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Sometimes, our bodies just do not respond to diet and exercise the way we want them to. Cosmetic plastic surgery procedures can reshape many areas by removing excess fat and skin and toning muscle. Below are some of the procedures we perform for body contouring.
Liposuction
 The most popular cosmetic surgery procedure in the U.S. today, liposuction sculpts the body by removing undesirable fat from areas of the body such as the abdomen, waist, hips, buttocks, thighs, knees, chin, cheeks, neck and upper arms that have not responded to diet and exercise. Local anesthesia or general anesthesia may be used and 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 tumescent liposuction, the super-wet technique, and ultrasound-assisted liposuction (UAL). In all types a tiny incision is made in as inconspicuous a place as possible. A cannula (small tube) is inserted and moved back-and-forth beneath the skin, breaking up the fat layer and suctioning it out. Tumescent liposuction and super-wet liposuction use fluid injection, which facilitates fat removal, reduces blood loss, provides anesthesia during and after surgery, and helps to reduce the amount of bruising after surgery. UAL liquefies fat with ultrasonic energy and is highly precise.
After surgery, drainage tubes, compression garments and antibiotics may be needed to facilitate the healing process. Patients are encouraged to walk as soon as they are able and many return to work within a few days, although strenuous activity should be avoided for about a month. Results are visible immediately, though improvement may continue as swelling subsides during the first three months. Scars are small and inconspicuous
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Abdominoplasty (Tummy Tuck)
 Abdominoplasty is a surgical procedure that helps to flatten and shape the abdomen and waist by removing excess fat and skin and tightening muscles.
The best candidates are in good physical condition with pockets of fat or loose skin that haven’t responded well to diet and exercise. Older, slightly obese people whose skin has lost some of its elasticity can be helped. Abdominoplasty can also be useful for women with stretched skin and muscles from pregnancy, although results from the procedure will diminish if they continue to bear children. For this reason, women who plan to have children again are advised to delay abdominoplasty. Patients who intend to lose a lot of weight are also encouraged to wait before undergoing the procedure, since skin in that area typically loosens after substantial weight loss.
The procedure takes approximately two to three hours and can be performed with general anesthesia or local anesthesia with a sedative. Recovery time ranges from two weeks to a few months, but with a balanced diet and regular exercise results are long-lasting.
Dr. Orseck will make two incisions: one from hipbone to hipbone close to the pubic area, and one around the navel. Skin is separated from the abdominal muscles, which are then pulled together and stitched into place for a firmer abdomen and narrower waist. The skin flap is stretched down and over the newly tightened muscles, excess skin is removed, and the navel is reattached. Finally, the incisions will be stitched, dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the surgical site.
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Thigh Lift
 A thigh lift is performed to remove excess skin and fat from the upper legs. Candidates typically suffer from loose, inelastic skin after extreme weight loss due to diet, exercise or bariatric surgery. Because of this, the procedure is often combined with others such as breast lifts, facelifts and arm lifts to retain an attractive body proportion.
In a medial thigh lift (inner thigh lift), the surgical incision is made in the inner thigh along the line where the leg meets the groin. In a lateral thigh lift (outer thigh lift), the incision is made from the groin around the back of the body, so that the buttocks are lifted along with the thigh.
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» Additional Body Procedures
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