Dr. Jason Roostaeian, UCLA Aesthetic & Reconstructive Plastic Surgeon, goes in depth to explain body contouring procedures including: Panniculectomy, Abdominoplasty, Circumfrential Lifts, Mastopexy, Brachioplasty, Medial Thigh Lift, Face and Neck Lifts, Liposuction. He discusses safety, modern techniques, and top questions.

2. The Modern Approach:
Body Contouring Procedures
‣ About Body Contouring
‣ Post Massive Weight Loss
‣ Pros + Cons
‣ Safe Body Contouring
‣ Procedures: Before + Afters
‣ Modern Techniques + Technology
‣ Top Body Contouring Questions
‣ Main Take Aways
‣ Q + A

3. About Body Contouring
MWL Surgery Statistics: 2013
• Tummy Tuck: 16,602+
• Lower Body Lifts: 4,391+
• Buttock Lift: 3,929+
• Brachioplasty: 5,599+
• Thighplasty: 4,492+
• Breast Lift: 10,914
*From American Society Of Plastic Surgeons

4. Post Massive Weight Loss
‣ Back stress
‣ Hygiene issues (Rashes + Infection )
‣ Difficulty with Clothing+Activity
‣ Emotional Distress
‣ Skin Issues:
• Loss of skin elasticity
• Poor skin quality (stretch marks)
• Excess skin everywhere

5. Body Contouring: Pros
‣ Improved Self Esteem
‣ Improved Hygiene
‣ Improved Activity
‣ Clothes Fit Better

7. Body Contouring: Cons
‣ Scars: cosmetically acceptable in
most BUT often visible
‣ Complications of Surgery
• Wound Healing Issues
• Seroma/Hematoma
• Infection
• Blood Clots
‣ Downtime of Surgery/Recovery

8. Safe Body Contouring Surgey
‣ Weight Considerations: stable and BMI<30
‣ Importance of Nutrition
• Common Nutritional Deficiencies: B12, Folate, Iron. Vit D, zinc, selenium
• Lab Work: LFTs, Albumin, Prealbumin (Check labs early so can correct)
• How much protein do you need?
• 1-2gm/kg (LMM) normally
• Increase this 1.5 – 2X
• Begin 2-4 weeks pre-op through one month post-op

9. Safe Body Contouring Surgey
‣ Around 6 hours per surgery
‣ No “Extreme Makeovers”
‣ Staging:
• First stage - Abdomen or Body lift
• Second stage - Extremities, breast,
lateral chest, revision
• Third stage – Thighs and revisions
• Fourth stage – Face

19. Recovery
‣ Drains- 1-2 weeks
‣ Time off work- 2 weeks
‣ Significant Activity- 6 weeks
‣ Swelling- 3 months
‣ Scar Maturation/End
Result- 1 year

20. Procedure: Panniculectomy
‣ Removal of lower skin apron
• Infections
• Rashes
• Difficulty with Walking
‣ May be covered by insurance

23. Procedure: Abdominoplasty
‣ Impove contour of flanks, upper, and lower
abdomen
‣ Can tighten abdominal wall
‣ Requires scar around belly button

30. Procedure: Circumfrential Lifts
‣ Impove contour of back, flanks, upper, and lower
abdomen
‣ Can improve lateral thighs
‣ Can tighten abdominal wall
‣ Requires scar around belly button and around the
back

34. Procedure: Mastopexy
‣ Lifting the breast
‣ Can be combined with implants when need more
volume
‣ Typically requires an anchor scar or J-shaped scar
‣ Can be carried around to improve the later chest
folds

37. Procedure: Brachioplasty
‣ Upper Arm Lift
‣ Scar placement is key
‣ Can be carried around to improve the later chest
folds

39. Procedure: Medial Thigh Lift
‣ Improve Countour of leg
‣ Scar starts at groin crease and goes down medial
thigh to knee often
‣ Modest improvements overall

42. Procedure: Face and Neck Lift
‣ Rejuvenates Face
‣ Inconspicuous Scars
‣ Dramatic Improvements to Neck Line
‣ Less painful recovery

47. Procedure: Liposuction
‣ Improve Countours
‣ No scars
‣ Worsens excess skin
‣ Requires recovery

49. Modern Techniques

51. Top Questions
‣ How long does the procedure
take?
‣ How much pain will I have after
surgery?
‣ How much does it cost?
‣ Is it safe?
‣ What is the recovery time
following surgery?
‣ Am I a good canidate for
surgery?

52. Is Body Contouring Surgery For You
‣ BMI less than 30
‣ Stable weight for 6 months
‣ Good Nutrition
‣ Non-smoker
‣ Good general health
‣ Excess skin bothers you more than
scars
‣ Trouble fitting clothes?
‣ Unhappy with the shape of your body?

53. Main Take Aways
‣ Different bodies require different
techniques
‣ Can improve confidence,
appearance, and health
‣ Modern Techniques
‣ Safety first
• Stable and Appropriate Weight
• Good Nutrition
• Takes stages

54. Thank You
For more information about body
contouring surgeries please visit
drjasonplasticsurgery.com
For consultations please call
310.825.8827 or book online.
UCLA Division of Plastic &
Reconstructive Surgery
200 UCLA Medical Plaza, Suite 465,
Los Angeles, CA 90095