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Abdominoplasty – Peter Fodor MD – Los Angeles CA

Substantial weight loss, muscle weakness following multiple pregnancies, or heredity can all cause or contribute to loose, wrinkled abdominal skin and excess fat in the lower abdomen. If your only complaint is the appearance of a protruding abdomen, and if your skin tone is good, it may be that liposuction is the only treatment you’ll need. But if you also have loose skin and lack of tone in the abdominal area, then an abdominoplasty, commonly called a tummy tuck, may be recommended for you.

“Abdominoplasty has become one of the most popular procedures I perform,” says Chester Sakura, MD, of Albuquerque, New Mexico. “Today, the modern woman wants to regain her figure after childbearing, wear fitted clothing and look natural in her overall contour, both sitting and standing. The optimal results in abdominoplasty are achieved by careful attention to incision placement, skin and fat removal, re-creating a natural umbilicus (belly button) and proper but not excessive tightening of the loose stomach muscles.”

“This is a wonderful operation for women who, following pregnancy, have developed loose abdominal skin and abdominal wall weakness,” says Alexander G. Nein, MD, of Nashville, Tennessee. “Our patients appreciate the fact that we can help them get rid of the excess skin of the stomach that is unaffected by diet or exercise. The fact is that diet and exercise simply cannot remove the skin laxity that comes from pregnancy and/or weight fluctuations. An abdominoplasty, on the other hand, can return the abdomen to a beautiful shape that looks great in slacks and swimwear.”

“Tummy tucks are very commonly requested following childbirth or weight loss,” agrees Otis Allen, MD, of Bloomington, Illinois. “This procedure is not a substitute for weight loss but is very useful for tightening muscles and restoring contours. Patients are often surprised to learn that the removed skin and fat usually weighs less than three pounds. Often this surgery results in clothing fitting better, rather than a smaller dress size.”

Abdominoplasty is a major surgical procedure that tightens the skin and, when necessary, can reduce fat and modify muscles. A full abdominoplasty generally requires a horizontal incision just above or within the pubic area. The length of the incision and the resulting scar, which extends laterally toward the pelvic bones, depends largely on the amount and location of the skin to be removed. The contour of this incision will vary somewhat according to abdominal structure and personal preferences — such as the style of swimwear or undergarments that you typically wear. Based on these and other factors, your plastic surgeon will discuss with you the incision length and contour that he or she recommends for achieving the best result in your particular case.

Men and women who are not obese but are troubled by a bulging abdomen that won’t respond to diet or exercise and by loose skin in the abdominal area may be good candidates for an abdominoplasty.

“Patients for abdominoplasty range from those who just need some tightening of the skin, without any muscle plication, to those who have excess skin and fat, and considerable muscle laxity,” says William H. Huffaker, MD, of St. Louis, Missouri. “What we are able to accomplish makes a significant difference in their appearance and their lives. The results of their abdominoplasty can often inspire them to take better care of themselves. Many of these patients begin to eat better and exercise regularly, which of course adds further improvement to their health and appearance.”

Women who have had multiple pregnancies are the most likely to have a condition called diastasis in which the muscles of their abdominal wall have separated vertically and cannot return to normal; this condition can be successfully treated at the time of the abdominoplasty.

“The effects of pregnancy on the abdomen are fairly obvious,” says James M. Nachbar, MD, of Scottsdale, Arizona. “The uterus is usually about the size of an orange. During pregnancy, however, the growth of the baby stretches the uterus, which then presses on the inside of the muscle wall of the abdomen. At the front of the abdomen, the two vertically oriented rectus muscles (the ‘six-pack’ muscles) get pulled apart, and actually separate. Once that has happened, nothing other than surgery can bring these muscles back together. Exercise can’t do it, since there is no muscle in the midline for you to exercise.”

“Tummy tucks are performed to correct problems with the abdomen resulting from pregnancy, weight loss, or weakened muscles. The muscles and skin become stretched and can’t return to their normal position. Unfortunately, sit-ups and leg lifts don’t correct the problem,” agrees Allen O. Guinn, III, MD, of Lee’s Summit, Missouri. “Weight loss helps, but usually the problem is an excess of skin and muscle length. The muscles need to be tightened and the excess skin and fat surgically removed. The operation is tailored to the individual needs of the patient, from where the incision is placed, to whether it is a mini, moderate or full tummy tuck.”

An abdominoplasty, or tummy tuck, can effectively remove loose skin and excess fat from the abdominal area, tighten the underlying structure, and restore a more youthful body contour. It can also remove stretch marks in the lower abdomen. By horizontally tightening the fascia (a sheet of connective tissue extending from the rib cage to the pubic bone between the layers of fat and muscle), an abdominoplasty may somewhat narrow your waist. The procedure will leave the skin tighter, effectively making the body look leaner and more youthful. An abdominoplasty will, however, produce a permanently visible scar. This scar can usually be positioned so that it remains completely hidden by your usual style of swimwear and undergarments.

“Body contour surgery has entered a new era in which the simple removal and ‘tightening’ of the skin is no longer the end point. What is critical is restoring contour and youthful fullness in the areas of the buttocks, hips and thighs,” says Lawrence S. Reed, MD, of New York, New York

“This understanding of form has been too long overlooked. As body sculpture continues to rise in popularity, we can expect an even greater appreciation of restoration of contour and volume, which is a critical part of the overall rejuvenation process.”

Any stretch marks in the upper abdomen, higher than the belly button, will not be improved by an abdominoplasty. A tummy tuck will not narrow your hips. If you have localized fat deposits in your hips, your plastic surgeon may recommend liposuction of these areas in order to improve your body proportions. In some instances, for safety reasons, it may be recommended to postpone liposuction and perform it separately from your abdominoplasty. The determination of when such combined procedures are appropriate will be made by your plastic surgeon after evaluating your medical history, current health and the extent of surgery required in your particular case.

“Very often, women who come in after their childbearing is finished need both a breast augmentation with some lift and some abdominal work,” says Peter Hyans, MD, of Summit, New Jersey. “If they are of relatively normal weight and their abdominal problem is mainly confined to skin laxity, I combine the procedures. If they need a significant amount of liposuction, however, I will not combine them. I usually keep these patients in the hospital overnight.”

“Abdominoplasty is an outstanding technique for restoring or improving the contour of the abdomen following pregnancy or massive weight loss. Because it most frequently involves dealing with changes of the abdomen as a consequence of pregnancy, I often combine it with other procedures — whether it is restoring the size and shape of the breast, or liposuction of the inner and outer thighs,” agrees Otto Placik, MD, of Arlington Heights, Illinois.

“Although I rarely suggest surgery on areas a patient does not mention, I feel it is very important in patients seeking an abdominoplasty to evaluate their upper outer hips or flanks. For a number of these patients, liposuction of these areas is essential to achieve balance and proportion with their new figure,” says Eric Mariotti, MD, of Concord, California.

“Combining flank and hip contouring of the back with some liposuction in the front can give these abdominoplasty patients a beautiful outcome,” agrees John R. Moore, MD, of Franklin, Tennessee.

“Ninety percent of my patients undergoing abdominoplasty also have liposuction of the sides and around the back. This is by far the most significant aspect in narrowing the waist,” says Steven K. White, Sr., MD, of Myrtle Beach, South Carolina. Liposuction of the abdominal region itself is often performed in conjunction with abdominoplasty and is considered by some surgeons to be an intrinsic part of the procedure.

“Many people require some liposuction as part of this procedure, and this can be done at the same time without doing two separate procedures. It’s less costly and the patients have one recovery period,” says David L. Abramson, MD, of New York, New York.

“The two most important questions about tummy tuck are: How much liposuction can we safely do with a tummy tuck procedure and still provide a safe operation, and what roles do factors like a patient’s age, hormonal replacement therapy, and weight play in the safety of tummy tuck procedures?” says George Sanders, MD, of Encino, California. “More and more patients in their 60s are requesting abdominoplasty. We want to provide the safest procedure possible and minimize the risk of blood clots. One approach I use is to avoid, as much as possible, tightening the abdominal muscles. Basically, the less surgery one does, the safer the patient is.”

“I will not do very much liposuction at the same time as I perform an abdominoplasty,” says Gene Sloan, MD
of Little Rock, Arkansas. “I place the patient’s safety first, and I’m very conservative in my approach.”

“I think liposuction is an invaluable adjunct to abdominoplasty,” says D’Arcy A. Honeycutt, MD, of Bismarck, North Dakota. “I’ve had some great results by the judicious use of liposuction. I limit my undermining, however, so that I avoid any possible wound healing problems. I also may liposuction the anterior hips, the flanks, and the waist. So that the mons pubis maintains its correct position, I always sew it into place before performing liposuction. These patients will often have back rolls and hip rolls, and I turn them from side to side on the operating table in order to effectively reach these areas with the liposuction cannula.”

“An abdominoplasty shouldn’t just be viewed as just removing excess skin and fat from the abdomen,” agrees Jonathan Freed, MD, Auburn, California. “I like to contour everything from the breast down to the pubic bone, and on the back to the back of the hips. It’s important to include as much liposuction as possible. However, I perform 75 percent of my abdominoplasties as two-stage procedures. The second stage comes about four months later when I do a small, 30-minute touch-up liposuction on the lower abdomen.”

“I use a combination of liposuction and skin excision to tailor the surgery to the patient’s physique,” adds Kaveh Alizadeh, MD, of Garden City, New York. “I combine all my abdominoplasties with a little bit of liposuction in the waist area so the abdomen and waist flow together and form a natural contour,” says David V. Poole, MD, of Altamonte Springs, Florida. “That way you don’t end up with a flat tummy and a wide-looking hip or waist area. I won’t do liposuction above the incision, on the abdominal flap, as I think you risk having some healing problems.”

Treatment of Gynecomastia

Gynecomastia, excessive fat or glandular tissue in the male breast, is a much more common problem among adolescents and older men than its lack of publicity would indicate. An estimated 40 to 60 percent of men suffer from this condition, which can occur in either one or both breasts, at some time in their lives. The cause of gynecomastia is not well understood, but it is suspected that hormonal changes often play a role. Anabolic steroids that contain estrogen, marijuana use, and prescribed hormones are a factor in some instances. Massive weight loss can also result in hanging breasts that detract from a man’s appearance.

Plastic surgery offers a solution for men who are troubled by this embarrassing condition. Through the use of liposuction, which alone may be adequate to reduce breast size in many male patients, and surgical procedures to remove skin or skin and glandular tissue in other cases, plastic surgeons can create a firmer, flatter, and better contoured male chest.

“Men rarely speak about their breasts,” says Paul J. LoVerme, MD, of Verona, New Jersey. “It’s an area of embarrassment if they are larger than normal. Most of the men that I treat have long wanted to reduce their breast size but find it difficult to admit, even to a surgeon, that there is a problem.”

The best candidates for gynecomastia treatment are healthy, emotionally stable adolescent and adult males whose condition has been persistent and stable for a significant period of time. This surgery is not intended as a weight-loss method, and surgeons may discourage obese or overweight men who have not first tried dieting and exercise from undergoing the procedure. Candidates whose condition may be related to marijuana or anabolic steroid use should stop using these substances; in some cases, though not always, discontinuance may cause breast fullness to diminish.

Tell your doctor if you are planning to lose a significant amount of weight, since your plastic surgeon may recommend that you stabilize your weight before having the procedure.

Your surgeon will also need to review your entire medical history, including any medications you may be taking, whether you suffer from any allergies or medical conditions, and if you have had any prior surgeries.

In addition to examining your breasts, your plastic surgeon will want to determine whether your gynecomastia might be related to a medical problem, such as impaired liver function or the use of medications or other drugs. In cases where a medical problem is the suspected cause, your surgeon will refer you to an appropriate specialist for further diagnosis. Your surgeon also may advise a breast X-ray, both to rule out the remote possibility of breast cancer and to obtain data concerning the breast’s composition. The amount of fat and glandular tissue within the breasts is a factor in determining the best surgical approach to address your problem.

Your surgeon will give you instructions about how to prepare for surgery. He or she will also give you guidelines on eating, drinking and medications, such as avoiding aspirin or anti-inflammatory medications that promote bleeding.

Breast reduction surgery to treat gynecomastia is usually performed as an outpatient procedure. In some cases, however, your surgeon may recommend an overnight hospital stay. Whether you go home the day of surgery or the next day, you should arrange to have someone drive you to and from surgery and to help you out for a day or two after you return home.

The Surgery

The correction of gynecomastia is frequently performed under general anesthesia and sometimes under sedation (twilight) anesthesia, in which both a local anesthetic and sedation are used so the patient is awake but largely unaware of what is going on. The surgery usually takes about an hour and a half to perform; more extensive surgery can take significantly longer. No matter what type of anesthesia you have, you will not feel any pain during the surgical procedure.

In cases where the breast enlargement is primarily caused by excess fatty tissue, liposuction may be the only treatment necessary. Surgeons may use traditional liposuction, also called suction-assisted lipoplasty (SAL), or related techniques such as ultrasound-assisted liposuction (UAL), Vaser-assisted liposuction (VAL) or power-assisted liposuction (PAL). Some surgeons find these newer techniques sometimes offer an advantage in treating fibrous tissue, which may be present in the male breast and other select areas of the body. UAL, VAL or PAL can be used alone or in combination with SAL.

“I find that for male gynecomastia, as well as for treating the back and areas of liposuction revision, I have better results when I add either ultrasound or power-assisted liposuction,” says Malcolm Roth, MD, of New York, New York.

“Newer techniques such as ultrasonic liposuction have made male breast reduction a reliable procedure with a low complication rate and natural-appearing results. I use a device called the Vaser to emulsify and remove the unwanted fat,” says Dr. LoVerme.

In situations where only liposuction is necessary, usually a small incision of less than a half-inch in length is made around the edge of the areola, the dark skin that surrounds the nipple. The surgeon then inserts a cannula, which is a very slim hollow tube attached to a suction device, usually a vacuum pump. Using his or her surgical and artistic skill, the surgeon uses the cannula to break up the fatty tissue and literally vacuum it out, decreasing breast fullness. Skin that is healthy and elastic will then “shrink” to the new chest contour. However, if very large quantities of fat have been removed, some skin may also have to be excised to create a new, tighter contour. This may be done at a later time, after the initial results have been evaluated.

If, rather than fatty tissue, the primary component of your gynecomastia is dense glandular tissue, your surgeon may need to remove it using an excisional technique, often combined with liposuction to eliminate any excess fat.

To excise glandular tissue, your surgeon will make an incision, usually at the edge of the areola or in the underarm area. He or she will then work through the incision to remove excess glandular tissue, fat and skin. “In my practice, about 65 percent of men also need excision of glandular tissue to prevent a protruding nipple,” says Dr. LoVerme. “The incisions are in the armpit or sometimes around the areola, which is the pigmented skin surrounding the nipple. I have never had a conspicuous areolar scar in a male patient.”

In cases where a very large quantity of skin needs to be removed, additional or larger incisions that could result in more noticeable scars may be necessary. This could include an incision in the crease underneath the breast. A small drain is often inserted to prevent the build-up of excess fluids. The incisions will be closed and most likely covered with a dressing. Your surgeon may also wrap your chest with an elastic bandage to help keep the tissues firmly in place as they heal.

You can expect to feel mild to moderate discomfort for a few days after the surgery, which your surgeon will alleviate with prescription medications. Swelling and bruising are normal, and the worst of it should dissipate within the first few weeks following surgery, although it may not completely disappear and final results of your surgery may not be apparent for three or more months. Your surgeon will probably instruct you to wear an elastic pressure garment continuously for the first week or two and to continue wearing it at night for even longer. This will help reduce swelling. Any stitches will be removed about one to two weeks following the procedure. Although you will probably be advised to refrain from sexual activity for a week or two, strenuous exercise for up to three weeks, and any activity that may risk a blow to the chest area for at least four weeks, it is important for your recovery that you resume some activity almost immediately. You will be encouraged to begin walking around on the day of your surgery and should be able to return to work as early as a day or two after surgery if you feel well enough. You should be able to resume all of your normal activities about one month following your surgery. However, you should refrain from exposing your surgical scars to the sun for at least six months.

Correction of gynecomastia eliminates a significant source of embarrassment and anxiety for a young or adult male. Enhanced self-confidence and a greatly improved body image can be expected. The results of surgery are usually permanent. However, if an adolescent is treated prior to stabilization of his condition, and additional breast development occurs, reoperation may be necessary. In addition, in some instances significant weight gain can lead to recurrence of the condition. Asymmetry, a difference in volume between the two breasts, if significant, may require revision

Revision Plastic Surgery

If you’re not happy with your plastic surgery procedure, you may want to think about a revision surgery. Dr. Peter Fodor from Beverly Hills tells us what’s involved.

Things to do in Los Angeles

Los Angeles is a popular travel destination for millions of tourists each year. The good news is that there are plenty of things to do and see, while visiting or touring the Southern California City. The bad news is that it might take several well planned vacations to really see or experience many of the local attractions. Of course, the film and television industry is a major part of the things to do in LA. However, there are also other interesting things to do or see outside of the entertainment world. Here are the top things to do in the location.

The Hollywood Sign
The Hollywood sign represents the dream of many people that journey to the Southern California city to start a career in the entertainment industry. It’s interesting to note that the sign was originally titled the Hollywoodland Sign. The sign is located on Mount Lee, which is located in the Hollywood Hills, overlooking Hollywood. The huge sign has appeared in numerous films, television shows, and pictorials. This is a must see and do assignment for anyone visiting Los Angeles.

The Hollywood Walk Of Fame

The Hollywood Walk Of Fame is the place to go to get an up-close and personal view of the stars that are forever immortalized on the Hollywood Walk Of Fame, located on Hollywood Boulevard at Vine Street. It should be noted that 2600 stars are embellished on the Hollywood Walk Of Fame. In fact, you should discover many of your favorite celebrities featured on the Hollywood Walk Of Fame. This includes actors, musicians, producers, directors, and even some fictional characters. Don’t forget to wear a pair of comfortable shoes, if you visit.

Universal Studios Tour
This tour should be on everyone’s “To Do” list. The tour includes a very knowledgeable guide that will take you into a real live studio. Those on the tour, visit real movie sets. See various sets on the lot and you might even bump into a crew shooting scenes. Great place for the entire family to visit.

Griffith Observatory
Here is something that is interesting to note. Griffith Observatory is a publicly owned observatory. The observatory sits on the southern facing slope of Mount Hollywood in Griffith Park. The place is an excellent way to view Hollywood and the surrounding area.

The Getty Center
The Getty Center is located in the Brentwood part of Los Angeles. The center features wonderful art, paintings, drawings, manuscripts, sculpture, and much more. In addition, the gardens at the center are truly beautiful and breathtaking. Take a break to breathe in the culture and the beauty of the Getty Center.

Fighting Fifty

Today, women in their 40’s and 50’s are looking younger than ever. We no longer look frumpy or matronly like many of our grandparents did at the same age. These days we have more choices than ever before to turn back the clock. I had an opportunity to sit down with Dr. Peter Fodor, an international expert in aesthetic plastic surgery and ask his thoughts about “Fighting Fifty”. Click To Watch The Video

“The way I would think about fighting fifty, is fighting fifty and WINNING!” ~Peter B. Fodor, MD, FACS

It Begins with the Skin

“They need to exercise, they need to diet, they need to take care of themselves, and they need to use good skin care,” says Fodor. He says good skin care, is critical for this age group. As you reach your 40’s and beyond, you may be seeing dullness, uneven tone, rough texture, fine lines and some sagging in your skin.

Here’s a basic check list of what you need to know about skincare as you reach your forties.
1. Gentle cleansing. Many women will experience drier skin as they age and need to switch to a more gentle cleanser that doesn’t strip the skin. A few to try are Cetaphil and Purpose to be used morning and night.
2. For fine lines and pigment issues, start thinking about skin care with effective Look for a retinoid cream which works to resurface the skin and increase collagen in the dermis. They are best used at night and you may want to start out slow to avoid peeling and redness. Once your skin becomes more accustomed to the cream, you can increase the frequency.
3. Wear sunscreen every day. Your best choice is a broad-spectrum sunscreen which protects skin from UVA (aging rays) and UVB (rays that burn).

The Aging Eye

You may have heard, the eyes are one of the first areas of the face to show the aging process. The skin around the eye is thin and more susceptible to dryness and wrinkling. When the eye starts to sag it can create dark circles, bags and crow’s feet. Dr. Fodor says, “The upper eyelids can really make people look much older than they are at times. It can be genetic; it can come with the family. But a blepharoplasty procedure can make people look fresher and a lot less tired.”

Injectables for Immediate Results

If you really want to turn back the clock, “Botox and facial fillers such as Juvederm and Restylane work well,” states Fodor. Botox, Dysport, and Xeomin are neurotoxins for erasing lines in the upper face and around the crow’s feet.

Facial fillers can replace volume loss in your temples, cheek area and the nasolabial folds. They can also help plump up your lips.

Hormones Play a Big Part in the Aging Process

Fodor explains that as we get closer to menopause our hormones change. When this happens, “certain parts of the body that were once harmonious to the rest of our body, may start to change. It can be in the hips, the knees and the stomach. Liposuction can be a great approach for these patients,” says Fodor.

Fodor is quick to state, that the main message is for patients to take care of themselves. He says going in for an injectable or a surgical procedure that addresses the facial or the body part that you are most concerned about can bring about a rejuvenation that is as much physical as mental.
As with any procedure, make sure you go to a qualified board certified physician who is well-trained in their specialty.


Although the birth rate for twins has risen dramatically since 2009 to about 1 in every 38 births, the birth rate for identical twins is significantly more rare: about 1 in every 285 births. The result of a single egg that splits in two, identical twins share more than just their DNA. Emotionally and physically, identical twins can be so alike that people can’t tell them apart. Which can make the job of a plastic surgeon operating on identical twins extremely challenging. Dr. Peter Fodor, an international leader in the field of aesthetic plastic surgery who has operated on a number of identical twins in his Los Angeles, CA practice, shares some of these challenges.

by Katherine Stuart
and Peter Fodor, MD

Almost a No-Win Situation

While all twins gestate together in the same womb, often speaking without words, identical twins go one step further. They share DNA, making them physically the same. This can create a very interesting, but challenging situation for a plastic surgeon. Emotionally, most identical twins adore each other, in Dr. Fodor’s experience, and want to be the same in every respect from voice to dress to what they eat. There’s even a set of twins in Australia who share the same boyfriend. For twins such as this, if a plastic surgeon doesn’t make them exactly the same then he or she has failed. However, there’s also a smaller sub group of identical twins who are extremely competitive and don’t really like each other at all. But they, too, want to look exactly the same post surgery or else their competitiveness will escalate. This can create a bit of a no-win situation. As Dr. Fodor puts it: “Identical twins whether they love each other or don’t like each other quite as much, you better make them look identical after surgery.”

Two Twins at Once

In order to ensure the most successful outcome possible, Dr. Fodor likes to work on both twins. Ideally, assuming the procedures aren’t too long, on the same day. For example, if he’s performing a rhinoplasty, he will do the first twin’s nose, followed by the second twin’s nose, making sure to go through exactly the same steps in exactly the same order. But some procedures have more predictable results than others. A breast augmentation performed with the same size implant will deliver similar results while a nose job can be more difficult partly due to facial asymmetry.


Facial Asymmetry is the Norm

Everyone’s face is asymmetrical. If you take a photo of a patient and split it down the middle, the right and left side won’t match up. In fact, Dr. Fodor has a trick mirror in his office that he uses with patients where one side is a regular mirror, and the other is a prism mirror that reverses the right and left sides of the face. Most patients don’t recognize themselves in the prism mirror. “The two sides of the face oftentimes though they look very similar, they’re not identical” says Dr. Fodor. This is true for twins as well.

One Set of Twins. Two Different Surgeons

Another challenge of working on twins is when you only get to work on one because a different surgeon has already worked on the other. It’s allows for the kind of direct comparison that’s hard to capture elsewhere and can be “kind of an ego builder when the twin that you did looks better” or more natural.

Twins and Facial Aging

Aging identical twins are also fascinating since they often don’t age at the same rate due to lifestyle choices. In fact, a 2009 study used identical twins to determine which outside factors contribute most to facial aging. The main culprits were smoking and sun exposure. This definitely comes into play for Dr. Fodor when he’s performing a facelift on identical twins. For him, the most fascinating thing is following up with these patients years down the road and seeing whether or not changes such as stopping smoking will cause them to age at the same rate again.

Needless to say, working on identical twins may be technically challenging, but it’s also a fascinating learning experience for any plastic surgeon.

2 for 1: Remove the Fat and Sculpt the Body

Full beautiful bottoms are a sign of youth and vitality, and enlargement procedures are becoming increasingly popular. Statistically, The American Society for Aesthetic Plastic Surgery (ASAPS) notes that buttock augmentation took one of the top spots recently for the most significant increases in the number of procedures performed, by a whopping 58 percent!

This comes as no surprise to board certified plastic surgeon, Dr. Peter Fodor. “We’ve seen a significant increase in buttock augmentation in the U.S. It was slow catching on, but that’s no longer the case.”

Celebrities Jennifer Lopez, along with Kim Kardashian’s voluptuous body could be attributed to some of the buttock enlargement frenzy!
Sculpting the Entire Body

“Not only do we harvest fat to create a full beautiful bottom, we also sculpt the body,” says Fodor. “It’s a 2 for 1 procedure.”

“Buttock augmentation gives you curves you never had and makes you feel sexier and more confident in clothing that you were never able to quite fill out.”

Finding the right balance, and ensuring your body is in proportion requires a lot of artistic sense, judgment and finesse.

“When considering the procedure, the best results are from board certified plastic surgeons who are willing to devote ample time to assessing the appropriate hip to waist ratio.”


How Buttock Augmentation is Performed

Buttock augmentation reshapes and enhances your gluteal area, for an uplifted and shapelier buttock profile. Fat grafting with your own natural fatty tissue is frequently used.

“We can perform augmentation with an implant. However the preferable method in my practice is to use a patient’s own tissues (fat) and occasionally combine it with an implant,” says Dr. Fodor. “First, we evaluate where there is sufficient donor fat. Those areas are then suctioned, leaving a more aesthetically pleasing contour. The fat is appropriately processed and reinjected into the buttock area creating a beautiful overall figure.”

Buttock with fat grafting

Candidates for the procedure

If your buttocks are too small for your body frame
If your buttock shape 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, and/or flat
If clothes and swimwear do not fit properly

Fat is a good thing … like money in the bank!

“When people think about fat, it’s often viewed as an ugly reminder to lose weight,” says Fodor. “It doesn’t need to be perceived that way. The way we are able to harvest fat and successfully attach to stem cells our success rate is phenomenal.”

“Appropriate fat harvesting and the addition of stem cells, also isolated and derived from fat, has led to a phenomenal success rate.”

“As it turns out in my practice, at least 80 percent of the fat transferred survives. What you see at three months is a permanent result. This is quite exciting!”

Dr. Fodor perfected his technique of implant augmentation during dozens of teaching trips to Rio de Janeiro and other areas of Brazil. Using your own fat remains the preferred method at his practice.

There is initial swelling and some pain associated with buttock augmentation. More with the implants however, than with transferring fat. When compared to buttock implants, recovery time for fat transfer patients is more rapid.

Most normal activities can be resumed within the first week and on average most people are back to work within a week or 10 days.

Consulting with a board certified plastic surgeon is the way to evaluate what works best for YOU!

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Peter B Fodor MD, FACS
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