Tummy Tuck
Breast Augmentation 17
Breast augmentation with Sientra smooth gel high-profile 535 cc implants.
This is a 33-year-old female who has had two children and did not breastfeed. She is currently a 36 A cup breast, Fitzpatrick skin type 4, 5 feet 2 inches, and 166 pounds. She is so flat that she does not have inframammary folds. She has a very much masculine torso and chest.
She had been sized with 450 cc implants. She wants to be a full C, small D cup.
Breast Augmentation 18
This is a 20-year-old female who comes in for breast augmentation, desiring smooth gel high-profile implants. The patient is 5 feet 4 inches and 134 pounds. She is a Fitzpatrick skin type 3 Hispanic with bilateral small B cup breasts. The patient has been sized with 300 cc implants. She wants to be a small to mid C cup.
Breast augmentation with Sientra smooth gel high-profile 300 cc implants.
Breast Augmentation 19
This is a 30-year-old female who has had saline implants that were put in 12 years ago, and she has slowly noted that her left breast has become smaller. Patient is 5 feet 7 inches and 145 pounds. She has asymmetric breasts. The right side is a full C small B cup. Left side is full B small C cup. There are definitely implants palpated on both sides, but the left side is obviously more empty. The patient has short nipple-to-inframammary fold distance on both sides, and she does have moderate amount of stretch marks on both breasts.
Removal of bilateral 550 cc low-profile saline smooth gel implants, left side filled to 250 cc and right side filled to 550 cc.
Breast augmentation with Sientra smooth gel high-profile 650 cc implants.
Breast Augmentation 20
This is a 28-year-old female who comes in for breast augmentation surgery. The patient is 5 feet 3 inches and 105 pounds, Fitzpatrick skin type 4, and Hispanic. The patient is slender in the upper body and more hippy in the lower body. She has bilateral A cup breasts. The patient was originally sized to 350 cc, and today, she is asking for 375 cc to 400 cc. I told her that we will size her, and if 400 cc is too tight, we will downsize. If her skin envelope allows it, then we will put in the 400 cc.
Breast Augmentation 21
This is a 43-year-old female, she is 5 feet 4 inches and 120 pounds. She has bilateral large A cup breasts, and she has prominent chest and rib cage. She has two children both by C-sections, and she breastfed a small amount. The patient's current bra size is a 34 small B cup.
Breast augmentation with Mentor smooth gel high-profile 200 cc implant.
Breast Augmentation 22
This is a 34-year-old female who comes in for breast augmentation, the patient has had three children by C-section, The patient's current breast size is 34 large A, small B. She is 5 feet 3 inches and 126 pounds. She has bilateral pseudoptotic breasts with shorter nipple-to-inframammary fold distance.
Breast Augmentation 23
This is a 34-year-old female having had eight children and breastfed all eight. She is currently a size 36 B cup. The patient is 5 feet 5 inches and 167 pounds, and she has been sized with 650 to 800 cc range. The patient wants to look well balanced. In the morning of surgery, she has definitely ruled out 800 cc implants. She is more interested in 700 cc.
Breast Augmentation 24
This is a 29-year-old femlae having breadfed two children. The left ribcage is more prjected making the left breast slightly larger and more projected. The patient has been sized with Mentor Smooth Gel High- PRofile 500 cc, but later decided she preferred 450cc Mentor implants.
Breast Augmentation 25
This is a 40-year-old female who had a bilateral removal of implants and capsulectomy due to capsular contracture. The patient is 5 feet 2 inches and 135 pounds, and she has pseudoptotic A cup breast. The patient was also a candidate for breast lift, but she does not wish to have the Wise- Pattern T-scars. The patient was sized during the return consultation with 375 cc implant, but she has left it up to me. She states that she wants to be a small D cup and she understands that she may be ptotic, but she is willing to live with that because she does not want a scar.
Breast Augmentation 26
This is a 40-year-old female coming in for a breast augmentation. The patient is 5 feet 10 inches and 135 pounds. She has large A cup breast, with a prominent rib cage. Therefore, smaller implants look bigger on her. She has been sized with a 250 to 300 cc Sientra Smooth Gel High Profile implant. Patient wanted to be a C cup and balance her body out.
Liposuction & Tummy Tuck 2
This is a 35-year-old female with desire of having tummy tuck and liposuction of the back. She has a cheir complaint of enlarged abdomen and lipodystrophy. The patient has a previous history if C-Sections x3. This patient is 4 feet 11 inches and 138 pounds, and on abdominal examination, she has a very lax abdomen, not only in the muscle but also with extensive stretch marks and lipodystrohpy.
Tummy Tuck 3
This is a 51-year-old female having had a history of hysterectomy and C-section, has had two children at 7 pounds and 8 pounds. The patient is 5 feet 4 inches and 130 pounds. She has extensive amount of stretch marks surrounding her belly button and the stretch marks are up high. The patient also has abdominal laxity, skin laxity, and a small pannus. She also has love handles and back lipodystrophy and bra and axillary lipodystrophy
Tummy Tuck 4
This is a 53-year-old female with a previous history of two pregnancies at 8 pounds each. The patient, on physical examination, has abdominal laxity and well-healed C-section scar. She is 5 feet 2 inches and 150 pounds and has a moderate-sized pannus and has full torso lipodystrophy. I have offered this patient liposuction and tummy tuck, but she has opted to forgo liposuction of the back and flanks and just do the tummy tuck portion, even though she understands that her body may be off balanced after the tummy tuck.
Liposuction & Tummy Tuck 5
This is a 41-year-old female who has had previously breast work done and liposuction three years ago in the knees and thighs. The patient has a history of having had three children, 6 pounds each. The patient is 5 feet 6 inches and 220 pounds. She has significant back and abdominal lipodystrophy. She has abdominal muscle laxity and large abdominal pannus. She is coming in for liposuction of the back and tummy tuck.
Tummy Tuck 6
This is a 34-year-old female She has had three heavy pregnancies in the past, and she breastfed and currently has 36 B cup breasts and would like to have larger breasts and also to take care of her abdominal laxity with severely stretched skin and muscles. She is 5 feet 3 inches and 140 pounds. She has grade 2 ptotic breasts with empty skin envelope and she has been sized with 500 cc implants, and she would like to have the breasts and the abdomen addressed.
Tummy Tuck 7
This is a 63-year-old gentleman who has had several sessions of liposuction in the past, and he is very heavy throughout the axilla and chest region and also in the abdomen and back and he has a lower abdominal pannus. Liposuction of chest, abdomen, axilla, and flank. Renuvion of the chest, axilla, flank, and upper abdomen, and a Pannilectomy. Pending Surgery 2 Lipo of Abdomen
Liposuction & Tummy Tuck 11
When abdominal muscles and skin have been stretched by pregnancy, weight fluctuation, or aging, it is nearly impossible to regain a taut midsection. An abdominoplasty, or tummy tuck, at the Palm Desert-based Cosmetic Surgery Institute is an ideal solution for men and women who have poor muscle tone or excess skin in the abdominal area.
The physicians take a two-step approach to tummy tuck surgery that combines liposuction for fat removal with the surgical techniques for tightening the muscles and eliminating excess skin. This method results in firmer body contours and a flatter torso. The before and after photos show the slimming results of a tummy tuck from the Los Angeles area practice.
Liposuction & Tummy Tuck 13
Liposuction of back, flanks, lovehandles with tummy tuck
Liposuction & Tummy Tuck 14
This is a 32-year-old female having had two children. She has 40 D cup breasts and 5 feet 6 inches and 185 pounds. She has got abdominal laxity with extensive stretch marks, buttock fat atrophy and laxity and back lipodystrophy, axillary lipodystrophy. coming in for first-stage tummy tuck, liposuction of back, and BBL. She came back a few days later and she did mastopexy and breast augmentation with Mentor Smooth Gel 400 mL implants. Patient did a 3rd surgery for liposuction of the abdomen to achieve a nice flat tummy.
Liposuction & Tummy Tuck 17
Liposuction back, lovehandles
Tummy Tuck
Brazilian Butt Lift
Liposuction & Tummy Tuck 20
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Breast Augmentation with smooth gel high profile 350cc implants
Under muscle
Liposuction & Tummy Tuck 21
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 22
Liposuction of back, flanks, lovehandles, braline, and abdomen with tummy tuck
Liposuction & Tummy Tuck 23
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 24
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 25
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 26
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Tummy Tuck 27
Mother of 7 children. She breast fed them all and is a 36B cup at 5’6”and 165LBS.
We took off 2 liters of fat from her back, flanks, love handles and axillae. Then we cleaned her fat and augmented her buttocks with 650cc of good fat. The advantage to fat is that it's your own, and becomes living, breathing tissue. In our experience, 70% of the fat takes because we deliver it deep next to the gluteus maximus muscles which provide very good blood supply. Then we turned the patient over and did a very nice tummy tuck with cutting out of a lot of excess skin and stretch marks.
Last but not least, we sized the patient on the table and noted that 500cc breast implants balanced her shoulders into her hips. With the right size of implants, the body flows in graceful symmetry and is in total balance. We used smooth gel gummy bear implants and placed them under the pectoralis muscles for softer, smoother results and also for effective reading of mammograms.
Liposuction & Tummy Tuck 28
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 29
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 30
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 31
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Breast Augmentation with smooth gel, high profile, 375cc implant
Under muscle
Liposuction & Tummy Tuck 32
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 33
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 34
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 35
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Tummy Tuck 36
She has had four large pregnancies, which have stretched her abdominal muscles and resulted in fat loss from her breasts and buttocks. She was a 34A cup at 5’6” and weighed 146 lbs. During her mommy makeover in the Los Angeles office of Cosmetic Surgery Institute, the surgeons ended up performing liposuction of her back, flanks, love handles, and bra line.
The physicians also did lipo of her inner thighs and knees. In total, three liters, or the equivalent of 6 lbs, was taken off. After this, the fat was cleaned and grafted to her buttocks (bringing it to a total of 640cc in size) to make them round and more curvaceous. The next step involved reconstructing her abdomen by tightening her abdominal muscles while cutting off excess skin and stretch marks.
Last but not least, Dr. Mo Zakhireh augmented her breasts with Mentor Smooth Gel High Profile 550cc gummy bear implants, which were placed under the chest muscles. This size fit her body and balanced her shoulders with her hips.
Liposuction & Tummy Tuck 37
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Belly button hernia repair
Breast augmentation with Smooth gel high profile 300cc implant
Under Muscle
Liposuction & Tummy Tuck 38
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 39
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction & Tummy Tuck 41
Liposuction of the back, flanks, lovehandles
Brazilian Butt Lift
Tummy Tuck
Liposuction & Tummy Tuck 42
Liposuction of back, flanks, braline, lovehandles
Tummy Tuck
Liposuction & Tummy Tuck 44
Liposuction back, flanks, lovehandles, braline
Tummy Tuck
Mastopexy
Breast Augmentation with smooth gel high profile 350cc implant
Under Muscle