently asked questions about Tummy Tucks and Abdominoplasty.
Since a Mini Tummy Tuck seems simpler and easier than a Full Tummy Tuck, you might think less training would be necessary, but this is not the case. The problems occur when a weekend course is the entirety of a cosmetic surgeon’s training. The best candidates for the Mini Tummy Tuck are healthy, with good skin tone and problem isolated to the lower abdomen.
Liposuction is not a substitute for a good diet and exercise plan, but it is a great compliment. Weight loss can remove the unwanted fat, but does nothing to tighten the abdominal wall skin and muscle. We are wrapping up our Tummy Tuck videos this week, with more of today’s latest variations in Abdominoplasty. Floating Belly Button Tummy Tucks are for those needing more than a Mini Tummy Tuck, but not quite a full Tummy Tuck.
If you still have questions about Liposuction, Tummy Tuck, Breast Augmentation, Mommy Makeovers or other Cosmetic Plastic Surgery procedures, call our San Francisco Bay Area Plastic Surgery office or use the contact form on the left to ask your questions. There are four segments to the Liposuction and Tummy Tuck Series as seen on KRON4’s Body Beautiful.
If you have questions about Liposuction, Tummy Tuck, Breast Augmentation, Mommy Makeovers or other Cosmetic Plastic Surgery procedures, call our San Francisco Bay Area Plastic Surgery office or use the contact form on the left to ask your questions. Tummy Tucks, in the San Francisco Bay Area, remain high on the list of cosmetic plastic surgery procedures.
Tummy Tuck Before and After: Lower abdominal laxity distorts the appearance of the abs in this otherwise fit woman. Liposuction only works when the skin retains the ability to contract and shrink to the new, slimmer shape. Interested in more information about Tummy Tuck (Abdominoplasty), Mini-Tummy Tuck (Mini-Abdominoplasty), Liposuction, Lower Body Lift or Belt Lipectomy? To schedule a private consultation in our Walnut Creek, CA, Plastic Surgery Office call (925) 943-6353. Dr Troell has performed over 700 face and body liposuction surgical procedures over the past three years.
The “traditional” liposuction procedure uses a more “invasive” approach that includes general anesthesia, 10 to 15 mm length incisions, large bore cannulas, and a single arm to-and-fro movement for fat removal. Troell provides is the safest liposuction technique today and offers less discomfort and less bruising, faster recovery time.
After an initial infiltration phase of anesthetic solution, a second phase uses a titanium probe to deliver ultrasound at 36,000 Hz, which separates fat cells without injuring important tissues, followed by the final phase of suctioning this separated fat. In fact, most of our patients are 100% pain-free by the fourth post-operative day and are able to recover quickly and return to normal activity rapidly. Troell and his staff are happy to discuss the Liposuction procedure with you and answer your questions.

As technology improves and minimally invasive techniques become more abundant, more and more people are making the decision to undergo body contouring procedures. This procedure has been used across the world for over ten years with much success and was FDA approved for use in the US in 2006. It may be used to remove stubborn areas of fat that do not respond to traditional diet and exercise. Using three different laser wavelengths treatment can be customized based on the patients' needs. Since this procedure does not use general anesthesia, patients can leave our office shortly after treatment and may return back to work in one to four days depending upon the extent of their treatment.
Along with removing localized fat, SmartLipo also tightens and smoothes the skin, leaving a slimmer and younger looking result. As the name implies, it can seem impossible to lose certain areas of fat, such as those “muffin tops”, love handles, and bra rolls. Good candidates for Coolsculplting® have realistic expectations, understanding that Coolsculplting® is not a weight loss treatment and does not replace a healthy lifestyle.
Chung will identify your concerns and take a thorough history about weight fluctuations, level of exercise, and any medical conditions. A gel pad is applied to the skin to protect it, and the applicator is placed over the targeted area. Some patients may notice visible contour changes as early as 4 weeks but the maximum results are usually seen after 3 months. The show is broadcast live and gives San Francisco Bay Area viewers interested in Abdominal Rejuvenation the opportunity to call in and ask questions.
I will review your options and select the Abdominal Rejuvenation procedure that is right for you.
The most common Mommy Makeover is the combination of Breast Augmentation (Breast Implants) and Tummy Tuck (Abdominoplasty), but there are many variations that allow Board Certified Plastic Surgeons to optimize your results. The term Mommy Makeover refers to any combination of procedures used to improve the contours and proportions of the breasts and belly. For these mommies, a Breast Reduction which includes a Breast Lift may be the better option.
As discussed in the previous Breast Reduction post, Reduction Mammoplasty does more than make breasts smaller. Individually, the results are excellent; however, improving just the breasts or the tummy alone would leave the other area looking worse and more disproportionate. When you are ready to learn how a Mommy Makeover can specifically help you, give my Walnut Creek Plastic Surgery office a call at (925) 943-6353, to schedule a personal Plastic Surgery consultation and find the combination Mommy Makeover that will work best for you. These stubborn areas form muffin tops or love handles, and despite the affectionate nicknames, no one really likes them. Why can’t all the mommies hitting the gym correct the belly laxity caused by pregnancy?
The Mini Abdominoplasty allows for tightening of the skin below the belly button and tightening of the lower abdominal fascia. When the entire abdominal wall from ribs to pelvis is stretched out, a Mini Tummy Tuck is not going to cut it. If you are considering any sort of abdominal rejuvenation, be certain to consult with an experienced member of the American Society of Plastic Surgeons (ASPS), or a member who has shown further dedication to the cosmetic side of plastic surgery, by also joining the American Society for Aesthetic Plastic Surgery (ASAPS). My staff will do their best to get you a convenient, private appointment, and I will do my best to provide you the information you need to make a safe and informed decision about what will work best for you.
The breasts and the belly are the two areas that can suffer the most, and the Mommy Makeover can help both.
Since this is very desirable after childbirth, mommies are the number one patients for Mommy Makeovers.
Liposuction allows areas of disproportionate fat to be removed via small, discretely placed incisions. Other tummy shaping procedures are also discussed including, Mini Tummy Tucks, Mini Abdominoplasty and Liposuction. In Cosmetic Plastic Surgery, mini means less downtime, less expense and shorter period of time before you can enjoy your results. The procedure combines the best skin tightening techniques of a Tummy Tuck with the shortened recovery of liposuction.
It is not possible to learn everything that is needed for a Mini Tummy Tuck in a few hours or even days.
The best candidates have too much loose skin for Liposuction, but lack muscle and skin laxity in the upper abdomen.
If you are interested in Body Shaping Procedures like the Tummy Tuck, Mini Tummy Tummy Tuck or Liposuction, call (925) 943-6353 today to schedule your personal consultation appointment.
As we enter the holiday season, big meals, more parties and less daylight for exercise combine to help us gain a little winter fat. After massive weight loss, multiple rolls of redundant skin are seen at the belt-line, the belly-button and even higher. Unlike Liposuction, a Tummy Tuck removes excess skin and tightens the muscles of the abdominal wall.
After childbirth, or weight loss, the breast can lose volume and may sag, and the abdomen can get stretched out of shape. The second segment discussed Tummy Tucks and Lower Body Lifts, while the third segment has more about Liposuction, Tummy Tucks and Mini Tummy Tucks. If you are considering Cosmetic Plastic Surgery, call (925) 943-6353, and we will help you take the next step. This week, I discuss the Tummy Tuck in more detail including Mini Tummy Tucks, but that’s not all. If you are considering cosmetic plastic surgery, call (925) 943-6353, and we will help you take the next step with a personalized consultation appointment.
Whether performed on their own, or as part of a Mommy Makeover, abdominoplasty can repair loose overstretched skin, muscle laxity, disproportionate fat, and even remove stretch marks from the lower abdomen. In just a few weeks after her tummy tuck, her clothes fit better, and she is much happier with her new look. In this case, liposuction allowed for further reduction of the waist, and smoothing of the back. Water-Jet Assisted Liposuction, also known as the Body-Jet is the safest technique currently available with more than one third less discomfort, swelling and bruising with the lowest revision rate of all techniques. There is an initial infiltration phase delivering the anesthetic solution, followed by a phase of simultaneous suctioning of fat and anesthetic solution infiltration with the final drying phase to remove any residual fat and fluid remaining. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model. Rodriguez has performed thousands of Cosmetic and Reconstructive surgeries during his 25+ year career.
SmartLipo is a safe, minimally invasive procedure that produces effective results as a new alternative to both traditional and tumescent liposuction. Traditional liposuction often leaves skin loose and sagging, leaving many patients seeking additional treatment. Coolsculpting® is based upon the science of cryolipolysis, which eliminates fat cells through cold temperature. She will carefully examine the area in question, paying particular attention to the amount of fat, muscle tone, and skin elasticity. The skin and fat are drawn up into the applicator by a vacuum which feels like a firm pull on the skin and fat.
Some patients report some pinkness, soreness, and tingling at the treatment sites which improves after a few days, while others may experience slight bruising from the vacuum applicator. In this video, in about four and a half minutes, I review who is a good candidate for the procedures, the differences in what can be fixed and the differences in recovery times.
Breast Reduction can reduce the symptoms associated with large breasts (neck pain, back pain, shoulder pain and rutting, and inframammary rashes), includes a Breast Lift and as demonstrated above, can improve breast symmetry too.
After pregnancy or weight loss, when minimal loose skin is leftover, a Mini Tummy Tuck (Mini Abdominoplasty) or even Liposuction may be substituted for abdominal rejuvenation for the appropriate tummy. There are time and recovery saving advantages to combining the Mommy Makeover into a single operation, but the recovery for each procedure is easier when separated. The decision between liposuction, mini tummy tuck or full tummy tuck is one I face daily in my San Francisco Bay Area Plastic Surgery office. And while achieving or keeping your weight close to ideal helps with maintaining an attractive tummy, plastic surgery can offer improvements in ways that diet and exercise cannot. It is half the operation of the full tummy tuck, so the both the recovery and the results are reduced.
Members of these two organizations determined well before their training that plastic surgery was what they wanted to do, and that they had the grades and the drive to make it into a highly competitive, accredited plastic surgery training program. Learn what you can online, but be prepared to learn more, specifically what will work best for your body, at your consultation appointment. The tough fascial layer that surrounds the muscle often gives, causing laxity of the muscle and separation of the rectus muscles down the middle (diastasis recti).
Other details of the Mommy Makeover are also discussed regarding the tummy tuck scar, and when to use breast implants, breast reduction or a breast lift. Michelle in San Jose, California, called in to ask if her C-section scar can be used to perform a Tummy Tuck. The combination is also common after weight loss, when breast volume is lost and the abdominal skin remains stretched out.
The fact that it’s a smaller procedure also means it is not a substitute for when a full Tummy Tuck is indicated.

If you have questions about Mommy Makeovers, Breast Augmentation or Abdominoplasty (Tummy Tucks) please call (925) 943-6353 for more information, or use the contact form on this page to email me. This is also the mini’s limitation, and truly knowing the limitations of a mini procedure is only possible if you have experience with the read deal.
There is no downside to learning how best to integrate and refine two techniques into a hybrid that gives great results, with a shorter recovery period, for well selected patients.
Without a sound foundation in general Plastic Surgery techniques, the necessary anatomy, the specific techniques and the alternatives to the Mini Abdominoplasty, the mini procedure surgeon cannot achieve maxi results.
Both the anatomy of your abdomen and your expectations will influence the decision making process. If the skin laxity, and muscle pooching is isolated to the area below the belly-button, a Mini Abdominoplasty may be able to accomplish everything that we would want a full abdominoplasty to do. Diet and exercise are still our best defense, but for those stubborn areas of disproportionate fat, or loose skin, there are some secret weapons.
If you have a stubborn bulge of disproportionate fat, Liposuction can sculpt the area, smooth out the unwanted curves, and accent the desired ones. Sometimes, after pregnancy or weight loss, the skin of the abdomen is over stretched, and cannot recoil.
The Tummy Tuck permanently removes loose abdominal skin and allows tightening of the abdominal muscles. A Mommy Makeover is a combination of abdominal rejuvenation (Liposuction or Tummy Tuck) with Breast Enhancement (Breast Augmentation or Breast Lift).
This technique is most often used for post bariatric, and other massive weight loss patients. The (415) number that appears in this Tummy Tuck Video was provided for viewers to call in with their questions during the live show. This video covers more general information about Abdominoplasty (Tummy Tuck) as well details of the variations listed above. This video covers many of the frequently asked questions about variations of the Abdominoplasty (Tummy Tuck) as well as the Arm Lift (Brachioplasty) and Thigh Lift. Abdominoplasty tightens skin, removes fat and cinches up the muscles like an internal corset. This is the benefit of operations like Abdominoplasty and the circumferential Lower Body Lift or Belt Lipectomy used for Post Bariatric Plastic Surgery.
We would be happy to answer your questions via the contact form to the left or via the phone. Initially tumescent fluid containing adrenaline and local anesthetic is placed into the areas to be treated. Patients will be placed in a compression garment and will be given specific instructions on how to care for themselves after the SmartLipo procedure.
Using a patented cooling technology developed by Harvard scientists, Coolsculpting® freezes the targeted fat beneath the skin, without injuring the overlying skin. Patients report that this pulling feels “slightly weird” or “mildly uncomfortable” but this sensation resolves after a few minutes as the cooling starts. Most patients don’t require any sort of pain medication; occasionally a patient may need to take some Tylenol or Advil after the procedure. Combined with regular exercise and a healthy diet, Coolsculpting® may provide you an improved look and inspire an improved outlook on life! Before and after pictures of Tummy Tucks, Mini Tummy Tucks and Liposuction are provided to illustrate the strengths of each approach. If you have Liposuction and Tummy Tuck Questions, call my Walnut Creek Plastic Surgery office directly at (925) 943-6353. While there is usually a small cost savings associated with combining procedures, for some it is easier to budget one procedure at a time.
The procedure are not an alternative, but are complementary, and the results speak for themselves. Tumescent Liposuction can safely and effectively remove unwanted bulges, as long as the skin is tight. The case around the muscle, called fascia (fash-ya), it stretched with pregnancy and weight gain. Loose muscle fascia is tightened, like an internal corset, and excess skin is removed along with the redundant folds around the middle that it causes. It provides tightening of the entire abdominal fascia, from top to bottom, and allows for improvement above the belly-button. A Mommy makeover can also be performed to cosmetically enhance the results of Bariatric Surgery. The procedure allows a Board Certified Plastic Surgeon to tighten the abdominal muscles and remove excess belly skin and fat.
The skin over an area of liposuction can shrink due to it’s own elasticity, but if the skin is loose prior to liposuctioning, a Tummy Tuck is almost always a better choice.
It takes years of training and experience to learn both how to do a Mini Tummy Tuck and who will benefit from a Mini Abdominoplasty.
No matter how much is saved by having a mini procedure, if it does not accomplish what is expected, it will not seem worthwhile. No laser, no ultrasound, no radio-frequency electromagnetic waves, just safe, reliable tumescent liposuction. The loose skin accumulates on the lower abdomen, and overhangs the belt-line, or even the belly-button.
The Mommy Makeover is often performed after pregnancy, or more specifically after a woman is done having children.
Breast Augmentation combined with a Tummy Tuck, reestablish her pre-pregnancy appeal, and maybe a little more.
Before the Winter doldrums set in, it’s a great time to get rid of those little bulges before they try to grow after Thanksgiving. This is useful when there is a little loose skin above the belly button, that would not be treated with a mini tummy tuck. As long as the skin tone is good, liposuction can be utilized to removed the love handles and back fat to rejuvenate the entire trunk. You can call in and get your questions answered during the show, or email them beforehand using the contact form on the left.
Then using very small incisions a fine laser probe delivers energy that melts the fat away from surrounding structures (nerves, blood vessels and fibrous tissue) while another laser controls bleeding.
This cooling process literally kills the fat cells, leading to their elimination and removal from the body forever. There are no incisions to care for, and there are no restrictions on exercise or activity after treatment.
The amount of excess that can be treated still impresses me, and I have done a lot of Tummy Tucking.
A Tummy Tuck, or Abdominoplasty, can tighten the fascia, repair the diastasis, remove the excess skin and remove any baby fat that remains on the lower belly.
As a member of the American Society of Bariatric Plastic Surgeons, Mommy Makeovers are an area of particular interest to me.
If you have been considering a little body shaping, now is a great time to come in for a consultation. With most massive weight loss patients, a Fleur-de-Lys Tummy Tuck is more than is needed, but when it is necessary, it is a great technique.
Or better, give me a call at (925) 943-6353, and schedule your personal consultation appointment. When the skin and muscles are tight, however, Liposuction alone may be sufficient to flatten the belly.
Over the course of 4-12 weeks, there is approximately a 20-25% reduction in the fat layer of the treated area.
During this hour, you are positioned comfortably and you may take a nap, read a book, work on your laptop, or just relax.
Exercise also helps eliminate intraabdominal fat, and with less internal stuffing, the abdominal contours improve. When breast enlarge with pregnancy and do not deflate, the result is macromastia, or breast that remain too large.
Mini Tummy Tucks (Mini Abdominoplasty) and Liposuction can also be part of a complete Mommy Makeover. When muscle and skin laxity is confined to the area below the belly-button, a mini-tummy-tuck may be a better choice.
As a non-invasive procedure, Coolsculpting® does not require needles, anesthesia, or downtime after treatment. Breast Reduction surgery is used in this situation, to restore a more comfortable breast volume. Give yourself something really worth protecting this Winter, and be doubly ready for Spring. The patient is then placed in an appropriate compression garment, and is able to leave our office shortly after surgery. At the end of the hour, the vacuum applicator is removed and a gentle massage is performed on the crystallized fat. If you are having a treatment on another area, the process is repeated and the vacuum applicator is placed on the second area.

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