Body Contouring

Q. What is body contouring?

Body contouring just means "changing the shape of the body." It can pretty much be anywhere from head to toe, but at our Louisiana practice we usually are talking about either breast enhancement surgery, liposuction, or a tummy tuck. These are very popular with patients who visit us for plastic surgery from Longview, TX; Magnolia, AR; Monroe, LA; and communities in the Ark-La-Tex.

Q. Who is a good candidate for a tummy tuck?

A tummy tuck, technically called abdominoplasty, is good for women and men who are in decent shape but have loose, saggy abdominal skin and/or fat that will not respond to dieting or exercise. A lot of patients are women who have had children, or they are getting older and their stomach muscles have loosened up, causing their belly to protrude out of proportion to the rest of their body. A nice thing about a tummy tuck is that in many cases, an existing scar, like that from a C-section, can be used for the incision.

Q. Who would benefit from liposuction?

Liposuction is most commonly recommended for men and women of normal weight who simply want to improve their body contour. A liposuction procedure can produce excellent results for people who have deposits of excess fat that make certain body areas appear disproportionately large. Although liposuction is not a treatment for obesity, it can permanently alter body proportion and is sometimes the only way to eliminate fat deposits that do not respond to diet and exercise. Patients of any age, with good skin elasticity, will achieve the smoothest contour after fat is removed.

Q. What are the most commonly treated areas with liposuction?

Pretty much anywhere you can think of. The most common areas in women are the abdomen and waist, hips and buttocks, the thighs, knees, calves and ankles. Common areas in men are of course the "love handles" and belly. Liposuction is also very effective in treating gynecomastia, which is the accumulation of fat in men's breasts. Other common targeted areas in both men and women are the face and neck, upper arms and back.

Q. How soon can someone get back to his or her regular routine after having body contouring surgery?

In general, patients who have undergone liposuction or breast enhancement surgery can expect to return to work after just a couple of days and are feeling back to normal in less than a week. Patients who have undergone a tummy tuck in Louisiana have a slightly longer recovery time if the stomach muscles have to be tightened up during the procedure. Almost all of our body contouring patients return to their normal workout and exercise routine by three weeks after surgery. Most patients report minimal pain from the surgery, and just about everyone reports a high level of satisfaction with their results.

Q. Is there a way to prevent lumpy or wavy liposuction results?

Yes! SAFELipo® is a new form of body contouring created and developed by Dr. Simeon Wall Jr. of Louisiana for liposuction that offers smooth, even results. This breakthrough technique gently and dramatically sculpts the treatment area while equalizing the thin layer of fat just below the skin. This layer of equalized fat helps to prevent the wavy, uneven texture sometimes left after liposuction.

Q. Who offers SAFELipo®?

SAFELipo® was created and developed by Dr. Simeon Wall Jr., who has lectured and published extensively on the topic. Dr. Wall Jr., has presented this and other innovative techniques in liposuction at several international, national, and state meetings, including multiple The Aesthetic Society annual meetings, the Santa Fe Breast & Body Contouring Symposium, and many others. While Dr. Wall has instructed many of his peers on the advantages of SAFELipo, The Wall Center is the only practice in the area to offer this breakthrough form of liposuction.

Q. I've heard that heat from a laser can enhance liposuction results. Is this true?

This is a point of some controversy in the plastic surgery community. Using heat to destroy fat cells and coagulate tissue can be dangerous and often produces unfavorable results. The claim is that the heat can cause the skin and tissue to contract for firmer skin in the treatment area. However, Dr. Simeon Wall Jr. is often called upon to treat the burns, deformities, and irregularities that result from these types of liposuction procedures. To smooth out irregularities and poor results, he uses SAFELipo, a technique he created and developed for smoother, more natural, yet dramatic-looking liposuction results. This technologies utilized in SAFELipo generate no heat, therefore blood vessels, skin, and surrounding tissues are left healthy and unharmed.

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BOTOX® Cosmetic

Q. What is BOTOX Cosmetic and what is it for?

BOTOX Cosmetic is a natural, purified protein that relaxes the muscles that cause wrinkles. It is a simple, non-surgical treatment to soften or eliminate the wrinkles between the eyebrows, on the forehead, or crow's feet. It usually lasts from three to five months.

Q. What is a BOTOX Cosmetic injection like and is it painful?

Only a few, very small injections need to be done, and it only takes a few minutes to perform. Most patients compare the sensation to a bug bite, or almost nothing, especially when we use a powerful skin-numbing agent before the procedure.

Q. Is the procedure safe?

Yes. The BOTOX Cosmetic protein is confined to the injected area, and does not travel through the body. As a matter of fact, BOTOX Cosmetic has been FDA-approved for wrinkle reduction.

Q. Would someone need to take any time off from work?

Absolutely not. Most everyone goes right back to work or to their normal routine immediately after the procedure. Patients can even schedule an appointment during their lunch break.

Q. What about BOTOX Cosmetic making your face look unnatural?

Although the results are dramatic, it will not radically change your facial appearance. The goal is to only relax specific muscles in very specific locations. It is important to make sure to seek out a qualified plastic surgeon who knows the anatomy inside and out.

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Breast Enhancement

Q. How long will it take me to recover from my breast augmentation?

Here at The Wall Center, we perform Rapid Recovery Breast Augmentation. Our goal is for our patients to be doing their normal activities by the evening of surgery. The key to a quick recovery is not only in our 10-year experience performing and fine-tuning our Rapid Recovery breast enhancement procedures, but also in our unique post-operative recovery program. Right after surgery, you will begin specific stretches of your arms, accompanied with displacing the breast implant. Most of our breast enhancement patients do not even need narcotics after surgery. They are fine with ice, stretching and Celebrex – an anti-inflammatory medicine. Most women are back to work within a couple of days, and more strenuous activities and exercise can be resumed after 2 weeks. We recommend avoiding any stress on the chest muscles for 4 weeks after surgery (push-ups, tennis, golf, strong pushing actions).

Q. How noticeable are the incisions for a male breast reduction?

Male breast reduction typically involves extremely small and inconspicuous access sites. Many times, the excess tissue can be removed with SAFELipo alone and these tiny incisions are hidden under the arm to completely hide any trace of surgery. Sometimes, some fibrous tissue must be removed and that can be done through a very small incision hidden in the areola. Regardless of the incision location, scarring should diminish after the body completes the natural healing process. Most men find the inconspicuous scars a worthwhile tradeoff for the improvements in their appearance and confidence.

Q. Can I have a breast reduction that only involves liposuction?

Breast reduction often involves some extent of liposuction to remove fatty tissue, but the vast majority of women will require excision of glandular tissue and stretched out skin. This will enable a surgeon to achieve a greater degree of reduction, reshaping, and repositioning of the breast. The techniques utilized during surgery are personalized to a woman's breast type and cosmetic goals, but at The Wall Center, we specialize in short-scar breast lifts and reductions. These "lollipop" incisions are typically less than half the length of "standard" breast lift or reduction scars.

Q. Will I lose breast volume if I have a breast lift?

Many women will notice a slight reduction in volume due to the removal of excess skin, although the breasts are repositioned higher on the chest and have much more fullness, making the breasts appear to project more than before surgery. Many women who want to add or restore volume will combine breast augmentation with their short-scar breast lift surgery, especially when upper pole fullness is a goal.

Q. After breast enhancement, will I still be able to breastfeed?

Qualified plastic surgeons can typically perform most breast enhancement surgeries without significant damage to the glands and ducts involved in breastfeeding. Of course, this is highly dependent on the type and degree of breast surgery. Choosing a qualified plastic surgeon experienced in breast enhancement is one of the best steps a woman can take in achieving the desired results. According to prior studies on the subject, there is a 10 to 15% chance you may not be able to breast feed after breast surgery, although we have found this to be more rare, especially when only a breast augmentation is performed.

Q. How soon can I have breast reconstruction after my mastectomy?

Breast reconstruction may be performed immediately at the time of mastectomy or delayed, after the patient has healed from her mastectomy and received appropriate cancer treatments. This decision is best made with the input of the General Surgeon, Oncologist, and Plastic Surgeon.

Q. What are the methods for performing breast reconstruction?

Breast reconstruction involves one of two methods. Skin expansion utilizes a balloon to create room for a new implant. The time this procedure requires is dependent on a woman's skin elasticity and the size of the breast implant in Louisiana. The "flap" method uses a woman's existing tissue from another area on a woman's body and transfers it to construct a new breast mound. Sometimes women will need a combination of the two approaches.

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Facial Rejuvenation

Q. I see quite a bit on facial rejuvenation nowadays. What exactly is facial rejuvenation?

Facial rejuvenation is a process to maintain the optimal appearance of one's face. This can range from just putting on sunscreen all the way to having a face lift procedure to appear more youthful.

Q. What would someone in their 20s or 30s need to consider?

This is generally when we look our best, so this is the time to think about maintaining that youthful appearance. Starting a prescription strength skin care program is a good idea, along with microdermabrasion and BOTOX Cosmetic.

Q. What does someone in their 40s or older need to consider?

At this age, it is time to start thinking about regaining some of that lost youth. Skin care is still important, but other things may be needed, such as laser skin resurfacing, eyelid surgery, brow lift, mid-face lift, or facelift.

Q. How long does a facelift last?

A facelift will usually help someone look 8 to 15 years younger and will last for about 10 years, depending on the quality of one's skin.

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General Questions

Q. What are the most common cosmetic procedures today?

The three most common procedures performed around the country by plastic surgeons are nose reshaping, liposuction and breast augmentation. These also happen to be some of the most satisfying procedures for patients to have.

Q. What would you advise someone who is interested in cosmetic surgery?

I feel it is very important to seek out a plastic surgeon who the patient feels very comfortable with after one or more consultations. Most of the public is not aware that there are no regulations on who can perform cosmetic surgery. This makes it really important to check on your cosmetic surgeon's credentials thoroughly before considering any type of cosmetic surgery. If your cosmetic surgeon is not certified by the American Board of Plastic Surgery, then he or she has not received comprehensive training in the full spectrum of cosmetic surgery throughout the face and body.

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We're Worth the Trip

Patients come from all across Ark-La-Tex and around the globe to receive world-class care at The Wall Center for Plastic Surgery and Jade MediSpa. We frequently see patients from many communities:

  • Dallas
  • Texarkana
  • Minden
  • Lafayette
  • Tyler
  • Little Rock
  • Monroe
  • New Orleans
  • Longview
  • Natchitoches
  • Nacogdoches
  • Jackson
  • Lake Charles
  • Marshall
  • Alexandria
  • Baton Rouge

Take the first step today and request your consultation or call (318) 562-1433. Ask about our special programs for patients who travel, including our beautiful on-site guest suites. We can't wait to greet you!

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