Tightening of the Abdominal Wall

Mons Veneris

An experienced aesthetic surgeon must look carefully at the indications for liposuction and for tightening of the abdominal wall. At present, unfortunately, a decision is taken to carry out liposuction too often, and the patient is later disappointed if the skin then hangs down loosely. Frequently, tightening of the abdominal wall is requested by patients who have increased skin accumulation around the umbilical area and a slack lower abdominal wall following pregnancies. It is also frequently...

Anatomy of Liposuction of the Calf and Ankles

Mons Pubis Anatomy

Unfortunately, fat calves often result from muscular hypertrophy. When performing liposuction of the calves the surgeon must have a lot of experience and be very careful to avoid causing dimples. For this reason caution must be exercised during liposuction of the calves and ankles. A 2-mm cannula with a vacuum that is not too high must be used no higher than 0.6 at . After the operation immediate mobilization and the fitting of a compression girdle are advisable.

Submental Liposuction

Submental Liposuction

O Two small submental incisions and a retroauricular incision are made. With a quantity of tumescence solution of 300-500 ml the entire submental region extending deep into the neck area can be removed by liposuction. If required, the lateral cheek areas can also be removed. The procedure is often combined with a facelift. After the operation a compression dressing is worn for approximately 1 week so that the submental skin that has been detached in the neck area can adapt after liposuction to...

Anatomy of Liposuction of theAbdomen Hips Thighs

Inguinal Lymph Nodes

Liposuction of the abdominal hip region is the most frequently requested procedure, particularly by men. Only individual zones should ever be treated with liposuction, i.e., abdomen hips or outer and inner thighs and buttock region saddle area , as first the amount of tumescence that can be injected is limited maximum 61 and second the procedure would be too stressful for the patient. As the navel region is particularly sensitive, a lot of tumescence must be used here. Liposuction of both hips...

Cross Section of the Tissue 6 Months After Liposuction with Preservation of the Infrastructural Connective Tissue ICT

Knock Wrinkle Cross Section

Six months after liposuction using the tumescence technique and cannulas less than 4.0 mm in size you can see that the infrastructural connective tissue has been preserved. 3. Infrastructural supporting tissue ISM The endoscopic image shows the intraoperative findings. The most important point when carrying out liposuction is that a so-called fat film is preserved in the upper section and that the connective tissue below it is preserved. This causes the chewing gum effect whereby the undamaged...

Very Fat Mons Pubis

Old Female Patient

Patient I This is a 46-year-old female patient after three pregnancies with divarification of the recti and fat flap. Doubling of the fascia was carried out in addition to the skin fat resection and repositioning of the navel. Twelve months after the operation. Normal wound healing, good contouring of the abdomen and hips. Patient II This is a 49-year-old female patient following substantial weight loss 40 kg . Twelve months after the operation. Healthy scar. Abramson DL 1998 Tumescent...

Mons Pubis Hair

Posterior Frontal View

Patient III Saddle area before and 6 months after treatment. Frontal view before the operation Posterior view before the operation Frontal view before the operation Posterior view before the operation Frontal and posterior view 12 months after the operation Frontal and posterior view 12 months after the operation Patient IV A 39-year-old patient with collections of fat in the hip and abdominal areas, and 12 months after tumescent liposuction of abdomen, hips and mons pubis. Frontal view before...

Nerve Exit Points Supraorbital Nerve Infraorbital Nerve Mental Nerve

Supraorbitary Nerve

If adjuvant therapies are not combined with operations e.g., a facelift , they are performed under local anesthesia and as day-case treatment. Nerve block anesthesia with Ultracain 1 articaine and additional adrenaline have proved to be successful. When treating the entire face by laser or chemical peeling, light sedation also can be induced with Dormicum midazolam with anesthesiology stand-by. No more than 30 ml 1 local anesthesia solution should be injected. Particularly sensitive areas e.g.,...

Upper Arm Tightening

Axillary Fossa

Upper-arm tightening is requested increasingly by women over the age of 60. It is often surprising that women of this age do not have a facelift instead they are more bothered by their flabby upper arms when they want to wear a bathing suit or sleeveless clothes. The only way of eliminating the surplus skin and the wrinkles in the long term is cutaneous excision. The art of the surgeon in doing this is to position the incision in such a way that it is on the medial side of the upper arm and to...