Exciting News!

As of March, 2016 Dr. Bharti joins Hunstad Kortesis Plastic Surgery + MedSpa in Charlotte, NC. New and existing patients are welcome to call 704-659-9000 to set up consultations with Dr. Bharti's new office.

Viewing entries tagged liposuction

Achieve Your Best Beach-Ready Body

Achieve Your Best Beach-Ready Body

Beach season is right around the corner, but for some, this can be a terrifying time. If you’re still struggling to lose a few extra inches or want to undergo a mini transformation just in time for summer, talk to us about body contouring procedures that can reshape your body. Dr. Bharti has extensive experience performing plastic surgery procedures that can slim down your waistline, flatten your stomach, or take care of excess skin.

These body contouring procedures can help you get that beach-ready body just in time for summer:

Restoring Confidence: Abdominoplasty (Tummy Tuck)


Body contouring of the mdisection is a very popular prcoedure.  Multiple methods exist to improve the contour of the midsection.  This case example shows before and after pictures of a patient who underwent a full abdominoplasty with lower back & flank power assisted liposuction.  She also had a bilateral lifting breast procedure done at the same time.  She is one month post op from her surgery.  Her results are excellent but will continue to improve with diet and exercise.  She is delighted with her result and we thank her for being an amazing client.  




Tummy Tuck Case Analysis Before & After

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This patient was a 39 year old 5 foot 7 inch female that weighed 140lbs.  She presented to Dr. Bharti with an interest to improve the appearance of her tummy to gain back her sexy figure and confidence. After multiple preoperative visits she decided to have a full abdominoplasty (tummy tuck). 
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She was taken to the operating room as an outpatient to undergo this procedure.  This was performed under general anesthesia.  During this procedure Dr. Bharti removed the excess skin and fat from the lower abdomen (pannus).  He also tightened her ab muscles (rectus abdominus muscles) using permanent plication sutures.  This serves the purpose of narrowing the waste and getting rid of her abdominal bulge.  Once he finished these portions of the procedure he then flexed her bed to be able to perform closure of the incisions using all absorbable sutures.  He then made a new opening for her belly button to be brought through.  Following this, liposuction was then performed of her flanks to further improve her contour.  Dr. Bharti used pain catheters that were placed during surgery to control her pain postoperatively.  She had one drain that was left in position to remove excess fluid in the immediate healing period.  Her drain was removed at her one week follow up.  She was then admitted overnight to observe her and make sure her pain was controlled.   The patient was then discharged home the following morning.
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While recovering she had to wear compression garmets at all times on her abdomen for a period of 6 weeks using an abdominal binder and spanx.  She had minimal post operative pain.  She walked the night of surgery, but avoided any aggressive aerobic activity or heavy weight lifting for 4 weeks.  In addition, for the first 2 weeks she had to walk around in a flexed position and she slept in a beach chair position. 

She is currently doing very well at three months post operative, and she is very happy with her results.  Her results will continue to improve as she resumes an aggressive exercise regimen and follows a healthy diet.   If you are interested in getting your sexy contour back then contact our office to schedule your consultation today!


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Achieve Your Ideal Figure with Liposuction in Johnson City

Liposuction Johnson City

Now that summer is almost here, you may be busy updating your wardrobe with lightweight clothing and pieces that may show a bit more skin than your typical winter and spring wear. Wearing body shaping undergarments or piling on layers of clothing are not always enough to mask those belly bulges – not to mention wearing layers during summer can make for a sweaty and uncomfortable outing. Consider the benefits of liposuction in Johnson City so that you can say goodbye to those extra inches and achieve your ideal figure this season!

Tags: liposuction

The 5 Most Popular Plastic Surgery Procedures of 2013

Breast Augmentation Still the Leader

Plastic Surgery Tennessee

Spoiler Alert! The American Society of Plastic Surgeons (ASPS) has released their 2013 statistics early this month and to nobody’s great surprise, breast augmentation hits the number one spot yet again. This makes it a total of eight years in a row that the breast enhancement procedure has finished as the most popular procedure in the country. Talk about dominance.

Case Of The Week: Arm Lift (Brachioplasty)

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This patient was a 39-year-old 5 foot 4 inch female that weighed 120lbs.  She had massive weight loss of greater than 100lbs after gastric bypass surgery.  After the massive weight loss she was left with significant excess skin and fat of her upper arms.   She decided to have plastic surgery under the care of board certified plastic surgeon Dr. Gaurav Bharti.   She was very self-conscious of her appearance both in and out of clothing, and this affected her overall confidence.  After multiple preoperative visits she decided to have an arm lift (brachioplasty). 

She was taken to the operating room in an outpatient surgery center to undergo this procedure.  This was performed under general anesthesia.  During this procedure Dr. Bharti removed the excess skin and fat from her upper arms.  At the beginning of the procedure Dr. Bharti injected local anesthesia to help with pain control and prevent blood loss.  He then injected tumescent fluid and then performed liposuction of the upper arms.  He then in a very careful and stepwise fashion removed the excess skin and fatty tissue closing the surgical wounds rapidly.  All of the sutures used were absorbable.  No drains were necessary.  Steri strips were applied to the incisions, and then a compression wraps were placed.  She was then awoken from anesthesia and discharged home later that day.   Dr. Bharti saw her in clinic the following morning.  She had minimal pain or swelling, and no reports of any numbness. 
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While recovering she had to wear compression garmets at all times on her arms for a period of 4 weeks.   She was seen for follow up at a number of visits after the surgery.  At her most recent follow-up visit she has healed well and is very happy with her result. 

If you're self-conscious about your arms or feel restricted to wearing certain clothing, arm lift surgery may be able to improve your confidence and body image.

Case of The Week: Brazilian Butt Lift

Body contouring to improve buttock shape is becoming popular in the United States.  Last year, plastic surgeons across the country performed nearly 10,000 buttock augmentations, up from the approximately 8,500 done in 2012, according to stats from the American Society of Plastic Surgeons.  There are several methods to increase and improve buttock shape and volume.  Traditional methods have focused on using buttock implants.  These implants can provide reliable results but there can be some serious complications of infection and implant malposition. 

Buttock augmentation with fat grafting is becoming the state of the art.   A popular name for this method is the Brazilian Butt Lift (often abbreviated as BBL).  This method can give you a larger, more shapely buttocks. A Brazilian butt lift enhances your figure by reducing waist-to-hip ratio without increasing overall body weight.

One of the key advantages of a Brazilian butt lift is that fat used to enhance your backside is taken from your own body.  There is no need for implants, and your donor site will benefit from a slimmer, more contoured appearance. The abdomen, thighs and lower back are common donor sites where fat is removed.  The best candidates for a Brazilian butt lift will possess good physical and emotional health, along with realistic surgical expectations.

Using this technique, Dr. Bharti performs an aggressive liposuction of areas with unwanted fat such as the abdomen, flanks, lower back, and thighs. Using a cannula (thin suctioning tube), Dr. Bharti will break up and suction out excess fat from a donor site on your body through very small incisions.  Multiple small incisions are used so that fat can be removed from all targeted areas in a smooth fashion without leaving contour deformities. 

The harvested fat is then processed and purified. Dr. Bharti will then carefully inject the harvested fat into your buttocks to increase volume and improve the overall shape. Injections will be administered using a fan pattern to ensure the highest possible survivability of the fat.  Fat is injected superficially under the skin and deeper into to the buttock muscles as well.  All incisions will be closed and surgical dressings will be applied to the treatment sites.
This 24-year-old 5 foot 4 inch female patient weighing 150lbs presented to Dr. Bharti with the primary goal of increasing the size and improving the shape of her buttocks to have balance with her body.  She was not interested in buttock implants.  She was a healthy and physically fit non-smoker.  She had realistic expectations and met with Dr. Bharti several times before her surgical procedure to make sure she understood the procedure and to ensure Dr. Bharti clearly understood her goals. 

She was taken to the operating room under general anesthesia as an outpatient.  This was performed at a surgery center.  Dr. Bharti began the procedure with the patient lying on her back.  Dr. Bharti used tumescent fluid anesthesia as well which uses warmed fluid with adrenaline and local anesthesia to limit blood loss and help provide pain relief.  This fluid is injected prior to performing liposuction.  He then performed an aggressive liposuction of her tummy and flanks.  Small 1 cm incisions were used to perform the liposuction.  All of this fat that was removed was kept and used later in the procedure.  After her tummy and flank liposuction was complete, her small 1 cm incisions were closed with absorbable sutures. 

Her position was then changed and she was placed on her tummy on the operating room table.  Dr. Bharti then continued to perform an aggressive liposuction of her posterior flanks and her lower back.  The lower back is a very important area to perform liposuction as it accentuates the upper border of the buttocks and creates a transition zone between the buttocks and the lower back.  After this was done, multiple small incisions were used to gain access to the buttocks and fat injections were carefully performed to both buttocks.  The fat was injected into multiple areas that Dr. Bharti had marked preoperatively to increase the size and projection of the buttocks and to also improve the shape.  The fat was injected into the layers under the skin and also deeper into the gluteal muscles.  Following this all the small incisions were closed.  She was then placed in compression garments and awoken from anesthesia.  She went home later that day.  Our patient had minimal pain that was controlled with medicine by mouth.  Dr. Bharti saw the patient the following day, and continued to follow his patient at 1 week, 1 month, 3 months, 6 months, and at 1 year follow up appointments.   

Compression garmets were maintained for a total of 6 weeks, and the patient avoiding sitting or lying on her buttocks for the first two weeks after her operation.  She has an excellent result, but most importantly this patient is extremely happy!  

If you are interested in this procedure please make sure you see a Board Certified Plastic Surgeon like Dr. Bharti who is certified by the American Board of Plastic Surgery.

Liposuction and Tummy Tuck Improve Quality of Life, Reports Plastic and Reconstructive Surgery

Study is first of its kind to assess patient-reported outcomes of procedures to reduce abdominal fat

Patients undergoing cosmetic liposuction and/or abdominoplasty ("tummy tuck") procedures report significant improvements in self-esteem and quality of life, according to a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

Outcomes are especially good with liposuction plus "tummy tuck," although they include somewhat higher pain scores and longer recovery times, reports the new study by ASPS Member Surgeon Dr. Eric Swanson, MD, a plastic surgeon in private practice in Leawood, Kan.

Study Shows Improved Quality of Life and Other Benefits

Dr. Swanson formally evaluated quality of life and other outcomes in 360 patients undergoing liposuction and/or abdominoplasty to remove excess abdominal fat. About 60 percent of patients underwent liposuction alone, while 35 percent underwent a combination of liposuction and abdominoplasty. The rest underwent abdominoplasty alone.

The patients' average age was 42 years; 85 percent were women. Thirty percent of patients underwent other cosmetic plastic surgery procedures (such as face lift or breast augmentation) at the same time. Outcomes were assessed an average of four months after surgery.

Patients undergoing liposuction alone had shorter recovery times: average time off work was about six days, compared to 16 days with abdominoplasty (with or without liposuction). The liposuction-only patients also had less discomfort: average pain score 6 out of 10, compared to 7.5 for those undergoing abdominoplasty.

Combined Procedure Yields Best Results

Patients undergoing abdominoplasty rated their cosmetic outcomes higher than others: average score 9 out of 10, compared to 8 out of 10 with liposuction only. Liposuction plus abdominoplasty produced the highest patient satisfaction rate-over 99 percent-with no increase in pain compared to abdominoplasty alone.

Ninety-eight percent of patients undergoing liposuction plus abdominoplasty said they would undergo the procedure again and 99 percent that they would recommend it to others.

Overall, 86 percent of patients reported an improved sense of self-esteem after surgery. About 70 percent reported improved quality of life, more commonly after liposuction plus abdominoplasty.

Quality of life is an increasingly important focus measure of effectiveness for all types of medical and surgical treatments. Even though liposuction and abdominoplasty are among the most frequently performed cosmetic surgery procedures, few studies have formally evaluated their impact on quality of life and other patient-reported outcomes.

"Liposuction and abdominoplasty, individually and in combination, produce high rates of patient satisfaction and reliably improve self-esteem," Dr. Swanson writes. By formally assessing these important outcomes in a large number of patients, he hopes his study will provide a clearer picture of the expected results and recovery times associated with these widely performed cosmetic surgery procedures.