Dr. John Yousif  ●  SIÈR Medi-Spa ● 10554 N. Port Washington Road Mequon, WI 53092 ​●                          ​● 262.241.SSPA​

W H E R E   S C I E N C E   M E E T S   S O P H I S T I C A T I O N


​Abdominoplasty | Tummy Tuck | Horizontal Tummy Tuck

This is a procedure intended for women and men who have loose abdominal skin, and/or a significant amount of abdominal fat that is not improved by dieting or exercise.  You may be a good candidate for abdominoplasty if you have one or more of the following conditions:
Excess or loose sagging abdominal skin.  An abdomen that protrudes or is out of proportion to the rest of the body.
Abdominal muscles that have loosened through pregnancy or aging.  Excess fat that is localized beneath the abdominal skin
If an individual plans to become pregnant or lose a significant amount of weight, this should be discussed prior to deciding on this procedure. Scars from previous abdominal surgeries that are below the belly button are typically removed during the procedure. This includes most cesarean section scars. Scars above the belly button may at times, be limit the results of the abdominoplasty.

The Natural Tummy: Muscle Tightening (Horizontal tightening of the muscles)  The standard tightening of the tummy muscles is done in a vertical direction. These are the rectus muscles or those muscles that give the "six pack abs". This form of tightening tends to hide the rectus muscles and give the tummy and un natural board like look. The youthful, attractive tummy still shows the shape of the underlying muscles and it is important to keep the shape of those muscles visible and place them back into their normal position. Dr. Yousif, in 2001 published a new way to tighten the rectus muscles that allows the beautiful shape of the tummy to remain visible. This is called horizontal plication(tightening) and tightens the rectus muscle regaining its youthful shape.

The Scars:  The standard teaching for the placement of scars is 6 centimeters or 3 inches above the pubic bone. Dr. Yousif believes that this is much too high and is significantly above most of the bathing suits of the current day and fashion. Dr. Yousif maintains the scars at or slightly above the pubis. This allows the most scars to be easily hidden beneath most undergarments or bathing suits.  Anesthesia and

Surgery Facility:​ The abdominoplasty and its variations are most comfortably performed under general anesthesia in a surgery center or hospital setting. Occasionally, a mini-abdominoplasty can be performed under intravenous sedation with local anesthetic, however the tightening of the muscle layer may be uncomfortable.

Arm Reduction Surgery (Brachioplasty)

This surgery may be performed to remove excess tissue and reduce the circumference of the upper arm. Surgical correction depends on the amount of extra skin and how loose the supporting tissues have become. Extra skin is removed from incisions along the inner arm. The incision must be placed where the tissue can be best tightened but the incision must also be well hidden.

Anesthesia and Surgery Facility:  General anesthesia is the most common approach. This is routinely an outpatient procedure.
Operative time is approximately 2 hours.

Side Effects: ​ There is expected temporary discomfort, swelling, and bruising.

Recovery:  Patients may return to work two weeks after surgery. But strenuous activity maybe limited to four weeks.
Duration of Results:  Permanent.



This surgery may be done to improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. It may be performed using the tumescent technique, where targeted areas are infused with saline (salt water) containing solution and a local anesthetic before liposuction to decrease post-operative bruising, swelling and discomfort. Common areas for liposuction include chin, cheeks, neck, upper arms, abdomen, buttocks, hips, thighs and knees. For fibrous spotty areas or scared areas ultrasound/assisted lipoplasty (UAL) may be performed. Other methods are frequently described and in the news but until now the basic premise of fat removal in a random, swiss cheese like fashion is unchanged.
It is important to remember that liposuction is intended to change contour and shape and not as a weight reduction method. The removal of fat includes the removal of fat cells, which do not return. That means that if the patient maintains his or her weight the contour change will also remain. It is a misconception that the weight goes to other areas. That may be the result of weight gain.

Anesthesia and Surgery Facility:​  Smaller areas of liposuction may be performed under local anesthesia with IV sedation but multiple larger areas are more often performed under general anesthesia.

Liposuction is more commonly performed on an outpatient basis. Extensive procedures may require a 23 hour inpatient stay. Operative time may vary depending upon the areas treated ranging from 1-2½ hours. The UAL approach may be 20-40% longer than traditional liposuction.

Lower Body Lift

This surgery may be done to remove excess skin and fat from the hips and lower back as well as to lift the buttocks and outer thighs.