Before Liposuction

Suction-assisted lipectomy – also known as liposuction, fat suction, or suction lipectomy – is a technique to remove unwanted fat deposits from specific areas of the body, including the chin, neck, and cheeks; the upper arms and above the breasts; the abdomen, buttocks, hips, and thighs; and the knees, calves, and ankles. Liposuction is one of the commonest procedures performed at plastic surgicentre in Doha, Qatar. Liposuction is not a substitute for weight reduction, but a method of removing localized fat that doesn’t respond to dieting and exercise. If you’re considering liposuction, this will give you a basic understanding of the procedure – when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your doctor about anything you don’t understand.

Women may have liposuction performed under the chin, on their hips, thighs, and stomach, and in the underarm and breast area.

The best candidates for liposuction

Liposuction can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for liposuction are of relatively normal weight but have pockets of excess fat in particular areas. You should be physically healthy, psychologically stable, and realistic in your expectations. Most important, having firm, elastic skin will result in a better final contour. (Hanging skin won’t reshape to your body’s new contours, and may require an additional procedure to surgically remove the excess skin. This procedure will leave visible scars.)

Male Before Liposuction

For men, common sites include under the chin and around the waist. Liposuction may also be used in the reduction of enlarged male breasts, a condition known as gynecomastia.

Suction lipectomy is not recommended if you’ve had recent surgery on the spot to be sculpted, if you have poor blood circulation in that area, or if you have heart or lung disease. You should also understand that liposuction by itself will not improve the dimpled skin known as cellulite. At Plastic Surgicenter we offer some other techniques that improve this condition.

For men, common sites include under the chin and around the waist. Liposuction may also be used in the reduction of enlarged male breasts, a condition known as gynecomastia.

All surgery carries some uncertainty and risk

Suction-assisted lipectomy is normally safe, as long as patients are carefully selected, the operating facility is properly equipped, and the physician is adequately trained in body contouring as well as general surgery.

Nevertheless, in rare instances, the procedure may cause trauma, particularly when multiple or very extensive areas are suctioned at one time. Other infrequent, but possible, complication include fluid accumulation (which must be drained). You can reduce your risks by choosing a qualified plastic surgeon who has been granted privileges to perform liposuction at an accredited hospital, and by closely following his advice.

The scars from liposuction are small and strategically placed to be hidden from view, even in a bikini. However, other cosmetic problems may occur, even if your surgeon is very skilled. They may include rippling of the skin over the treated area, and pigmentation changes (such as brown spots) that may become permanent if exposed to the sun. Asymmetry (uneven contour or shape) sometimes requires a second procedure.

Planning your surgery

In your initial consultation, the surgeon will evaluate your health, determine where your fat deposits lie, and carefully assess your skin tone. Your doctor should explain any alternative body-contouring methods that may be appropriate – such as abdominoplasty, or tummy tuck – and discuss the options or the combination of procedures that would be best for you.

Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing the procedure in detail and explaining its risks and limitations. Your surgeon should also explain the anesthesia he or she will use, the type of facility where the surgery will be performed, and the costs involved.

During this consultation, be sure to tell your surgeon about any large weight losses or gains you’ve had at any time. You should also inform your surgeon if you smoke, and if you’re taking any medications, vitamins, or other drugs.

Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.

Preparing for your surgery

The best candidates for liposuction are normal weight with localized areas of excess fat– for example, in the buttocks, hips, and thighs.

If you’re having extensive liposuction, discuss the possibility of having blood drawn ahead of time with your doctor. Your own blood can be used to help replace the blood and other fluids you’ll lose during surgery if your doctor feels this is necessary.

Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your procedure will have to be postponed.

While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and, if needed, to help you out for a day or two.

Where your surgery will be performed

Suction-assisted lipectomy may be performed in a surgeon’s office-based facility, an outpatient surgery center, or a hospital. It’s usually done on an outpatient basis, for cost containment and convenience. Extensive procedures may require a hospital stay of two or three days.

Best Candidates For Liposuction

The best candidates for liposuction are normal weight with localized areas of excess fat– for example, in the buttocks, hips, and thighs.

Types of anesthesia

If your procedure is not too extensive – that is, the amount of fat and fluid removed does not exceed an amount your doctor will define based on your health, body size, and surgical procedure – liposuction can be performed under local anesthesia, which numbs the area, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and will feel minimal discomfort. Some surgeons may instead use an epidural block, similar to the anesthesia used in childbirth.

If your doctor plans to suction a large area, or to treat several sites, you’ll probably have general anesthesia. In that case, you’ll sleep through the operation.

The surgery

The Surgery

The surgeon inserts a cannula through small incisions in the skin. At the other end of the tube is a vacuum-pressure unit that suctions off the fat

The surgeon inserts a cannula through small incisions in the skin. At the other end of the tube is a vacuum-pressure unit that suctions off the fat.

Suction-assisted lipectomy usually takes an hour or two, but the time required may vary considerably – from thirty minutes to several hours, depending on the area and amount being suctioned.

To begin the procedure, the surgeon makes a small incision, just large enough to allow the insertion of a hollow tube called a cannula. The opposite end of the cannula is attached to a machine that creates a strong vacuum. The surgeon manipulates the cannula deep within the fat layers under the skin, breaking up the fat and suctioning it out. Sometimes additional incisions are needed to remove all areas of fat.

If you’ve had local anesthesia, you’ll feel some vibration and friction during the procedure. You may also feel a stinging sensation as the cannula moves closer to the muscle.

You’ll lose fluid along with the fat during liposuction, and it’s crucial that this fluid be replaced to keep your body from going into shock.

After your surgery

After surgery, a drainage tube may be inserted beneath your skin for one day to remove any fluid build up that occurs. A snug elastic dressing, girdle, or body stocking must be worn over the treated area to control swelling and bleeding, and to help your skin shrink to fit your new contour. You may need to wear this garment continuously for two to three weeks, then just in the day time for a few weeks more, depending on your surgeon’s instructions. Your doctor may also prescribe antibiotics to prevent infection.

After Surgery

A snug compression garment worn after surgery helps reduce swelling.

Don’t expect to look or feel great right after surgery. You’ll even be heavier for a while, because of the extra fluids you’ve been given. The suctioned areas will be swollen and bruised, and you may feel a burning sensation. The pain can be controlled with medications prescribed by your surgeon, though you may still feel stiff and sore for a few days. You may temporarily lose all feeling in the suctioned area; don’t worry – it will return.

It’s not unusual to feel depressed in the days or weeks following surgery. Try to keep in mind that this is normal and will subside as you begin to look and feel better.

Getting back to normal

Healing is a gradual process. Your surgeon will probably tell you to start walking around as soon as possible (to help prevent blood clots from forming in your legs), but to avoid more strenuous activity for two to four weeks. Any stitches will be removed in five to ten days or dissolve, and you should be back at work in 2 – 3 days, or as much as two weeks after your surgery. When you resume activity depends on the extent of your procedure, how you feel and what your doctor recommends.

While most of the swelling and discoloration will be gone a month or two after surgery, some swelling can re main for six months or more. Your surgeon will schedule follow-up visits to monitor your progress and to see if any additional procedures are needed.

If you have any unusual symptoms between visits – for example, heavy bleeding or a sudden increase in pain – or any questions about what you can and can’t do, don’t hesitate to call your doctor.

Your new look

New Look

As healing progresses, a more proportional look will emerge.

Suction-assisted lipectomy is a highly effective technique for giving you a new body contour with very little scarring. The results can be permanent, providing you eat sensibly and exercise regularly. If you do gain weight, you’ll probably gain it more uniformly throughout your body, not just in the former “bulges.”

A slimmer body contour can help you feel more confident and comfortable.

Most patients are very satisfied with the results of their liposuction – they feel more comfortable in a wide variety of clothes, and more at ease with their bodies. As long as your expectations are realistic, you should be happy with your new shape.

Noticeable Difference

You will see a noticeable difference in the shape of your body quite soon after surgery. However, improvement will become even more apparent after about six weeks, when most of the swelling has subsided.

If your expectations are realistic, you will probably be very pleased with the results of your surgery. You may find that you are more comfortable in a wide variety of clothes and more at ease with your body. And, by eating a healthy diet and getting regular exercise, you can help to maintain your new shape permanently.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result.

The best method of determining your personal options is to schedule a personal consultation with Dr. Makki. He will be able to answer specific questions related to your situation.

Please don’t hesitate to call for any questions that you might have

Laser- -assisted liposuction, like traditional liposuction, is not a weight control method or a fix for obesity. It is used to help contour your body in those areas that are not responsive to diet and exercise such as saddlebags or a paunchy stomach.

Laser liposuction focuses low-energy waves delivered by a thin laser fiber that’s inserted through small incisions. The laser energy is focused on the part of the body where you’d like to have a fatty pocket removed. After the fat is melted, a small cannula is used to suck out the liquefied fat.

Also like traditional liposuction, laser-assisted liposuction is most often used to reduce fullness in your Abdomen, Ankles, Arms, Buttocks, Cheeks, Chin, Hips, Knees, Neck, Thighs, Upper arms, Waist.

Laser-assisted liposuction may offer some advantages, such as sedation rather than general anesthesia, less trauma to the site and smoother skin in the end. Nevertheless, you should be aware that these techniques are still considered to be relatively new and there are few studies to prove the end results are better than traditional liposuction. It’s important to discuss the advantages and disadvantages with your plastic surgeon.
Caution: In the wrong or inexperienced hands, laser- assisted liposuction can be dangerous. In addition to seeking a doctor who is trained and board-certified in plastic surgery, make sure the physician has specific experience with this types of procedure. As you do your homework, you should be suspicious if the liposuction pricing is far lower than what’s quoted by qualified plastic surgeons. This could be an indicator that the provider is not properly qualified to perform the procedure.

The most common potential complications of laser Liposuction include:
•Bruising
•Infection
•Minimal bleeding
•Numbness
•Skin burns
•Swelling

Managing your discomfort: You’ll probably be sore and a little swollen for a few days following laser- or ultrasound-assisted liposuction. Your doctor will provide painkillers to keep you comfortable.

Your doctor may advise you to wear a special compression garment to speed healing. Everyone’s recovery is slightly different, but most people are able to return to work within a few days.

Traditional liposuction—one of the most popular forms of cosmetic surgery in the world—typically starts with the administration of some form of anesthesia including local anesthesia, intravenous sedation or general anesthesia accompanied with the infusion of a saline solution into the area of the body where liposuction will be performed. The solution contains medication to minimize pain and bleeding. Then, a small hollow tube attached to a vacuum is inserted through a small incision into the fat layer beneath the skin. It’s moved around to break up the fat, which is then sucked out of the body.

Laser-assisted liposuction takes advantage of the power and technology associated with medical laser beams to liquefy the fat which is then sucked out of the area.

Fat injection is commonly performed at plastic surgicentre in Doha, Qatar.

Body fat makes excellent soft tissue filler material. Fat injection transfers fat from one part of the body to another to recontour the face; diminish frown lines, crow’s feet and nasolabial folds (smile lines); and provide definition to areas like the cheeks and chin. It can also be used to fill out depressed scarred areas on any part of the body. Fat injection is not permanent, and may require an effective maintenance program.

The donor site (for example, abdomen, buttocks or thighs) and the treatment site are injected with local anesthetic. Fat cells are extracted through a small needle attached to a syringe. The fat is then processed to remove excess fluids and reinjected with another needle in multiple thin strands in the desired area. Some swelling, bruising—usually about 48 hours. Patient should avoid the sun until the condition subsides.For longest-lasting effect, patients generally receive 3 to 4 treatments over a six-month period. Longevity of results can vary significantly from patient to patient.

Benefits:

Natural, non-allergenic.
Outpatient procedure that generally takes under an hour.
Injections may last from several months to permanently.
Little or no downtime.
Minimal discomfort, which can be controlled with medication.
Because fat is from the patient’s own body, no pre-testing is required and the fat cannot be rejected.
Good alternative if the patient is allergic to bovine collagen.
Cost effective if combined with another procedure like liposuction.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result.

The best method of determining your personal options is to schedule a personal consultation with Dr. Makki. He will be able to answer specific questions related to your situation.

Please don’t hesitate to call for any questions that you might have

An incision just above the pubic area is used to remove excess skin and fat from the middle and lower abdomen.

Abdominoplasty is one of the commonest procedures performed at plastic surgicentre Doha in Qatar. Abdominoplasty, known more commonly as a “tummy tuck” is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear in mind, it does produce a permanent scar-which, depending on the extent of the original problem and the surgery required to correct it, can extend from hip to hip.

If you’re considering abdominoplasty, the following information will give you a basic understanding of the procedure – when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don’t understand.

An incision just above the pubic area is used to remove excess skin and fat from the middle and lower abdomen.

The best candidates for abdominoplasty

The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won’t respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.

Patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy. If you have scarring from previous abdominal surgery, your doctor may recommend against abdominoplasty or may caution you that scars could be unusually prominent.

Abdominoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

All surgery carries some uncertainty and risk

Skin is separated from the abdominal wall all the way up to the ribs.

Skin is separated from the abdominal wall all the way up to the ribs.

Thousands of abdominoplasties are performed successfully each year. When done by a qualified plastic surgeon who is trained in body contouring, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure.

Postoperative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.

Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should be advised to stop, as smoking may increase the risk of complications and delay healing.

You can reduce your risk of complications by closely following your surgeon’s instructions before and after the surgery, especially with regard to when and how you should resume physical activity.

Planning your surgery

The surgeon draws underlying muscle and tissue together and stitches them, thereby narrowing the waistline and strengthening the abdominal wall.

In your initial consultation, Dr. Makki will evaluate your health, determine the extent of fat deposits in your abdominal region, and carefully assess your skin tone. Be sure to tell your surgeon if you smoke, and if you’re taking any medications, vitamins, or other drugs.

Be frank in discussing your expectations with Dr. Makki. He should be equally frank with you, describing your alternatives and the risks and limitations of each.

If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial abdominoplasty, also known as a mini-tummy tuck, which can often be performed on an outpatient basis. You may, on the other hand, benefit more from partial or complete abdominoplasty done in conjunction with liposuction to remove fat deposits from the hips, for a better body contour. Or may be liposuction alone would create the best result.

In any case, Dr. Makki will work with you to recommend the procedure that is right for you and will come closest to producing the desired body contour.

During the consultation, Dr. Makki will also explain the anesthesia he will use, the type of facility where the surgery will be performed, and the costs involved. In most cases, health insurance policies do not cover the cost of abdominoplasty, but you should check your policy to be sure.

Preparing for your surgery

The surgeon draws underlying muscle and tissue together and stitches them, thereby narrowing the waistline and strengthening the abdominal wall.

Dr. Makki will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

If you smoke, plan to quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery. Avoid overexposure to the sun before surgery, especially to your abdomen, and do not go on a stringent diet, as both can inhibit your ability to heal. If you develop a cold or infection of any kind, your surgery will probably be postponed.

Whether your surgery is done on an outpatient or in patient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.

Where your surgery will be performed

Many surgeons perform both partial and complete abdominoplasties in an outpatient surgical center or an office-based facility. Others prefer the hospital, where their patients can stay for several days.

Types of anesthesia

Dr. Makki may select general anesthesia, so you’ll sleep through the operation.

In some cases he may use local anesthesia, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and your abdominal region will be insensitive to pain. (However, you may feel some tugging or occasional discomfort.)

The surgery

Abdominal skin is drawn down and excess is removed.

Abdominal skin is drawn down and excess is removed.

With complete abdominoplasty, a new opening is cut for the navel. Both incisions are stitched closed.
Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.

Most commonly, Dr. Makki will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.

Next, Dr. Makki separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline.

The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. 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.

In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place.

After your surgery

After surgery, the patient has a flatter, trimmer abdomen. Scars are permanent, but will fade with time.

After surgery, the patient has a flatter, trimmer abdomen. Scars are permanent, but will fade with time.

For the first few days, your abdomen will probably be swollen and you’re likely to feel some pain and discomfort which can be controlled by medication. Depending on the extent of the surgery, you may be re leased within a few hours or you may have to remain hospitalized for one to three days.

Dr Makki will give you instructions for showering and changing your dressings. And though you may not be able to stand straight at first, you should start walking as soon as possible.

Surface stitches will be removed in five to seven days, and deeper sutures, with ends that protrude through the skin, will come out in two to three weeks. The dressing on your incision may be replaced by a support garment.

Getting back to normal

It may take you weeks or months to feel like your old self again. If you start out in top physical condition with strong abdominal muscles, recovery from abdominoplasty will be much faster. Some people return to work after two weeks, while others take three or four weeks to rest and recuperate.

Exercise will help you heal better. Even people who have never exercised before should begin an exercise program to reduce swelling, lower the chance of blood clots, and tone muscles. Vigorous exercise, however, should be avoided until you can do it comfortably.

Your scars may actually appear to worsen during the first three to six months as they heal, but this is normal. Expect it to take nine months to a year before your scars flatten out and lighten in color. While they’ll never disappear completely, abdominal scars will not show under most clothing, even under bathing suits.

Your new look

Long lasting results

Abdominoplasty, whether partial or complete, produces excellent results for patients with weakened abdominal muscles or excess skin. And in most cases, the results are long lasting, if you follow a balanced diet and exercise regularly.

If you’re realistic in your expectations and prepared for the consequences of a permanent scar and a lengthy recovery period, abdominoplasty may be just the answer for you.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result.

The best method of determining your personal options is to schedule a personal consultation with Dr. Makki. He will be able to answer specific questions related to your situation.

Please don’t hesitate to call for any questions that you might have

This operation is usually done to tighten the lower abdominal area and remove the
fullness that often develops after pregnancy. It is used when there is localized fullness of the lower abdomen and a less extensive procedure than an abdominoplasty is needed.

An ellipse of skin is removed from the lower abdomen and the muscles beneath that area will be tightened. Liposuction of the abdomen usually done at the same time. The operation can be done under either local anesthetic or general anesthetic. Most patients are happier asleep. You can choose. Most of the time this is an outpatient operation and a stay in the hospital is not needed.

All operations have some risk. The risks of surgery can be divided into two groups. First those that are seen in all operations and second those that are unique or special for this operation. In the first group, the main risks are swelling, bruising, bleeding, infection, a scar and numbness or change in feeling. The main problems which are special for this operation are the scar of the lower abdomen and irregularity from the liposuction.
The recovery takes one to two weeks. Most people are back to work within a week or two.

Please don’t hesitate to call for any questions that you might have. This information is also available by email

This operation is done to tighten the loose skin of the upper arm. It does not change the texture of the skin but by stretching it, the crepiness is made noticeable. It is most effective in those patients who are overweight and have recently lost weight from successful dieting and exercise, leaving an excess of skin and underlying fat which will not shrink to conform to the new body shape. If a patient has no loose skin of the upper-inner arms but only has localized areas of fat, then they may be a candidate for liposuction alone without removal of skin.

During surgery the excess skin is marked and then removed. The incision is placed on the inner and under surface of the arm and often curves or zigzags. Often some fat is suctioned at the same time. The operation is done under either local anesthetic (you are awake) or general anesthetic (you are asleep). You can choose but most patients are happier asleep. Hospital stay is usually 1 or 2 nights but this depends upon the individual’s response to surgery. Approximate surgical time is 3 to 4 hours.

All operations have some risk. The risks of surgery are divided into two groups. First those that are seen in all operations and second those that are unique or special for this operation. In the first group, the main risks are swelling, bruising, bleeding, infection, a scar and numbness or change in feeling. The main specific problem for this operation is the long and sometimes heavy scar.

The recovery takes one to two weeks, the patient is usually asked not to exercise for two weeks. The stitches are usually removed in 7 to 10 days. Most people are back to work within a week or two.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result.

The best method of determining your personal options is to schedule a personal consultation with one of our consultant Plastic Surgeons. He will be able to answer specific questions related to your situation.

Please don’t hesitate to call for any questions that you might have

Losing excessive amounts of weight can help individuals look and feel better as they enjoy a healthy new lifestyle. Whether through bariatric surgery or traditional diet and exercise, dramatic weight loss reduces the risk of heart disease, high blood pressure, diabetes and many other serious conditions while improving your appearance and self-confidence

However, many patients are bothered by the excess skin and fat that often remains after weight loss. The skin around the face, neck, upper arms, breast, abdomen, buttocks and thighs may sag or fold once fat is lost from the area. These trouble spots keep many people from being truly satisfied with their bodies and produce another form of insecurity.

Many patients undergo body contouring procedures after weight loss to help sculpt and tone their new physique and maximize the results of their weight loss. These procedures are specially designed to reduce excess skin from targeted areas of the body or enhance your overall appearance. There are several different procedures available to help improve your shape and put the finishing touches on your weight loss transformation.

Some of these contouring procedures include:

Body Lift

A body lift, also known as a belt lipectomy is a general procedure that improves your appearance by removing excess fat and skin from a certain section or the entire body. Unlike specific area treatments like an arm lift or thigh lift, a body lift can treat larger areas or combine several different treatments in one procedure.

Depending on where your most troubling problem areas are, Dr. Makki can perform an upper, mid, lower or total body lift. Most patients seek a lower body lift to correct sagging and folds in these problem areas.

This procedure is performed under general anesthesia and can take four to seven hours depending on the type of lift desired. Dr. Makki usually treats the abdomen first, making a horizontal incision along the pubic area and then removing excess skin and fat. This is then repeated in other targeted areas such as the buttocks, thighs and upper arms. A body lift can also be combined with liposuction to receive optimal results.

A body lift is a major surgical procedure that requires a significant recovery time, including a short hospital stay and several weeks at home before returning to regular activities.

Thigh Lift

A thigh lift is a surgical procedure that improves the overall appearance of your legs, leaving them toned and firm after weight loss. There are several different types of thigh lift procedures that each targets certain areas to produce the most effective results for each individual patient. These different types include:

Inner Thigh Lift – This procedure targets the inner thigh and helps remove stubborn excess fat from this troublesome area. An incision is made in the area where the thigh and pubic area meet, and then skin and fat are removed and tightened to enhance skin elasticity and the overall appearance of the leg.

Bilateral Thigh Lift – This procedure targets the front and outside of the leg through the top of the leg. Excess fat and skin are removed and the remaining skin is tightened on both sides of the leg to improve the leg contour.

Medial Thigh Lift – A medial thigh lift targets the upper portion of the inner thigh through an incision that stretches from the groin to the back crease of the buttock. This procedure removes excess skin and improves the shape of the leg.

Arm Lift

Also known as brachioplasty, an arm lift removes excess skin and fat from the upper arms to leave them looking younger and more attractive. The upper arms tend to become loose and flabby with age as skin loses its elasticity, which can then become more apparent with dramatic weight loss. An arm lift improves the appearance of the arms and helps patients feel more comfortable wearing short sleeve shirts and showing off their slim new look.

During an arm lift procedure, an incision is made in the armpit to remove excess fat and tighten the skin and tissue in the area. Patients with larger fat deposits may need a larger scar that runs from the elbow to the armpit. This procedure is usually performed under general anesthesia. After fat is removed, the arms may be wrapped or placed in compression garments to promote quick healing and minimize side effects. Patients may experience swelling and discomfort during the first few days after surgery, but these symptoms usually subside within 7 to 10 days.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result.

The best method of determining your personal options is to schedule a personal consultation with Dr. Makki. He will be able to answer specific questions related to your situation.

Please don’t hesitate to call for any questions that you might have

Augmentation techniques include the “Brazilian butt lift” (fat transfer) and butt implants

Buttock augmentation is a procedure that reshapes and enhances your gluteal area, providing you with a more shapely buttock profile. In the past ten years, this procedure has become increasingly popular worldwide, with round, firm buttocks often seen as a symbol of femininity and sensuality. The most frequent methods for enlarging and reshaping your buttocks are fat grafting using your own natural fatty tissue (popularly referred to as the “Brazilian butt lift”), or with buttock implants.

When to Consider Buttock Augmentation
* If your buttocks are too small for your body frame and you want a more balanced look
* If the shape of your gluteal region (buttocks) is too flat or square and you would like more curves and a more youthful appearance
* If weight loss or the aging process has left your buttocks loose, sagging, or flat
* If clothes and swimwear do not fit properly on your figure
* If you would gain self-esteem or self-confidence from such a procedure

Considerations
Pros
Clothes and swimwear may fit better.
Your body may appear more shapely and proportionate.
Your buttocks may be firmer and rounder, creating a more youthful and curvaceous appearance.

Cons
It is possible for implants to slip postoperatively or for some of the fat to be reabsorbed, causing asymmetry.
If you are very slender and want significant augmentation, you may need implants to achieve the size that you desire.
Because of postoperative swelling, it may take three to six months before the full effect of this surgery is evident.

These are the top pros and cons to weigh when considering buttock augmentation. If you wish to focus on what is unique to you, please consult with our plastic surgeon.

Are you a good candidate for a buttock augmentation?

The following are some common reasons why you may want to consider buttock augmentation:

Your buttocks are too small for your body frame and you want a more balanced look.
Weight loss or the aging process has left your buttocks loose, sagging, or flat.
Clothes or swimwear are baggy or do not fit properly on your figure.
The shape or size of your butt makes you feel self-conscious and you desire more curves.
If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

How is a buttock augmentation procedure performed?
The two most popular methods for buttock augmentation are autologous fat transfer (using your own natural fatty tissue), also called the Brazilian butt lift, and gluteal implant surgery with or without fat transfer for additional contouring.

Autologous fat transfer
This procedure, referred to as a Brazilian butt lift, takes fat from one area of your body and uses it to enhance and reshape your buttocks.

Liposuction with suction tubes (cannulas) is used to remove fatty tissue from areas of your body with excess tissue, such as the abdomen, hips, back, or thighs.
The fat is then processed for fat transfer.
The fat is reinjected using syringes connected to cannulas.
Usually three to five small incisions are needed for injecting the fat, but these incision sites are easily hidden by clothing.
The fat is grafted in layers at multiple levels, with the cannula moving back and forth to ensure that a smooth, linear deposit of fatty tissue is left to reshape and augment the buttocks area.
The liposuction incisions are closed with sutures.
Drains are inserted and a compression garment is worn following surgery.
Not all the fat transferred in a BBL procedure is expected to survive. The final result may be somewhat smaller than initially projected. Repeat BBL procedures (a 2nd or 3rd round) are occasionally advised depending on a patient’s initial results.

While popularly called a “butt lift,” the BBL procedure is primarily about improving body torso contours, improving the waistline, reducing back rolls, and providing a more curvaceous figure. Skin is not removed in a typical BBL and the “lift” effect is primarily an increase in projection of the buttocks.
Buttock implants
Implants are most appropriate for treating flat or poorly defined buttocks, particularly for patients who have limited fatty tissue. Butt implants are not as effective for treating sagging buttocks that may occur after significant weight loss.

With this procedure a soft, shaped silicone implant is placed through an incision hidden inside the natural buttock crease, or an alternate incision site may be used. Your plastic surgeon will provide further details about these incision locations during the consultation.
The implant is positioned in a pocket below the large buttock (gluteal) muscle and above the pelvic bone.
The incisions are closed with sutures, drains are inserted, and a compression garment is worn following surgery.

Silicone injections – patient safety warning
Silicone injections are an unsafe and unacceptable option for buttock augmentation. These injections are often offered by unlicensed individuals and should be avoided. Always consult with a board-certified plastic surgeon if you are considering a buttock augmentation procedure.

Your initial consultation appointment
During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for buttock augmentation and clarify what a butt augmentation surgery can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered. (see related procedures).

Your plastic surgeon will examine your buttocks and most likely take photos for your medical records. Your surgeon will consider:

The size and shape of your buttocks
The quality of your skin
What kind of butt augmentation is appropriate depending on your goals and body type
Appropriate fat donor sites, if a Brazilian butt lift is planned
You should come to the consultation prepared to discuss your complete medical history. This will include information about:

Previous surgeries, including prior liposuction, tummy tuck or other abdominal surgeries
Past and present medical conditions
Allergies and current medications
Any history of prior injections to the buttocks
It is important for you to provide complete information. If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery.
Buttock Augmentation
Augmentation techniques include the “Brazilian butt lift” (fat transfer) and butt implants

Buttock augmentation is a procedure that reshapes and enhances your gluteal area, providing you with a more shapely buttock profile. In the past ten years, this procedure has become increasingly popular worldwide, with round, firm buttocks often seen as a symbol of femininity and sensuality. The most frequent methods for enlarging and reshaping your buttocks are fat grafting using your own natural fatty tissue (popularly referred to as the “Brazilian butt lift”), or with buttock implants.

When to Consider Buttock Augmentation
If your buttocks are too small for your body frame and you want a more balanced look
If the shape of your gluteal region (buttocks) is too flat or square and you would like more curves and a more youthful appearance
If weight loss or the aging process has left your buttocks loose, sagging, or flat
If clothes and swimwear do not fit properly on your figure
If you would gain self-esteem or self-confidence from such a procedure
Considerations
Pros
Clothes and swimwear may fit better.
Your body may appear more shapely and proportionate.
Your buttocks may be firmer and rounder, creating a more youthful and curvaceous appearance.

Cons
It is possible for implants to slip postoperatively or for some of the fat to be reabsorbed, causing asymmetry.
If you are very slender and want significant augmentation, you may need implants to achieve the size that you desire.
Because of postoperative swelling, it may take three to six months before the full effect of this surgery is evident.
These are the top pros and cons to weigh when considering buttock augmentation. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon.

Are you a good candidate for a buttock augmentation?

The following are some common reasons why you may want to consider buttock augmentation:

Your buttocks are too small for your body frame and you want a more balanced look.
Weight loss or the aging process has left your buttocks loose, sagging, or flat.
Clothes or swimwear are baggy or do not fit properly on your figure.
The shape or size of your butt makes you feel self-conscious and you desire more curves.
If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Detailed Procedural Info
How is a buttock augmentation procedure performed?
The two most popular methods for buttock augmentation are autologous fat transfer (using your own natural fatty tissue), also called the Brazilian butt lift, and gluteal implant surgery with or without fat transfer for additional contouring.

Autologous fat transfer
This procedure, referred to as a Brazilian butt lift, takes fat from one area of your body and uses it to enhance and reshape your buttocks.

Liposuction with suction tubes (cannulas) is used to remove fatty tissue from areas of your body with excess tissue, such as the abdomen, hips, back, or thighs.
The fat is then processed for fat transfer.
The fat is reinjected using syringes connected to cannulas.
Usually three to five small incisions are needed for injecting the fat, but these incision sites are easily hidden by clothing.
The fat is grafted in layers at multiple levels, with the cannula moving back and forth to ensure that a smooth, linear deposit of fatty tissue is left to reshape and augment the buttocks area.
The liposuction incisions are closed with sutures.
Drains are inserted and a compression garment is worn following surgery.
Not all the fat transferred in a BBL procedure is expected to survive. The final result may be somewhat smaller than initially projected. Repeat BBL procedures (a 2nd or 3rd round) are occasionally advised depending on a patient’s initial results.

While popularly called a “butt lift,” the BBL procedure is primarily about improving body torso contours, improving the waistline, reducing back rolls, and providing a more curvaceous figure. Skin is not removed in a typical BBL and the “lift” effect is primarily an increase in projection of the buttocks.

Buttock implants
Implants are most appropriate for treating flat or poorly defined buttocks, particularly for patients who have limited fatty tissue. Butt implants are not as effective for treating sagging buttocks that may occur after significant weight loss.

With this procedure a soft, shaped silicone implant is placed through an incision hidden inside the natural buttock crease, or an alternate incision site may be used. Your plastic surgeon will provide further details about these incision locations during the consultation.
The implant is positioned in a pocket below the large buttock (gluteal) muscle and above the pelvic bone.
The incisions are closed with sutures, drains are inserted, and a compression garment is worn following surgery.
What are my options?
There are two main approaches for buttock augmentation: autologous fat transfer (Brazillian butt lift) and buttock implant surgery. Your cosmetic surgeon will recommend an approach based on your aesthetic goals and body shape. Buttock implants may be chosen if you desire a more rounded appearance to your buttocks while fat grafting is an excellent way to contour and reshape your butt. If you are very slender with little excess fat, then implants may be appropriate; however, if you have sagging buttocks after massive weight loss, then fat grafting or a combination of fat and butt implant surgery may be more effective.

Silicone injections – patient safety warning
Silicone injections are an unsafe and unacceptable option for buttock augmentation. These injections are often offered by unlicensed individuals and should be avoided. Always consult with a board-certified plastic surgeon if you are considering a buttock augmentation procedure.

What will my buttock augmentation incisions and scars be like?
Depending on the type of procedure your surgeon recommends, the following incisions may be used:

Autologous fat transfer
The liposuction incisions are very small and just large enough to allow the suction tube, or cannula, to go under the skin and remove the fat. The incisions used for injecting the fat into the buttock regions are equally small.

Implants
Typically an incision is made in the fold between the buttock “cheeks.” Alternative locations are the outer corners of the upper buttock and at the bottom in the gluteal crease.

Selecting a Surgeon
Select a surgeon you can trust
It’s important to choose your surgeon based on:

Education, training, and certification
Experience with buttock augmentation surgery
Your comfort level with him or her
Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure.

After finding a board-certified plastic surgeon in your area who is experienced in performing buttock augmentation, you will need to make an office appointment for your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit.

Your initial consultation appointment
During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for buttock augmentation and clarify what a butt augmentation surgery can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered. (see related procedures).

Your plastic surgeon will examine your buttocks and most likely take photos for your medical records. Your surgeon will consider:

The size and shape of your buttocks
The quality of your skin
What kind of butt augmentation is appropriate depending on your goals and body type
Appropriate fat donor sites, if a Brazilian butt lift is planned
You should come to the consultation prepared to discuss your complete medical history. This will include information about:

Previous surgeries, including prior liposuction, tummy tuck or other abdominal surgeries
Past and present medical conditions
Allergies and current medications
Any history of prior injections to the buttocks
It is important for you to provide complete information. If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery.

Your treatment plan
Based on your goals, physical characteristics, and the surgeon’s training and experience, your surgeon will share recommendations and information with you, including:

The approach to your surgery, including the type of procedure or combination of procedures.
Outcomes that you can anticipate.
Your projected financial investment for the procedure.
Associated risks and complications.
Options for anesthesia and type of surgical facility.
What you need to prepare for your surgery.
What you can expect to experience after surgery.
Show before-and-after photos of cases similar to yours and answer any questions
Questions to ask your aesthetic plastic surgeon
It is important for you to take an active role in your surgery, so please use this list of questions as a starting point for your initial consultation.

Am I a good candidate for buttock augmentation?
Are the results I am seeking reasonable and realistic?
Do you have before-and-after photos I can look at for the procedure I am undergoing?
Will my scars be visible? Where will my scars be located?
What kind of anesthesia do you recommend for me?
What will be the costs associated with my surgery?
What will you expect of me to get the best results?
What kind of recovery period can I expect, and when can I resume normal activities?
What are the risks and complications associated with my procedure?
How are complications handled?
What are my options if the cosmetic outcome of my surgery does not meet the goals we agreed on?
How do I prepare for a buttock augmentation procedure?
Your surgeon will provide you with pre-operative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery.

In advance of your procedure, your surgeon will ask you to:

Stop smoking at least six weeks before undergoing surgery to promote better healing.
Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding.
Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
Buttock augmentation is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

What can I expect on the day of my procedure?

Your buttock augmentation surgery may be performed in an accredited hospital, a free-standing ambulatory facility, or an office-based surgical suite. Most buttock augmentation procedures take at least two to three hours to complete but may take longer.

Medications are administered for your comfort during the surgical procedure.
General anesthesia is commonly used during your buttock augmentation procedure, although local anesthesia or intravenous sedation may be desirable in some instances.
For your safety during the surgery, various monitors will be used to check your heart, blood pressure, pulse, and the amount of oxygen circulating in your blood.
Your surgeon will follow the surgical plan discussed with you before surgery.
After your procedure is completed, you will be taken into a recovery area, where you will continue to be closely monitored. You will have drains in place. After fat transfer, you will have a compression garment over the liposuction areas and over your buttocks. After implant surgery, you will be placed in a surgical dressing that includes a support or compression garment over your buttocks.
You will probably be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate postoperative recovery.

Aftercare and Recovery
Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your post-surgical care, including information about:

Drains, if they have been placed
Normal symptoms you will experience
Potential signs of complications
Immediately after your buttock augmentation
The incisions where your surgeon inserted the cannula or the implants may drain fluids for several days. Drainage tubes are often inserted to channel this fluid away from the wound. Significant fluid drainage is not uncommon after large volume liposuction, and bruising is common.

You will wear special tight garments to keep your buttock area compressed. Your doctor will tell you how long to wear these, usually for weeks. Some doctors provide these garments, but others will tell you where to purchase them before your surgery.

When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your plastic surgeon. You will also have some swelling after the surgery. In some cases, this swelling will remain for weeks or even months. Contact your cosmetic surgeon to determine whether your pain and swelling is normal or a sign of a problem.

Your surgeon may recommend a treatment called lymphatic massage to try to reduce swelling and facilitate better drainage of any fluid buildup.

Recovery time frame after buttock augmentation
It is vitally important that you follow all patient care instructions provided by your surgeon after a butt augmentation procedure. This will include information about wearing compression garments, care of your drains, taking an antibiotic if prescribed, and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
The first two weeks

The recovery period is slightly longer and more painful in the buttock area, because this body region is used for physical activities such as walking, running, and even standing.
On the first day after surgery, you may be instructed to stay in bed with the compression garment on and to periodically move your hands and feet to maintain good circulation. You will be able to get up and walk after the second post-operative day.
When transported home or to your first post-op follow-up visit, you will be instructed to lie on your stomach in the back seat of the car to avoid pressure on your buttocks. This position should also be used to maneuver and stand for the first 3 days.
You will also be instructed to lie on your stomach or side while sleeping and while watching TV or reading.
You can expect some bruising and swelling in the buttock area during recovery; this may spread up to the abdominal or thigh area. This is normal and will begin to subside after a few days or weeks.
Your buttocks may be sore and painful, but this usually begins to resolve after just a few days. Pain medication will be prescribed for the pain.
Drains will be in place for the first seven days to eliminate fluid buildup and oozing from your incisions.
An oral antibiotic may be prescribed to be taken as long as the drains are in place.
Many surgeons do not allow sitting in the first 10-14 days except for using the toilet and eating. After this time, you can sit with a soft pillow placed beneath your hamstring muscles but not touching your buttock, so that your buttock is in the air and there is no pressure on the newly augmented buttock. This has not been proven to impact surgical results but is often advised as a precaution.
Weeks two to eight

Direct pressure must be kept off the buttocks for at least eight weeks, so sitting without a pillow is not allowed for that period.
You must wear a compression garment for six to eight weeks.
The final results of your buttock augmentation may be initially obscured by swelling. When the swelling subsides, sometimes taking three to six months, your true results will be more evident.
You are advised not to go clothes shopping for at least three months
After fat grafting, you can return to work, drive, or go to the movies after ten to fourteen days, but you must use a pillow when sitting so that there is no pressure on your buttocks. You can resume normal activities and exercise after eight weeks.
After implant surgery, you can return to work in two to three weeks, but you must use a pillow when sitting so that there is no pressure on your buttocks. At the third postoperative week, you are cleared for sitting and driving (using a pillow) and are encouraged to start stretching exercises. You can resume exercise eight to ten weeks after surgery. However, if there are wound complications, you may have to wait three to four months before you go back to the gym.

How Long Will the Results Last?
Under normal circumstances, the results of your buttock augmentation surgery will be long-lasting.

After a successful fat transfer buttock augmentation, the fat that remains will stay there for the rest of your life. Like the rest of the tissue in your body, this fat will grow and age with you. If you have implants placed, these devices do not need to be removed unless you develop a late complication.

Although the procedure improves the shape and contour of your buttocks, you should make necessary lifestyle changes to maintain the appearance of your new shape. A healthy diet and exercise regimen can be incorporated into your daily routine to maintain your look.

Maintain a relationship with your aesthetic plastic surgeon
For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you notice any changes in your buttocks. Do not hesitate to contact your surgeon when you have any questions or concerns.

Limitations and Risks
Your specific risks for buttock augmentation will be discussed during your consultation.

All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:

Adverse reaction to anesthesia
Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
Infection and bleeding
Changes in sensation
Scarring
Allergic reactions
Damage to underlying structures
Unsatisfactory results that may necessitate additional procedures
Other risks specific to buttock augmentation are outlined below:
Fat transfer

Fat absorption – may be as much as 40% – which may produce asymmetry, making this procedure more difficult to predict and requiring additional fat grafting sessions over time to attain the desired “look”
Fat embolism – this is a risk of fat being injected into a blood vessel and traveling (embolizing) to the heart or lungs. Most surgeons have never had a patient with this complication, but in the unfortunate event that it occurs, this can be a fatal event. As a result of reports of this complication, ASAPS convened a task force to study fat embolism and associated risk factors extensively. The task force identified methods for surgeons to utilize in an effort to reduce the risk of this complication, including injecting fat above the muscle (rather than into or below it), using large blunt injection instruments, and other technical considerations.
Implants

Implant slippage, causing asymmetry
Any complications or changes in shape may require additional surgery.

You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your buttock augmentation surgery.