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Plastic Surgery: Services


with or without SmartLiposuction

Traditionally, plastic surgery to tighten up the midsection would be a tummy tuck, with or without liposuction. It’s a popular procedure, especially for women who have loose skin or trouble getting rid of stubborn stomach fat.

However, for those that are physically fit and only have a small amount of excess fat or skin, or may not want to undergo major abdominal surgery, a tummy tuck may not be right for them. At VivreSKIN Repair Clinic, Cosmetics Surgeon, Dr. Edsel Antonio is one of the first physicians in New Jersey to pioneer a much safer and less invasive surgical procedure for those that cannot or may not want to resort to a traditional full tummy tuck. At VivreSKIN, a mini tuck can be done in office with tumescent anesthesia or at our surgery center under conscience sedation. 

What is a Mini Tummy Tuck?

A mini tummy tuck is very similar but less invasive than a full tummy tuck, just performed on a patient with less fat and skin to remove. (“Mini” refers to the amount of fat and skin removed.) During a mini tummy tuck, Dr. Antonio will make a small incision similar to the incision made during a cesarean section. Through this incision, removes excess fat, and removes excess skin to flatten and smooth your abdominal wall. The incision, typically just a few inches long compared to the traditional hip-to-hip surgical scar, will be made along your bikini line. Scars from this procedure are small and easily concealed by underwear and swimwear. There is also less scarring because, unlike a full tummy tuck, your belly button will not be moved or reconstructed. Another major difference is that during a full tummy tuck, the abdominal muscles are being cut into than corseted while a mini tuck, the muscles are not touched during surgery, hence making recovery simple, easy and much more comfortable. 

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Also known as Vaginal Rejuvenation, this aesthetic vaginal surgery aims to tighten lax muscles and tissues and remove excess vaginal skin to narrow the diameter of the vagina resulting in a smaller and tighter opening and vaginal canal. The tightening is done in the entire length of the vagina and not merely the opening few centimeters. Dr. Antonio does full depth repairs unlike the superficial perineoplasty repairs done by most plastic surgeons and gynecologists. Traditionally, this can be done in the surgery center under general or spinal anesthesia or under local anesthetic with some sedation. However, Dr. Antonio has refined the in-office vaginal rejuvenation surgery that does not require an IV with local anesthesia. He use the Ellman Surgitron Radiofrequency device to make exceptionally precise and minimally traumatic incisions. This method is dramatically less destructive than the use of Yag lasers. It takes about 60 minutes to perform. Many advertise this procedure for the “Enhancement of Sexual Gratification” as well as a cosmetic procedure.

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The visible area between the vagina and the rectum is called the perineum. This is the region where episiotomies are cut and where tears during childbirth are most common. Perineoplasty (or Perineorrhaphy) aims to make this region appear normal by excising excess skin, loose skin tags, and suturing the underlying muscles or the perineal body closer together to give a more snug feeling in the introitus or vaginal opening. Most plastic surgeons who perform vaginoplasty surgery are actually performing perineoplasty surgery, a more superficial procedure that does not tighten the entire depth of the vaginal canal. This procedure has been advertised by many to “Enhance Sexual Gratification.” The procedure almost always accompanies vaginoplasty since you are working in the same area. This procedure takes 30 minutes to perform.

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Labia Minora or Majora

Labiaplasty Minora

This surgery is for the removal of excess, floppy, or uneven labia minora (smaller interior vaginal lips) that often causes chronic irritation, rubbing, or discomfort during sexual intercourse. Many request this surgery to eliminate the appearance of a bulge with certain clothing such as wet swimsuits or leotards. The term “Labiaplasty” can also relate to the cosmetic surgery of the labia majora (larger outer lips) to make it less prominent and saggy. Labias can grow large with estrogen stimulation at puberty and pregnancy and with the effects of gravity with aging. Labiaplasty is done in the operating room and in the office under local anesthesia at dramatically decreased costs. The Ellman Surgitron is also the tool of choice. It is dramatically less destructive than lasers often advertised. This procedure takes 60 minutes to perform.

Labiaplasty Majora

The broader outer lips of the vulva can be enlarged with excess skin and tissue. This enlargement can cause an embarrassing bulge in pants, swimsuits, or leotard. It can also increase the discomfort of sweating in the vulva. The labia majora may be enlarged from birth, secondary to childbirth, or due to aging. Many women also find quite a large and droopy labia majora after major weight loss such as post bariatric surgery. Dr. Alinsod has refined his technique over the years to safely reduce the size of the labia majora by exicing a crescent shaped portion of the inner portion of the labia majora. The scar is hidden in the crease between the inner and outer labia. Labiaplasty is done in the operating room and in the office under local anesthesia at dramatically decreased costs. This procedure takes 60 minutes to perform.

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Excess skin on the sides of the clitoris often causes the clitoris to look enlarged or uneven. Genetics, estrogen, and testosterone exposure can make significant changes in the way the clitoral area appears. A labiaplasty itself may result in the appearance of a relatively larger clitoral area since the excess labia have been removed drawing the eyes to the clitoral region. Dr. Alinsod offers an exceptionally precise surgery for women seeking to improve the aesthetic appearance of their genital area by excising the extra folds of skin lateral to the clitoris. The clitoris itself and its nerves are never touched. This is NOT clitoral mutilation or clitoral un-hooding. Clitoral Hood Reduction is done in the office under local anesthesia. The procedure takes 30 minutes to perform.

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This surgery is the reconstruction of the hymen. Cultural, religious, or social reasons predominate when this surgery is contemplated. Hymenoplastyis performed to make the patient appear virginal. It works for women who have not had vaginal deliveries, and preferably, in those who have never been pregnant. We take advantage of the Ellman Surgitron to make extremely precise incisions into the vagina and remnants of the hymeneal ring to bring them into close approximation to allow delicate sutures to hold the tissues in place. Once healed, the act of sexual intercourse can result in bleeding when the hymen is torn or stretched. Hymenoplasty is done in the office under local anesthesia. This procedure takes 60 minutes to perform.

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A vagina that looses its support may come down and out into the open air. The degree of vaginal prolapse may vary from just having the top fall down a few centimeters to ones that completely go inside out. If a woman still has her uterus then this is called a uterovaginal prolapse. If only the uterus falls out and the top of the vagina is still well suspended then it is called a uterine prolapse. Vaginal vault suspension can be done in many ways. Some physicians prefer an abdominal approach to attach the top of the fallen vagina to the sacrum. Some highly skilled surgeons do this laparoscopicaly. The procedure is called a sacralcolpopexy. More often a vaginal approach is performed. The top of the vagina can be sutured to the uterosacral ligaments or to the sacrospinous ligaments. Either approach works well with different complications to consider. A newer procedure called the Posterior IVS (Intravaginal Slingplasty) has been developed in Australia and New Zealand, popularized in Europe, and now approved in the United States. This vaginal approach uses a polypropylene mesh that is attached to the top of the vagina and suspended “tension-free” via two small incisions near the anus and one incision in the vagina. You can view this procedure in my Video Library. The success rates of all methods are approximately the same at 80 – 90%. Vaginal Vault Suspension is done under general, regional, or local anesthesia in the surgery centeror operating room. Vaginal Vault Suspension takes 60 minutes to perform. Most insurance companies cover this procedure.

Plastic Surgery: Text
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