Want to know what to consider before a Tummy Tuck?


“27 years ago, I had my 10 pound baby which left me with an unsightly vertical C-Section Scar and a Kangaroo pouch. I promised myself someday I would get a new tummy. Years later, I inherited some money and had my long desired abdominoplasty. It is now 4 years later; I am 53 now and still as happy as I can be with my results!”

Want to know what to consider before a Tummy Tuck?

1.  You may want to ask yourself, “Am I a good candidate for the tummy tuck procedure?”  Before considering a tummy tuck, it is important that you are already at your goal weight and that your weight is stable.  If you are a smoker, you may want to inform your surgeon as smoking increases the chances or poor healing.  Also, it is important to have realistic expectations of the outcome.  In a consultation, your plastic surgeon can show you what a tummy tuck will do for you.   Although the tummy tuck is not a weight reduction procedure, it is designed to contour the abdomen by removing unwanted excess skin and fat and tighten the abdominal muscles.  *A nice perk is that any stretch marks below the belly button are usually removed with the excess skin.

2.  Do you still want to have children?  If you know you want children, you may want to wait to have your tummy tuck.  This also applies to anyone having a surgery that involves cutting through the abdominal muscles, i.e. an open hysterectomy.  If you have your surgery first, then tummy tuck will make the necessary repairs to bring back that flat abdomen.

3.  To ensure the best results it is important to choose an experienced plastic surgeon. During the consultation, you may want to ask your plastic surgeon how long has he or she performed the tummy tuck and how many.  An experienced plastic surgeon should have several before and after photos to show you.  Lastly, you want to make sure the surgeon you choose is a member of The American Society of Plastic Surgeons, www.plasticsurgery.org/ and board certified by The American Board of Plastic Surgery, www.abplsurg.org.

Dr. Joseph Togba is a contributor to this blog.

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3 Tips to Consider Before Plastic Surgery

Time for a Mommy Makeover

Have you always wanted a tummy tuck after having your children or breast augmentation before the summer?  Or maybe you want to have a facelift before you turn __?  If you’ve thought about having a plastic surgery procedure, but not sure where to begin; here are 3 tips to consider.

1.         Is your doctor a board certified plastic surgeon with at least a few years of experience in plastic surgery?  Many plastic surgeons are board certified in plastic surgery and general surgery.  Make sure the doctor you choose has performed a high number of cosmetic procedures.  You can check the following websites for board certification.

The American Board of Plastic Surgery   www.abplsurg.org

The American Society of Plastic Surgeons  www.plasticsurgery.org

2.         Are you healthy or without significant health problems?  If you have diabetes or high blood pressure that is under control, you may still be a good candidate for surgery.  Consult your primary care physician and your plastic surgeon.

3.         Are you at your goal weight before surgery or a weight that feels comfortable to you?  For a body contouring procedure, (Tummy Tuck or Liposuction) getting to your goal weight before surgery may ensure the best results.  However, losing weight after a facelift may change your results.  It is best to consult with your plastic surgeon.

Dr. Joseph Togba is a contributor to this blog.

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Brazilian Buttock Lift Frequently Asked Question

Buttock Lift Surgery

Q:  How much fat can you add to each buttock?

A: The answer to this popular question is 600cc – 1 liter.  Think of a 1 liter bottle of Aquafina or soda.  The concern of injecting more than 1 liter into each buttock is that the excess fat may not have enough of a blood supply to survive.  Those that have great skin tone are likely to have the best results.  Also, to bring out those curves, liposuction around the buttock area; to the waistline and upper back is just as important as the fat transfer.

Dr. Joseph Togba is a contributor to this blog.

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Breast Augmentation, the Tummy Tuck, Liposuction and the Brazilian Buttock Lift were the Topics at Our Latest Body Contouring Seminar:

Breast Augmentation & Tummy Tuck

Although Breast Augmentation with Silicone or Saline Implants is still the most popular procedure in plastic surgery, followed by Liposuction and the Tummy Tuck; the Brazilian Buttock Lift was also a big hit at our latest body contouring seminar.  Many patients like the idea of using their own body fat to augment the buttock area.  Adding volume and shape creates a more curvaceous look  and, “Yes” it can be performed with the Tummy Tuck.  As Dr. Togba explained, fat grafting has been performed in plastic surgery for more than 30 years; however, the Brazilian Buttock Lift has become popular in the United States in the last 5 years.  Patients were surprised to find out from Dr. Togba that the most important aspect of this procedure is not only adding fat to the buttock area, but also using liposuction to contour around the buttock, particularly, the lower back and waistline to give that desired inverted heart shape that many are now wanting.

Join us at our next “Mommy Makeover” seminar to find out how to regain and reclaim your shape after childbirth, lift and add fullness to breasts, and remove unwanted excess skin to contour the abdomen and waistline.

Our last seminar was filled to capacity, so don’t delay; call Melody for your R.S.V.P. (510) 763-2525.

Upcoming Seminar Schedule



Dr. Joseph Togba is a contributor to this blog.

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Latest News in Plastic Surgery-Cell Cryopreservation!

Cell Cryopreservation

Ever thought of saving your fat cells for future use?

I recently went to a conference in San Francisco hosted by AdiCyte, a company in Arizona that banks your fat cells (Adipose tissue) for future use.  This sounds like real advanced medicine, but in fact, they have over 20 years in cell cryopreservation.

Latent in your fat is a huge supply of stem cells that can be harvested and stored for years to come.  Stem cells are the source of the diverse cells in your body, so you can imagine the benefits.  According to AdiCyte, stem cells can be used to regenerate the heart, grow new blood vessels, bladders and tracheas for replacement of diseased or damaged organs.  For aesthetic purposes, the harvested cells can be saved to add volume to the face or augment breasts.

Of course, the younger you are when you bank your cells, the more viableFacial Rejuvenation they will be when you need them.  If you are 20 years old when your cells are cryopreserved, they will be 20 years old when you use them in the future.  Once the cells are cryopreserved, the aging process stops.  Sounds unbelievable!  This is truly turning back the clock.  Patients having liposuction may want to consider this option.  By banking your fat cells, in years to come you can use them for facial rejuvenation or they may even save your life.

Dr. Joseph Togba is a contributor to this blog.

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Our guests said, “This was the Best Open House!!!”

Wine & Cheese Open House

Once a year, we hold our Cosmetic Surgery Wine & Cheese Open House.  It is our biggest event of the year.

It was a huge success.  Over 60 attendees were greeted as they got off the elevator with the cool, rhythmic, island sounds of Socca, Calypso, and Caribbean Jazz.  With a glass of red or white wine to start their evening, our friends were immediately transported to the Caribbean.  Karen, Bonnie, and I danced in the halls while we chatted with guests and the representatives for Botox, Restylane, Radiesse and Obagi.  This was definitely a relaxed vibe and a great way to end the day.

Dr. Togba discussed fat grafting to the face showing how to get the most desired, natural, rejuvenated look.  He contrasted this with how not to get the overdone, overstuffed result.

It was a delightful evening.

We want to thank our guests for bringing such wonderful energy and our representatives from Allergan, Merz, Medicis, and Obagi for supporting our event.

Join us for one of our more intimate, smaller seminars.  Please call our office to register, (510) 763-2525.

Upcoming Seminar Schedule
Body Contouring

April 18


Mommy Makeover

July 18


Facial Rejuvenation

October 10


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Here is a common question about Facial Rejuvenation…

Posted by Melody | Facial Plastic Surgery

Facial Rejuvenation

Q:  What is the average age of your patients that have facelifts?

A:  There are different facelift procedures that range from a limited incision facelift which elevates the cheeks and smoothes the jawline to the full facelift that includes tightening the muscles and skin of the neck.  Our facelift patients range from 35 – 85 years.  I recently had a conversation with our patient, Ms. P, who is 80 years old and had a facelift 3 months ago.  When I asked about her welfare, she told me her face looks great.  She notices she gets more attention when out and about.  She is now dating and more active than ever.

Congratulations, Ms. P., we are happy to play a small part in your new found joy!

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Yes, These are Dr. Togba’s Photos!

Facial RejuvenationSkin Rejuvenation

At our latest “Facial Rejuvenation” seminar Dr. Togba showed photos of his first years in plastic surgery.  With his recent Sculptra injection (Sculptra is a facial volumizer), he demonstrated the benefits of bringing fullness back to his cheeks.

Our guests were excited to hear about the latest techniques in facial plastic surgery that offer the most natural, rejuvenated results.  They were amazed at the face photos from the Obagi “Reveal” camera, which showed underlying facial sun damage.

Here are some of the comments:

“Love the seminars.  No pressure sale, consistent honest information and consultation.”

“I love this office and always enjoy your seminars.  I will be looking to have a facelift soon.”

“You are the best.”

If you missed our seminar, it is not too late to get refreshed for the holidays.  Call Melody, our patient counselor, if you are interested, (510) 763-2525.

Also, take advantage of the Obagi Skin Rejuvenation kit savings.  The cost is $365.  This is a 10% savings.  Supplies are limited.

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3 Simple Ways to Determine if You Need a Browlift

When you look in the mirror, do you notice that something looks different in your brow and upper eyelid area, like your brows are weighing down and reducing the space in your upper lids?  Are you considering a Browlift, but not sure if this is what you need to wake-up and rejuvenate your upper eyes and brows?

Here are 3 simple ways to determine if you need a Browlift.

Browlift Surgery1. Hooding of the lateral Brow. If the excess skin in your upper, outer eyelid hangs down into your eye area, this is a sign that a Browlift is needed.  Many women complain that if they wear eyeliner, by the end of the day they find it out of place, marking the upper lid above their crease.  For some patients, the Browlift is combined with removal of excess upper eyelid skin to open up the eyes and bring back their crease.

2. Transverse forehead furrows. One patient explained that her forehead looked like binder paper and that her creases were clearly making a permanent residence in her forehead.   Look in the mirror and see if you have creases when you are not making facial expressions.  If so, this may mean it is time for a Browlift.

3. Your true brow is below your orbital rim. This one can be tricky for those that arch their brows very high or have shaved their eyebrows.  Feel your brow and your orbital rim, if your brow naturally falls below this area, (see eye photo above), a Browlift can easily fix this.

Many people that need a Browlift do not realize how much they use their forehead muscles to lift their brows up throughout the day.  The best way to determine if you need a Browlift is to schedule a consultation with a board certified plastic surgeon.  In the end, your Browlift results should look natural.  Take a look at the before and after photos below.


Have more questions?  Sign up for our next “Facial Rejuvenation” Seminar on October 4 or call our office to schedule a consultation with Dr. Joseph Togba, (510) 763-2525.

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Let’s Face It!

Facial Plastic Surgery

Everyone likes to look their best and it starts with the face.  A little facial rejuvenation, enhancement, or turning back the clock a few years is always beneficial.  Molly for instance (not the lady in the photo), is a 49 year old mother of 3 and a business woman.  In her younger years she had a lot of fun in the sun and now she is starting to see the effects of sun damage in her skin.  In a consultation with Dr. Togba, she also pointed out her naso-labial folds and the beginning of marionette lines, (these are the folds that start at the corner of the nose and extend to the mouth and on towards the chin).  Molly wants to turn back time so that she looks as young as she feels.  After a thorough evaluation with Dr. Togba, he explained that she has lost volume or fullness in her cheeks which causes the skin to sag.  Dr. Togba recommended a Mid-facelift performed endoscopically so that incisions are minimal and there is less down time for healing.  This procedure will gently lift the skin and tissue in her cheeks back to their proper position and thereby diminish the naso-labial folds.  He will also add volume to her cheeks by transferring her own body fat.  Molly will start using Obagi, skin rejuvenation program, to address the unevenness in her complexion caused by sun damage.  If Molly wants to look as good as she feels, her results from her procedure should take her back 10 years and the best part is; no one will know unless she tells them. 

To find out more about facial rejuvenation procedures, join Dr. Togba at our next “Facial Rejuvenation” Seminar, Oct 4.  Please call to R.S.V.P.  (888) 831-4197.

Facial Plastic Surgery

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