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The purpose of this blog is to inform, update, and at times to entertain you about plastic surgery and the happenings around Advanced Cosmetic Surgery Center.

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Breast Lift Without Implants

Posted by administration on June 05, 2017

Breast_Lift.jpgThere are many reasons why breasts may droop. For example, the normal aging process, gain or loss of body weight, the physical effects associated with motherhood, genetic factors or just the action of gravity. Over the years and especially after pregnancy and lactation, these factors can cause the breasts to sag, losing their youthful shape and firmness.

If your breasts are sagging but still have sufficient volume, a breast lift without implants can address this, resulting in breasts that have a more perky appearance. The operation involves raising the breast by tightening and removing excess skin in order to produce an uplifted breast.

There are different techniques available to perform a breast lift without implants, they are used depending on breast size, and age and health of the patient, among other factors. Surgical incisions vary depending on the case. The procedure generally consists of relocating and anchoring the breast tissue, relocating the areola and nipple to the appropriate height and removing surplus tissue at the bottom of the breast. In some cases, the size of the areola is reduced to be more proportionate to the new breast shape.

Breast lift surgery does produce scars. The amount of scarring that occurs will depend on the technique used and how much the breast needs to be lifted to achieve the ideal look. The greater the drop of the breast, the greater the scars will need to be to shape the chest and remove the remaining skin.

A breast lift without implants will not significantly change the size of your breasts. If you want your breasts to look fuller, consider breast lift and breast augmentation surgery. If you desire smaller breasts, consider combining breast lift and breast reduction surgery.

If your breasts have lost their youthful shape and fullness and you would like a rejuvenated look through a breast lift procedure, contact Advanced Cosmetic Surgery Center at 303-367-9000 or

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Tummy Tuck Scars

Posted by administration on June 05, 2017

Tummy_Tuck.jpgA tummy tuck, called an abdominoplasty, sculpts the lower abdominal area by removing loose skin and excess abdominal fat that may have accumulated due to pregnancy, weight loss or aging. One of the unpleasant results of a tummy tuck is that there will be a scar left behind. If you are considering a tummy tuck, you may be concerned about what kind of scarring you should expect from a tummy tuck. Tummy tuck scars depend on the type of tummy tuck surgery you have.

Traditional Tummy Tuck: This technique results in a scar at the pubic bone that extends from hip to hip and one at the belly button.

Mini Tummy Tuck: A modified version of the traditional tummy tuck that addresses minimal loose skin and leaves behind a smaller scar just above the pubic bone.

Extended Tummy Tuck: In an extended tummy tuck, the incision spans the entire length of the abdomen and extends to the back of the patient’s hips. This procedure is best suited for patients who have experienced significant weight loss.

Circumferential Tummy Tuck: Leaves a scar that extends completely around the body. This operation is most appropriate for patients who have undergone massive weight loss.

In Denver, cosmetic surgeon Dr. Serota takes great care in placing the tummy tuck incisions below the bikini line when possible, so that they are as hidden as can be.

As tummy tuck scars heal, they typically will look worse before they get better. Scars go through a series of changes before they are completely healed and the process can take several months. With proper care, they will improve and fade over time. You can expect significant softening and flattening of your tummy tuck scars after one year.

If you’re interested in a tummy tuck and would like to schedule a consultation with Dr. Serota, contact Advanced Cosmetic Surgery Center by calling 303-367-9000 or visiting  

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Liposuction Meaning

Posted by administration on May 29, 2017

Liposuction.jpgLiposuction is a form of cosmetic surgery where fat is removed from a particular area of the body by dissolving it and then sucking it out with a tube. Liposuction can be performed on different areas of the body including the abdomen, thighs, buttocks and backs of the arms.

In general, fat is removed by using a cannula (a hollow tube) and an aspirator (a suction device). Liposuction techniques can be categorized by the amount of fluid injection and by the mechanism in which the cannula works. Some techniques include:

Suction-assisted liposuction is the standard method of liposuction. In this approach, a small cannula (like a straw) is inserted through a small incision and is attached to a vacuum device. Dr. Name then pushes and pulls the cannula in a forwards and backwards motion, carefully through the fat layer, breaking up the fat cells and drawing them out of the body by suction of the vacuum device.

Power-assisted liposuction uses a specialized cannula with mechanized movement, so that Dr. Name does not need to make as many manual movements.

Water-assisted liposuction uses a thin fan-shaped water beam which loosens the structure of the fat tissue, so that it can be removed by a special cannula. During the liposuction, the water is continually added and almost immediately aspirated via the same cannula.

Laser-assisted liposuction uses a laser to melt the fat in the target area, making it easier to remove. This laser is administered through a fiber threaded through a microcannula.

Tumescent liposuction is a technique that provides a liquid (composed primarily of lidocaine, a local anesthetic, and epinephrine which helps to shrink blood vessels) to be injected into the treatment area. The added fluid forces the compartments of fat to swell and firm up, which lets Dr. Name extract the unwanted fat more smoothly and with minimal bleeding. The anesthetic reduces pain after the procedure. Tumescent liposuction is considered by many to be the safest and most effective form of liposuction.

Not everyone is a suitable candidate for liposuction and it is not an appropriate alternative to dieting or exercising. To learn more about liposuction or to schedule a consultation with Dr. Serota, contact Advanced Cosmetic Surgery Center at 303-367-9000 or

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Breast Lift and Augmentation

Posted by administration on May 29, 2017

Breast_Lift.jpgFor women who have lost breast size or with breasts that have become droopy as a result of childbearing, age, and/or weight loss, a combination breast lift and augmentation is usually the most effective method for breast enhancement. An implant is used to increase the volume, proportion and upper breast fullness while the breast lift is used to reshape the breast, elevate the areolas and to remove extra skin.

The breast lift and augmentation procedure combines the two procedures in a single operative session. This procedure may be performed for cosmetic purposes, or as part of a reconstructive procedure.

So, what problems does the breast lift and augmentation address? Over time, both your nipple and your breast mound may descend on your chest wall producing a drooping appearance. It is normal, like the rest of your body, for your breasts to sag as you grow older and the sagging is exacerbated by childbirth, genetics, weight gain and weight loss. Breast skin and ligaments that hold your breast to the muscle beneath becomes stretched and weaker and when the breast tissue decreases, your skin gets loose. In these cases, a combination of a breast lift (mastopexy) with the placement of an implant (augmentation) ensures the most successful aesthetic outcome.

Augmenting while lifting the breast often solves the following concerns:

  • Sagging or 'hanging' breasts
  • Loss of fullness in the top portion of breasts
  • Loss of shape and volume
  • Stretch marks on the breasts
  • Asymmetry of one or both breasts

In most cases, the implant is placed beneath the pectoral muscle and the breast lift is then performed. The shape of the breast mound is usually better when both breast augmentation and breast lift are performed together.

To learn more about a breast lift and augmentation or to schedule a consultation with Dr. Serota, contact Advanced Cosmetic Surgery Center at 303-367-9000 or

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Arm Lift Scar

Posted by administration on May 22, 2017

Arm_Lift.jpgIf you feel self-conscious about sagging skin on your upper arms, an arm lift, brachioplasty, may be an excellent solution for you. During this surgical body contouring procedure, excess hanging skin is trimmed from the arm.

Arm lift surgery may be a good option if you have recently lost a lot of weight after bariatric surgery or due to diet and exercise. It can also be an effective way to treat signs of aging in your upper arms.

An unavoidable side effect of arm lift surgery is scarring. While there is nothing that can be done to avoid arm lift scars, Dr. Serota will work carefully to conceal the scars as much as possible.

The size and location of an arm lift scar depends on the type of arm lift procedure and amount of skin removed. Dr. Serota will help you choose the right arm lift technique for you based on your cosmetic goals and the natural contours of your arms.

Upper Arm Lift: The traditional scar for an arm lift is located on the inner portion of the arm from the level of the elbow to the armpit, and sometimes extends down the side of the chest. A curved or z-shaped incision may be created during the procedure to minimize the appearance of scarring after healing.

Extended Brachioplasty: If you have severely lax skin, you may be a better candidate for an extended brachioplasty. In this surgery, the incision will stretch from the armpit and down along the side of the chest. This longer incision allows the maximum amount of skin to be removed.

Mini Arm Lift: This type of arm lift is best for patients who do not have a large amount of skin to be removed. In this procedure, the incision is much smaller. In most cases, the incision can be placed in the armpit, where the scar will be barely visible.

It takes quite a while for a scar to heal. During the first few months after an arm lift procedure, it is normal for the skin along the incision to appear bright red. The skin may also be raised. While the scar is healing, most patients conceal their scar. The location of the incision ensures that the scar should not be noticeable unless a patient has their arms raised. Patients can be confident that as the scar continues to heal, the appearance of it will become less noticeable.

If loose, upper arm skin is affecting your confidence, you may be an ideal candidate for an arm lift procedure. To learn more about arm lift surgery, schedule an appointment with Dr. Serota by contacting Advanced Cosmetic Surgery Center at 303-367-9000 or

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To find out more about our cosmetic procedures please contact us or take our online cosmetic self evaluation to find out what procedures might be best for you. To schedule your personal consultation with the Advanced Cosmetic Surgery Center in Aurora, Colorado call 303-367-9000.