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 The most popular cosmetic surgery procedure in the U.S., liposuction sculpts the body by removing undesirable fat that has not responded to diet and exercise from areas such as the abdomen, waist, hips, buttocks, thighs, knees, chin, cheeks, neck and upper arms. Local anesthesia or general anesthesia may be used, and the procedure can last anywhere from one to five hours depending on the amount of fat being removed.
There are several different methods surgeons use when performing liposuction, including ultrasound-assisted lipectomy (UAL) and suction-assisted lipectomy (SAL). In both types, fluid is injected into the area to be treated. Then a tiny incision is made in as inconspicuous a place as possible, and a cannula (small tube) breaks up the fat layer and suctions it out.
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 Abdominoplasty helps to flatten and shape the abdomen and waist by removing excess fat and skin and tightening muscles. The best candidates have pockets of fat or loose skin that haven’t responded well to diet and exercise. The procedure can also be useful for women with stretched skin and muscles from pregnancy.
The procedure takes approximately two to five hours and can be performed with general anesthesia or local anesthesia with a sedative. Recovery time ranges from two weeks to a few months. With a balanced diet and regular exercise, results are long-lasting. Abdominoplasty will likely leave a permanent scar stretching between the hips, although it should be low enough for even a bikini to conceal it.
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The body lift is performed to remove loose, excess skin from the torso and upper legs. It offers an improvement in appearance for patients who have lost significant amounts of weight due to childbearing, diet, exercise or bariatric surgery. The procedure is often combined with others such as breast lifts and arm lifts to retain a proper body proportion.
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After substantial weight loss, weight gain or simply from the effects of aging, skin on the upper arms can become inelastic, loose and flabby. Arm lifts, also known as brachioplasty, remove that excess skin and fat. Patients who have significant amounts of fat may want to consider combining the procedure with liposuction.
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Vaginal surgery, or vaginoplasty, serves many functions: it can improve the appearance of the vagina, relieve discomfort, aid in proper hygiene, increase sexual satisfaction, and boost self-confidence. The procedure may be performed to correct internal or external problems. Internal vaginoplasty tightens muscles in the vagina that have loosened from aging or childbirth, while external vaginoplasty trims the vaginal lips (labia minora) to remove excess skin and achieve a balance in size. Vaginal rejuvenation surgery restores the vagina to its youthful appearance and performance by tightening and strengthening the vagina and pelvic floor, as well as making any desired cosmetic adjustments. Other problems such as hernia protrusion or clitoral hood can be corrected at this time. Incisions are placed as inconspicuously as possible and dissolving stitches are used to minimize post-operative scars.
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Dr. Scheiner 