Stony Brook, NY

Body Procedures

Sometimes, our bodies just do not respond to diet and exercise the way we want them to. Cosmetic plastic surgery procedures can reshape many areas by removing excess fat and skin and toning muscle. Below are some of the procedures we perform for body contouring.

Dr. Epstein's Current Approach to Body Contouring


First the short version (at the very least, read these three paragraphs first, it will be worth the time spent):

4D VASER Hi-Def body contouring - the rationale

Most patients and surgeons today will focus on a limited area of patient concern such as the abdomen, without regard for all the other areas of the torso. Addressing only a limited region will result in an imbalance between the operated area (which will look improved) and the flanks, hips, buttocks, upper arms and thighs as well as the back (which will not be improved). My approach is to examine your entire torso, looking at areas of excess skin as well as excess fat and even areas that are volume deficient. Yes, it is possible to have excess volume in one area and a significant deficiency right adjacent to it. This requires an eye for the aesthetics of the human form, coupled with surgical techniques that can safely and effectively address all of these areas. By taking a circumferential approach, I can re-sculpt your body and give you more balanced, youthful and natural contours while at the same time minimize scarring for addressing the additional areas. Aside from the traditional "waist crease scar" for an abdominoplasty (tummy tuck), all the extra incisions needed to achieve this are small incisions for liposuction instruments, typically about 1/8 inch in size and hidden in areas that will make if very difficult to see them, even when in the smallest of bikinis.

All of these procedures are custom combinations of many different procedures and techniques. Only the ones that you require are selected. The options include but are not limited to: abdominoplasty (tummy tuck), VASER 4D liposuction of the abdomen, male chest, armpit bulges, flanks, upper arms and thighs, mons (pubic) area, upper, mid and lower back including the "bra rolls"  as well as fat transfer to add volume and improve the blending of contours in the hips, thighs, buttocks ("Brazilian butt lift"), male chest and face. Also, areas over-resected (too much fat removed) by previous liposuction surgeries can often be improved with fat transfer techniques! 4D VASER liposuction of the abdomen is usually performed at the same time as an abdominoplasty so as to remove fat from the remaining abdominal skin and give you the most sculpted look possible. There is even a new technique to create an umbilicus ("belly button") that does not have that telltale circular scar around it that is a giveaway of a tummy tuck! Lastly, those that have undergone a previous abdominoplasty and/or liposuction can also benefit from 4D VASER liposuction techniques to improve their contours and achieve a more sculpted look.

In life, you rarely get something better for nothing, and that is the case here as well. I will need to perform this surgery (you will be asleep) in two positions: initially with you on your stomach, and then you will be turned and placed upon your back. As this procedure addresses multiple areas of the body, the surgery will take longer and will cost more. Attention to patient safety is my highest priority. My patients will tell you that the results are clearly worth the extra investment in time and cost. If you need to convince yourself, just view the VASER 4D Liposuction and VASER Lipo-Abdominoplasty photo gallery and compare the results to that to others who do not perform these techniques.

OK, you now have a thirst for additional information - here is the longer version:

In 1990, when I was a resident in plastic surgery, and up until 2013, my approach to body contouring was simple. If there is a part of the body that a patient doesn’t like, then you select from the available procedures at the time and correct it. For instance, if there is extra fat in the flanks, remove it with liposuction. Extra skin in the abdomen from three pregnancies, then go with abdominoplasty. My results got better and better with refinements in technique and experience, and both my patients and I were happy. The approach was clear, concise and afforded significant improvement. » Learn More

Click on the links below to learn more about the Body Procedures that we offer:

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