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The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast. Incisions outline the area of skin to be removed and the new position for the nipple. Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions,

muscle or bone from one area of the body to another with the original blood supply in tact. A flap is a section of living tissue that carries its own blood supply and is moved from one area of the body to another. Flap surgery can restore form and function to areas of the body that have lost skin, fat, muscle movement, and/or skeletal support. A local flap uses a piece of skin and underlying tissue that lie adjacent to the wound. The flap remains attached at one end so that it continues to be nourished by its original blood supply, and is repositioned over the wounded area. A regional flap uses a section of tissue that is attached by a

are usually caused by three areas of excess: breast glands inside the skin, the skin surrounding the gland, and the areola (the dark area around the nipple). Often, the nipple area is also placed too low. To reduce breast size, I must first trim the gland. The skin, which supports breasts like a natural bra, is then reduced to match the gland size. Lastly, the areola is minimized and repositioned. How is the nipple/areola affected during breast reduction surgery? The nipple and areola are generally not affected. In most cases, the nipple-areola is left attached and moved by relocating the entire gland. There are rare exceptions, such as with

muscle or bone from one area of the body to another with the original blood supply in tact. A flap is a section of living tissue that carries its own blood supply and is moved from one area of the body to another. Flap surgery can restore form and function to areas of the body that have lost skin, fat, muscle movement, and/or skeletal support. A local flap uses a piece of skin and underlying tissue that lie adjacent to the wound. The flap remains attached at one end so that it continues to be nourished by its original blood supply, and is repositioned over the wounded area. A regional flap uses a section of tissue that is attached by a

proportion of the treated areas. A more flattering figure or physique, in or out of clothing. PROCEDURE DESCRIPTION Liposuction can be performed in an outpatient setting, such as the surgeon's office or Surgicenter; less frequently a short hospitalization will be required. The procedure can last from 30 minutes to several hours, depending on how many body areas are being operated upon. The type of anesthesia will also vary. Local anesthetic with sedation can be used for small areas; however, more extensive procedures usually require general anesthesia. Through a small incision, usually less than one-half inch, a blunt-tipped

fat and a limited number of areas are involved, liposuction can be performed under local or twilight anesthesia, which numbs only the affected areas. General anesthesia is a good choice for more extensive procedures. In such cases the anesthesiologist makes sure you are completely asleep during the procedure. Anesthesia for liposuction: Your surgeon will select the type of anesthesia that is most suitable and safe for your surgery. If only a small amount of fat and a limited number of areas are involved, liposuction can be performed under local or twilight anesthesia, which numbs only the affected areas. General anesthesia is a good choice for more

that complain that some areas of their body are just resistant to change, even with the strictest of diet and exercise programs. As an option to sculpt these areas and remove excess fat, Dr. Mills offers lipoplasty or liposuction. Liposuction is not a weight loss program; in fact, there is a maximum amount of fat (5000 cc) that can safely be removed in one procedure. However, liposuction is an ideal solution to treat those "problem" areas that are disproportionate to the rest of the body. Liposuction is most effective for men and women of normal weight who simply want to improve their body contour. Dr. Mills can use liposuction to slim the hips and

incision in the treatment area. A narrow tube known as a cannula is inserted through the incision and manipulated to disrupt the fat. The fat is then suctioned out. With fluid injection, a newer liposculpture technique, a fluid containing intravenous salt solution, lidocaine and epinephrine is first injected into the fatty areas, facilitating its removal. With UAL, ultrasonic energy is first used to liquefy that fat before removal. How long is the surgical time for liposculpture? Liposculpture takes an average of one to two hours to perform, though the exact amount of time will depend on the number and size of areas being treated. Are

can be performed on several areas of the body at the same time, and it can also be done in conjunction with other aesthetic plastic surgery. EVALUATION You may be a good candidate for liposuction if you have localized excess fat or if you desire contouring in any of the following areas: cheeks, jowls, and neck upper arms breast or chest areas back abdomen and waist hips and buttocks inner and outer thighs inner knees calves and ankles Because of individual physical factors, not everyone will achieve the same results from liposuction. Your plastic surgeon will take into consideration your

in loose folds in multiple areas of the body. This can be very uncomfortable, create problems with hygiene, and make it difficult to find clothing that fits. The BodyAesthetic surgeons are on the leading edge of this new field in plastic surgery and teach their innovative techniques to other surgeons around the country. BodyAesthetic Plastic Surgery offers gluteal augmentation that can be done with implants, with injections of fat transferred from another area of the body, or with a flap of tissue from the gluteal area that is contoured to create a more rounded projection of the buttocks. Enhancing the gluteal region is often incorporated into a