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One of the common things that I see as a dermatologic cosmetic surgeon for over the last 25 years has been patients who have a lack of proportion. This means that one area sticks out more than the others and makes the person more self conscious of the areas. It often causes difficulty when shopping as the person might be, for example, a size 22 on the hips but a size 12 on the waist. Difficulties in proportion often relate to large outer thighs or large hips but can really relate to any areas of the body. Men also find that man boobs and gynaecomastia can cause them to be out of proportion. The photograph in this section shows a lady who has a fairly small chest compared to her body shape and a large area on her hips and outer thighs that give her the pear shape.
It is the combination of lack of volume on the upper body with excess fat in the lower body that has given her a proportion shape that she dislikes. In this situation, I have elected to do a combination of procedures. Firstly, we are going to use a saline implant placed deep under the muscle to increase the projection and volume of the breast. She is currently a size B. We will be placing 450 mL in each breast in order to bring her up to approximately a size D. The lower part of the body will be treated with tumescent liposculpture. One can see by the blue marks what our end goal would be to try and remove the outer thighs and hips. She also has irregular areas of excessive fat on the inner thighs which contributes to the heavy look of the lower body. Liposculpture in this situation is being used in conjunction with a breast implant to give the body the most harmony.
Harmony is really the goal in cosmetic surgery to make the body appear as it is all in unison and that each area fits with the other. This goal for harmony is also an appropriate yardstick when looking at facial rejuvenation. Sometimes, patients have a flat chin which is out of proportion and harmony with the rest of the cheeks. Injection in the chin of hyaluronic acid would give this more proportion. Sometimes it is just the opposite. A person may have a long nose and a long chin and one would not want to change those proportions. Proportions do change with time as the face ages and the eyelids droop and the cheeks sag. The proportions that may have been there in youth now change. This needs to be addressed with fillers and cosmetic surgery. One of the classic areas of proportions is the upper and lower lip. Ideally, the lower lip is slightly bigger than the upper lip. With aging sometimes the reverse happens and the proportion needs to be corrected. Another area where we look at proportions is from the cheek bones down to the lower part of the face. Some people do look at complicated mathematical diagrams to try and work out what is the ideal face. I do not believe that there is any true mathematical formula, as everyone’s face is different. The ideal face has more of an oval shape rather than a reverse triangle. With aging, sometimes the oval becomes a reverse triangle where there is white on either side in the areas of the jowl. It is more appropriate to look at the patients overall facial features to come up with what is the correct proportion for that patient. Surgery is the individual situation and no 2 faces are the same. Proportion and harmony is a goal that every cosmetic surgeon would be utilising when assessing and deciding what should be performed both on the face and in body liposculpture and breast implants. People often ask me, “What is the cost for getting a harmonious body?” It is very difficult to answer that question without seeing a patient and really assessing what are the specific areas that need to be treated.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person's experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.
Some before and after photos shown are not exact, in that they vary in light, contrast, clothing, background, distance from camera, hairstyle and make-up.