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Dr. J. Timothy Katzen is highly regarded for his expertise in reconstructive and cosmetic surgeries, including

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Hello there! I'm Dr. J. Timothy Katzen, a board-certified plastic surgeon with over 20 years of experience, dedicated to transforming lives through cosmetic procedures. My expertise lies in Bariatric Surgery, Weight Loss, and body contouring, where I've honed
Asked By: heardafrog2
ANSWER
Hi, heardafrog2 in Iowa City, IA. Thank you for your question regarding sleeping position restrictions following a posterior butt lift. The best position to sleep after a posterior butt lift is prone or face down on your abdomen. Do not place a pillow under your pelvis. This prone position keeps your back straight and minimizes tension on the low back and incision line. If you have breast implants, there are breast pillows on Amazon that are placed under your chest to minimize pressure on the breast implants while you are in a prone position. Furthermore, if you get neck pain from keeping your neck on one side or the other, there are doughnut or horseshoe attachments to the bed that allow your head to rest looking straight down. In regard to lying on your side, this position is not advised. Laying on your side places too much pressure on the incision line. Furthermore, if you lie on your side, all the fluid can shift to one side, causing asymmetry. These fluid shifts to one side can also mimic a seroma or hematoma, which may lead to unnecessary attempts to drain the area with a needle. I hope this helps to answer your question regarding sleeping position restrictions following a posterior butt lift. Do your research. Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it. Carefully examine their before-and-after pictures. If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery). RealSelf Hall of Fame and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: Juliejewles
ANSWER
Hi Juliejewles, thank you for your question about loose skin after a 75 lb weight loss and your consideration of a tummy tuck with a thigh lift. Thank you for your history and photos. Most plastic surgeons would agree that the areas that bother you the most should be treated first. Therefore, definitely do the thighs first. Your best thighplasty would be an incision from the groin to the knee. This type of thigh lift is called a longitudinal vertical medial thigh lift, or thighplasty. Most plastic surgeons would also suggest you undergo a tummy tuck at the same time as your thigh reduction. Give yourself about 3-4 weeks of recovery. Most plastic surgeons would have you wait several months and recheck your labs; if all is clear, you could consider an arm lift or reduction (brachioplasty) and an implant exchange. Most plastic surgeons do not combine arms and thighs because recovery is very difficult. Imagine if all your extremities had surgery; it would be difficult to get out of bed, walk to the bathroom, remove your garment, sit on the toilet, get yourself clean, replace the garment and pad, walk back to bed, and lie down. Therefore, arms and thighs can be combined, but it is not wise. Otherwise, go for it! Get the thigh reduction and tummy tuck. You should get wonderful results. I hope that I have answered your questions regarding the thigh reduction combined with a tummy tuck after a 75 lb weight loss. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience performing thigh lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 thigh lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen, MD, MBA. (President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: exf2006
ANSWER
Hello, exf2006, in Pasadena, MD. Thank you for your question regarding a 60-pound weight loss, lumpy upper thighs, and cellulite, and what type of thigh lift would be best? Thank you for your history and pictures. From your pictures, in the upper medial (inner) one-third of your thighs, you have cutis pleonasmus (excess skin) and dermatocholosis (loose skin) and mild lipodystrophy (excess fat). There are several different types of thigh lifts, or thighoplasties. These include the crescent, mini, T-incision, modified medial vertical longitudinal, medial vertical longitudinal, spiral, extended from the groin to the medial ankle, and lateral vertical longitudinal from the outer hip to the knee. You would do best with a modified medial vertical longitudinal thigh lift, also referred to as a vertical medial thigh lift or vertical medial thigh reduction. During this procedure, a vertical incision is placed along the inner thigh, beginning in the groin and extending downward along the medial thigh. The incision is designed to extend beyond the lowest area of excess skin to allow for more comprehensive removal of redundant skin and improvement in inner thigh contour. In your thigh case, this incision would be about four to five inches. The vertical scar may extend a substantial distance down the inseam of the thigh and can be more difficult to conceal in swimwear, shorts, and certain clothing. The primary advantage of a longitudinal medial thigh lift is that it allows the plastic surgeon to remove more excess skin and fat than the horizontal or groin incision. The primary disadvantage, however, is the resulting vertical inner thigh scar, which is considerably more visible than the scar associated with a crescent thigh lift. A second choice would be the crescent thigh lift. During a crescent thigh lift (also known as a medial thigh lift or horizontal thigh lift), an incision is strategically placed within the infragluteal fold, where the buttock meets the posterior thigh. The incision is then extended anteriorly into the groin, following the natural crease between the pubic region and the labia and continuing along the natural crease of the inner thigh. One of the most important technical considerations during a crescent thigh lift is properly anchoring the incision to the pelvic periosteum, the dense connective tissue covering the pubic bone. This is accomplished using permanent sutures that secure the deeper tissues to the underlying periosteum. Proper periosteal fixation is an important surgical technique designed to provide long-term support and minimize complications associated with medial thigh lift surgery. Specifically, anchoring the crescent thigh lift incision to the pelvic periosteum helps reduce the risk of inferior scar migration (downward displacement of the scar), recurrent skin descent, and labial distortion. Without adequate deep tissue fixation, downward tension on the incision can contribute to labial spreading, distortion of the vaginal opening (introitus), and an undesirable change in the appearance of the external genitalia. Permanent periosteal anchoring helps maintain the intended scar position and minimizes tension on the delicate tissues of the groin and labial region. Ultimately, the choice between a crescent thigh lift with permanent pelvic periosteal fixation and a modified longitudinal medial thigh lift depends on the location, severity, and distribution of excess inner thigh skin, as well as the desired degree of skin tightening and the patient's tolerance for visible scarring. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. I hope that I have answered your questions regarding a thigh reduction. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience performing thigh lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 thigh lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen, MD, MBA. (President of the American Society of Bariatric Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: Crazycajun
ANSWER
Hello Crazycajun, Thank you for your question regarding thigh lift with groin scars—what are the risks with recovery, and specifically, what are the chances of lymphedema when having a thigh lift with scars only in the groin, how difficult is the recovery, and what are the chances of the incisions opening? Thank you for your pictures. There are several different types of thigh lifts or thighoplasties. These include the crescent, mini, T-incision, modified medial vertical longitudinal, medial vertical longitudinal, spiral, extended from the groin to the medial ankle, and lateral vertical longitudinal from the outer hip to the knee. A thigh lift with a groin scar is also called a crescent thigh lift. During a crescent thigh lift (proximal medial thigh lift), the surgical incision is strategically placed within the natural infra-gluteal fold, where the buttock meets the posterior thigh. The incision is then extended anteriorly into the groin crease, following the natural junction between the pubic region, labia, and upper medial thigh. One of the most important technical aspects of a crescent thigh lift is proper scar fixation to the pelvic periosteum. The pelvic periosteum is the dense connective tissue layer that covers the pubic bone. During surgery, permanent sutures are used to securely anchor the deep portion of the incision to the pelvic periosteum. This permanent periosteal fixation serves an important functional and aesthetic purpose. By securing the crescent thigh lift incision to a stable anatomical structure, the technique helps minimize several recognized complications associated with proximal medial or groin thigh lifts. Specifically, permanent pelvic periosteal anchoring helps reduce the risk of labial spreading, widening of the vaginal introitus (the entrance to the vagina), and inferior migration of the surgical scar down the medial thigh. These complications are much more common than temporary or permanent unilateral or bilateral lymphaedema. Without adequate fixation, tension from the surrounding tissues and postoperative gravitational forces may cause the incision and scar to migrate inferiorly, potentially resulting in an undesirable aesthetic outcome. Therefore, permanent fixation of the crescent thigh lift incision to the pelvic periosteum is an important surgical consideration in maintaining the intended scar position, preserving the natural anatomy of the groin and labial region, and optimizing long-term aesthetic results following a crescent thigh lift. Recovery is individualized. Allow yourself two weeks of recovery. No stairs for three weeks. It might be possible to return to the sitting desk job after two weeks. Usually, you may walk as much as you want after about four to six weeks, and you can return to the full gym at about eight weeks. The chances of wound opening are high due to the anatomy of the groin, which includes lymphatic vessels. Furthermore, the groin can harbor moisture and subsequent infections, which can elevate the risk of wound breakdown. Also, if you move too much during the recovery, the shear forces of walking and getting out of bed can tear the incisions open. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. I hope that I have answered your questions regarding the groin thigh reduction and the recovery from this procedure. If you have any more questions regarding the thigh lift, thigh reduction, vertical thigh lift, medial thigh lift, spiral thigh lift, crescent thigh lift, or thigh lipo, contact an experienced plastic surgeon. Please seek an experienced, board-certified plastic surgeon with significant experience performing thigh lifts. Do your research. Make sure your chosen plastic surgeon has performed at least 100 thigh lifts. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen, MD, MBA. (President of the American Society of Bariatric Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: Colleen_Williams33
ANSWER
Hi Colleen_Williams33 in Chicago, IL. Thank you for your question regarding whether a butt lift would make you appear less proportionate. Thank you for your history and your pictures. First, we should analyze your pictures to determine the best procedures. You have mild buttock hyoplasia (small buttocks), mild buttock ptosis (sag or hang), and mild lipodystrophy of superior iliac crests (excess fat in the "love handle" regions). To achieve better proportions, you have several options. Most plastic surgeons would suggest liposuction of your "love handles." Liposuctioning the "love handles" alone will make your buttocks more proportionate and make your butt look larger. You could also use some of the fat removed from the "love handles" to augment the buttocks. This type of fat transfer is called autologous fat transfer or auto-augmentation. This procedure is also called a Brazilian Butt Lift (BBL). By adding fat to the buttock, the buttocks are lifted and augmented. Most plastic surgeons would agree that lipo and a BBL would yield the best result, and you would not need a butt lift. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. Do your research. Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it. Carefully examine their before-and-after pictures. If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen. (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: AlphaContour30
ANSWER
Hello AlphaContour30 in Zagreb, 21, thank you for your question regarding a male tummy tuck and body contouring, and is it safe to perform procedures together? You specifically ask about extended abdominoplasty (270-degree), aggressive HD liposuction of the abdomen, flanks, and back, Renuvion treatment, and gynecomastia surgery—with or without muscle fat grafting—all in a single procedure. My answer is yes, it is safe. Of course, if your plastic surgeon does not feel comfortable performing all these procedures at once, do not force them. However, if you are healthy, have controlled medical conditions, and are medically cleared for surgery, you can have these procedures. In regard to your question, is it necessary at all to undergo HD liposuction, abdominal etching, or fat grafting to achieve an athletic or muscular look, or is it possible just with an extended abdominoplasty and gynecomastia surgery alone? This question is difficult to answer without pictures or a physical explanation. However, in general, if you are looking for extreme definition, VASER HD would probably be necessary. Most plastic surgeons would agree that an extended abdominoplasty and gynecomastia surgery alone will not give you significant definition. Good luck. I hope that I have answered your question regarding a male tummy tuck and body contouring, and is it safe to perform procedures together? Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. If you cannot find an experienced, plastic surgeon in your neighborhood, consider traveling out of state or country. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS, FASBPS (Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: flattofat
ANSWER
helllo flattofat, thank you for your question regarding which surgical procedure would address my sagging lower butt? Thank you for your question regarding a posterior body lift, butt lift, or buttock lift, and for providing your medical history and photographs. A formal consultation would be necessary before a definitive surgical recommendation could be made. However, based on the information and photographs provided, you may be a candidate for a posterior buttock lift to address the excess skin along the lower portion of your buttocks. Upon reviewing your photographs, you appear to have cutis laxa, or excess and lax skin, of the buttocks without significant localized lipodystrophy, or excess fat. Your underlying buttock shape appears satisfactory, and the primary concern seems to be the redundant skin along the lower buttock region. Unfortunately, excess skin cannot be reliably eliminated through exercise or nonsurgical treatments; surgical excision is generally required when significant skin redundancy is present. Several techniques are available for buttock lifting, including crescent and infragluteal approaches. The most appropriate technique would depend on the location and extent of your skin laxity, your anatomy, and your desired outcome. However, in your case the infragluteal fold incision would not lift your buttocks. A posterior buttock lift is another option that may be appropriate for patients with excess skin involving the buttocks and posterior waistline. The procedure is performed under general anesthesia and generally takes approximately four to five hours, depending on the extent of surgery and whether additional procedures are necessary. The incision typically extends across the lower back in a curved or M-shaped pattern, sometimes described by patients as a “McDonald’s sign” incision. Through this incision, the underlying tissues are dissected, and the redundant skin and soft tissue of the posterior waistline and buttocks are elevated and redraped. Depending on the surgical technique, tissue adhesions may be released, and selected areas may require additional contouring or liposuction. Surgical drains may be placed and are commonly removed approximately seven to ten days after surgery, depending on drainage volume and the surgeon’s assessment. You should generally plan for approximately two to three weeks of initial recovery, although recovery may take longer depending on the extent of surgery and your healing progress. During the postoperative period, it is important to follow specific positioning instructions, minimize tension on the incision, and avoid excessive bending at the waist or other movements that could compromise wound healing. Your exact restrictions will depend on the procedure performed and the location of the incision. If you prefer to avoid surgery, exercises such as squats and stair climbing may help strengthen the gluteal muscles and improve muscle tone, but they will not remove significant excess skin. You may also wish to inquire about nonsurgical body-contouring treatments, such as Emsculpt, which uses electromagnetic stimulation to induce muscle contractions. However, these treatments do not remove redundant skin and are unlikely to produce a meaningful correction when excess skin is the primary concern. A consultation would allow us to evaluate your anatomy, discuss the available surgical and nonsurgical options, and determine which approach is most appropriate for your goals. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. Good luck. I hope that I have answered your question regarding which surgical procedure would address my sagging lower butt. If you cannot find an experienced, plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS, FASBPS (Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: Optimistic312601
ANSWER
Hello Optimistic312601, thank you for your question can kidney transplant patients get a lower body thigh lift? The main issue is prednisone. Prednisone is a steroid that suppresses your immune function. Elective surgery can sometimes be performed while a patient is taking prednisone; however, the decision depends on the dosage, duration of treatment, underlying medical condition, and type of surgery planned. Prednisone is not an absolute contraindication to surgery, but it may increase perioperative risks, particularly in patients undergoing extensive plastic surgery procedures such as abdominoplasty, circumferential lower body lift, brachioplasty, or medial thigh lift. Chronic systemic corticosteroid use may impair collagen formation and wound healing, particularly at higher doses or with prolonged treatment, and may also increase the risk of postoperative infection due to immunosuppression. Long-term prednisone use can also cause skin thinning and tissue fragility, potentially compromising wound integrity. Additionally, prolonged corticosteroid therapy may suppress the body's natural cortisol production, impairing the normal hormonal response to surgical stress and potentially necessitating perioperative corticosteroid management. Prednisone may also elevate blood glucose levels, which can further increase the risk of infection and delayed wound healing. Therefore, careful preoperative assessment of your steroid dosage, duration of use, medical condition, nutritional status, glucose control, and overall surgical risk is essential when determining whether elective surgery can safely proceed. Since you need prednisone to minimize transplant rejection, it is unlikely that you can taper or stop the prednisone to allow for healing after a thigh lift. Even though your nephrologist cleared you for surgery, careful coordination needs to take place between your plastic surgeon and the doctor managing your steroid dosing. Most plastic surgeons offer free virtual or in-office physical consultations. Therefore, explore what other plastic surgeons have to say. Good luck. I hope that I have answered your question regarding whether kidney transplant patients can obtain a lower body thigh lift. If you cannot find an experienced, plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS, FASBPS (Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: Funny40762
ANSWER
Hello, Funny40762, in Kalispell, MT. Thank you for your question regarding the difference between fat flap and fat cells. Let’s discuss each procedure individually. A buttock flap is also called a propeller flap. During the creation of the propeller flap, the epidermis and superficial dermis are removed from the upper portion of the buttock. A large paddle of skin and fat is then created at the top third of the buttock. To create this propeller flap, an incision is made above the buttock, and an elliptical or football-shaped area of skin and fat is fashioned on each side of the buttock. Each propeller is then folded into the buttock. The flap consists of the deep dermis (to preserve blood supply) and underlying fat. The fat from the propeller flap can be thinned during the transfer. The flaps can be put into the buttock obliquely or even perpendicularly depending on the patient’s desire and anatomy. With a Brazilian butt lift or BBL or autologous fat transfer, fat is harvested from one area. The harvesting of fat is similar to liposuction. The fat is then processed, strained, and purified. The fat is then injected into the buttock for augmentation. These are two entirely different and separate procedures, but can be combined. Regarding your questions, will the fat transferred into the buttock and into the flap integrate and look the same? Yes. Fat can be injected into the flap and will look the same. On ultrasound (not visually), you will still see the dermal layer of the propeller flap, but the fat transposed with the flap or transfer should look the same. Will you see the flaps? On the outside, you will see the projection of the flap. Only on ultrasound will you see the dermal layer of the flap and the fat underneath. How long does it take for the flap to integrate? Because it's a flap, the blood supply is not disrupted, and therefore, the flap "integrates" immediately during surgery. Is the fat more dense than fat cells? The flap fat is slightly more dense than transferred fat cells. Are the flaps reversible? Yes, the flaps can be reversed by either liposuction (to remove more fat from the buttock or flap) or another surgery. The surgery may include using the incision across the top of the buttock to thin the propeller flaps by removing more dermis and fat. In terms of experts in the area, do your research. Look for plastic surgeons who have many before and after pictures of the propeller or autologous buttock flap augmentation procedure. To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. Do your research. Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it. Carefully examine their before-and-after pictures. If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen. (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
Asked By: Funny40762
ANSWER
Hello Funny40762 in Kalispell, MT, thank you for your question regarding whether a revision is possible for a butt lift with auto augmentation using your own fat and tissue. Thank you for your history and pictures. The most important thing to ask is what type of buttock you are seeking. If you are seeking a smaller buttock, you need to consider a buttock reduction. A buttock reduction could be done by using your upper buttock incision and partially or completely resecting your autologous augmentation flap. After the resection, the sagging buttock skin would be lifted. Most plastic surgeons would recommend this route. Alternatively, if you want a better buttock contour, consider buttock liposuction. However, liposuction may be limited by scar tissue around the buttock flap. Furthermore, liposuction may lead to sagging skin. Unless you have a buttock lift, this hanging skin left from liposuction would probably continue to sag. I hope this information helps. To obtain an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. Do your research. Ensure that your chosen plastic surgeon has performed your desired surgery numerous times and has the before-and-after pictures to prove it. Carefully examine their before-and-after pictures. If you cannot find an experienced, board-certified plastic surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery). RealSelf Hall of Fame and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)
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Dr. J. Timothy Katzen is highly regarded for his expertise in reconstructive and cosmetic surgeries, including








