General body contouring involves areas from the neck to the calf. Because female breasts have been publicly considered as independent organs for plastic surgery, body contouring surgery, which we define, mainly concentrates on abdominal plastic surgery and buttock and leg shape adjustment. Limited by congenital stature proportion and skeletomuscular development and the need to accommodate functions, body contouring surgery generally does not make drastic changes as on the face or breasts. However, for patients with an aging-induced out-of-shape stature, skin looseness, or even calf muscular hypertrophy, WiSH Clinic offers numerous plastic surgeries to maximally reshape the stature, conceal drawbacks, and restore prior confidence.
Although individual body height and stature proportion are based on skeletal development, the body shape gradually changes due to aging, life style, habits, diets, pregnancy, childbearing, or even morbidity or weight loss, and the primary differences are ascribed to aging and looseness of soft tissues. Therefore, Dr. Chuang upholds that to successfully correct stature problems, the skin, fat, and muscles should be systematically evaluated and designed to obtain obvious improvement. Taking female body change as an example, the most common problems are stomach cellulite due to fat accumulation from obesity, abdominal droopiness, stretch markers because of the extension of abdominal muscles and skin during gestation, buttock sagging due to the loss of support because of aging, or congenital calf hypertrophy and thunder leg frequently seen in young patients, which all result in comprehensive ectosteal factors. Therefore, patient’s skin elasticity, fat thickness, and muscular volume should be prudently evaluated before surgery to focus body sculpting on tightening the skin elasticity and reducing the fat volume and even lifting droopy parts. If such principles are followed, body contouring surgery generally achieves immediate and significant corrections.
Stature aging is not limited to a single organ or site, but it implicates adjunct and interconnected tissues, so body contouring surgery needs to be conducted at an extensive site to attain ideal results, which would, however, inevitably leave incisions or scars. Therefore, patients expecting a rapid stature change should also consider their acceptance and tolerance to scars because such surgeries usually necessitate a long period of scar care and individual constitution affects scar severity. Even if modern improved surgeries conceal wounds in skin folds or under the underwear, patients should still have a full understanding of the surgical method and incision pattern before the operation. If patients are with a predisposition to keloids, they should inform the physician in advance as it will help the physician formulate the most suitable surgery to prevent scarring in advance. Besides, in case of postoperative scar proliferation, the patient should apply long-term cosmetic tapes or anti- scar injections to prevent scars from undermining surgical satisfaction.
Because the body contour is predominated by the skin and adipose tissues and sagging does not stop once started and involves a relatively extensive area, it is quite difficult to fix such problems by nonsurgical procedures such as mini-invasive or phototherapy indicated for the face; thus, body contouring surgery becomes the priority to achieve a rapid change in stature and is the final resort for many patients who may have tried various nonsurgical treatments but whose results are invalid. Despite the seemingly wide surgical extent and the relatively long recovery period, body contouring involves the superficial skin and muscular plastic surgery but does not affect the skeleton or viscera, so there should be no doubts on surgical safety. Therefore, as long as the patient has a good preoperative communication with the physician, selects the symptomatic surgery, and cultivates a reasonable expectation and mental preparation for the results, this surgery provides effective and immediate improvement to restore the youthful body curvature.