The plastic surgeon’s Brazilian buttock lift photos (before-and-after images) can illustrate his “eye for detail” and level of artistic skills. Of course, his education, board certifications, training, experience, and bed side manner will also matter when selecting a doctor.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has shown a recent patient whose buttock lift photos depict natural-looking, proportionate results.
The patient has enjoyed a certain advantage—her pre-existing skin has good elasticity, meaning it can “take” more fat volume without predisposing her to increased risk of skin irregularities such as dents and cellulites.
Nonetheless, Dr. Smiley has ensured that the fat volume would not cause enormous weight and strain, which is the main culprit behind sagging and other signs of botched Brazilian buttock lift.
The profile view of the patient’s new buttocks reveals great projection, particularly in their upper half. The idea, according to Dr. Smiley, is to create an illusion of perkiness and to prevent sagging, which could happen when the lower half receives most of the fat volume (along with its additional weight).
In his previous educational videos posted on Snapchat, Dr. Smiley said the “most critical aspect of Brazilian butt lift is to respect the patient’s underlying anatomy, particularly her skin, septa (membrane that connects the muscle to the skin), and body frame.”
Meanwhile, the posterior view now reveals the appearance of curvier and fuller hips, which Dr. Smiley has created by allocating about one-third of the purified fat into the lateral aspect of the butt.
Having good skin elasticity offers another benefit: the liposuction sites where the donor fats are collected will appear tight and smooth.
Dr. Smiley said that during liposuction, some fats beneath the skin are removed with a straw-like device called cannula. It is important for the skin to shrink-wrap smoothly around the new contour lest the results will look disastrous (visible bumps and dents).
The celebrity plastic surgeon collected “unwanted” fats from the bra rolls, flanks, and lower back; these were later purified in which the oil and red blood cells were discarded to come up with the “pure, golden” fat that was later injected into the patient’s buttocks.
Dr. Smiley was able to collect a large amount of fat without predisposing her to surface irregularities due to her good skin elasticity.
In almost all Dr. Smiley’s patients, he treats the lower back and flank as liposuction-donor sites to further highlight the buttock’s shape and projection.
Extreme tummy tuck and panniculectomy is a reconstructive plastic surgery and so it is typically covered by health insurance. In this procedure, the primary goal is to improve the patient’s quality of life by removing the gigantic apron-like skin, or medically referred to as pannus.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a series of videos on his Snapchat showing a patient whose pannus has almost reached her ankles, which of course results in a gamut of medical problems such as:
- Skin breakdown and dimpling
- Non-healing irritation
- Difficulty moving since the gigantic hanging skin/flesh droops over her legs, almost reaching her ankles.
- Stress on her heart and entire body
- Swelling of her legs and feet due to the massive extra weight of the pannus
Dr. Smiley said the female patient will not just require panniculectomy or excision of the pannus. Aside from the large hanging flesh, she also has complete herniation of the abdomen, which happens when the fascia (a sheet of fibrous tissue) becomes weak that the internal organs protrude.
After conducting a comprehensive physical exam, Dr. Smiley said the patient will require an extensive abdominal reconstruction in which one of the goals is to create a new synthetic wall (with the use of mesh) to keep the abdominal contents inside.
Mesh acts as a scaffolding to prevent the abdominal organs from herniating (protruding). This material, which is either positioned under or over the weak or “defective” part, allows for tissue re-growth, meaning it incorporates into the surrounding tissue over time.
While it cannot be denied that the patient’s extreme tummy tuck and panniculectomy is medically and vitally warranted, Dr. Smiley said there is an increased risk because of the extent of the pannus.
Significant blood loss (due to the long blood supply of the pannus) and fluid imbalance/shift are to be expected, thus Dr. Smiley said he is “debating” and recommending “ICU admission” to further ensure patient safety.
Major breast reduction surgery is a technically complex procedure since the goal is not just to downsize the breast in order to provide immediate relief from neck and back pain, constant skin irritation, and other physical symptoms. Most patients are also concerned about getting a perkier, natural-looking breast contour.
However, the more breast tissue and skin excised during surgery, the more difficult it is to achieve a good shape and projection. Furthermore, the risk of poor healing and other complications increases as well, says leading Los Angeles plastic surgeon Dr. Tarick Smiley.
Nonetheless, great results from major breast reduction surgeries can be achieved with meticulous dissection and deep understanding of the anatomy, he says in his recent Snapchat posts.
He has shown a female patient with hugely disproportionate breasts that hung too low, drooping over her tummy area.
Aside from the disproportionate appearance, prior to surgery the patient also complained that her overlarge breasts were causing “rounded” and painful shoulder, back pain, skin breakdown, and discomfort when doing exercise and other physical activities.
(Note: Because a good number of breast reduction patients have physical symptoms, it is not surprising that the surgery has one of the highest patient satisfaction rates among plastic surgery procedures. According to a 2012 survey released by the American Society of Plastic Surgeons, about 90 percent of patients rated their results “good” or “very good.”)
Dr. Smiley says major breast reduction requires the standard or anchor technique, which is named after the shape of its resulting scar. It uses an incision around the areola, which goes down the midline, and then across the bottom of the breast.
A modified form of breast reduction eliminates the horizontal incision across the bottom of the breast; hence, the resulting scar resembles a lollipop. This technique is referred to as lollipop or vertical reduction, says the celebrity plastic surgeon.
The patient required the anchor breast reduction technique, which has allowed for the removal of more than 600 grams of breast tissue on each side.
Meanwhile, the lollipop breast lift only suits patients who require smaller reductions, between 300 and 500 grams of breast tissue on each side.
One of the main issues with major breast reduction is the scar appearance, particularly the vertical scar because of its more obvious location (the scars around the areola and within the submammary fold are more discreet). But with meticulous wound suturing technique, Dr. Smiley says most patients can expect “almost invisible” or “very faded” scar after 6-18 months.
He highlights the importance of closing the incisions in several layers, while just allowing the skin to “kiss each other” instead of closing their edges with stitches. The idea is to eliminate tension on skin, which promotes favorable scars and good healing, he says.
Facelift for laugh lines, or medically referred to as nasolabial folds, requires going deeper than the skin to achieve natural results that can last for many years. It is important to note that relying on skin alone will lead to a short-lived outcome due to the relative weakness of this layer.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley says that a youthful face has its malar fat pad attached to the cheekbone high, giving it a relatively plump look.
The high cheekbone appearance gives younger faces an inverted triangle shape, which aging gradually reverses, he adds.
Aging causes the facial skin and supportive structures to lose their strength, which in turn also causes the malar fat pad to descent. Dr. Smiley says this contributes to the nasolabial folds, which run from the corner of the nostril down to the mouth.
Facial volume loss can further aggravate the appearance of nasolabial folds, making the patient appear perennially tired or even angry. On top of that, repeated smiling (and other facial expressions) deepens this fold throughout life, he adds.
Facelift for laugh lines warrants elevating the SMAS, a layer overlying the muscle. With this facelift technique, the celebrity plastic surgeon says the skin, malar fat pad, and tissue are raised all at the same time, leading to more natural, longer-lasting results.
Moreover, the SMAS facelift technique allows the surgeon to eliminate most of the tension on the skin, further contributing to favorable scars and better wound healing.
The sagging cheek fat pad that contributes to the laugh lines is pulled upward so it will lie over the cheekbone. To further smooth out these “folds,” Dr. Smiley says that some patients require a simultaneous fat injection in which the goal is to replace lost facial volume.
Fat injection for the correction of laugh lines can serve as a stand-alone procedure in patients whose mid face has not yet sagged to a significant degree. Another option is dermal fillers (e.g., Perlane, Radiesse, Restylane, and Juvederm) whose effects last an average of 4-6 months and so they require regular touch-ups.
The results of fat injection, meanwhile, can last 12-15 years, says Dr. Smiley.
While the upfront cost of fat injection is higher than most dermal fillers, in the long run it is less expensive because it does not require touch-ups.
Several studies have been conducted to evaluate long-term liposuction results. In this procedure, the unwanted fats—specifically the subcutaneous fat found beneath the skin—are suctioned out with the use of a flexible tube called cannula.
Some studies have suggested grim findings: After about a year all the benefits of liposuction were gone.
Nevertheless, several studies have also shown that good old-fashioned exercise can preserve liposuction results and prevent patients from regaining fats elsewhere in their body (i.e., areas not treated by the surgery). Of course, physical activities must always be complemented by superb diet, which is an equally critical aspect of long-term weight management.
To shed light on the long-term results of liposuction, a team of Brazilian researchers conducted a study in which 36 healthy but inactive women aged between 20 and 35 had undergone the surgery.
These non-obese participants had 2.5-3 lbs. of abdominal fat removed through liposuction. Afterwards, they were divided into two groups: half were asked to stick to their old habits, while the other half were required to follow a moderate exercise routine.
By six months after liposuction, the first group had regained all the fats previously removed by surgery. And not only that, they developed additional visceral fat—or fat deposition in organs such as the liver and intestines—and thus predisposed them to increased risk of insulin resistance (diabetes), inflammation, and a wide range of health problems.
The uptick in the percentage of visceral fat was notable—about 10 percent more compared to their pre-surgery level.
However, the participants who were asked to perform moderate exercise for four months did not regain fat and even achieve additional health benefits. (Note: The exercise regimen was “doable”—an hour of cardio and weight lifting three times a week.)
Furthermore, the women included in the “exercise group” have improved insulin sensitivity and physical fitness.
The researchers have concluded that exercise can prevent the body from [over] compensating for the abrupt change in the fat composition and distribution caused by liposuction. It is believed that the body has a strong predisposition to defend its fat stores, and a sedentary lifestyle can aggravate this propensity.
Meanwhile, separate studies have suggested that a sedentary/poor lifestyle after liposuction may cause the patients to regain fats in other parts of their body not treated by liposuction, which of course could lead to a disproportionate appearance.
The liposuctioned areas, meanwhile, were less likely to regain fat unless in the event of significant weight gain (i.e., more than 20 lbs.)
With these findings, Dr. Tarick Smiley, a board-certified plastic surgeon who has performed over 9,000 liposuctions, says the long-term success of surgery will always boil down to patient’s commitment to healthy lifestyle.