Want A Flatter Tummy?

Plastic surgery has come a long way over the past decade. Even the tummy tuck has had a makeover of sorts, with improved definition, natural belly buttons, and flowing S curves. Depending on where you are starting and your goals, there are incredible solutions to get you the best possible body for you.

“The more I practice, the more I get excited about what I can do for my patients.” – Dr. Michael Vennemeyer

Do you want a flatter tummy? You have probably tried hitting the gym and dieting on rabbit food without sustainable or sufficient results. A good reason to stop beating yourself up is knowing exercise does not tighten skin. Core toning exercises are important and helpful to looking good and being healthy, but they have no effect on shrinking your birthday suit. In fact, skin can deflate more as you lose weight if it has poor elasticity. If your skin has been stretched too far from weight gain or pregnancy (especially repeated cycles), the elasticity is diminished, degrading skin’s ability to shrink wrap to your smaller body.  Stretch marks and thin, crpey skin are common signs of this damage.

How can you get rid of extra tummy skin?

Abdominoplasty, or tummy tuck, directly removes extra skin so that it tightens around that area. Dr. Vennemeyer specializes in making the lowest scars possible (to hide in your underwear or bikini) and sculpting beautiful belly buttons. Some are hesitant about the scar and declare they would never get a tummy tuck for that reason. Before closing the door, consider the following: Would you be happier keeping your body in its current state for the rest of your life, or would you rather feel confident and look hotter with a scar that hides in your new bikini?

Most of our tummy tuck patients haven’t donned a two-piece in years, pre-abdominoplasty. They’re hesitant to even get their hopes up or admit they want to be able to wear one. One woman was so scar averse, she nearly didn’t have surgery, but she was so unhappy with her tummy she ended up proceeding. She scoffed about the fact she would be able to hide the low scar and remarked to Dr. Vennemeyer, “I’m 65 years old, I have no intention of wearing a bikini after my tummy tuck.”

Fast forward to her 6-week post-op visit, and the moment Dr. Vennemeyer walked into the room she burst out, “I bought a new bikini and I look AMAZING!” These are the moments everyone at Vennemeyer Plastic Surgery is passionate about sharing with our patients. We would rest our case, but we’ve only gone skin deep, so far (sorry for the cliché).

What happens to your abs during pregnancy or weight gain?

What about those core muscles? Pregnancy and weight gain force the six-pack muscles apart out of necessity to create more room in the abdomen. The muscles themselves retract well when you deliver the baby or lose weight; however, the fascia connecting them together does not. This is called a rectus diastasis—a separation of the six-pack muscles, and the effect is a bulging abdomen and larger waistline. Many women misinterpret this bulge as fat under the skin that can be removed with liposuction, so most try a boat-load of sit-ups, crunches and other tummy-torture. They are usually left feeling disempowered with a tighter bulge, as exercise tones the muscles, but fails to pull them closer together.

The solution is repairing the diastasis during your abdominoplasty. Dr. Vennemeyer stitches the rectus muscles back together, flattening your tummy, and narrowing your waist. The effect is like tightening a corset and you’ll see noticeable results.

Do you get a new belly button during a tummy tuck?

Belly buttons get their fair share of abuse, including piercing-misadventures, pregnancy, and massive weight loss. Many women are hesitant about getting a tummy tuck because they fear a Frankenstein-ish belly button, but patients at Vennemeyer Plastic Surgery rave about their new belly buttons because Dr. Vennemeyer is passionate about the details, which makes an enormous difference in your final result.

Dr. Vennemeyer has a reputation for creating incredibly natural-appearing belly buttons. Umbilicoplasty is the term plastic surgeons use to describe reviving an umbilicus that has seen better days. Dr. Vennemeyer’s proprietary technique has evolved over the years to create belly buttons with hidden scars and 3-dimensional contour, rather than a stuck-on appearance. So, get excited for not only a flatter stomach, but also a cute new belly button with your tummy tuck.

Will a tummy tuck make your waist thinner?

Abdominoplasty is a really powerful procedure when it comes to flattening your tummy, but how do you narrow your waist? The myth that targeting areas of fat excess with exercise will reduce fat in those specific areas is widespread. “Although exercise can reduce overall body fat, you cannot choose where it comes off,” explains Dr. Vennemeyer. “I can target those areas with liposuction and create the best possible shape for your body in surgery—better than what you can achieve with years in the gym.”

The best results are achieved and maintained with a combination of plastic surgery, eating anti-inflammatory foods, and physical fitness. When you add 360 core liposuction to a tummy tuck, the result is worlds better for women who have excess fat in the hips, flanks, and bra roll areas. The liposuction erases the square shape and replaces it with a more hourglass-shaped waist. Even women without very much fat can benefit if there is enough in the wrong places. Some of our thin patients ask for help improving what they feel is a boy-ish looking figure.

Dr. Vennemeyer uses a game-changing liposuction technique that is vastly superior to previous methods of lipo. By using power-assisted liposuction equipment that mechanically breaks up the fat, this leads to less traumatic, smoother fat removal. Power-assisted liposuction avoids the potentially problematic heat created by laser and ultrasonic liposuction techniques, which is desirable because excess heat can burn the skin, causing scars and hyperpigmentation (dark patches on the skin).

How does power-assisted liposuction work?

Dr. Vennemeyer uses a well-established, 3-step process that starts with separating the fat using a vibrating cannula until it is the consistency of coarse crumbs. He follows that with artistically sculpting each area of your body from multiple incision sites to get the best 3-dimensional shape possible. Gravity affects your shape differently when laying flat, so Dr. Vennemeyer places you in multiple positions to account for this and ensure you have great contours when standing. The final step is similar to the first, where fat is equalized with a vibrating cannula to correct irregularities and ensure the remaining layer of desirable fat creates a smooth contour and proper transitions between body areas.

This technique also has advantages beyond smoother contours. Dr. Vennemeyer treats the entire circumferential core as a whole, taking the result to another level beyond what you can achieve with the outdated approach of treating only the “problem areas.” The circumferential treatment enhances the ability of the skin to retract and redistribute, facilitating more profound reshaping with less risk of excess skin or contour irregularities.

Will fat grafting improve your body contour?

We’ve tightened your tummy, we’ve snatched your waist, what could be left for improvement? What is the absolute state-of-the-art way to get the best body possible? Non-ideal body contours can arise from extra skin and extra fat, as we’ve discussed, but can too little fat be a problem? YES!

The final ingredient in an amazing result is adding volume to the right places to create beautiful S curves from your waist to your hips, thighs, and butt. This is where Dr. Vennemeyer’s passion and skill really shine – he loves the opportunity to dramatically re-shape his patients using liposuction to remove excess fat and fat transfer/grafting to enhance curves, stating: “It allows me to completely re-shape women who have very square-shaped or V-shaped hips/buttocks to create a more A-shaped frame, and our patients are shocked when I tell them we can do this.”

People are just starting to appreciate the game-changing ability of fat grafting to reshape nearly every area of the body.  The synergy of even subtle amounts of addition to (fat grafting) and subtraction (liposuction) from adjacent areas is the solution for the best-possible shape for most patients. “The advances in liposuction and fat grafting techniques over the past decade have literally revolutionized the results I can achieve for my patients,” explains Dr. Vennemeyer.

One of the biggest opportunities to improve results with 360 liposuction and abdominoplasty is using fat grafting to smooth the transition from hips to thighs and thighs to buttocks to create beautiful, feminine S curves. Gluteal fat transfer, also known as a BBL (Brazilian butt lift), is an extension of this where fat is also added to the butt. Some women are afraid of fat transfer because they think they’re going to end up with a big butt. However, they are completely missing the subtle contour irregularities that exist around their lateral hips, thighs, and buttocks. While liposuction helps improve the areas that protrude too much, it fails to help the indented areas, and that’s where fat transfer allows for creating that ideal body shape.

Now you want a flatter tummy, but don’t know where to begin?

Call Vennemeyer Plastic Surgery at (817) 912-1410 or click here to schedule your personal consultation with Dr. Vennemeyer and his staff, where you’ll have the opportunity to share your story and body goals, and then discuss Dr. Vennemeyer’s recommendations that will get you the best possible results.

We look forward to hearing from you!

Fitting Your Dream Body Into Your Budget

Fitting Your Dream Body Into Your Budget

Fitting Your Dream Body into Your Budget

When you’re on a budget, there are always a few things that should be put on the backburner. Confidence is not one of those things. Feeling good in the skin you’re in is crucial to being successful and living your best life. Don’t waste another day worrying about facial wrinkles, a bump on your nose, or a flabby tummy. It’s time to make your inner-self become your outer-self, because a ‘better you’ should always be in your budget.

If you’ve been waiting to get your dream body for financial reasons, know that you have options. Check out our brief guide to getting your dream body financed:

  1. Determine if you have any money saved to put down towards your new body goals. If not, that’s ok – there are zero-down options available!
  2. Take a look at your monthly budget to see what you can eliminate. With payments starting as low as $100-$200/ month, cutting back on things like lattes, lunches out and unused gym memberships can add up to a better body quickly.
    • Cut Starbucks from 3x/week to 1x/week = $50 monthly savings
    • Cut lunches out from 3x/week to 1x/week =  $100 monthly savings
    • Canceling unused gym membership = $50 monthly savings
      Total Savings for Your Procedure = $200 a month!
  1. If you’re looking for financing for your procedure, first find your credit score on CreditKarma.com. If your score is above 580, check below to determine what companies will work for you. There are various options, depending on your score. If your score is below580, skip to number 4. All set with financing? Jump ahead to number 6!If your credit score is 580-619:Apply to United Medical Credit Minimum Household income: $2000/month (If < $2000/mo, use co-applicant with income of $2000/mo) In general, we recommend requesting $5000 and you may pick any surgery date you like, on the application, as this date can be changed at anytime. The individual having surgery MUST be the primary application, but adding a co-signer with a higher credit score will give you a better chance of approval!Apply here: https://www.unitedmedicalcredit.com/start-an-application/?pid=001E000001DhufSIf your TRANSUNION score is 620-639

    Apply at Lending USA (Transunion scores only)

    If your credit scores are 640 or above:

    Apply at Alphaeon 

  1. If you do not qualify for financing based on your credit score or do not have credit history, that’s ok. Share your goal for a better, more confident you with a friend, family member or significant other. If they’d like to be a part of your journey, invite them to be a co-signer to help you achieve your goals – if they have a credit score above 600, their co-signature should set you up for approval with the above financial companies. This will also help build your credit while you’re sporting your new body.
  2. If your credit is not where you need it to be, and you’re unable to find a co-signer, don’t worry – check out our tips at the end to help you start building or repairing your credit score so you can begin your journey to the most confident version of you.
  3. Once you are pre-approved, call us at 817.912.1410 and reserve your consultation to determine the best procedures to reach your goals.

If you’re trying to build or rebuild your credit score,

here are a few tips to help put you on the right track:

  • Show Payment Consistency
    • When it comes to your score, consistency is key! Make sure you’re making steady minimum payments toward your credit balance each month.
  • Set Up Auto-Payments
    • Don’t let late payments lower your credit score! Try to use automatic bill pay systems to keep your score in top shape.
  • Monitor Your Credit Score
    • You can log onto each credit website once a year to get your report directly from sites like Trans Unionand Experian. It’s a great way to stay informed and even prevent credit fraud.
  • Dispute Credit Report Errors

As you can see, finances don’t have to be a roadblock to the body you’ve always dreamed of. We fit fleeting things into our budgets all the time, like vacations and parties with a start and an end date, but your dream body will stay with you long after a day, a week, or even a month. Understand that your ‘best self’ can and should fit into your budget, because feeling confident is the key to living each day brilliantly. You deserve to put yourself first, and feel more confident than ever – so take the first step and reserve your consultation today.

Call Vennemeyer Plastic Surgery Today at 817.912.1410.

Breast Augmentation AND Breast Lift

Breast Augmentation AND Breast Lift

Breast Augmentation and Breast Lift

One of the most common reasons women seek breast surgery in our practice is to fix the deflated appearance of their chest after having children. Women miss the fullness in the upper half off their breasts that looked good in clothing and bathing suits—the volume that mysteriously went away after breast feeding. Most of these women express a desire to increase volume or fullness, plus they want their breasts to be perkier.

What exactly does perky mean? Perkiness exists when the nipples are in an ideal position. This means they are above the breast crease and centered on the most projecting part of the breast. As your breasts enlarge from pregnancy and breast feeding, the skin stretches. When your size decreases, you are left with extra skin. This causes the nipples to fall from their ideal position as the breasts deflate.

How can we fix it? First, we need to decide how much more volume you want. By using breast implant sizers, we can pick the right implant volume. This is the most accurate way to find the size you will be happy with in the long term. Once you have chosen your size, we need to decide if you need a lift.

Whether you need a breast lift or mastopexy depends on your nipple position relative to your breast crease or inframammary fold (IMF). Basically, if your nipple is above your breast crease, you do not need a lift. If your nipple is below your breast crease, you need a lift. If your nipple is right at your breast crease, it depends. If your nipple is right at your breast crease and you choose a small implant, you will probably need a lift for the best possible shape. If you choose a moderate sized or larger implant, you will probably have a good shape without a lift.

The pictures below show examples of nipple position. Both women show signs of deflation where they could benefit from more volume, but their degree of perkiness if very different. The picture on the left shows a woman with good perkiness—her nipples are above the fold. The image on the right shows a woman lacking perkiness with her nipples below the fold.

In the next blog, we will compare the results when the perkier breast is treated with a breast augmentation and the non-perky breast is treated with a breast augmentation plus a breast lift. As you will see, we can get a nice improvement for both women when we use the right techniques for the situation and your goals. For more information, visit our video about breast augmentation and lift. If you are ready to take the next step, contact us to set up a consultation at one of our convenient Cincinnati, Ohio or Northern Kentucky offices. Follow us on Facebook and Twitter for the latest updates on informative blogs and specials.

In part I, you learned how to tell if you need a breast lift with your augmentation to get the best possible shape. When a breast implant is inserted, its bottom edge is near the breast crease or inframammary fold. Adding a breast implant does not lift the nipple. So, if your nipples are below your fold before, they will be below your crease after surgery, too. That is, unless you have a lift.  What does it look like if your nipples are below your fold and you get a breast augmentation without a lift? Well, not good generally. Since the implant is sitting above the fold, its shape and volume are higher on the chest. The nipples and surrounding natural breast tissue, however, are lower and appear to be melting off of the implants. Not pretty. To summarize, breast implants CAN be used to correct deflated appearing breasts when the nipples are not too low. If the nipples are too low, a lift is necessary, too.

Now, let’s look at our before and after pictures from part I. The perkier patient had some deflation, and the breast augmentation filled out the extra skin, improved fullness and enhanced shape. The less perky patient had an augmentation plus a lift. The implants filled out the breast and improved fullness, but the lift was necessary to maximize shape. You can see that the nipples are above the fold now, and the shape is much better.

Both patients were able to get a nice shape and a result that made them happy. The trade off with a lift is more scars. When faced with severe sagginess, many women would gladly accept the scars for a much better shape. Fortunately, the scars generally improve a lot over time. In most patients, the redness fades and the scars soften. In fact, we take some extra measures in our practice to help these scars fade and soften more quickly with scar massage and a special scar cream.

We hope this blog helped you understand breast augmentation and breast lifting. Contact us to set up a consultation if you are ready to pursue your aesthetic goals!

Is Lipo Permanent?

Is Lipo Permanent?

Liposuction is permanent

Liposuction is permanent removal of selected areas of fat. However, having liposuction does not mean that you cannot gain weight. Lipo does not remove all of the fat in an area. If all fat was removed from a location, you would have an unsightly divot there. Some fat is necessary to have an attractive shape. These remaining fat cells can store more fat and enlarge if you do not maintain the right diet and exercise habits.

Usually, we remove fat from “problem areas” during liposuction where women tend to gain weight more easily. If we remove fat from these areas and you gain weight after your procedure, you may see this weight gain in other areas instead of the treated areas.

Despite the necessity to maintain your result, liposuction is a fantastic procedure that allows women to get the shape they want and could never achieve prior, despite maximizing diet and exercise. For most people, even if they are happy with their weight and shape, they work hard to maintain it. In reality, there is no magic bullet. The improvement in shape that liposuction can provide explains why liposuction is consistently one of the top 5 cosmetic procedures and why satisfaction is so high after this procedure. In fact, nearly 90% of liposuction patients would do it again.

Many liposuction patients find the improvement they get from liposuction to be a great motivator to eat healthier and exercise more to maintain their new body. This can be a far cry from the frustration of trying to improve shape problems that diet and exercise do not seem to fix.

Contact us to set up an appointment. Also, don’t forget to share this article on Facebook to help your friends learn!

Will I Need New Implants in 10 Years?

Will I Need New Implants in 10 Years?

Will I Need New Implants in 10 Years?

A popular myth circulating around out there is that implants must be replaced every 10 years.  This is simply not true.  Behind every myth there is a shred of truth (or so they say).  Although you do not have to pencil in an implant switch automatically every 10 years there are some situations where you may need or want to have revision surgery after your breast augmentation.

Implants are manufactured devices just like your TV or the tires on your car.  Eventually they may wear out.  The rupture rate on most implants currently on the market is thought to be around 1% per year cumulative.  So the risk is small initially, but slowly increases with time.  If you are very young when you get a breast augmentation you have a reasonable chance of the implants rupturing by the time you are older.  Unfortunately, no one can predict if and when they will rupture.  It may happen after 5 years, 20 years or never.  If they do rupture they need to be replaced.

Another reason for needing revision surgery after breast augmentation has nothing to do with the shape of the implants and everything to do with the shape of your breasts.  Pun intended.  I’m talking about the actual shape and the condition of the tissues.  As you age, have babies, breast feed, gain weight, lose weight, etc. your breast skin loses elasticity.  After breast feeding you may notice a decrease in breast tissue volume.  If the skin does not contract sufficiently your breasts may appear deflated.  Also, the ligaments that support the weight of the breast (Cooper’s ligaments) stretch and weaken.  These things result in breast sagging.  Plastic surgeons call this ptosis (pronounced toe-sis).    This happens whether or not you have implants.  However, implants add weight to the breast and can accelerate the stretching to some degree, especially larger implants.  There is not an exact cut off, but implants larger than 400-500 cc are probably more likely to do this.

When the condition of the tissues deteriorates the shape of your breasts goes too.  With an implant in place the tissues of the breast can sag lower on the implant creating a “double bubble” or “snoopy-nose” deformity.  This is a problem cosmetically, but only needs to be fixed if it bothers you.  The change will probably not be apparent in clothing.  If you are happy how things look in a bra you may not want to do anything.  If you are unhappy with the appearance a mastopexy (breast lift) is the solution.  If you have had your implants in place for a while (more than five years) it would not be unreasonable to get new implants at the same time.  If they are un-ruptured, however, you do not have to exchange them.

We have discussed a scenario where you need surgery (rupture) and a scenario where you may want surgery (sag).  Capsular contracture is a little of both.  Capsular contracture occurs when the normal thin scar capsule around your breast implant tightens.  This is not a black or white situation—it’s shades of gray.  You may have very mild capsular contracture where the implant feels more noticeable, but the breast looks okay.  You probably would not want surgery for this.  If it progresses, the breast may feel more firm and the shape may become distorted.  If it gets to that extreme you don’t have to have surgery, but you will probably want it.  Sometimes in severe capsular contracture the tightness is very uncomfortable.  In that case you need surgery.

It is not pleasant to consider the possibility that you may need revision surgery in the future.  Some patients have thinner tissues or more sag initially and are more likely to have these problems.  We always point these factors out to our patients before surgery so that they can weigh the pros and cons.  Overall our breast augmentation patients are among our happiest.  When good decisions are made about implant size and proper techniques are used you can get a great result with maximal longevity.

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