Posts Tagged ‘body contouring’

Your Body Contouring Questions Answered!

Body Contouring Options - Non-surgical & Surgical On March 28th, 2017, Emory Aesthetic Center plastic surgeon, Dr. Gabriele Miotto held an informative live chat on body contouring. With summer coming, many want to know how to improve the shape of their body and tighten excess or loose skin. Dr. Miotto discussed both non-surgical and surgical options – including CoolSculpting, liposuction and tummy tucks.

The live chat had a great turnout and is now available online.

Body Contouring Live Chat, 3/28/17

[Mar 28 2017, 11:48 AM] EmoryHealthcare: We are starting the live chat in 14 min. Are you, guys, ready? We see a few people online waiting and we are ready for your questions. Dr. Miotto is so excited to help all our guests today!

[Mar 28 2017, 12:00 PM] EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about
Body Contouring with Dr. Gabriele Miotto of Emory Aesthetic Center.

[Mar 28 2017, 12:02 PM] EmoryHealthcare: We’ll get started in just a minute. Dr. Miotto is here to answer all of your questions!

[Mar 28 2017, 12:05 PM] EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all of your questions today.

[Mar 28 2017, 12:06 PM] EmoryHealthcare: We received some questions that were submitted in advance of the chat, so we’ll get started by answering a few of those first.

[Mar 28 2017, 12:08 PM] EmoryHealthcare: Lynn asked: “I am 5’10” and 126lb. I look skinny but have severe cellulite. I’m embarrassed to wear a bathing suit. What do you recommend?”

Dr. Miotto: If there is no weight issues, cellulite can be improved by localized leg exercising and changing your diet (no sugar, low carbohydrates, etc). Healthy life habits always improve the skin overall. Lymphatic drainage massage can have some beneficial effect if there is fluid retention in the tissues.

If the dimpling is very severe, we can perform a procedure

[Mar 28 2017, 12:11 PM] EmoryHealthcare: Anna asked: “Are there any changes to my diet that I can make to reduce my cellulite?”

Dr. Miotto: Low sugar diet can help with cellulite. If you are overweight, weight loss associated with exercise also improve the quality of skin.

[Mar 28 2017, 12:14 PM] EmoryHealthcare: Sydney asked: “Do sleep and the level of stress I have affect my weight?”

Dr. Miotto: A good night sleep is very important for balancing the body functions. It helps the body produce its hormones and can definitely affect your weight. When stressed, we tend to eat more and not to pay attention to the quality of the food we eat, so it can promote weight gain.

[Mar 28 2017, 12:22 PM] EmoryHealthcare: Tina asked: “After having two babies, I have a lower abdominal pooch that just won’t go away with diet and exercise. I’d love to get back into my bikini. What can I do?”

[Mar 28 2017, 12:22 PM] EmoryHealthcare: Dr. Miotto: After having babies, the abdominal pooch is usually caused by fatty deposits, skin laxity or muscle laxity, or even a combination of those. During the consultation, we can determine the main cause of the pooch and decide between the different procedures we do which one will be best for you. Options include liposuction, tummy tuck, Coolsculpting or a combination of them.

[Mar 28 2017, 12:23 PM] EmoryHealthcare: Tatyana asked: “I am unhappy with my stomach. I am considering liposuction. What is the recovery like?”

[Mar 28 2017, 12:23 PM] EmoryHealthcare: Dr. Miotto: Recovery depends on the amount of liposuction that we need to do but usually patients go back to work in 5-7 days.

It is common to have tenderness for the first 48-96 hours that responds well to pain medications. A postoperative compression garment is also recommended for a couple of weeks to help with healing. Mild bruising and swelling can last for a few weeks so plan to do the procedure at least 4 weeks before going to be beach

[Mar 28 2017, 12:25 PM] EmoryHealthcare: Caroline asked: “I like to eat fruit for dinner. Like bananas and grapes. And oranges. Does this habit contribute to my weight gain?”

[Mar 28 2017, 12:26 PM] EmoryHealthcare: Dr. Miotto: Weight gain can have many factors.

Eating fruits at night could contribute to weight gain. Sweet fruits like bananas, grapes, oranges have a high fructose content that functions as sugar in the body. Think about sweet fruits as desert and start your dinner with vegetables and legumes instead to balance your diet and reduce the sugar content of your overall intake.

[Mar 28 2017, 12:26 PM] EmoryHealthcare: Maria asked: “When I wear a dress, it looks like I have a muffin on my belly. I don’t like being in pictures because of it…. How can you help me?”

[Mar 28 2017, 12:28 PM] EmoryHealthcare: Dr. Miotto: Fatty deposits in the abdomen can look like a “muffin top”. Depending on your skin laxity and muscle tone it is possible to remove the extra fat with liposuction or a tummy tuck. Non-invasive fat removal using Coolsculpting could also be an option in some cases.

[Mar 28 2017, 12:33 PM] EmoryHealthcare: Kara asked: “When would one consider a tummy tuck over lipo?”

[Mar 28 2017, 12:33 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you.

[Mar 28 2017, 12:33 PM] Guest5387: what exactly is cool sculting

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Dr. Miotto: CoolSculpting® is an FDA approved treatment that works without surgery, needles, or anesthesia.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: The procedure cools and freezes unwanted fat—without damaging surrounding tissues.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Once the fat has been frozen and crystallized from the treatment, the body will slowly break down the unwanted cells and dispose of them, resulting in gradual fat loss following the treatment.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Most patients start to see results within about three weeks, with final results becoming apparent within 1-3 months after treatment.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Great question, @Guest5387! Thank you.

[Mar 28 2017, 12:39 PM] EmoryHealthcare: Kelly asked: “I want to add some fullness to my bottom. What are my options?”

[Mar 28 2017, 12:39 PM] EmoryHealthcare: Dr. Miotto: A great option to add fullness to the bottom area is by transferring your own fat into the buttocks. Fat is removed from areas like abdomen, waist line, tights or back using liposuction. Then, the fat is prepared as a filler and reinjected into the buttock to increase the volume and improve the shape of the area.

[Mar 28 2017, 12:41 PM] Guest8698: Do you recommend waist training?

[Mar 28 2017, 12:41 PM] EmoryHealthcare: Great question, @Guest8698!

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Dr. Miotto: That is an option for body shaping but the effects are not reliable for long term improvement. It also depends on your weight, initial body shape and exercising.

[Mar 28 2017, 12:42 PM] Guest7903: What procedures do you recommend for men?

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Thank you, @Guest7903!

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Plastic surgery procedures can be done for men and women alike. Liposuction, tummy tucks and Coolsculpting are frequently used to improve body contouring in men of all ages.

[Mar 28 2017, 12:43 PM] EmoryHealthcare: @Guest7903, that was a response from Dr. Miotto 🙂 Thanks 🙂

[Mar 28 2017, 12:45 PM] Guest2220: Where can I see a full list of of the services Dr. Miotto offers?

[Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, Dr. Miotto does all of the facial and body contouring procedures available on the Emory Aesthetic Center’s website page here: http://www.emoryhealthcare.org/centers-programs/aesthetic-center/index.html

[Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, thanks for the great question 🙂

[Mar 28 2017, 12:47 PM] Guest8162: I’m a male with just enough fat below the bellybutton to bother me. A friend who’s had cool sculpting said it didn’t work. Do you recommend another type of non-invasive procedure?

[Mar 28 2017, 12:48 PM] EmoryHealthcare: @Guest8162, Dr. Miotto says: Unfortunately, there is no other non-invasive fat removal procedure that is effective. I would recommend a small liposuction. When the fatty deposits are small it can safely be even done under local anesthesia with a light sedation or even under straight local anesthesia.

[Mar 28 2017, 12:49 PM] Guest950: Sorry if this was already asked, but do those heat based non surgical procedures work and do you recommend them?

[Mar 28 2017, 12:50 PM] EmoryHealthcare: @Guest950, Dr. Miotto is asking if you could please clarify which ones you are including in your question. Thank you.

[Mar 28 2017, 12:52 PM] EmoryHealthcare: We are so excited about your questions, everyone! We have 9 min left and 3 questions are now being answered by Dr. Miotto, so they will be posted in a minute. Please submit your question asap if you’d like her to answer them. Thank you 🙂

[Mar 28 2017, 12:52 PM] Guest950: I think it’s called thermage?

[Mar 28 2017, 12:53 PM] EmoryHealthcare: Thank you, @Guest950, Dr. Miotto will answer in just a second 🙂

[Mar 28 2017, 12:55 PM] EmoryHealthcare: We have 2 questions’ answers coming and you have 6 min left to ask yours 🙂

[Mar 28 2017, 12:56 PM] Guest761: Can I get body contouring after bariatric surgery?

[Mar 28 2017, 12:56 PM] EmoryHealthcare: Very good question, @Guest761!

[Mar 28 2017, 12:56 PM] EmoryHealthcare: @Guest761, Dr. Miotto said: “Absolutely! There are several procedures that can be performed to treat the extra skin and fat that remains after massive weight loss.”

[Mar 28 2017, 12:57 PM] EmoryHealthcare: Bella asked: “When would one consider a tummy tuck over lipo?”

[Mar 28 2017, 12:58 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you.

[Mar 28 2017, 12:58 PM] Guest2220: Does Emory offer financing for procedures?

[Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest2220, we do offer financing through Care Credit https://www.emoryhealthcare.org/centers-programs/aesthetic-center/become-a-patient/index.html

[Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest950, Dr. Miotto said: Heat based procedures were designed to improve skin laxity of the face and body. They have some effect for mild laxity, mostly on the face and neck, but not a consistent effect for body skin laxity. They are not effective devices for fat removal.

[Mar 28 2017, 1:00 PM] EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! As we mentioned, we’ll follow up with a blog post to answer any questions we didn’t get a chance to address today.

[Mar 28 2017, 1:01 PM] EmoryHealthcare: Thanks for your questions. Have a great day, everyone!

[Mar 28 2017, 1:02 PM] Guest950: Thanks for your time

[Mar 28 2017, 1:02 PM] Guest3275: thank you!

[Mar 28 2017, 1:02 PM] Guest5784: It says Dr. Miotto explores cutting edge technology. are there any techniques or procedures she uses that haven’t been mentioned?

[Mar 28 2017, 1:02 PM] FSUnole755: I’ve seen advertisements to Cool Sculpting and it seem like everyone is doing it. Should I be selective on choosing a person to do body contouring?

[Mar 28 2017, 1:03 PM] EmoryHealthcare: All unanswered questions will be answered in a followup blog. Thanks, everyone and enjoy the rest of your day!


About Dr. Miotto

Dr. MiottoDr. Miotto is constantly exploring cutting edge technologies to provide the best available options to her patients. She has published and presented on aesthetic plastic surgery in many national and international meetings. Her main interests include body contouring, facial rejuvenation, eyelid surgery, rhinoplasty, aesthetic breast surgery and fat grafting.

After completing medical school under a full academic scholarship at the prestigious Federal University of Rio Grande do Sul, Dr. Miotto trained at the Hospital de Clinicas and at Santa Casa in Porto Alegre, Brazil. She also received additional training at Emory University and completed a fellowship in Aesthetic and Oculoplastic Surgery with Dr. Clinton McCord and Dr. Foad Nahai at Paces Plastic Surgery in Atlanta. She is a “Membro Titular” of the Brazilian Society of Plastic Surgery, the highest level of credentialing for board-certified plastic surgeons in Brazil.

Dr. Miotto is committed to providing excellent care to her patients. She has a passion for restoring and enhancing beauty through surgical and non-surgical cosmetic procedures of the face and body.

Body Contouring After Extreme Weight Loss

Body contouring can remove excess skin after significant weight loss. Emory Aesthetic Center can help you look and feel your best.Whether from changes in diet and exercise or as a result of a bariatric surgery procedure, loosing a large amount of weight is an incredibly challenging and rewarding accomplishment to be celebrated. But what if you still aren’t happy with the way you look? Often, after losing a substantial amount of weight, you’re left with excess skin that hides your results and can leave you feeling self-conscious.

Some concerns we hear from men and women alike are:

  • “My stomach skin hangs down.”
  • “My arms flop around and hang. I don’t feel comfortable in a short-sleeve shirt.”
  • “My inner thighs are so loose and saggy, I don’t like to wear shorts.”
  • “What happened to my bottom? It just melted away!”

Complaints about the chest area are also common. Women can feel as if their breasts have melted away and hang low. Men can be uncomfortable if their chest hangs almost like they have breasts.

But you’ve worked too hard throughout your weight loss journey to stop now. If any of these concerns ring true for you, it’s time to talk with a plastic surgeon about body contouring .

Body contouring procedures

Since weight loss tends to follow certain patterns, there are common problem areas for sagging skin including:

Stomach

Loose skin in the front of the abdominal (stomach) area can hang down like an apron. Sometimes the looseness is only in the front of the tummy area, but it can also extend to the sides and back. In severe cases, there can also be a second roll of skin in the mid-abdomen, above the larger fold.

A tummy tuck (Abdominoplasty) can tighten and smooth the abdomen by removing excess skin. It can also rejuvenate the pubic area. The scars for a tummy tuck are typically very low, where your undergarments or a bathing suit can hide them.

Arms

Loose, hanging skin, sometimes referred to by patients as “bat wings,” is another common complaint after weight loss. An arm lift (Brachioplasty) can tighten the skin between the shoulder and the elbow. And in extreme cases, it may need to extend past the elbow and into the forearm.

Breasts

Loss of volume in the breast area can lead to low-hanging tissue.

Women often think their breasts are too small after weight loss. A breast lift can restore size and shape so that breast implants  are not needed.

Men may need liposuction or a skin-removing procedure to tighten their chests.

Thighs

Outer thigh looseness can be treated along with the abdomen when a tummy tuck is extended to include lateral thigh or even buttock lifting — often referred to as a lower body lift.

The loose skin of the inner thigh is usually treated at a separate stage, and involves an incision that extends from the groin area toward the knee.

Back

An upper body lift can dramatically improve sagging in your back, including back rolls. The scar for an upper body lift extends from one side of the back to the other where a bra or bathing suit top can hide it. Or, it can run along the side of the trunk where your arms can hide it when they’re down at your sides.

Neck

A neck lift (or lower face and neck lift) can best address sagging in the neck area. Doctors can usually hide the scars around the back of your ear and under your chin.

Combining body contouring procedures

If you choose to treat several areas, a staged approach may be necessary for your safety and to get the best results. For example, you may choose to have a tummy tuck and arm lift in one stage. Then, after a few months, undergo a breast and thigh lift. An added advantage of a staged approach is that it provides the opportunity (at a later stage) to revise or “touch up” a previously treated area, if needed.

Emory Aesthetic Center

If you’ve experienced significant weight loss, the expert surgeons at the Emory Aesthetic Center can help you determine which procedures, or combination of procedures, can help you feel and look your best.

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Or call us at 404-778-6880 to schedule your personal consultation

Cosmetic Surgery in your 20s, 30s, 40s and Beyond

Emory Aesthetic Center helps you determine which cosmetic surgery procedures will give you the best results  in your 20s, 30s, 40s and beyond.Twenty years ago, cosmetic surgery wasn’t generally considered unless you were in your late 40s or had a significant “problem” you wanted to correct. Today, many people — as young as their early 20s — choose to enhance their appearance and maintain their youthful look during every stage of life. We’ve stopped seeing cosmetic surgery as something that happens at a specific point in time, but more as a continuum of care. And being proactive can certainly produce benefits.

With so many aesthetic procedures to choose from, how do you know what’s appropriate at different ages or stages of life?

Cosmetic Surgery In Your 20s & 30s

Face

During your early 20s, you may get treatment for acne. As you progress through your 30s, you might start to think about non-surgical cosmetic treatments — like Botox® — to treat fine lines and fillers to reduce deeper creases.

Breasts

In your younger years, you may choose either breast augmentation or breast reduction, depending on how your breasts developed. Also, if you’re unhappy with the changes in your breasts after pregnancy and nursing, a breast lift can be an option.

Body Contouring

In your 20s and 30s, liposuction or non-invasive body contouring such as Coolsculpting® are the most commonly used techniques. However, after pregnancy or significant weight loss, you may need a more involved procedure.

Cosmetic Surgery in Your 40s and Beyond

Face

In your late 30s or 40s, you might want to address creases and fine lines using non-surgical cosmetic procedures — like fillers and injectables. Often, by your 50s or 60s, you’ve experienced enough aging changes to make cosmetic facial rejuvenation surgery the treatment of choice. Face lifts, neck lifts, eyelid tucks, brow lifts and fat grafts are commonly chosen procedures.

Breasts

Many women notice their breasts begin to droop as they age. If sagging breasts bother you, you might choose a breast lift. If you feel your breasts have gotten too large, you may want a breast reduction.

Body Contouring

Aging, pregnancy and weight fluctuations typically cause your skin to sag. At this stage, you may need a procedure, such as a tummy tuck, to reduce fat and tighten your skin. As you continue to age — or if you’ve lost a significant amount of weight — you may want to consider a body lift .

Emory Aesthetic Center

No matter where you are in life’s journey, there may be cosmetic procedures that will bring you joy and self-confidence. The highly-skilled team at Emory Aesthetic Center can help you decide which procedures, and at what time in your life, will give you the best results to meet your goals.

cta-request-blue Or call us at 404-778-6880 to schedule your personal consultation

Cosmetic Surgery by the Season: When is the Best Time?

Timing is important, even for scheduling cosmetic surgery. Find tips about the best times to have different cosmetic procedures.You’ve heard it before, “timing is everything,” and this applies to plastic surgery too. If you’re considering getting a cosmetic procedure, you probably know that you need to do your homework to find the right surgeon and to choose the best procedure to get the results you want. But have you given much thought to when you should schedule it?

When Should I Have Cosmetic Surgery?

Most people choose to have their surgery based on when it fits their schedule. For example, students and teachers are likely to have surgery over their winter break, spring break or during their summer vacation. Athletes may plan their procedures during their “off season.” Accountants tend to avoid surgery any time near April 15th.

The most important thing is to give yourself enough time for recovery. Think about important upcoming events, and make sure that you don’t cut your recovery time too short to be ready to fully enjoy them.

Tips for When to Schedule Your Procedure

While noninvasive and surgical procedures can be performed safely and effectively at any time of the year, there are certain things you should consider.

Facelift
You should allow several weeks, preferably a few months, to see the full results of a facelift. So, if you have a major event like a child’s wedding or a class reunion coming up, you’ll want to plan ahead to be “picture ready.”

Breast augmentation
Breast augmentation has a fairly quick recovery period and can be fit in more easily than more invasive procedures.

Body contouring
With some body contouring  procedures, like tummy tucks, you won’t be able to perform all of your normal physical activities for a few weeks. So if you’re training for a sports event or have a ski trip coming up, you’ll want to be sure to schedule it well before or after those events.

Another thing to consider is that compression garments, that are sometimes needed after liposuction or other body contouring procedures, can be a bit warm and uncomfortable. Some people choose to have these procedures during cooler months to avoid the added discomfort of wearing compression items in the heat.

Noninvasive/minimally invasive procedures
Noninvasive procedures (like Botox, fillers or Coolsculpting) or certain minimally invasive surgeries (like upper eyelid tuck, liposuction or breast augmentation) require very little recovery time. You don’t have to worry as much about timing with these procedures.

However, if you’re thinking about a deep chemical peel to your face, you need to avoid strong sun exposure for a while. You may want to schedule it for fall or winter.

Emory Aesthetic Center Can Help

The staff and surgeons at Emory Aesthetic Center can help you think through these and other factors to determine the best timing for your cosmetic procedure.

Schedule a consultation with one of our skilled, board-certified cosmetic surgeons.

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Or call us at 404-778-6880 to schedule your personal consultation

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Your Body Contouring Questions Answered: Getting Ready for Swimsuit Season

swimsuit-chat-260x200-emailAs we kick-off the summer months and have officially reached bathing suit season, it is natural that many of us take a look in the mirror and think about how we might change our body. In addition to keeping a healthy diet and exercising regularly, there are now more choices than ever in how we might achieve our goals. But with so many choices, both surgical and non-surgical options, choosing what body contouring procedure is best for you can be difficult.

During our live chat on Tuesday, March 22nd, hosted by Emory Aesthetic Center’s plastic surgeon, Dr. Felmont Eaves, we answered your questions around body contouring options to help shape your body for summer and tighten excess or loose skin. Dr. Eaves discussed both surgical and non-surgical procedures – including liposuction, tummy tucks, and thigh lifts.

Below are just a few highlights from the chat. A full list of questions and answers can be found on our chat transcript. You can also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

Question: How do you get rid of a stomach belly fat?

Dr. Eaves: If diet and exercise don’t get you what you want, then there are three main ways to address belly fat, non-surgical fat reduction, liposuction, or abdominoplasty. Which one is best for a patient depends on their individual circumstances.

For instance, non-surgical treatments like Coolsculping® work best in patients with smaller amounts of fat and youthful, elastic skin. Liposuction works best in similar patients, however is more aggressive in terms of fat removal. The tummy tuck is the “king” of tummy contouring – it can tighten muscles, reduce fat, and tighten skin. Tummy tucks are more common in patients that have had pregnancies or who are a bit older and have developed some skin laxity.

Question: I have 2 weeks until I have to be in a bathing suit. What are some quick fixes that can be done with belly and thigh bulges?

Dr. Eaves: That doesn’t give much time! I’m afraid that neither surgery nor non-surgical fat removal would work and get you ready in such a short period of time.
One thought, however. We often think about concentrating on getting our bodies (or faces) ready for a big event. However to get your body where you want, it really takes a sustained, consistent approach. Crash diets and hours in the gym for short periods of time doesn’t really get you anywhere . . . a good, healthy, balanced and sustainable diet coupled with a reasonable exercise routine that you can stick with is the key. Of course surgery can help a lot, but the patient gets the very best results when they get their weight and health to a good place.

Question: Is there such a thing as a “mini” tummy tuck which does not have to go all the way across the abdomen?

Dr. Eaves: Not only is there the mini-tummy tuck, but some patients are candidates for tummy tucks with even shorter scars – the endoscopic tummy tuck. However before you get excited about these options, be aware than only a very small percentage of patients are candidates for these procedures. In order to be a candidate, you need to have good, elastic skin and relatively small amounts (or not) excess fat.

These procedures are ideally suited for patients who have experienced some spreading of the muscles of the abdomen from pregnancy, which we call a diastasis recti. If you have any significant amount of loose skin, or more significant fatty deposits, you are unlikely to get a good result with a limited scar approach. That being said, we now use techniques to help the scar appear better, such as special sutures that take the tension off of the skin. There sutures also eliminate the need to have surgical drains with a tummy tuck, which is a big plus.

Question: I need help with both my tummy and my breasts. Can I have both surgeries at the same time?

Dr. Eaves: Not only can you treat both the tummy and the breasts at the same time, but this is a very common procedure. For the tummy, most often this involves a tummy tuck due to the effects of the pregnancy. What we might do in the breasts depends on how the breasts recovered after pregnancy and maybe breast feeding. For instance, if the breast lost volume but didn’t become saggy (we call that “ptosis”), then a breast augmentation is a great option.

If you like the size of the breasts but they have become too droopy, then you would likely want a mastopexy, or breast lift, but without implants. It is also quite common to do both breast augmentation with implants and a lift. If you have a consultation with a plastic surgeon, he/she can help you sort through these options and see which is best for you.

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or call us at 404-778-6880 to schedule a consultation

If you have additional questions for Dr. Eaves, please feel free to leave a comment in our comments area below.

Get Ready for Swimsuit Season! Join our Live Chat on Body Contouring

swimsuit-chat-260x200-emailSpring is here, therefore, swim suit season is just around the corner. To help get your body ready for the warmer weather, join Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, on Tuesday, March 22, 2016 at 12:00 p.m. EST as he discusses body contouring solutions to help improve your shape and tighten excess or loose skin. Dr. Eaves will answer all of your questions and walk you through both non-surgical and surgical body contouring options – including CoolSculpting®, liposuction and tummy tucks.

If you have been wondering if a cosmetic body contouring procedure is right for you, you won’t want to miss this chat.

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About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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Non-Surgical and Surgical Body Contouring: Setting Realistic Expectations

Body Contouring Expectations

As we kick-off the summer months and have officially reached bathing suit season, it is natural that many of us take a look in the mirror and think about how we might change our body.  In addition to keeping a healthy diet and exercising regularly, there are now more choices than ever in how we might achieve our goals. But with so many choices, both surgical and non-surgical options, choosing what body contouring procedure is best for you can be difficult.  How can you know which is best, and how can you make sure that your expectations are realistic?

 At the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS), held this year in Montreal, Canada, plastic surgeons from around the world discussed exactly these kinds of questions. This year, I participated in back-to-back panels on body contouring, and thought that the folks here in Atlanta would be very interested in hearing what the experts are saying about the various body contouring procedures and the kind of results that can be expected.

The first panel, which I chaired, was on non-surgical body contouring, and how it compares with liposuction. Anesthesia is not required for these non-surgical procedures and usually one can return to full activities virtually the same day. Such procedures include cryolipolysis, radiofrequency, and different types of external ultrasound. These technologies all work differently but are designed to accomplish the same thing – remove unwanted fat without surgery. Cryolipolysis, better known as CoolSculpting®, does this by freezing the fatty tissues; radiofrequency treatments heat the tissue under the skin; and ultrasound uses sound waves to break up fat cells.

After the panel discussed issues for an hour, several “take home” messages were clear to the doctors. First, non-invasive body contouring procedures do work and are well tolerated by patients, but the results can be significantly less dramatic than those from liposuction. Second, to get the desired results, most patients need repeat treatments of the same area. And third, not everybody is a good candidate for non-surgical fat reduction. The best patients for non-surgical body contouring are at an overall good body weight, have firmer, elastic skin and have a limited number of areas to treat. Patients who will do better with liposuction or a tummy tuck include those who are older or have less skin elasticity, women post pregnancy who may need a tummy tuck, or those with larger, more diffuse fat collections.

The second panel was on abdominoplasty, otherwise known as tummy tucks.  Despite the new non-surgical technologies that are emerging, the number of tummy tucks done each year in the United States continues to grow. There are several reasons for this continued growth in the number. First of all, tummy tucks really work, and the results can be among the most dramatic of the body contouring procedures. Second, there have been significant improvements in the way abdominoplasties are performed. These include better ways to control pain after surgery (for example with pain pumps and long lasting local anesthetics), the eliminated need for drains in many patients, and better control of scarring. Third, as many are working hard to control their weight and keep their body in shape, they realize that neither non-surgical treatments nor liposuction will tighten their loose skin, something that is at the core of abdominoplasties.

So as you look in the mirror, how do YOU make sure that you choose a body contouring method that is best for you, and what should you expect? The most important thing is to have a consult with a physician who can offer you the entire spectrum of options – non-surgical, liposuction, or tummy tuck. Listen to what they say. In some cases, patients will have loose skin of the abdomen and weak muscles after pregnancy, and in these cases, nothing short of a tummy tuck will give significant results. In other cases with isolated, small fat pockets, non-invasive CoolSculpting® may be an excellent option. And still in other cases where there are many body areas a patient may want to treat, liposuction may be more effective and cost less in the long run than non-surgical treatments. Ask the doctor about how your skin will change after the procedure, what your recovery will be like, how many treatments will be necessary, and how the treatment options compare. Working with a cosmetic surgeon who has experience with all the options is the very best way to set expectations that are realistic for you.

There is a great old saying that “if the only tool you have is a hammer, the whole world looks like a nail”. In the world of body contouring, nothing could be more true. Many centers that offer non-surgical treatments can’t offer you liposuction or a tummy tuck, so guess what? They’ll offer you what they have. Even worse, in many cases you might not even be evaluated by a physician who is trained in all the different techniques, so they can’t help guide you to compare realistic expectations between the options. And for those who are not good candidates for non-surgical technologies, this can be a prescription for disappointment.

At the Emory Aesthetic Center, we not only offer the full spectrum of body contouring options – from CoolSculpting® to liposuction to abdominoplasty (tummy tuck) – but we also require that all patients interested in body contouring have a consultation with one of our board certified physicians to discuss exactly these issues. We want you to love the results of your treatment, and we will work with you to help you find the best body contouring option for you and to set realistic expectations.

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About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

Takeaways from Dr. Eaves’ Body Contouring – Getting Ready for Summer Live Chat

Body ContouringThank you to everyone who joined us for the Body Contouring – Getting Ready for Summer live chat hosted by Emory Aesthetic Center surgeon, Dr. Felmont Eaves. Dr. Eaves discussed body contouring options to help shape the body for summer and tighten excess or loose skin. He described both surgical and non-surgical procedures – including liposuction, tummy tucks, arm and thigh lifts.

We were thrilled with the number of people who registered and were able to participate in the chat. The response was so great that we had a few questions we were not able to answer so we will answer them below for your reference.

If you missed this informative chat, be sure to check out the full list of questions and answers located on our chat transcript. You may also visit the Emory Aesthetic Center website for more information on therapies and solutions to get your body ready for the summer.

Question: What are new procedures for arm lifts?

Felmont Eaves, MDDr. Eaves: Arm lifts continue to evolve as we are doing more of them all the time. Arm lifts can be categorized into short scar techniques, full length techniques, and minimally invasive techniques. The short scar technique leaves a scar that is limited to the axilla (arm pit) and can help looseness in the upper part of the arm closest to the shoulder. But this technique isn’t as effective if the looseness goes far down the arm. In this case a full-length arm lift is recommended, although this does leave a long scar on the inside of the arm. For some patients, if skin laxity of the arms isn’t severe, liposuction alone may give a very nice result with a tiny scar. While there are some companies advertising significant arm tightening with non-invasive procedures, I haven’t seen impressive results with these yet.

Question: I have a normal BMI. How drastic can I expect the results of CoolSculpting to be?

Felmont Eaves, MDDr. Eaves: CoolSculping can certainly make some nice changes, but the results tend to be more subtle than that achieved by liposuction (or excisional surgery). However in patients that have excellent skin elasticity and limited fat deposits, it can do a great job of addressing what you want. It really takes an examination by someone who is familiar with all types of body contouring techniques (non-invasive, liposuction, and excisional surgery) to help you figure out which is best for you.

Question: I have a scar on my stomach from a childhood surgery. Can you fix this?

Felmont Eaves, MDDr. Eaves: That’s a good question. If you are talking about making a scar looking better, then yes, a scar revision can help. Even further, if you have a scar in the lower part of your stomach (below your belly button), that scar might be totally removed with a tummy tuck (although you’ll get a new tummy tuck scar – but it will be better positioned and hidden within the panty or bathing suit area).

Question: Can you get a 6-pack look with a tummy tuck?

Felmont Eaves, MDDr. Eaves: It is possible, but not usually. Having a real “6-pack” requires two things – well developed abdominal muscles (specifically the two muscles in the middle, known as the rectus abdominus muscles) and a very low body fat percentage. When we perform a tummy tuck, we thin out the fatty layers of the abdomen, however it is important to keep the thickness of the tissues in harmony with surrounding areas of the body, otherwise it may look odd. A tummy tuck won’t build up the abdominal muscles.

 

 

 

Takeaways from Dr. Singh and Dr. Eaves’ Chat on Weight Loss and Body Contouring

Weight Loss ChatThank you for attending the live chat on Tips for Losing Weight and Post Weight Loss Body Contouring on Tuesday, July 22nd. We had a great discussion, so thank you to all who participated and asked questions. We were thrilled with the number of people who were able to register and participate in the chat. (You can check out the transcript here).

The response was so great that we had a few questions we were not able to answer during the chat so we will answer them below for your reference.

How expensive is a pannus roughly?

Felmont Eaves, MDDr. Eaves:
That depends on the size of the pannus and how far it extends toward the side. Please feel free to call the Emory Aesthetic Center for some general guidelines, and we’d be happy to see you and figure out the extent of surgery required and costs.

 

How do you feel about the “cryo” procedures to the neck area? Are they effective if one is 60 or older? Will the procedure prevent or tighten the turkey neck?

Felmont Eaves, MDDr. Eaves:
I suspect that in patients older than 60 years of age that non-invasive procedures to remove fat in the neck area will have limited utility due to the looseness of the skin, and are unlikely to have significant impact in tightening a turkey neck. A neck lift, however, can create exciting results.

 

Is it possible to achieve biggest looser weight loss numbers through training at home?

Arvinpal Singh, MDDr. Singh:
The Biggest Loser and other television shows that show extreme weight loss are unrealistic for most of us who are working full time and have other time commitments. Those patients are seeing nutritionists, physicians, and physical trainers on a daily basis, if not more. For any weight loss program, consistent cardiovascular and strength building training is appropriate, combined with a healthy eating plan. Realistic weight loss goals should be one to two pounds per week.

That said, everyone can absolutely eventually achieve their ideal body weight, regardless of where they are starting off. The most important thing is to really clean up your diet – centering it around these four major food groups: vegetables/greens, fruits, whole grains, legumes/beans/lentils. Meat and dairy should be treated as side dishes or condiments. Oils should be minimized. Healthy fats from nuts, seeds and avocados can be used, but in small amounts while you are trying to lose weight. Exercise also is very important because it has significant cardiovascular benefits, and is very important at maintaining the weight loss long term.

My insurance excludes bariatric surgery, do appeals ever work?

Arvinpal Singh, MDDr. Singh:
Rarely. Insurance exclusions are often chosen by the employer. If bariatric surgery is excluded, it is very unlikely that you will get approved for surgery unless the employer changes the coverage. You may want to try to talk to your HR department. Explain your situation and discuss how bariatric surgery will help to improve your medical issues.

 

Which exercise works with getting mid section in shape?

Arvinpal Singh, MDDr. Singh:
Everyone wants a slimmer waist line! All core/back exercises are great at strengthening the core (yoga, pilates, planks, etc). Cardio exercises (brisk walking, jogging, swimming, rowing, etc.) to get the heart rate up are also helpful with burning fat and reducing weight. The most effective way to reduce inches off the waistline is to clean up your diet, especially reducing the saturated/trans fats, added oils, and refined sugar. Abs are not made in the gym, they are made in the kitchen!

 

 

 

Lose Those Extra Pounds! Join our Live Chat on Weight Loss & Body Contouring

weight loss and body contouringLosing those extra pounds is often a challenge. And even when you meet your weight loss goals, you may have excess skin or areas of the body that you would like to tone. Please join a dual live chat on Weight Loss & Body Contouring with Dr. Arvin Singh, Medical Director of the Emory Bariatric Center and Dr. Felmont Eaves, Medical Director of the Emory Aesthetic Center on Tuesday, July 22nd from noon to 1 pm. Learn how you can achieve your weight loss goals and improve the look of your body.

Dr. Singh will provide tips on the healthiest proven methods for weight loss, and Dr. Eaves will discuss post weight loss body contouring options available to you. They will also answer questions such as:

  • Is there a specific diet you recommend for healthy weight loss?
  • How can I get past a plateau in my weight loss?
  • What is a reasonable goal or time frame for weight loss?
  • What happens during body contouring?
  • Is achieving ideal body weight required before body contouring?
  • Are there any risks associated with body contouring?

Sign Up

Chat Details:

Date: Tuesday, July, 22, 2014
Time: 12 noon – 1pm EST
Chat leaders: Drs. Arvin Singh and Felmont Eaves
Chat Topic: Tips for Losing Weight and Post Weight Loss Body Contouring