Yan's Cosmetic Surgery & Skin Center

Body Contouring

BREAST AUGMENTATION

Breast augmentation involves the use of implants to create fuller breasts. It can be used to restore breast volume after weight reduction or pregnancy.

We use the latest surgical technology from Japan which gives a natural appearance of the breasts and good tactile sensation. We also advocate innovative endoscopic techniques to minimize tissue damage and bleeding.

The innovative endoscopic breast augmentation procedure is performed with the use of an endoscope, a tiny camera that produces images of the area through an incision made in the armpit. High definition video of what is happening is displayed on a screen so that the surgeon is able to see the area on which they are performing the surgery, they are better able to place the implant, and create a pocket with less bleeding and trauma hence will minimize recovery time and the risk of complication.

Implants

Saline or silicone implants are most commonly used for breast augmentation. Both materials are safe and are FDA approved.

The latest silicone implants by Mentor.

Surgical Procedure

Incisions are made in inconspicuous areas to minimize visible scarring. Through the skin incision, a breast implant is inserted into a pocket either directly behind the breast tissues, or underneath the chest muscles. Your doctor will discuss with you the incision location and implant positioning appropriate for you.

(Photo supplied by MENTOR)

Incision locations include:
1. Under the armpit (favored technique for orientals)
2. Around the areolar
3. Under the breast

Post-operative care:
‧ Wearing compression garment is mandatory.
‧ Avoid exercise and excessive upper arm movement for a few days.
‧ Do not wear wired or push-up bra..
‧ Full recovery is expected after 3 wks.
‧ The new textured-surface implants require no post-operative message.

NIPPLE/AREOLA REDUCTION

Oversized nipples can be an embarrassment, and areola can be enlarged during pregnancy and lactation. Nipple and areola reduction surgery is a safe and easy way to address these problems permanently.

Nipple reduction involves the removal of a cylinder of skin around the neck of the nipple, and then pushing the nipple back into the breast tissues with suturing the skin closed.

Areola Reduction is done by removing some of the pigmented areola, by a circular incision around the outside of the areola.

LIPOSCULPTURE & LIPOLYSIS

Liposuction is the removal of excess fat deposits from specific areas of your body. Fat is removed by inserting a small hollow stainless steel tube (called a micro-cannula) through one or more tiny skin incisions, with the assistance of a powerful electric vacuum

The MicroAire Power Assisted Lipoplasty (PAL®) Device uses a 2-mm reciprocating movement at a turbo speed (4000 cycles per minute) to facilitate the movement of the cannula in tissue. No heat is generated by the instrument and more fat tissues can be removed evenly and at a higher speed.

A plasmalight liposlysis is a new laser lipolysis which is patented in Japan. It has a fast recovery time and makes patient comfortable with local anesthesia. It can be used especially for small areas such as face, below the chin, arms and ankles more effectively by a very simple and fine technique. In addition, it smoothes and tightens the skin to improve laxity of skin by plasma light heating to epidermis and collagen remodeling effect.

Common body areas treated with lipolysis

BODY SCULPTING INJECTIONS

1.Autologus Microfat Grafting

Autologus Microfat Grafting can be used to restore volume and contours body surfaces. The body areas that can be injected are breast, buttocks,calves and concavities after liposuction.

New techniques of Autologus Microfat Grafting have been developed in recent years,ensuring a better survival rate of grafted fat cells and hence better results. These include:

1. The bodyfat is removed with very gentle, low-vacuum liposuction. The fat cells are then centrifuged,purified, and then re-inserted throughout the tissues for grafting so each fat cell will have a good blood supply.

2.The fat cells from your own body can be used to enhance fullness of the cheeks and lips, or to augment the breasts or the buttocks. Because it is tissue from your own body and no allergic reaction will be involved.

3. Recent changes in technique of harvesting and injection, by using a specially designed small bore harvesting and infiltation cannulas, can protect the living fat cells. With this minimally invasive technique, the patient's face can be reshaped without the prolonged downtime associated with the more invasive techniques.

4.Human adipose tissue is a source of multipotent stem cells. These cells have shown the ability to improve long-term fat graft retention by secreting key growth factors that enhance blood vessel formation and promote cell survival. A procedure that combine of fat cells and autologus stem cells ,known as" Autologus cell enriched fat grafting", have be shown a higher potential for graft acceptance and retention than traditional fat grafting procedures, along with reduced swelling and bruising in the donor sites. Besides, stem cells can promote better skin tissue regeneration and healing, giving a long-lasting double benefits for facial rejuvenation.

Fat grafting for breast augmentation(image courtesy of Dr. Coleman)

Autologus microfat grafting

2.Stabilized Hyaluronic Acid Fillers

Macrolane™ is a NASHA (nonanimal stabilized hyaluronic acid-NASHA gel), a naturally degradable hyaluronic acid for non-invasive injectable treatment that will last for around twelve month. Macrolane™can instantly restores lost volume, to enhance body appearance as well as being used for scar reduction and to treat concavities after liposuction. Many tests have been done since 2002 and as yet there no known long-term problems. Trials are still ongoing in several other countries for long-term safety.

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