Abstract

Abdominoplasty is a very common procedure,
especially for patients with abdominal laxness, striaes, and
muscle rectus diastases. With the advent of liposuction
28 years ago, we can improve body contouring by treating
lipodystrophies in the epigastric, flank, trochanteric, and
buttocks areas. The procedure combining abdominoplasty
and liposuction is called lipoabdominoplasty. Many new
techniques have been proposed since these procedures were
introduced; we now revisit the superior pull-down
abdominal flap technique with several new modifications
and improvements.

Abstract

Non-surgical nasal rhinoplasty using hyaluronic acid (HA) is a technique that has been widely adopted due to its minimally invasive and reversible nature. Reshaping the nose with HA is becoming increasingly popular for its quick and safe outcomes, serving as an effective alternative for correcting minor nasal deformities. The proposed approach, named the Tip Up (TU) technique, focuses on strategic injection sites, specifically in the Nasal Tip region, Nasal Spine, and Columella, utilizing minimal amounts of the product to minimize risks and enhance the predictability of the results. Procedures are performed under anesthesia without vasoconstrictors to prevent ischemia, and careful selection of the product ensures subtle and precise corrections. This case series details all aspects of the TU technique, highlighting the satisfactory and predictable aesthetic results achieved through a safe and reliable procedure.

Abstract

Tummy tuck procedures continue to be one of the most popular aesthetic procedures for many patients after pregnancy or significant weight loss.  The standard abdominoplasty or lipoabdominoplasty procedures as are often performed tend to flatten the abdomen and alter the natural three-dimensional contour of the abdominal soft tissue by disturbing the discrete abdominal regions or forms.  Method: Since 2006, the author has been performing a modified abdominoplasty technique that he termed “High-Definition Tummy Tuck” since.  The underlying premise of this technique is a modified dissection approach that preserves the discrete abdominal forms inorder to retain definitions and manipulation of Scarpe’s fascia to enhance the three-dimensional contour of the abdomen, according to aesthetic principles.  Results: Since 2006, the author has performed over 1000 High-Definition tummy tuck procedures safely and consistently in non-bariatric and post-bariatric patients.  This presentation describes the principles, technique, results and fundamentals of this natural yet athletic abdominoplasty technique.  Conclusion:  High-Definition Tummy Tuck is a safe abdominoplasty technique that preserves definitions and contour of the abdomen to achieve an aesthetically pleasing three-dimensional abdominal contour without employing liposculpture or fat grafting.

Abstract

The Muscular Sculpture (MS) represents a revolutionary approach to body contouring developed over 20 years of clinical experience. This comprehensive technique achieves tight skin that optimally reveals muscular bulk, creating a masculine athletic physique with minimal observable scarring across all anatomical regions. Unlike traditional liposuction which is focused solely on fat removal, MS emphasizes muscular definition through strategic three-dimensional sculpting of the entire body silhouette.

Over two decades, we have refined a standardized six-step MS protocol applicable to all body regions: abdomen, chest, arms, lower extremities, and gluteal area. The technique includes: 1) progressive defatting; 2) muscular sculpture with emphasis on anatomical borders; 3) internal scar removal; 4) irregularity elimination; 5) dermal grasping for skin retraction; 6) final fat residue removal. Using customized cannulas (80 different types, 3-10mm  in diameter, varying lengths and tip configurations) with high-vacuum, high-flow liposuction systems, we create convex and concave zones that enhance natural muscular anatomy. The technique is applicable to normal weight, overweight, and post-bariatric patients seeking athletic definition.

Analysis of 20 years of MS procedures demonstrates exceptional outcomes with a 98% patient satisfaction rate maintained from short-term (1 week) to long-term follow-up (18+ years). Complications remain minimal with no major adverse events reported. Results show stable muscular definition with natural-appearing athletic contours across all treated anatomical areas. The comprehensive approach addresses the entire body as an integrated aesthetic unit, avoiding the disharmonious results often seen with isolated regional treatments.

Two decades of MS experience confirm this technique as the gold standard for body contouring, offering superior aesthetic outcomes compared with traditional methods. The ability to sculpt the entire body with consistent, long-lasting results addresses the growing demand for comprehensive body enhancement. Further research and technique refinement continue to expand the applications of this innovative approach to male and female aesthetic surgery.