#plastic surger

[faggotcitosis]

i watch the umbrella academy very casually with no emotional attachment or reaction but seeing elliot page always irks me bc i am reminded about the fact that when he did that stupid magazine cover shirtless you could see his fake abs in high detail which looked unbelievably ridiculous attached to how skinny the rest of his body was

[not100bees]

If I was Matt Rife I wouldn't want to attribute my success with women to talent. I'd be like, "I paid good money for this plastic surgery. You're going to give it its proper credit."

[sherlock-is-ace]

Hmmmmmmm...

I've got two

1. Weeknd

2. Mark Twain

That's a weird duo ahfnsjg I don't know enough about them but based on looks alone

Smash mr weeknd (he has a very pretty smile)

Pass on mark twain ahfnsjg

Let's play smash or pass!

[chinmay-001]

Eyelid Surgery in Abu Dhabi (Blepharoplasty)

Eyelid Surgery in Abu Dhabi | Dr Zeeshan AhmadEyelid Surgery in Abu Dhabi | Dr Zeeshan Ahmad Description: Enhance your appearance with expert eyelid surgery in Abu Dhabi by Dr Zeeshan Ahmad, a renowned plastic surgeon in Dubai. Address droopy eyelids and under-eye bags with precision care. Schedule your consultation today!

[yashodahealthcarehospital]

The Centre for Plastic Surgery and Cosmetology at Yashoda Hospital offers a vast range of treatments in all disciplines of Plastic Surgery. Our teams of plastic surgeons have internationally recognized for their pioneering work in Plastic & Aesthetic (Cosmetic) Surgery and have the depth of experience to create beautiful results.

Yashoda hospital is the number one choice for all as we provide modern and advanced healthcare services in the region. We have fostered an environment of honesty and trustworthiness that truly sets us apart from the rest of the hospitals in the region. Integrity, Transparency, and quality are the three pillars on which have established our hospital.

Our hospital has ushered in new transformative changes by upgrading the healthcare infrastructure and latest technologies. However, the quality and the cost of the services do make it out of reach for anyone. In fact, our hospital strives to serve the community by bringing affordable healthcare services.

[docindiacompany]

Discover the top 10 plastic surgeons in Gurgaon, renowned for their expertise and successful outcomes in cosmetic and reconstructive surgery. With years of experience, these specialists are associated with leading hospitals like Medanta and Artemis Health Institute. Whether you're considering procedures such as rhinoplasty, breast augmentation, or reconstructive surgery, our comprehensive guide provides detailed profiles of each surgeon, including their qualifications, specialties, and patient reviews. Easily book your appointment online and take the first step towards enhancing your appearance and confidence. Explore the best in plastic surgery in Gurgaon today!

[strawberrystainedd]

“omg did this celebrity get plastic surger-” yes.

[t4tprinzzy]

i’m so sleep deprived i just saw the phrase “plastic surgery” changed to “lastic surger” and nearly cried from laughing

[kamranazadmd]

Sculpting Beauty: The Art of Brazilian Butt Lift in Orlando

In the vibrant city of Orlando, where a blend of creativity and beauty thrives, the quest for enhancing one's physical appearance has taken a sophisticated turn. Among the array of cosmetic procedures, the Brazilian Butt Lift (BBL) has emerged as a popular choice for those seeking a natural and shapely silhouette. In the heart of Orlando's cosmetic scene, the Brazilian Butt Lift offers a transformative journey towards accentuating curves and boosting confidence.

Understanding the Brazilian Butt Lift:

The Brazilian Butt Lift is not just a cosmetic procedure; it is an art form that harmonizes science with aesthetics to sculpt and enhance the natural curves of the buttocks. This procedure involves liposuction to remove excess fat from areas such as the abdomen, thighs, or flanks, followed by the strategic injection of purified fat into the buttocks. The result is a fuller, lifted appearance that complements the patient's overall physique.

Exemplary Surgeons in Orlando:

Orlando is home to a cadre of highly skilled and board-certified plastic surgeons who specialize in Brazilian Butt Lift procedures. These surgeons bring a blend of expertise and artistic finesse to their practice, ensuring that each patient receives personalized attention and a carefully crafted treatment plan. With a commitment to safety and natural-looking results, these surgeons contribute to the city's reputation as a hub for cosmetic excellence.

Personalized Consultations for Tailored Results:

The journey towards a Brazilian Butt Lift in Orlando begins with a personalized consultation. Experienced surgeons take the time to understand each patient's unique goals, body type, and expectations. This individualized approach allows for the creation of a tailored treatment plan that addresses specific concerns and ensures that the final results align seamlessly with the patient's vision of beauty.

Safety and Technological Advancements:

Patient safety is paramount in Orlando's cosmetic surgery landscape. Surgeons employ the latest technological advancements and adhere to strict safety protocols during Brazilian Butt Lift procedures. This commitment to safety not only ensures optimal outcomes but also provides patients with peace of mind as they undergo this transformative experience.

Natural-Looking Results:

The allure of the Brazilian Butt Lift lies in its ability to produce natural-looking results. Skilled surgeons in Orlando understand the importance of proportion and contour, striving to enhance the buttocks while maintaining harmony with the patient's overall physique. The outcome is a shapely, lifted buttock area that appears naturally sculpted and complements the patient's unique body contours.

Recovery and Post-Operative Care:

Recovery from a Brazilian Butt Lift in Orlando is a crucial phase of the process. Surgeons provide detailed post-operative care instructions to support a smooth healing process. Patients are encouraged to follow guidelines for sitting and sleeping to protect the newly augmented buttocks. As the recovery progresses, the results gradually reveal themselves, leaving patients with a newfound sense of confidence and beauty.

Boosting Confidence and Self-Esteem:

Beyond physical transformations, a Brazilian Butt Lift in Orlando has the power to boost confidence and self-esteem. Patients often express a heightened sense of satisfaction with their appearance, leading to increased self-confidence in various aspects of their lives. The psychological impact of the procedure contributes to a holistic sense of well-being.

Conclusion:

In the enchanting city of Orlando, the Brazilian Butt Lift stands as a testament to the seamless integration of art and science in the realm of cosmetic surger

[scarlessrhinoplasty]

Considering a cheek augmentation in the San Jose or Palo Alto, CA areas? Call 650-941-8888 for your consultation at Mittelman Plastic Surgery.

[jcmicr]

Sub-Clavicular Hibernoma: A Rare Diagnosis of Lipomatous Tumor by Zaïd Boughaleb in Journal of Clinical and Medical Images, Case Reports  

Abstract

Lipomatous tumors are the most common soft tissue tumors, including a large variety of benign and malignant lesions. Hibernoma is a benign lipomatous tumor originating from the brown adipose tissue inherited from the fetus. The diagnosis is often incidental, since the large majority are asymptomatic or very slow growing. Differential diagnosis with other lipomatous tumors is often challenging. Hence the diagnostic work-up is large and must be multidisciplinary. Biopsy and large resection with sane margins are the standard of care. We describe a 48-year-old male patient with a history of a painless, mobile, slow growing right sub-clavicular mass apparently evolving for eleven years. This patient underwent ultrasound, mammography, MRI, CT Scan and ultrasound guided large core biopsy at different points in time. We describe this case of a well-documented hibernoma of the sub-clavicular region in line with the current literature.

Keywords: CT scan; hibernoma; lipomatous tumor; MRI; ultrasound.

Introduction

Lipomatous tumors including a large variety of benign and malignant lesions are the most common soft tissue tumors, their prevalence increasing with age [1]. Sometimes, overlapping imaging features can be misleading in diagnosis [2]. Since the distinction between benign and malignant lipomatous tumor is challenging, especially when based on clinical and superficial work-up, the differential diagnosis of lipomatous tumors includes hibernoma [3]. Hibernoma is a rare, heterogeneous, slow growing fatty tumor of good prognosis [1], arising from brown fat precursors, representing approximatively 1% of all tumors derived from lipomatous tissues [1]. Usually, no symptoms are associated except when the enlarging mass impinges on local tissues4. To date a few thousand cases worldwide have been described [1].

Case Presentation

A 48-year-old male patient was referred to our mammography unit with a history of a painless, mobile, slow growing right sub-clavicular mass apparently evolving for eleven years. No skin redness, fever or signs of nerve or vascular compression were related. Previous ultrasound examinations reported a fatty mass with a diagnosis of lipoma (well-differentiated fatty tumor without suspicious radiological signs of malignancy [3]). Mammography showed a radiolucent mass consistent with a lipomatous origin on a targeted modified medio-lateral oblique view [5]. Ultrasound revealed a hyperechoic, homogeneous mass compared to the subcutaneous fatty tissue, measuring 11,5 x 3,6 x 10 cm, with vascular hyperemia on color-doppler ultrasound (Figure 1). MRI examination was performed to assess the precise extent and possible invasion of the underlying tissues. MRI described a mass measuring 10 x 3,9 x 9 cm with hypersignal on T2 sequence (but slightly lower than the subcutaneous fat signal [3]), hyposignal on T1 sequence compared to muscle structure (but slightly higher than subcutaneous fat signal [3]), very low signal on a fat suppression sequence and moderate enhancement on the post-contrast T1 sequence. No invasion of the adjacent soft tissues, muscles or bones was described (Figure 2). A CT scan without contrast media injection recently performed for other reasons showed a pre-pectoral low attenuation mass without involvement of the underlying tissues. In our case, density of the lesion was slightly higher than subcutaneous fat [5]. Eventually, diagnostic large core needle biopsies under ultrasound control were performed yielding the histological diagnosis of adipocytes with a microvacuolar and eosinophilic cytoplasm without signs of mitosis or necrosis. The diagnosis of hibernoma was raised. For aesthetic reasons, this patient was referred to our oncologic plastic surgeon; preoperative laboratory testing reported no evidence of metabolic disorder or infectious component [6]. Surgery showed a mass alongside the pectoral fascia, without muscle or vessel invasion. Histology confirmed the diagnosis of hibernoma.

Figure 1: (A) Subclavicular swelling due to the clinical mass (black star). (B) Mediolateral modified oblique mammographic view showing a radiolucent mass (white star), nipple (with arrow). (C) Ultrasound: hyperechoic mass with peripheral vessels on color ultrasound (white star). (D) Axial non-enhanced CT scan showing the mass (white arrow).

Figure 2: (A) T2-weighted axial MRI image revealing a slightly hypointense mass compared to subcutaneous fatty tissue (black star). (B) Axial T1-weighted non-enhanced MRI image with fat suppression: hibernoma undistinguishable from adjacent fatty tissue. (C) Gross macroscopic specimen showing a lipomatous mass. (D) Axial T1-weighted MRI image with fat-suppression post Gadolinium injection demonstrating a slight enhancement of the mass (white arrow).

Discussion

Huge progress has been made since the descriptions by Merkel in 1906 and Gery in 1914 [7, 8]. Brown fat is a particular form of fat found in the hibernating and non-hibernating animals [9]. Representing approximatively 1,6% of all benign lipomatous tumors, hibernomas are very slow growing tumors usually occurring between the age of 20 and 50 years [11, 12]. Average age at diagnosis is 38 years and various gender predominance have been described in the literature. Intraosseous hibernomas are found in older patient [13]. The most common location, as the majority of fat tumors, are neck, shoulder and periscapular regions which are areas with possible remaining brown fat tissue [14]. However, hibernomas can occur anywhere in the body [15]. The clinical manifestations are rare, but might occur as a painless soft tissue mass, with a locoregional irritation or neurovascular compression [16]. Conventional radiography demonstrates a radiolucent mass with no adjacent osseous abnormalities or mineralization [17]. Ultrasound describes a rather uniformly hyperechoic mass [5], with increased vascular flow [17] generally unspecific, like other soft tissue tumors. In our case, the diagnosis of a typical lipoma [5] was ruled out due to vascular hyperemia on color doppler ultrasound. On CT scan, hibernoma presents as a homogenous low-density mass of lipidic composition between the attenuation of subcutaneous fat and skeletal muscle [5]. Contrast enhanced CT scan usually shows variable degree of enhancement [16] and intra-tumoral septas [10]. Diagnosis of hibernoma cannot be excluded based on the lack of intra-tumoral vessels [10]. On MRI, the imaging modality of choice [3], hibernoma shows an hypoT1 and hyperT2 signal because of the fatty component alike our case but differs slightly from the fat signal. On a fat-suppressed sequence, attenuation is similar to fatty tissue. After Gadolinium contrast media injection, enhancement is variable but predominantly present and rather heterogeneous [5]; a common sign are large flow voids indicating fast flowing flood in intratumoral vessels. Internal septation, one of the features of hibernoma [3], was absent in our case. High level of FDG uptake has been described in brown adipose tissue [16], sometimes even higher than liposarcoma [10] but overlapping results [2] prevent clear distinction between both tumors. Four types of hibernomas have been described, based on a histological classification [15]: the typical variant, the most common one like our case, the “myxoid” variant, the “lipoma-like” variant and the “spindle-cell” variant. Differences in imaging characteristics among these different histological subtypes of hibernomas are due to the variable amounts of water and fat content. One study distinguished between “lipoma-like” and “non lipoma-like” hibernoma [18]. Non-lipomatous hibernomas are probably indistinguishable from other liposarcomas [17]. Differential diagnosis of hibernoma is very large and may include benign tumors (lipoma, angiolipoma, hemangioma, hemangiopericytoma, hemangioblastoma, xanthoma, granular cell tumor, adult rhabdomyoma, lipoblastoma…) [16, 19] and malignant tumors (liposarcoma, clear cell sarcoma,…) 5, 10, 16. Clinical and imaging features as previously described may guide the diagnosis, but the histological examination gives the final diagnostic. In the absence of treatment, hibernoma continues to grow and leads to functional or cosmetic consequences 2. Tumor regrowth has been reported with incomplete excision of hibernoma 19. The standard of care of hibernoma is surgical removal with clear margins. Surgical excision is advised to rule out a possible malignant lesion with hibernoma-like differentiation which could be missed by core needle biopsy 1. No risk factor has been described [1]. Multiple lesions in a single patient are possible 21. After resection, the tumor generally does not recur. Since no malignant transformation or metastatic (22) spread have been described in the current literature, hibernoma can be considered as a benign tumor 1 for patients is 20.

In conclusion, the diagnosis of fatty tumors, often challenging especially with rare tumors like hibernomas, should comprise ultrasound, MRI and large core needle biopsies. Since hibernomas are benign tumors with no tendency to recur or metastasize, surgical resection with clear margins is recommended 17.

Declarations

Funding

This work did not benefit from any financial support

Conflict of interest

All authors declare no conflict of interest.

Ethical approval statement

The study has been approved by the Ethical Committee of the institution (76/2021).

Patient consent statement

A written permission to publish has been obtained from the patient.

For more details : https://jcmimagescasereports.org/author-guidelines/ 

[healthworldhospitals]

A clinician who specializes in using tissue transformation to recreate or repair broken or wounded bodily parts is known as a plastic surgeon. Cosmetic or aesthetic surgery and reconstructive plastic surgery are the two subfields of plastic surgery.

While reconstructive plastic surgeons undertake several surgeries—which may involve craniofacial surgery, microsurgery, and the treatment of burns—in order to restore the body parts, cosmetic surgeons focus on enhancing the appearance of the afflicted body part. You may discover the best plastic surgeon at HealthWorldHospitals who specializes in reconstructive and cosmetic plastic surgery. Make an online appointment to speak with a leading plastic surgeon right away.

Online consultation with a surgeon in Durgapur-- A surgical specialty known as plastic surgery deals with the repair, reconstruction, or alteration of the human body. A clinician who specializes in using tissue transformation to recreate or repair broken or wounded bodily parts is known as a plastic surgeon. Cosmetic or aesthetic surgery and reconstructive plastic surgery are the two subfields of plastic surgery.

A plastic surgeon (cosmetic surgeon) can treat a wide variety of acute and chronic issues, including the need to reshape the nose, sagging breasts, excess skin, and fat, a protruding stomach, loose arm skin or flabby arms, excess skin and fat in the thighs, wrinkles, skin lesions, carpal tunnel syndrome, burn injuries, complex wounds, and craniofacial surgery, among others. For non-emergency issues, patients can visit a plastic surgeon doctor online.