Body ProceduresBefore & After Pictures

This is a 45-year-old male who presented with severe recurrent massive ventral herniation where all of his abdominal content had eviscerated and was essentially outside of his abdomen. The patient had multiple abdominal surgeries with colon resection. He had a very complicated postoperative course with infections and evisceration meaning that the entire content of his abdomen, small bowel and large bowel had eviscerated and was outside of his abdomen. The patient had to undergo extensive skin grafting in order to provide coverage of his intestines. As you can see, on the preoperative photographs the patient has a very wide herniation of the abdomen. The entire content of the abdominal cavity is essentially on the outside covered by a skin graft. In order to start this complex reconstruction first the patient had to lose about 25-30 pounds. We then proceeded to place tissue expanders. These were rectangular tissue expanders placed in a pocket between the internal and external oblique. In the photos showing the expansion, you can see the scars in the subcostal margin where the expanders were placed. These were inflated to about 1,200 cc on each side thus stretching the muscle and creating new tissue that would allow us to reconstruct the patient's abdominal wall and more importantly replace all of the bowel and intraabdominal contents back into the abdominal cavity. The postoperative photograph shows the patient at six months after the reconstruction and repair of the abdominal wall had been performed. During this procedure, the expanders were removed. These were in place for about eight to ten weeks. They were removed and the muscles that were stretched were advanced and used to reconstruct the abdominal wall. The skin graft was removed from the bowel and all of the bowel content was replaced inside of the abdomen. The patient now has a stable strong reconstructed abdomen with his bowels in the abdominal cavity where they belong and he has had no further recurrence of his hernia.

Right Side Implant: 213cc, Left Side Implant: 265cc, Post-op: 6 Months. Patient had a breast lift with augmentation with silicone implants placed under the muscle. 56 year old female 3 years following gastric bypass.

This 67-year-old woman underwent into extensive vein surgery of the right leg 25 years ago. She developed recurrent, unsightly varicose veins in the back of the right thigh associated with significant pain and burning. She underwent ambulatory microphlebectomy using needle-sized incisions,as an office procedure using local anesthesia. She experienced relief of symptoms and excellent improvement in appearance.

This is a 52 year old gentleman who had a lap band procedure in February 2008. The patient is 5 feet 9 inches and weighed 378 lbs and presented at 218 lbs having lost over 160 lbs. He obviously had significant concerns with extensive excess skin and fat along the abdomen and flanks and also along the upper thighs. The post-operative photo shows him at three months after a body lift which included a full abdominalplasty, thigh lift and buttock lift. Notice the excellent contour of the abdomen and definition of the abdominal muscles as well as sculpting of the waistline and improvement in the thighs as well. The after picture also shows a portion of the scar just to show that it has healed very well in three months and will be covered completely just wearing normal underwear.

66 Year old female with concerns about loose skin and flabby arms, despite diet and exercise. Results at 3 months after the excess skin and fat were removed and the arms lifted.

This 45-year-old woman had progressively enlarging varicose veins of the right thigh over several years. Pain and aching caused significant discomfort at work. She underwent ambulatory microphlebectomy under local anesthesia using 1 mm incisions. Her procedure was performed in the office, did not require stitches, and she returned to work comfortably within 48 hours.

29 year old female one year following laparoscopic gastric bypass. She lost over 150 pounds, going from 330 lbs to 180 lbs. 3 months following lower body lift over 9 lbs of skin and fat were removed from the abdomen.

This patient from Oneida, NY is a 22 year old female who was concerned with excess fat along her abdomen and flanks. She had extensive lipo-sculpting of her abdomen, flanks, and waistline. This patient also had fat transfer of 800 cc to the buttock, 400 cc into each buttock. The patients own fat is injected to help reshape and contour the buttock region. It can take a number of months before all the swelling after lipo-sculpture goes away. The post-operative photos show results at three months with significant improvement in the contour of her buttock, flanks and abdomen.

This 53 yr old woman, who was 5'4" and weighed 135 lbs, presented with excess skin in the lower abdomen following two pregnancies. The patient underwent abdominoplasty with repair of the abdominal muscle separation and liposuction to the abdomen, flanks, and lower back.

This 49-year- old woman had a 7 year history of progressively enlarging varicose veins since the birth of her last child. Symptoms became worse over the last year including cramping and aching pain as well as fatigability in the left leg. She underwent ambulatory microphlebectomy as an office procedure under local anesthesia, and experienced complete relief of symptoms with significant improvement in appearance.