Liposuction

Breast Lift w/o Implants 1
This is a 22-year-old female who has always had ptotic breasts. She is currently a 34 C cup. She is 5 feet 2 inches and 135 pounds. She has grade 3 ptotic breasts with nipple-to-mid-clavicle distance of 25 cm and 26 cm. She has quite a bit of stretch marking in the upper pole of the breast above the nipple-areola complex, and her nipple areole complex is enlarged
Brazilian Butt Lift 1
Liposuction of abdomen, back, flanks, lovehandles
Brazilian Butt Lift
Brazilian Butt Lift 2
Liposuction of abdomen, back, flanks, lovehandles
Brazilian Butt Lift
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
Breast Augmentation 1
This is a 35-year-old female who comes in for breast augmentation. The patient is 34 A cup. She has breastfed one child, and she is 5 feet 2 inches and 112 pounds with bilateral psuedoptotic A cup breasts with the left rib cage more prominent than the right rib cage. I pointed out these asymmetries to the patient again on the day of the surgery. She has been sized with 375 cc smooth gel high-profile implants to balance out her body
Breast Augmentation 2
This is a 27-year-old female who is coming in for breast augmentation. The patient is 5 feet 5 inches and 105 pounds. She has currently size A cup breasts and wishes to be a DD, and she has grade 1 ptotic breasts. No palpable masses, and she has dominant shoulders. She has been sized with 500 cc implants, and this gives her DD and also it completes her body.
Breast Augmentation 3
This is a 29-year-old female who desires breast augmentation. She has had one child and breastfed. She has bilateral A cup breasts. On physical examination, she is 5 feet 2 inches and 125 pounds. Her breasts are pseudoptotic. The patient's right rib cage is more projecting and the left rib cage is flat and goes in. Therefore, the left breast sags more, and the right breast is more projected. Breast augmentation with Sientra smooth gel high-profile 255 cc.
Breast Augmentation 4
This is a 40-year-old female with current bra size of 34 large A small B cup. She has had three children and breastfed all three. The patient is 5 feet tall and 124 pounds, and she has bilateral A cup grade 2 ptosis breasts. Breast augmentation with Sientra smooth gel high-profile 415 cc implants.
Breast Augmentation 5
This is a 36-year-old female having had one child at 6 pounds. She is a 32 small B. She did breastfeed. She is 5 feet 5 inches and 135 pounds. She has pseudoptotic bilateral small B cup breasts and abdominal laxity. Breast augmentation with Mentor Smooth Gel High-Profile 400 cc implants.
Breast Augmentation 6
This is a 40-year-old female having had two children, not breastfed. Current breast size is 34 B cup. She is 5 feet tall and 141 pounds. She has very broad shoulders and prominent hips. She wishes to be balanced out. She has been sized with 375 cc to 400 cc implants which balanced her body really nice. Bilateral breasts were symmetric, small B cup breasts. No palpable masses. No lymphadenopathy. Breasts are dense and glandular
Breast Augmentation 7
This is a 36-year-old female who desires breast augmentation. She has had three children and breastfed all three. She is a 36 B cup and she is 5 feet 7 inches and 170 pounds. She has been sized with 500 cc implants, she desires Smooth Gel 500 cc implant under the muscle through the inframammary fold incision.
Facelift & Neck Lift 1
Procedures done: direct neck lift and submental fat resection
Facelift & Neck Lift 3
Procedures dones: lower blepharoplasty, facelift, necklift, and chin implant
Lower Blepharoplasty 1
Procedures dones: lower blepharoplasty, facelift, necklift, and chin implant
Browlift 1
Client had a prior facelift but struggled with continued neck laxity.
Photos taken 1 month after temporal browlift, lower lid pinch, deep plane face and neck lift, and laser skin resurfacing
Skin Resurfacing 1
Treatment on darker skin
Photos taken before and after several sessions of microneedling and superficial chemical peels
Facelift & Neck Lift 1
To help this patient attain her goals, Dr. Mo Zakhireh decided to provide a neck lift . The surgeon mentioned that this patient was actually somewhat nervous at the original consult and opted only to have her neck muscles tightened. As a bonus, the Cosmetic Surgery Institute team opted to tighten only the skin of her face, to make it a better match for her youthful neck.
Facelift & Neck Lift 2
This is a 74-year-old gentleman who is desiring a face and neck lift. He is 5 feet 9 inches and 160 pounds. He is a Fitzpatrick type 3. He has significant neck laxity and jowls, prominent and heavy lower lids, and also heavy upper eyelids, and the patient has a hollow tear troughs and nasojugal ligament that needs fat grafting.
Facelift & Neck Lift 3
This is a 68-year-old female who has had two previous surgeries, first one was in 1999 and the second one was done by us in 2014. The patient is back for re-tightening of her skin in the neck and face. The patient is 5 feet 4 inches and 120 pounds, and she is a Fitzpatrick skin type 2. She has well-healed face and neck lift scars, very slender face, facial fat atrophy, and some mild banding and jowling.
Facelift & Neck Lift 4
This is a 59-year-old female who comes in for facial rejuvenation surgery. She is 5 feet 2 inches and 107 pounds. She has very heavy upper eyelids, midface fat atrophy, very prominent nasolabial folds from loss of volume and also prominent jowls, neck banding, and quite a bit of crepiness of her skin. The patient is Fitzpatrick type IV either Hispanic or mixed Filipino.
Liposuction 1
This is a 32-year-old female who came in for liposuction of the neck consultation. The patient reports having had very chubby lower face and neck and she has her father's face. She has had Kybella four times to treat these areas and she is still very dissatisfied. The patient is 5 feet and 1 inch tall and 120 pounds and she has a chubby lower third of the face with prominent jowls and marionette lines. Then, her chin is slightly weak, and then, she has obtuse neck angle and definitely has fat or scar tissue that I can pinch in the neck that can be removed.
Liposuction 2
62-year-old female who came in with complaint of sagging neck and desires tightening of her neck and jowls. The patient is 5 feet 1 inch and 127 pounds. She has neck lipodystrophy right in the center midline with neck laxity and minimal-to-moderate jowling.
Liposuction 3
This is a 23-year-old female with a moderate amount of neck lipodystrophy and fullness, and she would like to do liposuction to get rid of the fullness and define her jawline a bit more. On physical examination, this patient is 5 feet 6 inches and 145 pounds and has lipodystrophy below the jawline and all the way down the neck with her neck angle being obtuse
Liposuction 4
This is a 41-year-old female who is Hispanic, and she comes in for neck and lower face lipo. The patient is 5 feet 3 inches and 250 pounds, and she has Fitzpatrick type 4 skin. Her skin is olive skin and very thick, and it has very good elasticity, and she has lower face, jowl, and neck lipodystrophy.
Liposuction 5
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 6
This patient is a 44-year-old female, the patient has also had one child at 8 pounds, no C-section. The patient on physical examination has moderate layer of lipodystrophy over the love handles and the abdomen. She also has moderate amount of skin laxity in the upper and lower abdominal region. I had originally offered the patient multiple scenarios, including tummy tuck of the abdomen. I believe that she is a good candidate for this. However, the patient did not want a scar. Therefore, we talked about liposuction of the abdomen with Renuvion laser treatment of the skin.
Liposuction 7
This is a 59-year-old female who desires liposuction of torso, she is 5 feet 7 inches and 145 pounds. She had not had any kids and her skin of the abdomen is tight, she did not need any kind of tummy tuck work. I advised the patient is that she has a slight component of intra-abdominal fat or inflammation, and therefore, if I were to even tighten the abdominal muscles, her abdomen would pooch out.
Liposuction 14
Liposuction of abdomen, back, flanks, lovehandles
Brazilian Butt Lift
Liposuction 22
Liposuction of abdomen, back, flanks, lovehandles
Brazilian Butt Lift
Liposuction 23
Liposuction of abdomen, back, flanks, lovehandles
Brazilian Butt Lift
Liposuction 28
Liposculpture of abdomen, flanks, back, and lovehandles
Brazillian Butt Lift
Liposuction 31
Liposuction of back, flanks, lovehandles, inner thighs,
Revision of pediatric surgery scars
Liposuction 34
Liposuction of abdomen and lovehandles
Mastoppexy
Sub muscular Breast Augmentation w/ smooth gel high profile implant 300cc
Liposuction 36
Liposuction abdomen, back, flank, lovehandles, inner and outer thighs
Liposuction 43
This is a 35-year-old female who had breast augmentation done by us in 2008. She came in with a complaint of a tethered C-section scar. She is 5 feet 10 inches and 185 pounds. The patient had originally come in in June of 2020 for skin pull versus a tummy tuck.
Explant of left broken Mentor Smooth Gel High-Profile 500 cc implant.
Clean-out of spilled silicone from left breast submuscular pocket.
Explant of right intact Mentor Smooth Gel High-Profile 500 cc implant.
Bilateral lower pole capsulectomy.
Breast augmentation with Mentor Smooth Gel High-Profile 600 cc implant.
Liposuction of abdomen, flank, axilla, and love handle.
Panniculectomy.
Liposuction 44
This patient had had 3 heavy pregnancies at 8,9, and 10. Her abdominal muscles were very stretched out. And despite diet and exercise, she could never get her pre-pregnancy body back. We did lipo love handles and tummy tuck where we did a midline muscle corset plication of 6cm. The patient was ecstatic about her new body. We restored her abdominal and waste line contour.
In addition, this surgery also restored her metabolism and inspired her to become even healthier.
Liposuction 46
Liposuction back flank, lovehandles
Tummy Tuck
Subsequent liposuction of abdomen 3 months later
2-Step Surgery for safety reasons
Liposuction 47
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 49
Liposuction back, flanks, lovehandles, braline
Tummy Tuck
Mastopexy
Breast Augmentation with smooth gel high profile 350cc implant
Under Muscle
Liposuction 51
Liposuction of the back, flanks, lovehandles
Brazilian Butt Lift
Tummy Tuck
Liposuction 53
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 54
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 55
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 56
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 57
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 58
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 59
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 60
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Breast Augmentation with smooth gel, high profile, 375cc implant
Under muscle
Liposuction 61
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 62
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 63
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 64
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 65
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 66
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 67
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 69
Liposuction of back, flanks, lovehandles, braline, and abdomen with tummy tuck
Liposuction 70
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Liposuction 71
Liposuction of back, flanks, lovehandles, braline, and abdomen
Tummy Tuck
Breast Augmentation with smooth gel high profile 350cc implants
Under muscle
Liposuction 77
Liposuction lovehandles
Tummy Tuck
Mastopexy
Breast Augmentation
Silicone gel implants under muscle
300cc
High Profile
Liposuction 79
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.
Liposuction 80
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.