Mommy Makeover 13

This is a 65-year-old gentleman who lost 45 pounds during the COVID by eating healthy and now his neck and face sag and he wishes to have a face and neck lift.  The patient on physical examination is 6 feet tall and 175 pounds.  He is Fitzpatrick type 2 skin complexion, very ruddy, lots of sun damage on the face and extensive neck laxity with lipodystrophy component and neck and jowl laxity and also hollow tear troughs and malar area.

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This is a 67-year-old female who had her eyes done with us in November 2017.  She had upper blepharoplasty and fat to face.  The patient is now back for face and neck lift.  She has extensive face and neck laxity, has a skinny face with thin skin.

Patient came into the practice with face and neck laxity, neck banding, puffy lower eyelids and underlying, hollow tear troughs. She received multiple procedures including a neck lift and facelift.

Dr. Mo Zakhireh performed a very conservative, muscle-tightening neck lift and facelift.  Addressed her puffy lower eyelids by removing the fat pockets. Frafted fat and stem cells to fill the patient’s hollow tear troughs, areas of enlarged pores, and fine lines around the mouth.

Dr. Mo Zakhireh performed surgery for muscle tightening of the face and neck. Fat was also added to her lips, but not with the intention of making them very large. Fat was added to her hollow lower eyelids and temples.

This is a 64-year-old female who has 36 DDD cup breasts.  She is 5 feet 3 inches and 140 pounds.  She has the right breast which is slightly larger and more pendulous than the left breast, and nipple- to mid-clavicle distance on both sides is 27 cm.  The patient had liposuction of torso and panniculectomy yesterday.  Now, she is coming in for breast reduction and mastopexy.  The patient has stated that she wants to go from DDD cup to a full D cup.

This is a 34-year-old female having had three children, 9 pounds, 9 pounds, and 7 pounds each with C-section.  The patient is 5 feet 1 inch and 138 pounds.  Breast augmentation with Mentor Smooth Gel High-Profile implants, right side augmented with 425 cc and left side augmented with 400 cc.

This is a 47-year-old female who comes to us with a chief complaint of sagging breasts.  The patient has had two children and she breast-fed them both.  She has currently 38 small D cup breasts with grade 3 ptosis.  She is 5 feet 2 inches and 119 pounds.  On physical examination, bilateral breasts are symmetric.  Nipple-to-mid-clavicle distance of 26 cm.  She has grade 3 ptotic large C, small D cup breasts.

37 years old female who originally came in with a grade 4 ptotic breasts with saline implants in and the saline implants were up high and the skin was hanging.  She had removal and mastopexy in May of 2019, and she came back in September of 2019 and had breast augmentation with Mentor Smooth Gel High-Profile 425 cc implants.

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. Mastopexy with breast augmentation with mentor Smooth Gel High-Profile 400 cc implants.