A panniculectomy is removal of the pannus which is the central lower porton of the abdominal skin and fat. This is often covered by insurance due to hygiene issues. A belt lipectomy is removal of skin and fat 360 degrees around the lower abdomen and back like a belt. This is often performed after massive weight loss and is not typically covered by insurance.

In some cases very superficial injections of hyaluronic acid may be removed by making a small opening in the skin and expressing the material.  If the injection was placed deeper into the usual tissue level, then injection of a material called hyaluronidase may cause the filler to dissolve and probably works best in the first week or so after the hyaluronic acid was placed.  At this time, I believe that injection of hyaluronic acid for buttock enhancement would be considered an "off label" use, as the material is generally used in the face for wrinkle treatment and loss of tissue volume. Considering the volume of hyaluronic acid that would be required for any buttock enhancement, it would likely be very expensive to use fillers for this purpose.

Exercise will not increase your tone. Exercise increases the tone of muscles but it does not affect the tone of the subcutaneous tissue (fat). I do not believe further surgery will increase the tone either. I do not know of anything that will increase the tone of the skin, short of perhaps laser, which would create damage to the dermis and allow for some contraction.

You may have Fraxel treatment before the Juvederm is dissolved.  However, the Juvederm absorption may occur more quickly and conversely; the Fraxel treatment might be affected for the worse.  I would recommend having the treatments separately and allowing for the complete absorption of the Juvederm.  Good luck!

I recently performed this combination of surgical procedures on one of my patients. The surgeries were performed in a fully accredited surgery center and took approximately 2 ½ hours. During surgery the appropriate preventive measures were taken to minimize the risk of blood clots. The patient faired very well. There were no post-surgical problems. I see no problem performing multiple surgical procedures at the same time as long as the surgeries do not take too long. A thorough preoperative evaluation is needed prior to undertaking any surgery of this nature. A medical clearance from your private physician as well as the appropriate blood work would be required before performance of this surgery.

I think that any person should have the opportunity to obtain surgery that will give her a better look. However, authorization and clearance for surgery must be obtained from your cardiologist before any plastic surgery procedure can be performed. Your cardiologist will do a stress test and any other tests that are deemed necessary to provide clearance for the procedure from a cardiac standpoint.

Treatment of an inverted nipple can be surgical or nonsurgical. An inverted nipple can be a sign of breast cancer, so your plastic surgeon will perform a thorough history and physical examination, and be looking for any signs of breast cancer. You may have a mammogram and/or ultrasound of the breasts.

The nonsurgical treatment is placement of a nipple ring that will help evert the nipple and cause internal scarring, to promote keeping the nipple everted. Surgery involves dividing the ducts, that are tethering the nipple, and once the ducts are divided, the nipple will often stay everted.