Mommy Makeover

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.

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.

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.

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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.

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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.

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

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.

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.

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.

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.

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Tummy Tuck with liposuction of back and flanks

Liposuction of back, flanks, lovehandles with tummy tuck

Liposuction back & lovehandles

Tummy Tuck

Liposuction back, flank, lovehandles

Tummy Tuck

Liposuction back, lovehandles

Tummy Tuck

Brazilian Butt Lift

Liposuction back, flank, lovehandles

Tummy Tuck

Liposuction of back, flank, lovehandles

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Breast Augmentation with smooth gel high profile 350cc implants

Under muscle

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen with tummy tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Breast Augmentation with smooth gel, high profile, 375cc implant

Under muscle

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

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

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Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

Liposuction of back, flanks, lovehandles, braline, and abdomen

Tummy Tuck

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Liposuction back, flank, love handles
Tummy Tuck

Liposuction of the back, flanks, lovehandles

Brazilian Butt Lift

Tummy Tuck

Liposuction of back, flanks, braline, lovehandles

Tummy Tuck

Liposuction back, flanks, lovehandles, braline

Tummy Tuck

Mastopexy

Breast Augmentation with smooth gel high profile 350cc implant

Under Muscle

Liposuction back, flanks, lovehandle

Tummy Tuck

Liposuction back flank, lovehandles

Tummy Tuck

Subsequent liposuction of abdomen 3 months later

2-Step Surgery for safety reasons

Liposuction back, flanks, lovehandles

Tummy Tuck

Liposuction lovehandles

Tummy Tuck

Mastopexy

Breast Augmentation

Silicone gel implants under muscle

300cc

High Profile

Liposuction back, flanks, lovehandles

Tummy Tuck

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.

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 of arm with brachioplasty

Liposuction of lovehandles

Liposuction of abdomen, back, and lovehandles

Brazilian Butt Lift

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Liposuction of abdomen, back and flanks, lovehandles

Liposuction of abdomen, back, flanks, lovehandles

Brazilian Butt Lift

Liposuction of upper arm

Brachioplasty

Liposuction of upper arm

Brachioplasty

Liposuction of abdomen, back, flanks, lovehandles, inner thighs

Liposuction of abdomen, back, flanks, lovehandles

Liposuction of abdomen, back, flanks, lovehandles, inner thighs

Liposuction of inner thighs

Liposuction of abdomen, back, flanks, lovehandles

Brazilian Butt Lift

Liposuction of abdomen, back, flanks, lovehandles

Brazilian Butt Lift

Liposuction of abdomen, back, flanks, lovehandles, inner thighs

Liposuction of inner and outer thighs

Liposculpture of abdomen, flanks, back, and lovehandles

Liposculpture of abdomen, flanks, back, and lovehandles

Brazillian Butt Lift

Liposuction of abdomen, back, flank, lovehandles

Liposuction back, flanks, love handles, abdomen

Liposuction of back, flanks, lovehandles, inner thighs,

Revision of pediatric surgery scars

Liposuction of back, flanks, lovehandle, abdomen

Liposuction of inner and outer thighs

Liposuction of abdomen and lovehandles

Mastoppexy

Sub muscular Breast Augmentation w/ smooth gel high profile implant 300cc

Liposuction abdomen, lovehandles, inner, outer thighs

Liposuction abdomen, back, flank, lovehandles, inner and outer thighs

Liposuction of abdomen, back, flank, lovehandles

Liposuction back

Liposuction back, flanks, lovehandles