Patients frequently ask if it is better to lose weightbefore having liposuction. The answer to this question is directly linked towhether or not a patient is an appropriate candidate for liposuction. In thepast, patients who did not fall within 10-15% of their ideal body weight wereturned away from the procedure and instructed to lose the weight first.  This is no longer the case when curvesare back in style  and being a fewpounds away from your ideal body weight is in. Liposculpture, the newest trendin liposuction, allows for the coupling of liposuction with lipotransfer. 

You are a candidate for liposculpture if you have pockets ofexcess fat in particular areas, even if you do not fall within 10-15% of yourideal weight.  Keep in mind thatliposuction is not a substitute for weight reduction; it is a method ofremoving localized fat. Liposuction is a technique to remove unwanted fat deposits from specificareas of the body including the chin, neck and cheeks, the upper arms and abovethe breasts, the abdomen, buttocks, hips and thighs and the knees, calves andankles.  It essentially eliminatesthe bulges and brings the areas that are “liposuctioned” into a balance withthe untreated surrounding areas. Lipotransfer on the other hand is a techniquethat allows your surgeon to enhance areas that need enhancement by injectingthe liposuctioned fat into fat deficient areas.  With lipo-sculpture, you may want to lose the weight at somepoint yet it does not matter whether you do it before or after thesurgery.  You should be physicallyhealthy and psychologically stable and have firm elastic skin which will resultin a better final contour. Since lipotransfer in simple terms means taking thefat from areas you don’t need it to be in and delivering it to where you do(your face or your buttocks), you don’t need to be your ideal weight to be acandidate for lipo-scultupre. Lipo-transfer is a way to enhance areas that needenhancement, combining it with liposuction is true lipo-sculpture. Lipo-sculptureis completing liposuction which is essentially a sculpture procedure at apatient’s ideal body weight.

In the hands of a plastic surgeon with artistic skills and adequatelytrained in body contouring, your trouble areas will not only disappear, theycan be useful in adding to your appeal with an improvement in contour that willpersist for some time even if you lose or gain a few pounds later . Actually patients who gain a few pounds(emphasis on few) will have apersistent improvement in the contouring effect of the procedure because thenew pounds will end up getting evenly distributed in your body instead of goingback to the old bulges.  

A board certified plastic surgeon performing liposculpturecan turn patients who are more than10-15% of their ideal body weight intoappropriate candidates for liposculpture. Although liposculpturecan enhance your appearance and your self-confidence regardless of your weight,it will not necessarily change your looks to match your ideal, or cause otherpeople to treat you differently. Before you decide to have surgery, thinkcarefully about your expectations and discuss them with your surgeon.

Look at today's celebrity bodies, and you'll notice thatParis Hilton’s model thin body can no longer compete with Kim Kardashian’scurves.  With liposculpture, yourphysician can shift those pounds to where they can enhance instead of detractfrom your shape. Theconcept is simple, skinny is out and curves are in. Coupling liposuction withlipotransfer is liposculpture. A new way you can look good this summer nomatter how much you weigh.

Breast Implants: Fact and Fiction 

Luxxery Cosmetic Medical Boutique

http://cosmeticsurgerytoday.wordpress.com/2009/12/25/doctors-say-more-politicians-turning-to-plastic-surgery/

http://www.harleymedical.co.uk/media/2009/12/17/are-american-politicians-cosmetic-surgery-fans/#more-920

While plastic surgery procedures and cosmetic enhancements are generally expected for celebrities and those in the media spotlight, some doctors are finding that more politicians are saying “yes” to going under the knife.

According to Dr. Ayman Hakki of the Luxxery Cosmetic Medical Boutique in Waldorf, Maryland, it’s interesting to note that a number of politicians have already had some type of cosmetic enhancement in order to preserve their youthful looks.

Dr. Hakki points out that Secretary of State Hillary Clinton has had Botox injections in her forehead, Vice President Joe Biden has had hair transplants, California Governor Arnold Schwarzenegger has had a partial facelift, and Speaker of the House Nancy Pelosi has had both a neck lift and a face lift. (Source:  ThePlasticSurgeryChannel.com)

Experts say that election time is “peak season” for many plastic surgery procedures, but there is still a lot of stigma around the idea that certain politicians may come across as vain instead of coming across as friendly, youthful and healthy.  In these cases, politicians do their best to hide it.

According to board certified plastic surgeon Dr. Cap Lesesne, “patients who were politicians and who had cosmetic procedures every six months instead of all at once [would] avoid arousing any suspicion.” (Source: ABoardCertifiedPlasticSurgeon.com) Still, others believe that it would be better for politicians to just admit that they are having plastic surgery.

Cosmetic procedures continue to be an attractive option for individuals that want to maintain a healthy and youthful appearance, combat the signs of aging or improve their silhouette after weight loss. Some of today’s most in-demand procedures include breast augmentation, facelift surgery, rhinoplasty (nose job surgery) and liposuction. Minimally invasive procedures that continue to be on the top list of coveted procedures in the United States include Botox injections, injectable fillers, laser skin resurfacing and cellulite treatments.

http://www.glittarazzi.com/blog/2009/12/10/modern-luxxery/#more-4059

Plastic surgeon Dr. Ayman Hakki recently celebrated the launch of his cosmetic medical boutique, Luxxery, with friends and VIPs at a benefit for Zonta International.

Jazz musician Marcus Johnson was on-hand performing hits from his new album, Poetically Justified; celebrity hairstylist David Palmer coiffed the hair of guests as they enjoyed wine from Tarara Winery; and photographer Nakeva Corothers took lots of great pics (check them out, after the jump).

Also, at the event, Dr. Hakki announced the opening of Luxxery’s second location in downtown Washington, D.C., in 2010. (We can’t wait!)

http://washington.bizjournals.com/washington/blog/breaking_ground/2009/12/plastic_surgeon_to_open_dc_office.html

The Waldorf location is holding an invite-only party on Dec. 5, with jazz musician Marcus Johnson and hair stylist David Palmer. Guests can get anti-aging tips and answers to questions about new cosmetic surgery trends. 

AS SEEN IN YOURHEALTH MAGAZINE:

What happened to your pouty lips? Is that a sign of an aging face?

Yes, say the experts. 

Here are the telltale signs of an aging mouth, and they happen simultaneously:

• Your upper lip lengthens and flattens

• Your lower lip loses volume and develops a horizontal groove

• The corners of your mouth droop

• Your lip line, the white roll at the border of your lips thins and rolls in

• Your “nasolabial folds” , between your checks and your upper lip deepen and create parenthetic like furrows

• Your “marionette folds”, at the lower corners of your mouth turn down and create a bitter like look

A facelift can correct the laxity of your neck and cheeks. 

A browlift can correct the laxity of your midbrow. 

Eyelid surgery can reverse the process. Fat transfer into your face can compensate for the slowly disappearing fat all over your face and around your mouth. 

But if your mouth looks old, you would still look old in spite of all your efforts.

Few procedures in the world of contemporary cosmetic surgery have enjoyed such popularity as lip augmentation. Defining and accentuating the lips in an aging mouth or simply creating voluptuous lips in a youthful mouth is and has been all the rage since the 1990’s. 

Fuller lips are associated with youth, and today’s fuller lips are created with injections directly into the lips. The techniques to doing so vary, but what remains constant is your search for a physician with an understanding of your lip anatomy and the ability to maintain the natural proportions of your lips. The top choices for lip augmentation and rejuvenation of the aging mouth by way of direct injections into the lips are either autologous fat transfer (fat harvested from your own body) or the more popular injectable fillers such as hyaluronic acids.

Involving little or practically no downtime hyaluronic acids such as Restylane, Juvederm and Prevelle Silk (contains lidocaine to reduce pain) are the top choices for lip filling. A commonly used approach is combining some of the mentioned fillers for best results. Although hyaluronic acids tend to have a less permanent result, the so called permanent fillers (silicone oil, implants) are not a good option. A permanent filler in a constantly changing face and a mobile mouth will look good today and disastrous tomorrow.

What else should you consider for your “lip service”? If your mouth is aging, and you are not ready for surgery, there is almost no way out of fillers. Keep in mind that when you are looking at an aging mouth, you are also looking at an aging neck and chin and you may need a facelift. If on the other hand you are younger and simply want an Angelina Jolie like pout, don’t get filler-happy and over do it because lip injections is not a one-size-fits-all procedure and sausage like overfilled lips become a joke.

So what’s a girl to do?

Do your research, be a well informed patient, set realistic expectations and most importantly, choose your experts wisely and then..Be on your way to pouty lips.

Celebrity Do’s anD Don’ts

A common misconception in today’s world of plastic surgery is that artificial fillers such as Juvéderm, Restylane, Radiesse, and Evolence are the best way to immediately rejuvenate the face without going under the knife. While this may be true in smaller doses, overtime the results create a plastic, plumped, and overdone look.While celebrities and Hollywood starlets have abused and over-used artificial fillers, American icon Madonna took all the right anti-aging steps and looks fantastic. Though she doesn’t admit it, her high cheekbones and plump lips are probably the result of an under-appreciated but cutting-edge procedure called Adipose Accentuation. At age 50, the untrained eye would never detect her youthful appearance is the result of plastic surgery. Adipose Accentuation can be best described as an anti-aging filler that shifts fullness from one area to another using the patient’s own organic and natural fat. Commonly practiced in the face or buttock region, This is the ideal filler and the latest trend in organic anti-aging procedures. For plastic surgery to be transcendent, three things must occur: the result must be less plastic and more natural, the intervention must be minimal with fewer incisions, and the result must be long lasting. During Adipose Accentuation, a portion of the fat removed from one part of the body is reintroduced to a different site. Amazingly, advances in modern science have shown that this also transfers stem cells into those areas, which mimic cells they come into contact with and actually create new fat, bone, and skin cells. As a result, the fullness of the cheeks, lips, or buttock region is brought back to its youthful appearance naturally. The fat transfer results not only in fullness, but rejuvenation of the skin on a cellular and microscopic level.