Plastic Surgeon

Liposuction tips for smoother, more natural results as explained by leading Beverly Hills plastic surgeon Dr. Tarick Smiley (as seen on his Snapchat videos).


  • Use of microcannula


Instead of using large cannulas or hollowed flexible tubes when removing the “unwanted” fat, Dr. Smiley prefers microcannulas whose outside diameter is significantly smaller (2.5 mm or even less).


liposuction tips


While the use of microcannulas makes the process of fat extraction longer, they make up for the high degree of precision. For this reason, they can significant minimize the risk of dents and other untoward side effects of over liposuction.


Dr. Smiley highlights the importance of leaving enough fats beneath the skin to deliver smooth and natural results from liposuction.


  • Moving the microcannula at correct speed


After posting several videos demonstrating how he delivers smooth results from liposuction, many viewers asked the celebrity plastic surgeon why he “moves his cannula in a rather quick manner.”


In his recent Snapchat video post, he explained the importance of moving the cannula from one area to another in a fairly swift method to avoid removing too much fat.


“When the cannula stays too long in one area, it may remove way too much fat that the skin would collapse much like a Swiss cheese,” he said.


  • Liposuction may actually entail simultaneous fat transfer


Dr. Smiley had corrected indentations from a previous botched liposuction performed by another surgeon. The female patient had visible dents in the abdomen caused by removing too much fat to the point that her skin “collapsed.”


He corrected these skin irregularities with microcannula, which he moved back and forth parallel to the skin and in a rather quick manner. And instead of throwing away all the collected fats, he re-injected some of them into the indentations to smooth them out.


  • The success all boils down to correct patient selection


One of the most critical liposuction tips, he said, is to choose the “ideal” candidates—i.e., they are of normal, stable weight; they understand the importance of healthy lifestyle as a long-term approach to maintain the cosmetic results; they have no serious medical condition; and their skin has a good level of elasticity or “shrinkage.”

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How much skin removed during tummy tuck? Arguably, this is one of the most common concerns of patients with apron-like abdominal skin resulting from previous pregnancy or massive weight loss.


The truth is, the real issue is not how much skin removed during tummy tuck, but how much tissue is left behind that will allow for a safe wound closure.


how much skin removed during tummy tuck

Leaving sufficient tissue after surgery also preserves the natural contours and valleys of the abdomen and promotes favorable scarring—i.e., it appears thin and faded.


Most tummy tucks result in a hip-to-hip scar that is positioned immediately above the pubic hairline and thus easily covered by the patient’s underwear or bathing suit. Despite the media hype purporting the benefits of modified techniques (i.e., a much shorter horizontal scar), their contouring effects are rather limited.


Simply put, mini tummy tucks are only reserved for a very small subset of patients because the redundant skin following massive weight loss or pregnancy generally affects the entire abdomen, sometimes even the flanks.


It is important to note that mini tummy tucks can only remove a very small amount of loose skin in the lower abdomen, thus any “bulging” in the upper and lateral aspect remains after surgery, warns leading Beverly Hills plastic surgeon Dr. Tarick Smiley.


After removing all the loose skin, the remaining tissue is then pulled down and sutured to the pubic hairline. Dr. Smiley says that precision during skin removal surgery is the key to preserve a smooth transition between the lower abdomen and the mons.


Over-resection of the tissue, he warns, can lead to surgical stigmata such as abrupt transition between the lower abdomen and the pubic hairline, scar migration (riding higher that the underwear no longer hides it), and unnatural contour.


To further achieve a smoother contour, some patients will need a simultaneous liposuction (fat removal), but only if they require minimal “correction.” This ancillary procedure is only reserved for patients with excess fat in their upper abdomen and flanks.


It is important to note that the standard tummy tuck automatically removes the excess fat in the lower abdomen as it trims away the loose skin in the area.


However, large volume liposuction is best performed separately to avoid compromising the blood supply in skin and thus preventing wound healing problems.

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The best facelift surgeon for you is not just determined by his experience, clinical skills, and training. Good rapport and great bedside manner would also play a critical role in achieving the best results possible, according to California Surgical Institute website.


Here is a guideline that could help you find the best facelift surgeon:


facelift surgeon


  • Board certification


Contrary to popular belief, state medical board certification does not automatically make someone qualified to perform facelift and other forms of plastic surgery. Take note that there is no law that prohibits a surgeon who has no specific training in “surgical enhancement” procedure to perform facelift. Nevertheless, non-specialists account for the vast majority of botched results.


A good rule of thumb is to choose a facelift surgeon who is a member of the American Board of Plastic Surgery, which is known for its extra strict requirements, background checks, and rigorous oral and written exam taken every 10 years.


  • Relevant experience


To further ensure that you’re in good hands, your surgeon must be performing facelift and its ancillary procedures—e.g., facial fat grafting, dermal fillers, eyelid surgery, facial implants, and brow lift—on a regular basis. Bear in mind that plastic surgery is a very broad practice.


Ideally, your surgeon must be performing over a hundred facelift surgeries (and its ancillary procedures) every year.


  • Deep understanding of beauty ideals and natural results


The key to a good facelift result is subtlety; hence, skilled surgeons know the importance of using highly customized techniques to avoid overly tight skin, abrupt transition between the lower lid and cheek, and other surgical stigmata.


Your surgeon’s before-and-after facelift photos will shed light on his personal style and “aesthetic values.”


  • Patient safety guidelines


The best facelift surgeon for you should prioritize your safety above anything else. For this reason he only performs surgeries in accredited operating rooms staffed by licensed and well-trained medical professionals and are fully equipped with emergency/key life support system.


Extensive physical exam, preparation prior to surgery (e.g., avoiding tobacco products and aspirin at least three weeks before facelift) and regular follow-up care would also play a critical role in patient safety.


  • Good bedside manner


Your surgeon’s attitude towards his patient will have a large effect on how satisfied each visit would be and even the final results. For these reasons you must find someone who respects and acknowledges your input.

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Otoplasty long term results are possible with the right surgical techniques. In this procedure, the surgeon corrects the appearance of ears that stick out too much from the face.


Otoplasty is sometimes referred to as ear pinning surgery as it reduces its “sticking out” appearance. But the truth is, the procedure is highly technical and must be customized based on the patient’s underlying anatomies.


otoplasty long term results


Dr. Tarick Smiley, a celebrity Beverly Hills plastic surgeon, has recently posted a Snapchat video to demonstrate how to achieve long-term and natural-looking results from otoplasty.


In the video, the surgeon placed an incision behind the ear, specifically within the natural fold of skin for optimal scar concealment. This would allow him to remove the excess cartilage that was causing the conchal or bowl of the ear to stick out significantly from the side of the face.


After removing the excess cartilage, he pinned the ear closer to the face with the use of sutures.


One of the most common mistakes of inexperienced surgeons, Dr. Smiley says, is that they stitch the ears closer to the face without removing the excess cartilage. The problem with this technique, he further explains, is that the cartilaginous framework has a “strong memory,” hence the results are usually temporary.


The male patient shown in the video had his ears not just significantly sticking out from his face; there was also visible asymmetry as the right ear protruded more than the other.


To create a more symmetric result, Dr. Smiley removed a larger piece of cartilage in the right ear.


To further produce a more symmetric appearance, the surgeon ensured that the lower aspect of the ear (i.e., earlobe) would protrude 1 ½ cm while the upper aspect would jut 1 cm from the face. Using a measuring stick, he also made sure that both the right and left ears would almost have the same projection.


Dr. Smiley says that the goal of otoplasty is to pin it closer to the head; it does not change the actual size of the ear bowl.

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Despite the proliferation of high-tech devices and new surgical techniques in male breast reduction surgery, the truth is the skills and experience of your gynecomastia surgeon will remain the most influential factor determining the results.


To help you select the “right” gynecomastia surgeon, experts at California Surgical Institute have provided a list of qualifications he must possess.


gynecomastia surgeon


  • Board certifications


Board certifications from “recognized” accrediting agencies (i.e., The American Board of Plastic Surgery and The American Society of Plastic Surgeons) will ensure that your plastic surgeon has specific and relevant training that would help him deliver cosmetically pleasing results and minimize risk of complications.


  • Male breast reduction is your surgeon’s “staple” procedure.


Take note that plastic surgery is a very broad practice; hence, board certifications should not only be your main criteria. Bear in mind that your surgeon’s experience will also determine the results of your male breast reduction surgery.


Ideally, your gynecomastia surgeon should be performing over a hundred male breast reduction surgeries every year.


Male breast reduction or any type of body contouring plastic surgery is a combination of art and science. The goal is to produce results that adhere to the beauty ideals with the use of a highly customized surgical method.


  • He has good bedside manner.


Aside from doctor’s clinical skills and experience, the success of any plastic surgery also lies in good rapport with his patients. It is important that he listens to your input and goals and allays your concerns as well by carefully explaining his contingency plan should complications occur.


Meanwhile, stay away from surgeons who ask no or very little input from you. There should always be a mutual respect and trust between a doctor and his patient to make the relationship work.


  • You feel that your safety is his utmost priority.


Choose a gynecomastia surgeon who only performs his surgery at an accredited surgical facility staffed by trained and licensed nurses and anesthesiologists (and other medical providers).


Also, a prudent surgeon will always demand a lengthy consultation to know the details of your medical history (including the use of drugs), and a medical/physical exam to identify any risk factor prior to surgery.


Don’t be slighted when your surgeon refuses to perform surgery unless your medical condition is well under control. In fact, this is a sign that he truly cares about your safety.

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Travel for plastic surgery is ideal under certain circumstances. This is particularly true for patients who cannot find a local plastic surgeon with extensive experience in the sought procedure, says leading Beverly Hills plastic surgeon Dr. Tarick Smiley.


The celebrity plastic surgeon, who travels regularly to different countries to offer his expertise, shares his tips on how to make travel for plastic surgery a reasonably safe endeavor.


travel for plastic surgery

Photo Credit: surasakiStock at

  • Scrutinize your surgeon’s credentials.


In the US, there are accrediting agencies that certify plastic surgeons and oversee their practice. Some countries also have this type of “watchdog,” while others have none.


It is important to note that the surgeon’s qualification (i.e., certifications, experience, and continuous training and education) is the most critical factor that determines patient satisfaction rate.


“Appropriately” board certified plastic surgeon knows the potential risks and ways to avoid or at least control them. Also, they adhere to strict patient safety guidelines and medical ethics—e.g., they only perform surgery at an accredited surgical facility, and only work with licensed and properly trained staff.


  • Schedule your arrival well in advance of your surgery.


Despite the proliferations of technologies (such as Skype) that make virtual consultation between the surgeons and patients convenient, face-to-face consultations remain highly ideal.


An in-person consultation not just allows you to communicate clearly with your surgeon as you share your medical history, personal preference, and cosmetic goals; this is also critical because it gives your doctor the opportunity to conduct a physical exam, which may involve measuring your anatomies, and evaluating your skin and soft tissue thickness (this is particularly important in breast augmentation, facelift, liposuction, and body lift).


Identifying anatomical challenges well in advance of your surgery allows your surgeon to come up with a surgical plan or alternative that can minimize if not eliminate potential risks.


Lab tests are also critical to further ensure your safety.


  • Stick around for at least two weeks after surgery.


While the length of time will depend on what kind of surgery you’ll have, oftentimes it is ideal to stay within the vicinity for at least two weeks, the period when most of the healing occurs.


It also makes sense to avoid long travels for at least a week or two to avoid deep vein thrombosis, which is linked to prolonged immobility after a surgical procedure.


  • Gather all your medical records before leaving.


In the event of complications or revisions, your medical records (e.g., your plastic surgeon’s name, facilities, type of implants, etc.) can help your new doctor decide for the right treatments.

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