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.

As we look at our bodies we realize that there is one dreaded thing missing from our closet. That is the corset. All women in years past realized that a flat tummy and uplifted breasts is sexy and desired.  The only way to achieve it then was to wear the corset and have someone tighten it till we could not breathe. Then came Coco Chanel and freed women from the dreaded corset. However, she forgot that not all women remain young childless and skinny. Coco had no children or pregnancies.  So the burning of the corset like burning of the bras was a symbol of freedom however, the beginning of prominent bellies, and saggy breast look.  So now what. Well if you want to continue to be free of the corset, and have the same look then the only thing to do is a breast uplift and a tummytuck.   Stenghthen the core in the gym helps a bit in the tummy department but the only thing that helps in the breast department is walking on your head.  In that case the corset is a better option.   The tummytuck brings the abdominal muscles together like a corset and the surgeon tightens them just like a corset to have the corset look without the corset wearing.  Freedom????or just a different way to stop breathing and holding it in.   We as women will never be FREE of wanting to look sexy. Flat stomach and uplifted breast is our desire and we will not be happy till we achieve it one way or another. So, what will it be for you-tummytuck or corset. Eventually you will choose one.  If you want to know more about those procedures call us to better understand the modern corset.

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.

I bet your appliances are younger than you. I wonder why you changed them. I think your car is probably younger than you. What about the paint on your walls or the rugs on the floor. Your computer? furniture, sheets, dishes??? You see, all need maintenance and some are even discarded and new ones brought in. Why? they do not look good any more and they do not work as well as the new ones. Well, we cannot do this to people and ourselves. We cannot throw our old selves out and get new bodies. However, we can REJUVENATE whatever we can. So, we get facelifts, and breastlifts, and breast augmentations for deflated breasts after childbirth and we get tummytucks, we get liposuction, butt lifts, and even labia reduction and vagina tightening.  Why-cause that is as close to new as we can get. If we are not embarrassed to do it to our dishwashers and washing machines and cars why are we embarrassed to do it to ourselves? Why we are not embarrassed to paint our walls yet we wonder if we should dye our gray hair? what is the difference between painting our walls which are old and cracking and painting our hair which are old and gray? We fill cracks in our bathtub edges or wood furniture, what about the cracks we see on our bodies? So get out the facial fillers like juviderm, restylene, fat, radiesse and whatever else you can find and fill out the cracks. You iron your sheets, what about ironing your wrinkles with botox or fraxel lasers. You often fix your old plumbing especially if it is loose. Well tighten up the vagina and loose labia and whatever else has loosened up in your body. 

You see, our body is a machine that runs for 80-90 years if we are lucky. Surely, nothing else runs that long, and at least nothing else runs that long without maintenance and repair. So be kind to your body just like you are kind to your appliances, and cars and other possessions- MAINTAIN it, polish it, and keep it youthful and happy.

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.