Cosmetic Surgery and Beauty Magazine #65

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feature liposuction patients. The key element in this technique is fat equalisation where, following fat removal via separation and aspiration, the layer of fat is manually equalised to ensure an even coverage across the treated layer. This helps prevent contour irregularities and optimise results following the procedure. Australia’s expanding waistline Figures by the National Health Reporting Authority for the Council of Australian Governments show Australia’s obesity rate has ballooned. Sixty-three percent of Australians are now either overweight or obese, up from 44 percent in 1989. Of this figure, 28 percent were obese in 2012, up from 11 percent in 1989. According to the 2011/12 Australian Health Survey by the Australian Bureau of Statistics, more than half of us (55.7 percent) are trying to lose weight. Body lifting Body contouring surgery after massive weight loss is commonly accompanied by a lifting procedure. This could be a lower body lift, a breast lift or a thigh lift. ‘Although losing weight is rewarding, it can result in sagging skin,’ says Dr Wall Jnr. ‘Many people choose to have a lower body lift after weight loss. This removes excess skin and pulls the remaining skin closer for a more toned, healthy look.’ A lower body lift is performed via an incision around the stomach and back, and will help smooth and contour the lower body. It can also be effective in reducing excess skin hanging from the legs and buttocks. For those seeking a more direct approach, a thigh lift can help improve the contour and appearance of the upper leg. During the procedure, an incision is made in the upper inner thigh – in some cases this may extend to the groin line or buttock fold – and excess fat and tissue is removed via this incision. US plastic surgeon Dr Constantino Mendieta, who was a keynote speaker at the AAPSW conference, is considered an international expert in contouring the gluteal region. He spoke on using an individualised approach in buttock enhancement, and discussed his buttock lifting technique that can be performed following a circumferential tummy tuck without the need for further scarring. For the upper body, breast augmentation can sometimes be sufficient to counter the heaviness and sagginess resulting from massive weight loss. Oftentimes it is used to return shape to a flattened, sagging breast, but if it is combined with mastopexy (breast lift surgery) it can raise the breasts to a more aesthetically pleasing position. In other patients, breast reduction may be more suitable following weight loss, and again this can be combined with a mastopexy to achieve the best results. Notably, a mastopexy can help reduce the appearance of back rolls, or sagging skin on the sides and back of a weight loss patient. By pulling the tissue upwards, and excising a significant amount of skin in the process, breast lifting can also smooth, lift and tighten the skin around the patient’s rib cage. Brachioplasty is a procedure to improve the appearance of the upper arm. During the procedure, an incision is made on the inner surface of the upper arm, from armpit to the elbow. Liposuction is used to aid in the removal of fatty tissue, and sutures are placed on the muscle to smooth and define the shape of the upper arm. As in other surgeries, excess skin is cut away before stitches are used to close the incision. In some patients, sometimes on account of weight gain, the mons pubis – the fatty tissue over the pubic bone – can become bulky or saggy. It is an area that is very difficult to reduce with diet and exercise, and cosmetic surgery is often required to make a noticeable difference. In some cases, liposuction alone can be sufficient in achieving effective results. Sometimes, however, particularly where there has been excessive weight loss, excision of tissue is also required. In this, an incision is made – generally along the pubic hairline – and the excess skin and tissue is removed. The result is a flatter, tighter and lifted pubic area. The mons pubis area is usually always addressed during abdominoplasty, however can be treated as a separate procedure. Body contouring surgery can significantly improve the look of skin folds and laxity following massive weight loss – helping to boost body confidence and maximise weight loss results. csbm 60 www.cosbeauty.com.au
feature 8WAYS TO KEEP THE WEIGHT OFF 1. Less is more It’s not uncommon to put on weight during winter – more food, heavier meals – so it’s time to make healthier choices. By eating smaller meals more often, you will boost your metabolism and help clean up your diet. FORGO HIGH-FAT TEMPTATIONS AND TURN TO NUTRITIOUS OPTIONS INSTEAD. YOU’LL NOT ONLY FEEL HEALTHIER BUT IT WILL GIVE YOU MORE ENERGY TO GET MOVING! AIMÉE SURTENICH REPORTS. 2. Healthy colour One of the best ways to lighten your diet is to add fresh fruits and veggies in a wide variety of colours. Choosing berries, melons and leafy greens to mix into your balanced meal will increase your intake of essential vitamins and antioxidants, helps prevent disease and will also increase energy levels. 3. Keep snacking A successful diet is not about cutting back on food, it’s about eating sensibly throughout the day so you’re not starving at the end of it. Eat fi ve small meals every day including some healthy snacks such as nuts and fruit. 4. Fresh is best The secret to a fl avourful and healing diet is to emphasise foods that are as fresh as possible. Autumn’s offerings include new-season apples, rhubarbs, pears, quince, Asian greens, spinach, pumpkin and nuts. 5. Detoxify Antioxidant-rich vegetables and adequate protein are needed for the removal of toxins from the system and enhance the liver’s natural detox process. They’ll also help your immune system to ward off colds and fl us. 6. Keep meals simple Enjoy the merit of simplicity. By using just a few fresh or seasonal foods and no processed foods, easy, uncomplicated dishes take on the taste of gourmet. 7. Water yourself Make a concentrated effort to drink purifi ed water often throughout the day, especially between meals. We need even more water when the body is fl ushing out excess toxins. Alcohol, hot drinks and juices don’t satisfy the body’s need for water: instead, they stress blood sugar and liver function and lead to weight gain. 8. Get motivated to exercise If you fi nd you’re slow on giving up some of your dietary indulgences, try making your way to the gym a couple more times a week. It will motivate you to eat healthier so you’re not working out for nothing. csbm www.cosbeauty.com.au 61
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