Shankar Lakshman, MD
Board Certified Plastic Surgeon

Call Today: 1(626) 683-9080

Southern California

Tummy Tuck or Liposuction in Pasadena

November 17th, 2011 admin

Pasadena Tummy Tuck Or Liposuction, Which One Is Right For You?

A tummy tuck removes fat AND excess skin.  Liposuction removes fat ONLY and relies on skin contraction and scarring beneath it to change the body contour.

If your skin is loose, with stretch marks, then a tummy tuck is indicated. The extra skin will not go away with liposuction and will in fact probably get worse.

If your skin is reasonably firm, with good elasticity, and the main problem is excess fat beneath it, then liposuction will work well.

In certain cases in which there is both loose skin and excess fat, both liposuction and tummy tuck can be done at the same time.

Here, I present two cases. The first before and after shows how well liposuction alone works in the right candidate.  The second before and after shows the results after tummy tuck.

Pasadena Liposuction Before and After

Liposuction Before and After

 

Pasadena Tummy Tuck Before and After

Tummy Tuck Before and After

Pasadena Breast augmentation under or over the muscle?

November 17th, 2011 admin

 Breast augmentation: should your plastic surgeon go under or over the muscle?

The decision to go over or under the pectoralis major muscle when performing breast augmentation is a hotly debated topic amongst plastic surgeons.  Recent studies reported that capsular contracture or scarring around the implant was decreased when performing breast augmentation under the muscle.  While this may be true in some situations, it may also cause deformities such as the “double bubble.”

When there is enough breast tissue, I like going over the muscle.  There is less distortion of normal anatomy, less pain, and a more natural appearance. I find that there is no significant difference in capsular contracture especially when following my special exercises after surgery.

When patients have very flat breasts with little tissue, I recommend performing breast augmentation under the muscle. This provides the needed padding between the implant and the skin to avoid feeling and seeing the implant edge.

Breast augmentation over the muscle

Breast Augmentation Over The Muscle

 

 breast augmentation under muscle

Breast Augmentation Under The Muscle

Hand Rejuvenation in Pasadena

November 17th, 2011 admin

Pasadena Hand Rejuvenation, Simple, Effective and Long Lasting

You have put in the time and effort to keep your body and face looking young.  You’re in the best shape of your life, feeling better than you did in your twenties.  You have watched your diet and are exercising regularly, even introducing weight training into your regimen.  Your muscle tone is like that of a college co-ed.

But when you reach out to shake someone’s hand, it is the telling sign of your age.

We communicate our youth and our vitality to the world with our hands.  The hands are an important part of non-verbal communication. Should we not pay the same attention and love to the appearance and health of our hands?

Fortunately, hand rejuvenation is simple, effective, and long lasting.  The hyperpigmentation, discoloration, and uneven skin tone can be treated with creams and resurfacing techniques such as chemical peels.  The loss of fat, collagen and volume that lead to the “gnarled” or “witchy” appearance of the top of the hands can be treated with fillers such as Radiesse ®.

The results are what you expect.  Youthful hands that reflect your youthful body and mind.

pasadena hand rejuvenation

Hand Rejuvenation Before and After

 

Mommy Makeover in Pasadena

November 17th, 2011 admin

Pasadena Mommy Makeover, Am I Ready For My Procedure?

Childbirth is one of the most satisfying experiences a mother can have but the physical changes afterward can be disappointing.  The skin becomes stretched and loose. Stretch marks can extend above the belly button and around the hips. The breasts droop and the nipples enlarge and point downward.  Clothes don’t fit the way they used to.  Exercise and crunches have no effect on the loose skin.  And you haven’t even considered wearing a two-piece bikini in years.

All of these changes can be addressed by your plastic surgeon with one procedure: the mommy make over.  The breasts are lifted, the loose tummy skin is removed, and the sides are liposuctioned.  The incision is placed low so that even two-piece bikinis can be worn.

The women that have had the mommy makeover procedure tell me that it changes their life. They have a newfound confidence and social poise. They are not afraid to wear form-fitting styles and are even ready for that “triangle white bikini”.

mommy makeover pasadena

Actual Patient - Mommy Makeover Before and After Photo

Please contact our office with any questions or comments, 626-683-9080.

Dr. Shankar Lakshman