We try to look young. We exercise, diet, eat healthy foods, color our hair if need to, buy makeup and all kinds of creams, buy skin care products, and if need to lift our breasts, faces, eyelids, foreheads, upper arms, thighs, abdomen, buttocks and mons pubis. However, we forget that our very bottoms, the place where our children come from, suffer the most changes of all. First of all being so dependent, gravity causes our muscular sling as well as our skin to sag in the perineal area more than anywhere else.  We constantly run around with filling our bladder and then emptying, so constantly undergoing weight bearing and then loss.  We empty our bowels hopefully daily again causing strain and pushing.  We carry full intestines for a while before emptying. Of course if we suffer from constipating or the opposite, an irritable bowel, imagine the number of times our musculature has to contract and relax.  The pushing and tenesmus alone cause great distention and dilitation.  Then try again thinking about delivery of babies. The head coming through the vaginal canal. The amount of stretch and distention that creates, never mind the weight that the bottom muscles have to carry during the pregnancy.  Then the muscles get cut more during the episiotomy and not always put together well.  I will stop here as my own bottom is beginning to ache.  So now, with all that going on -don’t you think some enhancement may be necessary?  How about the labia that get elongated, and the vagina that gets stretched and all the tags that are hanging around.  Thing about the varicosities created in your labia majora and do not forget your saggy mons pubis.

take care of your bottom

So if you want to look younger and feel better, you better look at your bottom and consider what rejuvenation that may need before you declare yourself done.

To look like this at 43yo you must take good care of your body. Good nutrition, exercise and great skin care is of utmost importance. Of course at times Plastic Surgery must be done to achieve such a wonderful body. Not everyone is lucky to have that metabolism or that physique. However, for those who have hefty hips and thighs and would like that leaner look, liposuction is an option. Those who would like to have shapely and sexy breasts there are procedures that can accomplish that too.  Breast implants increase size, breast lift allows the breasts to look perky and if one is over endowed a breast reduction will lift and downsize to a more attractive and proportional size. Those that have children and are unable to reduce their tummy skin or tighten their tummy muscles even with vigorous physical activity, help is also available. A tummytuck can reduce skin and/or tighten muscle to create a sixpack. Liposuction alone can reduce fat from the abdominal area if the skin and muscle are in good shape. The mons pubis can be lifted through a small suprapubic incision and that may improve sex life as well. The neck and face and eyes are youthful till about 40 when depending on your skin, bone structure, weight fluctuations and genetics jowls begin to form as well as folds and bags around the eyes. Eyelidplasty and a facelift are great options for those who feel that they look older than they feel. Of course rhinoplasty enhances the shape of a nose and otoplasty makes your ears sexy and sensuous. These are just suggestions for some of the surgical procedures. However, options which are not surgical are also available and popular. Fraxel and other laser treatments tighten the skin and get rid of skin blemishes and irregularities. Dermabrasions, microdermabrasions and chemical peels are helpful. Great skin care regimen is the mainstay of great complexion. In our office I leave that to Anita our Nurse Practicioner who is a genius when it comes to skin treatments and cosmetic enhancements with the right stuff. Fillers are great in combination of various small implants like chin and cheek implants or alloderm to nasolabial folds. Do not forget botox however, the greatest thing for frown lines and other furrows created by muscle movements. Injected in right quantities in the right spots makes you younger looking and fresh. Too bad it does not last forever, but then neither do we. Even though not suggested in the picture, ladies -do not forget vaginal and labial surgery for those who feel loose and droopy. Help is simple, effective and it works. Libidos arise! So if you are interested in looking good, call us for a consultation and tell us what it is that you would like, what your budget is and we can then taylor treatment to achieving what you would like improve and what you would like to have.

Often after weight loss and after multiple pregnancies the abdomen skin hangs, the muscles are weak and separated, the mons pubis descends and the vaginal and labial tissues atrophy and weaken. In one surgery, done on outpatient basis, the tummytuck with mons pubis elevation, tightening of the vaginal canal and shortening of the labia minora can be done. The labia majora can also be modified as well. If there are varicosities present, they can be removed. If atrophy is present the excess skin can be removed thus the inner tissue will fill out smaller envelope of skin making the labia majora more youthful looking. If they are already heavy then they can be thinned out as well. A consultation on tummytuck, mons pubis lifts and labia and vaginal rejuvenation would allow a patient to learn a lot about what can be done to enhance comfort, sexuality, appearance and confidence. In New York, we have a certified surgery suite, and you have three plastic surgeons to choose from. Since these subjects are sensitive, your relationship with your doctor will be very important. Hope to see you soon.