Our body contour approach seeks to refine shape and provide muscle definition, often using a combination of open surgery and liposculpture with a tireless attention to detail. We are often consulted for combination procedures, such as breast rebalancing or augmentation with abdominoplasty, or mini – abdominoplasty, and thigh lift – liposuction combinations. Our approach to these bespoke surgeries is to deliver maximum effect for minimum discomfort and hidden scars. We use contemporary proven technologies, such as ultrasound guided liposculpture where required, and have assessed and incoporated newer technologies where they have a place.

All our body contour surgeries, including limb redefinition surgeries such as brachioplasty (arm reduction), and thigh lift, are planned meticulously, and undertaken with excellent anaesthetic support for maximum post operative comfort. We provide a programme of advice for postoperative recovery, and support garments to keep you comfortable and to sculpture postoperative swelling.

Post-pregnancy body recontouring.

Post Weight Loss.

Procedures:

  • Post Pregnancy Body Contouring


    Our philosophy is to provide a comfortable and stable rejuvenated contour of the arms, thighs, abdomen and, where relevant, the breast. Often, this comes together under the banner of ‘post pregnancy body contouring’, and can be done in combination.

    Open surgery, where excess skin is removed and the underlying tissues are tightened and recontoured is often combined with liposuction approaches, where the body can be contoured and defined using natural skin elasticity for minimal scar volume reduction.

    An example of post – pregnancy body recontouring, with breast augmentation to treat a ‘slack breast’, a tummy tuck to treat skin excess after childbirth, and liposuction to abdomen and thighs is shown below:

    Post-pregnancy body recontouring


    Before

    After

    Before

    After

  • Abdominoplasty & Mini-abdominoplasty

    Combination abdominoplasty and liposuction are very rewarding in
    abdominal recontouring
    • our aim is a comfortable contoured abdomen, using open surgery and liposuction, with fitted post operative garments for a rapid recovery.
    • we contour the abdomen and umbilicus with discrete placement of scars.
    • diet, exercise and lifestyle matter!

    Abdominoplasty and mini-abdominoplasty techniques are valuable in treating post – pregnancy abdominal contour which is resistant to diet and exercise. Our assessment will advise which abdominoplasty technique is the best for you, incorporating, or substituting liposuction where required. We incorporate advice on diet and exercise, and use proven designs of post – operative garments, in combination with good nursing care for comfort and confidence. Where necessary, skin tightening techniques can be used for a complete, refined result. Breast and abdominal combination recontouring procedures are very rewarding and we will advise when and how they may help (see ‘Breast – body contour’).

    Before

    After

    Before

    After

  • Liposculpture

    Before

    After

  • Arm Reshaping

    Before

    After

    Before

    After

    After


  • Post Weight Loss Body Contouring

    If after diet/ exercise and/or bariatric surgery (gastric band, bypass, sleeve gastrectomy) the patient is left with uncomfortable folds of skin access then Mr Ragoowansi specialises in removal of the excess skin through thin, well concealed scars to restore shape, confidence and comfort.
    Prior to embarking on such procedures, it is advisable to achieve an optimum weight (BMI) which has been constant for at least 4-6 months. At your detailed assessment, a full examination including height, weight, body mass index and the grade of skin access is assessed together with your general health and fitness for surgery.

    Nikki’s Body Contour

    For those who have undergone bariatric surgery, Mr Ragoowansi prefers to liaise with the weight loss surgeon to obtain advice as the whether the patients weight has stabilised sufficiently following the procedure and that the patient is of maximal fitness (cardio/ vascular/ nutritional) to undergo the proposed plastic surgery procedure(s).
    The four commonest areas of request are inner arms, breasts (gynecomastia in men), anterior abdominal wall, inner thighs. However, Mr Ragoowansi’s expertise also extends into the lower face/neck rejuvenation (especially after massive weight loss) to treat neck and jowl laxity. To address the excess skin on the lower back and upper buttock a belt lipectomy delivers comfortable, natural results. A lateral thigh lift helps to address bulk, discomfort of excess skin over the lateral waist, hip and thigh.
    We usually advise carrying out 1 or 2 of the above procedures during a single sitting for general anaesthesia. The most common combination is breast uplift/ augmentation together with abdominoplasty.
    The inner arm reduction or brachioplasty procedure can be carried out in combination or as a solo procedure. The scar is placed along the inner arm with or without a short extension into the axilla:
    If the inner thigh reduction/ lift is usually the last procedure to be performed in the repertoire as it is the most extensive of all of the above mentioned procedures with a prolonged recovery period of between 8-10 weeks. The scar is sensitivity positioned within inner thigh with a short extension to the groin:
    The average length of operation of the above procedures is 4-6 hours with a 4-6 week recovery period (apart from the thigh lift which is 8 weeks) and the belt lipectomy which is 10 weeks. A compression garment is advisable during the first 4-6 weeks following the above procedure(s) to help with the healing process, minimise swelling and also to allow for comfortable healing.
    There is a relatively high satisfaction rate (85-95%) of the above mentioned procedures with only a low risk of complications such as scar healing, long length of scars (mainly in those patients with moderate to severe skin excess following severe weight loss), seroma (accumulation of fluid under the skin which needs to be aspirated), delayed healing (of scars within the axilla and inner groin), residual skin access (dog ears following abdominoplasty which are placed at times, on purpose, at times to minimise length of scars and asymmetry) despite precision markings pre-operatively and meticulous planning at surgery. Asymmetry can occur as it is difficult to guaranty the same period of recovery and grade of healing of either side (breasts, arms, thighs).
    Skin excess through weight loss can also effect other areas including the lower face, jowls, neck for which a subtle lower facelift is an appropriate procedure.
    For those patients who are deemed suitable for rejuvenation of more than 1 / 2 anatomical units, it is advisable to preserve a gap of 4-6 months between each procedure in order to allow for safe, comfortable healing and return to normal mobility prior to engaging with the perspective, preferred next procedure.


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