Body Lift

   The body lift improves the appearance of the abdomen, thighs and buttocks. The operation removes excess skin and fat following massive weight loss. The popular procedures go as follows upper arm lift, thigh lift, breast lift and lower body lift.
It is important to know the level of training and expertise of the doctor you are consulting. The operation is usually done under general or spinal anesthesia. The stomach and abdomen areas are most often loosened by excessive weight loss. The skin and fat are removed from these areas and the abdominal wall muscles are tightened. The procedure is repeated in the buttocks, thighs, arms and breast.
Abdominal etching gives a flatter, tighter stomach area, with stronger muscle definition. Using different liposuction canulas, the surgeon sculpts grooves in the fat layers to emphasize a muscular appearance.
Panniculectomy removes hanging skin and fat from the abdominal area.
Arm lift (Brachioplasty): Incision can be made in the armpit or the inside surface of the arm. After liposuction, the excess skin is trimmed, pulled together and sutured in place. Results are good and scars are inconspicuous.
Buttock lift:
Inner thigh lift (Medial thighplasty): The incision is placed at the junction of the inner thigh and groin. Excess skin and fat are removed. Skin is sutured. A compression garment may be required for some weeks.
 In some cases Dr. Chehab combines these procedures to give an attractive and more youthful appearance.

Breast Augmentation

    It’s one of the most frequently performed cosmetic surgeries in the world. It’s the procedure of choice for small breasts, in which the volume is lost and the shape has changed.Inflable saline implants can be used but Dr. Chehab prefers  silicone gel implants wich are placed under the gland or under the muscle. The operation makes the breasts fuller and enhances their shape.
 A very small incision is employed in the areola, the armpit or most frequently in the submammary fold .The operation is performed under general anesthesia or local with sedation. It’s an outpatient procedure; whereby the patient is discharged the same day after resting in her own suite and feels comfortable to leave. A special bra should be wear for one month. It is an important procedure for enhancing self-esteem.
It’s proven that new high cohesive silicone implants are not dangerous and can not be the cause of any breast tumor.

Breast Lift

    Breast lift is the ideal procedure for patients with stretched skin with looseness. The surgeon will create a better shape breast depending on the size of the breast. The procedure may be done in conjunction with breast augmentation either under general anesthesia or local with sedation. The incisions are placed surrounding the areola extending downward until the submammary fold. It’s an outpatient procedure and a surgical bra is worn for four weeks.

Breast Reduction

    Patients with large pendulous breasts may experience back and neck pain, skin irritation, sensory problems, breathing difficulties and sometimes skeletal deformities. Reduction mamma-plasty is the ideal procedure to resolve these problems. The surgeon reduces the volume of the breast and gives to it the best shape. Incisions are circling the areolar downward and following the infra-mammary crease. Anesthesia is general and a one night stay is recommended. Bra is worn for four weeks.

Gynecomastia

    It’s a condition of male breast enlargement. This can be psychologically debilitating and may be the reason behind difficulty at school and isolation. The approaches to gynecomastia are liposuction and direct excision. Anesthesia is local with sedation. The operation does not need a stay at the hospital.

Buttock Augmentation

    Recently there is an increased interest and demand for aesthetic gluteal contouring surgery. The shape of the buttocks may change with variations in fat, muscle content and distribution, as well as skin laxity.
Techniques used for buttock enhancement are implants, auto-logos fat transfer, and auto-logos auto augmentation.
For Dr. Cheahab best results are obtained with silicone gel filled, round or anatomic shapes implants. The implant is placed into the maximum gluteous muscles (intramuscular technique). A 5 cm incision is used and placed in the midline. It’s completely not visible. The operation is made under general or spinal anesthesia and requires one night stay. Patient can sit the next day and can lay on her back one week later. Panty is worn for three weeks. Results are excellent. Auto-logos fat transfer gives sometimes good results, but requires sufficient quantity of fat. Auto-logos auto-augmentation, composite flaps are used, is usually done in combination with body lift.

Hands Rejuven  

    Hand rejuvenation is a multistage procedure that requires treatment of both the skin and subcutaneous tissues. Similar to treatment of the face, topical therapies are extremely successful for thickening the skin and bringing a more youthful appearance to the tissues. Age spots and leathery texture can be greatly improved with these topical therapies. Subcutaneous tissues are addressed with placement of transplanted fat into multiples subcutaneous tissue layers. By using thin streams of fat, we have rejuvenated and camouflaged the exposed extensor tendons and hand veins.
 Fat injection is done under local anesthesia and it is well tolerated. It is an office surgery.

Liposuction and Liposculpture

    After puberty fat cells stay the same in number. They act like balloons when they are storing fat. They shrink when we loose weight. Liposuction helps us to sculpt the body by removing these fat cells from different areas (cheeks, jowls, neck, arms, male, breast, abdomen, back, buttocks, thigh, lips, knees, ankles and calves). After this procedure, these cells never come back. The skin must be elastic and in good quality, to obtain a good contraction after the procedure.
The new tumescent liposuction technique and the micro-cannulas allow for amore gradual, targeted, and metered treatment and a more gradual and controlled removal of fat. This enables the surgeon to give smoother results.
Anesthesia is often local with sedation. A solution of lidocaine and ringer lactate is injected into the fatty area. This constricts the blood vessels, anesthetise the area and allows the surgeon to suction the fat. Micro canulas are inserted through small openings and the fat is removed. No stitches are needed to close the openings.
 The target actually is to sculpt the body and to reshape it .It’s the so called liposculpture.

TABA.

    It’s not uncommon especially after a woman’s childbearing years, for the need for aesthetic improvement of the abdominal area, to coincide with the desire for breast augmentation. The combination of full abdominoplasty with breast augmentation offers the unique opportunity to have both procedures performed not only during the same operative session but also through the same incision. The procedure consists of creating tunnels toward the breasts through the abdominoplasty area. The pocket to receive prosthesis made through these tunnels.
After placement of prosthesis the abdominoplasty is completed and the unique incision in the lower abdomen is sutured. Results are excellent; no complications are noticed. The breast is enlarged without any incision in its area. The postoperative dressing consists of an abdominal binder and a surgical bra for one month. Patients will be satisfied.

Tummy Tuck

    Abdominoplasty or tummy tuck is a surgical procedure to remove excess skin and fat from the abdomen and to tighten the muscles of the abdominal wall. This procedure is particularly helpful for: Women with multiple pregnancies, after dramatic weight loss, men with protruding abdomen and men and women with abdominal scars. Abdominoplasty enhances your appearance and your self confidence.
Fat from the trunk and epigastric areas is suctioned. Flaccid skin and fat are fully excised from the infraumbilical area. A tunnel is made upward to the rib cage. Abdominal muscles are tightened in the midline and the skin flap is re-draped. The belly button is reshaped and repositioned. The incision is sutured and firm elastic dressings are applied.
Abdominoplasty is usually carried either under general or spinal anesthesia. A stay for one or two nights is recommended. A support garment is worn for three weeks. Physical activity is limited for one week, but is increased at a steady (pace).This operation gives a slimmer thinner figure with a flatter abdomen. The U form scar is situated in the lower abdomen and usually undetectable.
The operation can be combined with a breast surgery, a full liposuction, a face lift and other procedures.