Body Procedures

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Liposuction

You can achieve the body that you want. An excellent option for many of Dr. Mosser’s San Francisco plastic surgery patients is body contouring through liposuction or liposelection by Vaser. Those patients with relative areas of fat excess (like “love handles,” abdominal, or saddlebag areas) benefit the most from liposuction, but any generalized areas of fat excess also respond well to the procedure.

Dr. Mosser utilizes several liposuction techniques depending on the demands of the specific area, including the state-of-the-art Liposelection by Vaser technique, a safe ultrasonic energy utilizing procedure that produces smoother results and a speedy recovery.

Liposuction or Liposelection by Vaser can be performed in virtually any area of the body where stubborn, unwanted deposits of fat do not respond to diet and exercise. The quality of the skin will help determine if liposuction – either alone or combined with other procedures such as a tummy tuck, thigh lift or upper arm lift — is right for the patient.

Bay Area patients have selected liposuction as an effective way to contour their bodies and obtain the figure they desire. During your personal consultation, Dr. Mosser will assist you in determining which type of body contouring procedure will give you the results you are looking to achieve.

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Tummy Tuck (Abdominoplasty)

Even with a healthy lifestyle which includes regular exercise, you may have trouble improving certain areas of the body, especially your abdomen. Unfortunately, sagging skin or relaxation of the muscle in the abdominal area cannot be addressed by exercise alone. There is a procedure used to remove excess skin and also to tighten the abdominal muscles beneath, technically called an abdominoplasty, also known as a “tummy tuck.”

San Francisco patients of Dr. Mosser see that there can be a significant improvement in body contour and a reduction in the appearance of a protruding abdomen with a tummy tuck. Bay area patients also have told Dr. Mosser that after this procedure they have a tighter abdomen, a more desirable shape, and their clothes fit in a more flattering way.

Not every patient requires a full abdominoplasty. Bay Area plastic surgeon Dr. Mosser has seen in individuals with excellent skin elasticity and muscle tone that benefits sufficiently from liposuction alone. Others have an isolated problem of loose skin below the navel, and benefit from simply having a “mini” abdominoplasty. San Francisco patients with this type of anatomy commonly can have a procedure with a much shorter incision and a significantly faster recovery period.

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Body Contouring Procedures After Weight Loss

New surgeries for the bariatric (weight loss) population have made it possible for people to make dramatic changes in their lives. Removing the burden of morbid obesity will often give people the opportunity to participate in life in a much more fulfilling, less encumbered way.

But after large amounts of weight loss, there can still be a significant amount of excess skin in the face, arms, abdomen, breasts or lower body which can serve as an unsightly reminder of the past. This excess skin can be readily treated with a number of procedures that have been modified to fit this population and achieve the desired results.

Areas of the abdomen, hips and back can be hidden with circumferential extra skin and tissue that has lost its elasticity which can be corrected with a lower body lift. San Francisco patients notice the meticulous artistry when it comes to incisions that often can be easily hidden beneath undergarments. For arm contouring, Dr. Mosser often utilizes the procedure known as the upper arm lift.

San Francisco weight loss patients are also encouraged by incision lines that can be hidden under the arms. One of Dr. Mosser’s success stories notes that it was the first time she had ever worn a bikini after having had an upper arm lift and lower body lift. Bay Area patients sometimes have combinations of procedures when appropriate to achieve their body contouring results.

Another area that can receive considerable improvement after weight loss is the mid-face, neck and jowl area, which can have a natural, refreshed and rested look with a facelift. Bay Area patients learn during their consultation the options available to address all of the areas of concern, which includes a variety of facial and body contouring procedures.

Dr. Mosser wants you to feel proud of the changes you have made, and it is his goal to help you attain a body shape and contour that takes advantage of your new, thinner self!

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Mommy Makeover

A Mommy Makeover, therefore, would mean a breast surgery (which could mean a breast augmentation, a breast lift or sometimes even a breast reduction) and a tummy procedure (which could be a liposuction, a tummy tuck, or a combination of the two). The net result is breasts with a more youthful, lifted, aesthetic shape, and a trunk that combines a flat tummy with a restoration of the hourglass figure.

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Upper Arm Lift

Our skin stays as tight as it can for as long as it can. However, age, significant weight fluctuation, and genetics can together reduce the skin’s elasticity. In addition to the upper thigh, the upper arm is one area most susceptible to this problem of skin excess. Patients jokingly refer to the upper arm area as their “bat wings” and commonly seek improvement when extra upper arm skin makes it difficult to look good in the clothes they like to wear.

An upper arm lift, or brachioplasty, corrects this problem by tightening and removing excess skin from the upper arm area. The underside of the upper arm is reshaped, from the underarm region to the elbow. Depending on your goals, an upper arm lift can be combined with liposuction to reduce excess fat in addition to excess skin.

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Lower Body Lift (Belt Lipectomy)

When excess skin is in the front of the body, a tummy tuck can help. When the excess and drooping tissues are on the back and buttocks, a buttock lift is the answer. But when there is a considerable amount of extra skin all the way around the trunk, a lower body lift, also called a belt lipectomy, is the procedure of choice.

In this procedure, literally a belt of excess skin and fat is removed, all the way around the lower abdomen and back areas. It is the one procedure that can lift the buttocks, lift and smooth the lateral thighs, and tighten and flatten the tummy with one incision, and one scar that is typically hidden in the bikini line. Patients with considerable weight loss are often great candidates for a lower body lift surgery, and it is the most commonly requested single procedure in the weight loss population.

Generally, a lower body lift procedure is performed in conjunction with other plastic surgery procedures, such as a medial thigh lift, and upper arm lift or breast enhancement surgery. Dr. Mosser will decide with a patient, based on his or her goals and health, how many procedures are appropriate to perform under one general anesthesia.

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Buttock Lift

Sometimes the body is a victim of its own success. Considerable weight loss can make huge improvements in bodily appearance, but it can also have the effect of revealing extra skin and sometimes sagging tissues. When maturity or weight loss leads to extra skin in the buttock area, and the buttocks will typically appear flat, droopy, or even concentrate the buttock tissue just above the fold, instead of overlying the main part of the buttock where it belongs.

A buttock lift can correct this problem by removing excess skin in the upper butt and lower back areas and provide a smoother, tighter appearance. In addition, the transition between the buttocks and thighs can also be improved with this procedure.

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San Francisco Brazilian Butt Lift Surgery (Micro Fat Grafting to the Buttocks)

More and more, Dr. Mosser’s patients are requesting improvement in the buttock area when they come to his San Francisco office. Though there are a few ways to augment the buttocks, there is only one technique that uses your own fat tissue to improve your buttock size and shape, and that is the Brazilian Butt Lift.

A Brazilian Butt Lift surgery is a way to naturally augment the buttocks and improve the contour between the hips and buttocks to give your back side a beautiful, feminine curve. It is not a buttock implant with an artificial implant material.

Brazilian Butt Lift surgery utilizes your own excess fat in unwanted areas, such as your waistline, to improve the projection and shape of your buttocks in a process called “microlipoinjection” fat grafting. Though this procedure requires a lot of skill and hard work by the surgeon, it is the most meticulous and precise technique available for fat grafting to ensure accurate placement of the tiny fat particles. This allows as much of the fat as possible to survive long-term.

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Thigh Lift (Medial Thigh Lift)

While some areas of the body – such as the calves and forearms – can expand and contract with body weight changes and never show signs of skin excess, others – such as the upper thigh and upper arm – are not so kind. The upper thigh is often one of the first areas to show a decrease in skin elasticity with either age or weight loss.

This extra skin can be both emotionally distressing and physically painful to individuals whose thighs may rub together while walking. A medial thigh lift corrects this problem by lifting and removing extra skin in the upper thigh area.

A thigh lift is a procedure that removes excess skin in the upper thigh area, with incisions typically hidden in the groin area. As a result, the contour of the leg is significantly improved, as the hanging sheets of excess skin are no longer present.

Depending on a patient’s skin condition, a thigh lift may not be necessary, and Dr. Mosser may determine that liposuction is a better choice for areas that possess excess fat but excellent skin elasticity.

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Labiaplasty (vaginal lip reduction)

Of all the corrective and reconstruction surgical techniques performed, labiaplasty is probably one of the least discussed and least advertised. It is, however, frequently requested. Many more San Francisco plastic surgeons are conducting labiaplasty consultations as more patients seek information and help.

Many women suffer from oversized or asymmetrical inner labia (labia minora), or the folds of skin or inner lips surrounding the entrance to the vagina. Elongated inner labia which extend past the outer vaginal lips (labia majora) are often a source of sexual embarrassment as well as causing discomfort when wearing bathing suits or other revealing or tight-fitting clothing.

Also, following childbirth (especially a difficult one), vaginal muscles and contours are often changed and the labia are left stretched and lax, sometimes leading to negative changes in sexual response and comfort. When this occurs, labiaplasty is often performed together with vaginoplasty, or vaginal tightening.

Labiaplasty surgery is usually done under deep sedation or general anesthesia, and generally takes about thirty minutes. There are some pain, swelling and discomfort during recovery, however, the patient can usually return to work in just two or three days, and return to regular sexual activity after six weeks.

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