We are Milwaukee’s body contouring specialists.
You’ve worked out. You dieted. You’ve tried just about everything, and the waistline you want just never seems to be attainable. Then again, maybe you haven’t understood what body contouring was all about.
Body Contouring… the secret behind great waistlines.
The detailed concepts of beauty and ideal weight have varied over time and amongst cultures, but a firm, toned abdomen and a narrow waistline have been always been desirable. Today, fashion styles have become more revealing, and an emphasis has been placed on a slender, youthful-looking abdomen. From a young age, people become concerned about the contour of their abdomen, and many judge their health, fitness, and sexuality by the appearance of their abdomen. Thus, proper diet and nutrition, exercise, and lifestyle priorities are truly important in our daily lives. As a result, those seeking surgical body contouring may have many aesthetic and functional concerns.
Patients who seek surgery are motivated by the desire for a flatter and firmer abdomen which they perceive as being thin, physically fit, and healthy. The problems that abdominal contour surgery can correct include damage to lower abdominal and flank skin, loose upper abdominal skin, varying amounts and locations of excess fatty tissue, and bulging of the abdomen caused by musculofascial weakness. The etiology of acquired abdominal contour problems can be traced to the effects of pregnancy, aging, weight gain or weight fluctuations, lifestyle, medications, hormones, genetics, and previous incisions.
There are several distinguishing gender-based anatomic features of the abdomen. The most striking characteristic of the female silhouette is an hour glass figure accentuated by a narrow waistline. Premenopausal women tend to gain fat around the hips and thighs rather than the abdomen. With advancing age, fat distribution in women is altered and there is an “internalization” of fat, with an increase in the amount of intra-abdominal fat, a decrease in subcutaneous fat, and a decline in lean body mass. The female integument experiences stretching and increased laxity as a result of pregnancy and a preponderance of female hormones. Women are therefore more likely to seek Abdominoplasty to remove loose skin and tighten the abdominal contour.
Men have a more uniform silhouette, with a natural tendency toward fat deposition in the flanks (love handles), which is the most common reason men request abdominal surgery. The male integument is less prone to over stretching and laxity, perhaps as a result of its thickness and because it is not influenced by pregnancy. Consequently, excessive skin redundancy is usually a problem only for those men who have undergone significant weight loss or weight fluctuations. These uniquely male features account for fewer variations in their presentation when compared to women. Therefore, generally fewer surgical procedures are necessary in men and more men undergo liposuction than abdominoplasty.
Weight gain results in increased subcutaneous fat accumulation and, with age, increased visceral adipose tissue. In patient’s with good skin tone, Liposuction can be used to contour subcutaneous fat; but with advancing age and changes in hormonal status, fat becomes internally located and the skin loses its ability to retract, limiting the surgeon’s ability to contour by liposuction alone. More extensive skin resection procedures are thus necessary to remove redundant tissue, but these procedures cannot restore elasticity to the remaining integument.
Significant weight gain, large fluctuations in weight, and natural skin aging may result in loose sagging skin of the arm, in either men or women. The skin of the medial arm is often thin and lacks sufficient tone, limiting the ability of liposuction alone to adequately contour this area. An Arm Lift removes the excess skin and reshapes the arm, eliminating the floppiness and restoring a more proportionate appearance.
Obesity is now recognized as a life threatening and progressive disease. Morbid obesity is defined as 100 pounds or more over ideal body weight, or a body mass index (BMI) >40. BMI relates a person’s weight to his/her height, and is the most commonly used method for determining a patient’s weight status.
BMI = weight in kilograms
(height in meters)2 Normal 18.5 – 24.9
Overweight 25 – 29.9
Obese 30 – 39.9
Morbid Obesity 40 – 49.9
Super Morbid Obesity > 50
Morbid obesity is the most serious stage of obesity and is associated with an exceptionally high risk of morbidity and mortality. Numerous studies have reported the effectiveness of weight loss and improvement or resolution of obesity-related co-morbidities. Morbidly obese people, however, are generally refractory to long term weight loss by conventional therapies such as diet, exercise, behavior modification, and/or medications.
Over the last several decades, a number of bariatric surgical techniques have been developed to treat morbid obesity. All procedures result in massive weight reduction that is maintained long term, along with significant improvements in mental and physical health status. Massive weight loss following bariatric surgery generally results in loose, redundant skin in the abdomen, breasts, arms, and thighs. Studies have found that body contouring after bariatric surgery significantly improves patient’s physical and emotional well-being. Aesthetic surgery may also encourage patients to be more attentive to weight maintenance, resulting in greater success and long-term weight loss.
At Cosmetic & Plastic Surgery Specialists we offer a wide variety of body contouring procedures, and invite you to explore each one. If you need additional information please contact us, or call 414-443-0033 to schedule a consultation to discuss which procedures might be right for you.