BODY

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  • ABDOMINOPLASTY - FULL

    Improves the appearance of the abdominal area after pregnancy or significant weight loss.

    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. The incision is a half-moon shape (length is dependent on the mass of skin and fat to be removed).

    Length

    Approximately two to four 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

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

    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. Upon re-evaluation by the physician, the patient may return to activity that is more strenuous after approximately four to six 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.

  • ABDOMINOPLASTY - MINI

    Improves the appearance of the abdominal area.

    Procedure

    A mini abdominoplasty (tummy tuck) 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 three hours.

    Anesthesia

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

    Inpatient/Outpatient

    Either.

    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.

  • ARM LIFT

    Reduces excess skin and fat from the arms.

    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 (brachioplasty) is to reduce skin redundancy and to reduce 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 subcutis and skin are closed using routine aesthetic suturing.

    Length

    Two to three hours.

    Anesthesia

    The anesthesia can be general or local with sedation.

    Inpatient/Outpatient

    Both options are possible.

    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 adiposities and good skin tone as well as in adults of older age, sometimes with the help of several months of postoperative elastic compression.

  • 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

    Three and a half 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

  • LABIA MINORA REDUCTION

    Reshapes stretched or enlarged inner labia.

    Procedure

    Labia minora reduction surgery, or labioplasty, is a remodeling of the enlarged inner lips of the vulva. Enlargement of the labia minora may be apparent from childhood, but most often it is acquired, caused by childbirth, age or infection. It may bother the patient in a functional (wearing clothes, during sports) or in an aesthetic way. The procedure removes skin and mucosa in a way that the scar is barely visible. The procedure may be combined with a clitoral hood reduction (removal of the skin excess around the clitoris) and labia majora surgery.

    Length

    The procedure typically takes between one to three hours depending on whether it is performed with additional procedures.

    Anesthesia

    For better results and more comfort, general anesthesia is the rule for this surgery. However, in some patients, local anesthesia may be chosen.

    Inpatient/Outpatient

    The patient can leave the surgical facility the same day after recovery from anesthesia.

    Possible Side Effects

    When meticulous technique is applied, the procedure is without major side effects. Sometimes (< 5% of cases) breakdown of the wound may occur, but healing with local wound care resolves the problem. In some patients, the scar tends to broaden, which can be corrected later.

    Risks

    No important risks are correlated to this type of surgery.

    Recovery

    The area may be swollen for 4-6 weeks. Depending on the technique, there may be a color mismatch that tends to fade after some time. Return to work is possible after one week. Sexual activity is allowed after six to eight weeks.

    Results

    With good surgical technique, the results are very satisfying with an improved body image and greater physical comfort.

  • 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.

  • 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.

    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.