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Case Study

Tummy Tuck Before And After Photos (9)

Other case studies


Genetics plays a big role in many areas of medicine, particularly cosmetic surgery. Genetics have played a role in lower eyelid blepharoplasty. Often, patients will come in saying that they have the same problem as their parents. Another common presentation is to say that they have noticed in their own photographs that they have started to look like their parents. I have seen this in liposuction of the neck, general ageing of the skin texture, heaviness of the eyes and lower lid blepharoplasty, large breasts, tendency for obesity, and general ageing. Genetics are usually not the only cause of the problem. Sometimes, there is a genetic tendency for some damage.

Therefore it is a combination of both sun or perhaps smoking that tends to age the skin. Those patients with genetic olive skin, such as from the Mediterranean countries, tend to get less wrinkling of the skin, while patients who are fair and have the Irish or English background, tend to get sun damage much more easily. I have performed many surgeries of mothers and daughters, sisters and brothers, where they have had similar problems. I can recall performing liposuction on 4 sisters which was actually published in the media on multiple occasions. They all had a similar problem of genetic tendency of large outer thighs, so called saddle bags.

They were all different sized, shape, and weight. Therefore, it was not an exact procedure. The larger ones needed to lose weight and had bigger areas, while the slimmer ones had small localised areas. Nevertheless, the fat predominantly was in the same areas. This was due to the genetic predisposition. Another interesting study that I once did was on 2 twins. When one twin saw how the other one looked, they decided that they wanted to have the same thing done. Obviously genetics played a major role in how they interacted in seeing each other’s problems. I wish to thank this very nice mother and daughter for allowing me to use the photographs of their face as it is very educational for what cosmetic and plastic surgeons face when they are presented with different issues regarding cosmetic surgery.

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Dr Lanzer has found that the best and most natural results can be obtained by combining multiple procedures. Each procedure is directed at a particular issue and thereby produces the best overall result. Dr Lanzer has found that combining a number of focused procedures he can obtain an excellent natural result.


Dr Lanzer has over 30 years of Cosmetic Surgery experience and is regarded as one of the leading Cosmetic Surgeons in Australia. Dr Lanzer is skilled in Liposuction, Breast Augmentation and many other Cosmetic Surgery procedures.

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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. Best results are obtained when the procedure is combined with a balanced diet and exercise.

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."


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