Cool Case of the Week

Tummy tuck with liposuction and muscle tightening-Cleveland Plastic Surgery Case of the Week

This 36 year old patient from Cleveland, Ohio came to see Dr. Daniel A. Medalie of Cleveland Plastic Surgery at his Beachwood office to discuss tummy tuck surgery and liposuction. On exam she has a great deal of loose skin and muscle as well as some extra fatty tissue. Dr. Medalie proposed an abdominoplasty procedure with muscle plication (tightening) and side and flank liposuction as an outpatient. She agreed and is shown 6 months after her body contouring surgery. She has excellent reduction of loose skin and stretch marks as well as good tightening of the abdominal wall and is very happy with her results.

Plastic Surgery results can vary and are not guaranteed

Abdominoplasty with liposuction and muscle tightening Before and After (side view)

Abdominoplasty Surgery is well explained at the American Society of Plastic Surgery web site. (see text below). I encourage you to visit the site at this link to obtain more information

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  • Aging
  • Heredity
  • Pregnancy
  • Prior surgery
  • Significant fluctuations in weight

What tummy tuck surgery can’t do

A tummy tuck is not a substitute for weight loss or an appropriate exercise program.

Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies would be advised to postpone a tummy tuck.

A tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised.

  • Posted on: Sep 13 2017
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Cleveland Plastic Surgery Case of the Week- Tummy tuck and Liposuction (large volume)

Abdominoplasty and large volume liposuction.

This Cleveland Plastic Surgery patient came to see Dr. Daniel A. Medalie at his Beachwood office to discuss abdominal contouring. She was quite heavy and understood that she would not be perfectly thin after the procedure. She also understood that her stretch marks below the belly button would be gone but that the ones above the belly button and off to the side would remain. She underwent a full tummy tuck with tightening of the rectus abdominus muscles and a pubic lift on an outpatient basis. At the same time as her abdominoplasty, she had large volume liposuction of the abdomen, flanks and sides. She is shown three months after her body surgery and has a much slimmer contour with excellent tightening of the muscles. Her body contouring surgery was a success and gave her the confidence to begin exercising and eating well. (Results from plastic surgery are not guaranteed and may vary)

Tummy tuck before

Tummy tuck after

 

 

 

 

 

 

 

 

 

 

 

Tummy tuck before

Tummy tuck after

 

  • Posted on: Sep 5 2017
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Cleveland Plastic Surgery Case of the Week- Breast Augmentation with Silicone breast implants

This 26 year old patient came to see Dr. Medalie  of Cleveland Plastic Surgery in regards to breast enhancement. She is  5’7″ and 120 lbs and wanted to be a D cup after surgery. She elected to have 405 cc MP + smooth, round, Allergan silicone breast implants placed in the sub-muscular plane and is shown 3 months after her breast augmentation surgery. She is very pleased with her post-operative results and new breast shape and size. (Results from plastic surgery are not guaranteed and may vary)

Breast Augmentation Before and After Front view

Breast Augmentation Before and After Oblique view

  • Posted on: Aug 22 2017
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Cleveland Plastic Surgery Case of the Week- Breast Augmentation with silicone implants

This pleasant 27 year old woman came to see Dr. Medalie in his Beachwood, Ohio office to discuss breast augmentation with silicone  breast implants. She was tall and thin (5’9″) and did not want implants that made her look top heavy. Dr. Medalie performed an augmentation mammoplasty procedure on her at University Suburban Health Surgery Center and inserted 350 cc smooth round Natrelle Inspira breast implants under each breast. The surgery took one hour and was an outpatient procedure. The patient is shown three months after her breast augmentation surgery with excellent contour and breast symmetry. She is very pleased with her result. *Plastic surgery results can vary from patient to patient and are not guaranteed

augment before1augment after1

Breast Augmentation Before and After Front View

augment before 2augment after2

Breast Augmentation Before and After Obilque View

  • Posted on: Feb 10 2017
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Cleveland Plastic Surgery Case of the Week- Labiaplasty

This 26  year old patient from Youngstown, Ohio contacted Dr. Medalie of Cleveland Plastic Surgery for labia minora reduction and vaginal rejuvenation.She had asymmetric labia minora with the right side being much larger than the left side and complained of extreme irritation while exercising and wearing tight clothing. She was most concerned about post-operative symmetry. She had visited Dr. Medalie’s websites, ClevelandPlasticSurgery.com and LabiaplastySurgery.net and also read reviews of him on Realself.com and felt that he would be able to perform the kind of labia reduction that she desired. Her goal was to have a wedge resection with preservation of the natural labia contour, and in their consultation, Dr. Medalie assured her that this was possible. The labia reduction surgery was  performed at his Cleveland west side clinic under local anesthesia with mild oral sedation.  The second picture shows the patient 3 months after the labia reduction surgery with a pleasing contour and dramatic reduction in labia  size and contour. There is excellent symmetry between the two sides. *Plastic surgery results can vary from patient to patient and are not guaranteed

 

Labia Minora Reduction Before and 3 Months After


Cleveland Plastic Surgery Case of the Week- Bilateral Breast Augmentation with Silicone Breast Implants

This 34 year old mom from Youngstown, Ohio came to see Dr. Medalie at his Cleveland, Ohio east side office. She desired bilateral breast augmentation with silicone breast implants to help fill in the volume that she had lost after childbirth. After careful discussion with Dr. Medalie she elected to have 371 cc smooth round silicone breast implants placed in the partial sub-muscular position. The surgery was performed as an outpatient at Dr. Medalie’s east side location and the patient is shown three months after the breast enhancement surgery with an excellent contour. She is very pleased with her breast enlargement and new breast size.*Plastic surgery results can vary from patient to patient and are not guaranteed

 

Breast Augmentation pre and post-op pictures front view

Breast Augmentation pre and post-op pictures side view

 


Cleveland Plastic Surgery Case of the Week- Labiaplasty and Labia Majora Reduction

This 49 year old patient from New York City, New York contacted Dr. Medalie of Cleveland Plastic Surgery for vagina rejuvenation. She had visited Dr. Medalie’s websites, ClevelandPlasticSurgery.com and LabiaplastySurgery.net and also read reviews of him on Realself.com and felt that he would be able to perform the kind of labia reduction that she desired. Her goal was to have a wedge resection with preservation of the natural labia contour, and in their consultation, Dr. Medalie assured her that this was possible. She also desired clitoral hood reduction and tightening of the labia majora. She mentioned that her labia majora had gradually deflated and become loose after her several pregnancies.The labiaplasty with reduction of both the labia minor and majora as well as clitoral hood reduction were  performed at his Cleveland west side clinic under local anesthesia with mild oral sedation. The labiaplasty (minora) incisions were central wedges, and the majora incisions were ellipses designed to leave the scar in the inter-labial sulcus between the minora and majora. The last picture shows the patient 3 months after the labia reduction surgery with a pleasing contour and dramatic reduction in labia minora, majora and clitoral hood size and contour.

 

Labiaplasty, clitoral hood and labia majora reduction before and after photos

*Plastic surgery results can vary from patient to patient and are not guaranteed


Cleveland Plastic Surgery Case of the Week- Transgender mastectomy (FtM “top surgery” )

This patient is a female to male transgender patient who contacted Dr. Medalie of Cleveland Plastic Surgery in Cleveland, Ohio in regards to FtM “top surgery”. The patient desired a complete mastectomy with the goal of having a masculine chest that appeared as if he were genetically male. The various types of operations were explained to him and it was decided to proceed with a double incision approach with free nipple grafting and reconstruction . The surgery was performed as an outpatient at MetroHealth medical center, and the patient is shown nine months after the procedure with excellent contour and acceptable visibility of the scars. He has good nipple graft survival and placement. He is very happy with his “top surgery” and subsequent gender change.

 

Female to Male transgender “top surgery” before and after double incision mastectomy

 

*Plastic surgery results can vary from patient to patient and are not guaranteed


Plastic surgery case of the week- Breast augmentation with silicone implants

This 28 year old patient came to see Dr. Medalie at his Cleveland, Ohio west side office. She desired bilateral breast augmentation with silicone breast implants, and after careful discussion with Dr. Medalie elected to have 400 cc smooth round breast implants placed. The surgery was performed as an outpatient at Dr. Medalie’s west 150th street location and the patient is shown three months after the breast enhancement surgery with an excellent contour. She is very pleased with her breast implants and new breast size.

Breast Augmentation with Silicone  Implants Before and After Pictures

 


Cleveland Plastic Surgery Case of the Week-FtM “top surgery” (bilateral mastectomy for transgender patient)

This patient is a female to male transgender patient who contacted Dr. Medalie of Cleveland Plastic Surgery in Cleveland, Ohio in regards to FtM “top surgery”. The patient desired a complete mastectomy with the goal of having a masculine chest that appeared as if he were genetically male. The various types of operations were explained to him and it was decided to proceed with a peri-areolar approach (keyhole approach) to the surgery. The patient had very good skin tone with good elasticity and Dr. Medalie felt that only a partial incision at the skin-areolar junction would be necessary. The surgery was performed as an outpatient at MetroHealth medical center, and the patient is shown five months after the procedure with excellent contour and minimal visibility of the scars. He was very happy with his “top surgery” and subsequent gender change.