Body Plastic Surgery

Dr. Robert Troell - Las Vegas, NV
Cosmetic and Facial Plastic Surgeon

Cosmetic Body Services (*)

Dr. Troell is a leading cosmetic surgeon helping clients transform their appearance and self-esteem with a comprehensive approach to body contouring. Cosmetic surgical procedures and non-invasive procedures, body silastic implants versus using your own fat (autologous fat transfer), staged or simultaneous performing procedures are used to optimize your aesthetic desired outcomes.

The areas for transformation include:

• Breast Surgery:                                                                                                                                                         a. breast augmentation with silicone gel implants                                                                                                         b. breast enhancement and reshaping with fat grafting (transfer)                                                                                 c. breast lifting (vertical mastopexy)                                                                                                                 d. breast reduction (standard and liposuction methods)
• Body Contouring:                                                                                                                                                    a. Suction-assisted liposuction                                                                                                                           b. VASER ultrasound assisted liposculpture                                                                                               c. High-Definition Total Body Defining Liposuction
• Fat Transfer:                                                                                                                                                           a. Face & Neck                                                                                                                                                     b. Breast  (Natural Breast Augmentation)                                                                                                                                                 c. Hands                                                                                                                                                                 d. Buttocks  (Brazilian Butt Lift, Gluteal Sculpting)                                                                                                                                               e. Liposuction Defects                                                                                                                                       f. Calves/Legs (Calf augmentation)
• Cellulite Treatment:                                                                                                                                             a. Combined noninvasive devices (Vasershape ultrasound energy, Venus Legacy RF energy)        b. VASERsmooth minimally invasive treatment with fat transfer, stem cells & PRP
• Body Implants:                                                                                                                                                   a. Breast- Silicone gel and Saline                                                                                                                     b. Chest in Men (Pectoral implant)                                                                                                                c. Calf (medial & lateral gastrocnemius muscle)                                                                                        d. Biceps, triceps, & Deltoid subfascial implants                                                                                        e. Gluteal implants (subfascial or Intramuscular placement)
• Abdominoplasty:                                                                                                                                            (Avelar Lipoabdominoplasty- simultaneous liposuction & tummy tuck)
• Abdominal & Breast Stretch Marks (Stria):                                                                                   combination therapy including Laser and/or radio frequency (RF) skin tightening, dermal needling, platelet rich plasma (PRP) and intense pulse therapy (IPL)

• Services Offered:
• VASER Shape – A combination of ultrasonic therapy and massage to smooth, firm and shape the body for long-term skin tightening and fat reduction and for temporarily reducing the appearance of cellulite. Vasershape can be performed only as a nonsurgical technique with results that show 25-30% fat reduction and 30-35% skin tightening. VASERshape (Quantashape) is used post-liposuction surgery to optimize results, increasing the incidence f a smooth contour, reduces the incidence of fluid collection (seroma formation), and to maximize skin tightening. The results are best as soon as the liposuction surgery was performed.
• Liposuction – Ultrasound (VASER) currently has scientifically been shown to minimize bruising and bleeding and to maximize skin tightening. A technique that Dr Troell helped bring to the US and he produced the teaching video for HumanMed, the manufacturer of the Water-Jet Assisted Liposuction technique, , also known as the Bodyjet,was touted as a technique with more than one third less discomfort, swelling and bruising.  However, does not remove enough fat for optimal results. It is no longer sold in the USA for liposuction due to this limitation.
  • Water-Jet (Body-Jet) – Water Jet Assisted Liposuction offers less discomfort and less bruising, faster recovery time.
  • VASER (Ultrasound) – High-definition body sculpting using gentle ultrasonic energy. The technique offers 30% less bruising and bleeding than standard suction-assisted liposuction and the best skin tightening of any method at 53% improvement over suction alone.
  • High-Definition Liposculture- The best cosmetic appearance occurs when high-definition principles are used. Dr Troell is one of six surgeons world wide who have taught this technique through the VASER ultrasonic method to optimize the sleek, clean, athletic body lines in both men and women. Best results are in those patients with a body mass index (BMI) less than 32.
• Body Fat Grafting – Sculpt your body to perfection with fat grafting.
  • Natural Breast Augmentation – Make your breasts fuller, bigger and more attractive using your own fat that is harvested from any body area, most commonly the abdomen and flanks/hips. By adding your stem cells and regenerative cells with growth factors, including platelet rich plasma (PRP), the fat survival rate is over 80%. This technique produces less fat absorption, improved skin appearance, and consistent outcomes.
  • Brazilian “Butt Lifts” – Transform your “Flat Butt” to a more prominent and perky buttocks for a more youthful and sensual body profile. Gluteal sculpting combines fat removal using liposuction to the lower back, flanks/hips, inferior medial buttock (if too large) as well as the inner and outer thighs with fat transfer to the superior and middle areas of the buttock and the mid-lateral buttock area. Alternatively, patients may choose a silastic gluteal implant alone or in combination with fat transfer.
  • Cellulite Treatment – Cellulite is one of the most difficult aesthetic issues to achieve optimal results. Noninvasive or non-surgical devices have limited results with about 25% improvement. When long-term and more effective treatment is sought, minimally invasive VASERsmooth internal ultrasonic cutting of the cellulite fibers under oral sedation and local anesthesia may be carried out. Dr Troell presented (Liposuction Update, AACS, New York City, USA, 2013) the best technique using this energy modality by combining liposuction, fat grafting using both stem cells and PRP to the indentations and then a thin coat of this natural tissue as a blanket under the cellulite area to optimize a smooth contour
  • Liposuction Defect Repair – If you have an unsightly area from a previous Liposuction treatment we can sculpt your body to give you a more beautiful profile.
• Laser Skin Resurfacing – Combined with radio frequency (RF) skin tightening, dermal needling, platelet rich plasma (PRP) and intense pulse therapy (IPL) can treat abdominal stretch marks or stria. When the outcome desired in skin rejuvenation, then the CO2 laser or RF can be used to improve your skin texture, reduce pore size, tighten inelastic skin, remove or improve fine and severe skin wrinkles and alleviate or lighten pigmentation abnormalities and sun spots.
• Abdominoplasty (tummy tuck) – removal of a pannus of excess skin and fat to provide a more flat and aesthetically pleasing abdomen appearance. Dr Troell prefers an Avelar Lipoabdominoplasty that enables initial liposuction followed by pannus (skin and fat) removal combined with suturing the weak abdominal wall back together (rectus muscle plication). The Avelar method allows for more fat removal to produce reduced volume and an improved aesthetically pleasing, athletic, scaphoid shaped abdomen while making the surgery safer by not cutting the arteries, veins and nerve, which improve healing and lowers side effects
• Breast Augmentation/Breast Enlargement – The most common cosmetic surgical procedure performed in the United aStates is silicone gel breast implant placement. This offers a high patients satisfaction. Most commonly, the implants are silicone, round, placed below the pectoralis muscle through an incision under the breast (IMF or inframammary fold) or at the under surface of the areola (infra-areola).  However, the larger supplier of breast implants, Allergan (Irvine, CA), reveals a 34% revision rate for all comers of breast implants. Besides using saline and silicone implants, you can use one’s own fat to provide breast enlargement, and create a more pleasing appearance. Fat can also be used to improve the shape and correct asymmetries after breast implant surgery.

Please feel free to call our offices in Las Vegas, Nevada (702) 242-6488.

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