Weight Loss & Body Contouring2021-04-25T23:34:24+03:00

Weight Loss and Body Contouring

What is AbdominiPlasty?

It is a cosmetic surgery procedure used to make the abdomen thinner and more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. This type of surgery is usually sought by patients with loose or sagging tissues after pregnancy or major weight loss.

Abdominoplasty is a highly effective procedure that helps in getting the body shape as desired to achieve toned muscles. It is a preferred procedure as it gives long-lasting results. The only requirement for a person is to maintain their weight. It is a useful procedure for those who want a flat or a well-toned abdomen, but are unable to achieve it through exercise or weight control.

Abdominoplasty Treatment

How does it help?

This procedure is useful when all other methods fail to achieve a flat or toned tummy and is for those who are worried about a protruding and non-proportioned abdomen. The procedure is very common with people who have an uneven abdomen due to one or more of below factors:

  • Genetically loose abdomen muscles and skin
  • Loose abdomen due to weight fluctuations
  • Loose skin around abdomen due to ageing
  • Loose tummy skin due to previous procedures or surgeries
  • Post pregnancy abdomen

Tummy tuck eliminates extra fat and skin, in most cases it repairs weakened or separated muscles creating a smoother and firmer abdominal profile.


  • Tummy Tuck treatment is highly effective to achieve desired body shape
  • If constant weight is maintained then it is possible to maintain the effects of the procedure.
  • It is a simple yet painless procedure
  • It is also useful in getting toned and muscular body
  • The procedure has long lasting effects

Risk factors

The procedure can result in swelling and pain for a couple of days. There are cases where bleeding can happen post the surgery and there are chances of infection too. There can also be bruising, numbness and tiredness post the procedure

If any signs of infection occur or if the wound seem to heal much slowly then it is advised to consult a doctor


The limitations of the procedure include scarring along incision of pubic area.

Weight Loss and Body Contouring

Sometimes the most effective diets and the most successful exercise regimes are simply not enough to achieve the figure we really want.

Whether it involves elimination of localized fat deposits and cellulite or skin tightening, Avané Cosmetic Dermatology Clinic, and Medical Spa, offers concrete solutions to suit any area of the body in need of improvement, using the safest and minimally invasive procedures.

It is now possible to enhance one’s silhouette by slimming and firming the tummy, hips, thighs and upper arms without risking serious complications and with no downtime.

Obesity is a serious problem for millions of people, and losing weight can often be challenging. Metabolic weight loss is a multidisciplinary approach to promote long-term weight loss. This technique begins with an evaluation of the patient’s medical history and current diet and lifestyle. In addition, their BMI is calculated and lean muscle mass is measured.

Slender Wonder Weight Loss

Obesity is a serious problem for millions of people, and losing weight can often be challenging. Metabolic weight loss is a multidisciplinary approach to promote long-term weight loss. This technique begins with an evaluation of the patient’s medical history and current diet and lifestyle. In addition, their BMI is calculated and lean muscle mass is measured.

After these assessments, blood testing is performed to determine whether the patient has any vitamin deficiencies or underlying medical issues that are making weight loss difficult. A customized diet and exercise plan will then be created to stimulate weight loss. In addition, stress management methods and psychological and nutritional counseling may be provided as components of a metabolic weight loss plan.

This is a medically-supervised weight loss program. According to one’s body needs, the Doctor gives dietary support & physical exercise recommendations.

Visit Slender Wonder website for more: www.slenderwonder.co.za

Mesotherapy, Laparoscopic Stomach Banding, Sleeve Gastrectomy, Gastric Bypass & Mini-Gastric Bypass

Mesotherapy involves the injection of medications and other substances into the mesoderm, the layer of fat and connective tissue beneath the skin. Invented in France in 1952.

Mesotherapy today is used for a variety of cosmetic purposes including;

              • To remove fat in areas like the stomach, thighs, buttocks, hips, legs, arms, and face
              • To reduce cellulite
              • To fade wrinkles and lines
              • To tighten loose skin
              • To recontour the body
              • To lighten pigmented skin
              • To treat alopecia, a condition that causes hair loss

The technique uses very fine needles to deliver a series of injections into the middle layer (mesoderm) of skin. The idea behind Mesotherapy is that it corrects underlying issues like poor circulation and inflammation that cause skin damage. There isn’t a standard formula for the substances injected in Mesotherapy.

The doctors can use many different solutions including:

  • Prescription medicines like vasodilators and antibiotics
  • Hormones such as calcitonin and thyroxin
  • Enzymes like collagenase and hyaluronidase
  • Herbal extracts
  • Vitamins and minerals


Because Mesotherapy is non-invasive, there usually isn’t any downtime. Many people are able to return to their regular activities right away. Others may need to take a day off due to swelling and pain at the injection sites.

Laparoscopic Stomach Banding

Laparoscopic gastric banding is surgery to help with weight loss. The surgeon places a band around the upper part of your stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food.

Procedure description

You will receive general anesthesia before this surgery. You will be asleep and unable to feel pain.

The surgery is done using a tiny camera that is placed in your belly. This type of surgery is called laparoscopy. The camera is called a laparoscope. It allows your surgeon to see inside your belly. In this surgery:

The specialist will make 1 to 5 small surgical cuts in your abdomen. Through these small cuts, the surgeon will place a camera and the instruments needed to perform the surgery.

The specialist will place a band around the upper part of your stomach to separate it from the lower part. This creates a small pouch that has a narrow opening that goes into the larger, lower part of your stomach.

The surgery does not involve any cutting or stapling inside your belly. Your surgery may take only 30 to 60 minutes if your surgeon has done a lot of these procedures.

When you eat after having this surgery, the small pouch will fill up quickly. You will feel full after eating just a small amount of food. The food in the small upper pouch will slowly empty into the main part of your stomach.

Sleeve Gastrectomy

Sleeve Gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature.

Limiting the size of your stomach restricts the amount of food you are able to consume. In addition, the procedure prompts hormonal changes that assist with weight loss. The same hormonal changes also help relieve conditions associated with being overweight, such as high blood pressure or heart disease.

Sleeve gastrectomy is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems including:

  • Gastroesophageal reflux disease
  • Heart disease
  • High blood pressure
  • High cholesterol
  • Obstructive sleep apnea
  • Type 2 diabetes
  • Stroke
  • Infertility

In general, sleeve gastrectomy surgery could be an option for you if:

  • Your body mass index (BMI) is 40 or higher (extreme obesity).
  • Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems.

You must also be willing to make permanent changes to lead a healthier lifestyle. You may be required to participate in long-term follow-up plans that include monitoring your nutrition, your lifestyle and behavior, and your medical conditions.

Gastric Bypass

Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.

The food you eat will no longer go into some parts of your stomach and small intestine that absorb food. Because of this, your body will not get all of the calories from the food you eat.


You will have general anesthesia before this surgery. You will be asleep and pain-free.

There are 2 steps during gastric bypass surgery:

The first step makes your stomach smaller. Your surgeon uses staples to divide your stomach into a small upper section and a larger bottom section. The top section of your stomach (called the pouch) is where the food you eat will go. The pouch is about the size of a walnut. It holds only about 1 ounce (oz) or 28 grams (g) of food. Because of this you will eat less and lose weight.

The second step is the bypass. Your surgeon connects a small part of your small intestine (the jejunum) to a small hole in your pouch. The food you eat will now travel from the pouch into this new opening and into your small intestine. As a result, your body will absorb fewer calories.

Gastric bypass can be done in two ways. With open surgery, the surgeon makes a large surgical cut to open your belly. The bypass is done by working on your stomach, small intestine, and other organs.

Another way to do this surgery is to use a tiny camera, called a laparoscope. This camera is placed in your belly. The surgery is called laparoscopy. The scope allows the surgeon to see inside your belly.

In this surgery:

The surgeon makes 4 to 6 small cuts in your belly.

The scope and instruments needed to perform the surgery are inserted through these cuts.

The camera is connected to a video monitor in the operating room. This allows the surgeon to view inside your belly while doing the operation.

Advantages of laparoscopy over open surgery include:

  • Shorter hospital stay and quicker recovery.
  • Less pain.
  • Smaller scars and a lower risk of getting a hernia or infection.
  • This surgery takes about 2 to 4 hours.

Mini Gastric Bypass

The mini-gastric bypass is a quicker operation compared to traditional laparoscopic gastric bypass surgery. Operating times are reduced, on average by 50 minutes.

The mini-gastric bypass procedure has gained popularity in recent years. The mini-gastric bypass was originally developed by Dr. Robert Rutledge in 1997. The mini-gastric bypass is quicker, technically easier and carries a lower complication rate compared to traditional gastric bypass surgery, 2.9% (2012 MGB study).

The mini-gastric bypass was developed to reduce operating time, simplify the procedure and reduce complications.  Recent studies show that it does reduce operating time, may lead to similar weight loss (some studies show that mini-gastric bypass may actually produce more weight loss), and reduce overall complication rates compared to gastric bypass surgery.


The stomach is divided with a laparoscopic stapler. Most of the stomach is no longer attached to the esophagus and will no longer receive food. Your new stomach is much smaller and shaped like a small tube.

Between 2 to 7 feet of intestines are bypassed. The surgeon will attach the remainder of the intestines to the new stomach.

Food now flows into your small tube-like stomach and then bypasses between 2 to 7 feet of intestines where it resumes the normal digestive process in you’re the remaining intestine.


After surgery you will have some belly pain, particularly at your incision sites. The incision sites, typically 5, are between 5mm and 12mm in length. This is where the surgeon inserted ports to access your abdomen.

You will typically be required to stay overnight in the hospital. Occasionally patients are kept an additional day for observation.

Once you are home, you’ll be required to follow a strict diet. A liquid diet (soft food) is usually required for the first two weeks after surgery. This may include protein shakes, water, pureed soft foods, and soup. Follow the instructions from your surgeon. After two weeks, soft foods are introduced. And after a month you’ll be back to normal foods. However, you’ll be asked to follow a new diet that will include more protein, vegetables and fruit. Your stomach is much smaller and there is no room for junk food (you need to maximize nutrients from every bite you eat).

Body contouring is a procedure that alters the shape of the human body, eliminate excess skin and fat that Body Contouring refers to any medical or surgical procedure that changes the shape of part/s of the body via the removal of fat and/or skin. It involves resizing and reshaping certain areas so the persons overall appearance is more balanced and in proportion. It can also include toning areas and improving the appearance of skin.

Liposuction is a great technique to contour those areas where fat deposits exist that just won’t budge through diet and exercise. It reduces the number of fat cells in the area being treated by permanently removing them. The result is a more proportioned body.

Body Lifting, such as Arm Lift, Thigh Lift, Tummy tucks and Mini tummy Tucks are a surgical approach to removing excess fat and skin, and is used particularly when skin has lost elasticity due to ageing or a dramatic weight loss. Lift procedures can also be combined with Liposuction.

The most common concerns we see for body contouring are for breasts, stomach, thighs and upper arms.

Body contouring is able to provide excellent benefits to your physical health and emotional wellbeing. We have seen it provide a kick-start to so many people’s lives, creating a healthier and more confident life.

Breast Surgery

Cosmetic Breast Surgery can have a tremendous impact on a woman’s self-esteem, and totally change the way she views herself. There are three different procedures.

Breast Augmentation

Breast augmentation is performed to enhance the appearance, size and contour of a woman’s breasts. Women consider breast augmentation or augmentation mammoplasty for different reasons. Some women feel their breasts are too small in relation to their body contour. Some women desire augmentation after size loss associated with pregnancy and lactation. Others desire to correct an asymmetry in breast size.

Breast augmentation is performed with implants that can be placed over or under the pectoralis chest muscle. The incision can be placed in the axilla (armpit), areola or lower breast. Breast augmentation can be assisted with endoscopes. When implants are placed beneath the pectoralis chest muscle, there is less interference with screening mammography. Women should be aware, however, that breast implants may interfere with the detection of cancer and that breast compression during mammography may cause implant rupture.

A breast implant is a silicone shell filled with either saline (a salt water solution) or silicone gel. A woman determines her desired size by fitting trial implants. Currently, saline filled implants are used on an unrestricted basis. Silicone gel filled implants are available only to women participating in approved studies.

Breast augmentation is a relatively straightforward procedure. As with any surgery, some uncertainty and risk are associated with breast augmentation surgery. Know your concerns and expectations. Review the benefits, risks and alternatives. Seek consultation with a board certified plastic surgeon.

Breast Reduction

Large, heavy, pendulous breasts can be uncomfortable. The excess weight can cause neck pain, back pain, skin irritation, bra strap indentations, numbness or weakness. Breast reduction is known as reduction mammoplasty. The procedure involves removal of excess skin, fat and glandular tissue.

With this type of surgery, scarring can be extensive. Normal breast sensation, nipple-areola sensation and milk production are usually preserved. Possible side effects include pain and lumpiness from scar tissue and the inability to breastfeed. The reduction procedure reduces breast appearance, volume and contour, while preserving breast sensation and function. After breast reduction, women report tremendous improvement in their symptoms.

Breast Reconstruction

Breast reconstruction seeks to recreate a breast with the desired appearance, contour and volume. The nipple-areola component also is recreated. Normal breast sensation and the ability to breastfeed are lost when the sensory nerves or milk glands and ducts have been removed or significantly injured.

The appearance, contour and volume of the breast can be recreated with implants or with a woman’s own tissue. If an implant is used, the implant is sized to match the opposite breast. A breast also can be recreated using a woman’s own tissue. At times, a segment of the lower abdominal wall can be used. Other tissue options for autologous (using your own tissue) reconstruction include the back muscle and skin or a segment of a buttock.

Face Lift, Thigh Lift & Chin Reshaping

A facelift, or rhytidectomy, will tighten the skin around the face, chin, and neck. It will also improve the jawline, sagging cheeks, and loose neck skin.

During a face-lift, a flap of skin on each side of the face is pulled back, and tissues below the skin are surgically altered to return the contour of the face to a more youthful shape. Before the flap is sutured closed, excess skin is removed.

A neck lift (platysmaplasty) is often done as part of a face-lift to reduce fat deposits and sagging skin on the neck. A face-lift won’t decrease fine creases or wrinkles in your skin or damage from sun exposure. Other cosmetic procedures can address the appearance or quality of the skin itself.

Why do it?

As you get older, the appearance and shape of your face is altered because of normal age-related changes. Your skin becomes less elastic and looser, and fat deposits decrease in some areas of your face and increase in others. Age-related changes in your face that may be reduced with a face-lift include the following:

  • Sagging appearance of your cheeks
  • Excess skin at your lower jawline (jowls)
  • Deepening of the fold of skin from the side of your nose to the corner of your mouth
  • Sagging skin and excess fat in the neck (if the procedure includes a neck lift)

A face-lift isn’t a treatment for superficial wrinkles, sun damage, creases around the nose and upper lip, or irregularities in skin color.

Thigh Lift

thigh lift

A Thigh Lift, or Thighplasty tightens loose sagging skin on either the inner or outer thigh, giving one more attractive, firmer, and youthful looking legs.

Your thighs may look dimpled with sagging skin or have a flabby appearance. The goal of a thigh lift is to lift and contour your thighs so that they look slim and in proportion with the rest of your body. A combination of a thighplasty and liposuction techniques may be performed to give the thighs a smoother, more toned appearance.

People considering thigh lift surgery should know that it is not a surgical means of losing weight. It is a procedure for those who are close to their ideal weight but unhappy with the appearance of their thighs.

Types of Thigh Lifts

  • An inner thigh lift targets the skin in the lower portion of the inner thigh
  • A medial thigh lift targets the skin and fat on the upper part of the inner thigh
  • A bilateral thigh lift focuses on the skin on the front and outside of the thigh

The Procedure

Thighplasty is usually performed as an outpatient procedure with general anesthesia or an epidural. Depending on the type of thigh lift and the area being treated, the incision pattern will vary. The most common thigh lift technique begins with an incision in the groin area. In all cases, skin and/or fat is removed; the underlying tissue is reshaped and tightened and the remaining skin is lifted and smoothed, and sutured into place at the incision site. Surgery typically takes 2 to 3 hours.


Post-operatively, there will be bruising, swelling and soreness in the area. You will need to wear compression garments to minimize the swelling and promote healing. You may have drains in place to collect excess fluid and reduce the risk of infection. You will need to record the amount of fluid collected in a logbook. When the level of fluid removed meets your surgeon’s expectations, the drains will be removed.

The surgical sutures will be removed within two weeks. Pain medication and anti-inflammatory medications are typically prescribed during the post-operative period. You will not be able to use a bathtub, swim, or use a hot tub until you receive clearance from your surgeon. You may shower 48 hours after the procedure. You will most likely be able to return to work within 7 to 10 days and resume physical activity after 4 to 6 weeks. While there are scars, they are mostly hidden in your body’s natural creases, and they will fade over time.

Chin Reshaping

Chin surgery, or mentoplasty, will reshape the chin either by enhancement with implants or through reduction surgery on the bone. Most of the time, chin surgery is done.

Chin Augmentation

Mentoplasty that augments the chin takes approximately 45 minutes to an hour to perform. Either local anesthesia with sedation or general anesthesia is used. During the procedure, an incision is made inside the mouth, which eliminates visible scarring. A pocket is created for the implant (typically made of semi-solid silicone), which is then placed and positioned in front of the jawbone. Once in place, the implant is secured with sutures. When an incision in the mouth is not possible, it is made underneath the chin so that the scar is not apparent. The patient returns home the same day.

Chin Reduction

Mentoplasty that reduces the chin takes approximately 1 to 2 hours to perform. General anesthesia is typically used. The procedure begins with the surgeon’s making an incision inside the mouth or under the chin. Excess bone and/or tissue and muscle are removed, and the tip of the chin is contoured to the desired shape using a bone burr or drill. In some cases, a piece of the bone is removed, and the chin is repositioned. Sutures are used to close the incision. The patient returns home the same day.

Recovery from Mentoplasty

After mentoplasty, a patient may experience tightness and swelling in the chin. Discomfort can be relieved with pain medication, although most patients report that pain is gone within 3 to 5 days. A compression garment may be taped to the chin to reduce swelling. For 2 weeks following mentoplasty, eating only a light, liquid-based diet is recommended. Sutures are removed within 10 days. Full recovery from mentoplasty takes 6 weeks.


Risks of mentoplasty include implant displacement or bone absorption (in augmentation), asymmetry, numbness in the lip and chin, infection and bleeding. In general, serious complications are rare.

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