How Skin Elasticity Affects Lipo Results

Because liposuction is intended to treat unwanted body fat, many candidates are unaware that the quality and tone of their skin matters a great deal. The ideal candidate for liposuction has firm, plump and elastic skin; patients with loose or saggy skin usually do not see the same great results.

Below, Dr. Samuel Pearl and Dr. Alexander Ereso explain why skin elasticity is so important to achieving excellent outcomes. Continue reading “How Skin Elasticity Affects Lipo Results”

What’s the Best Way to Get Rid of Unwanted Fat?

Perhaps you’re genetically predisposed to carrying weight in your thighs or hips; or maybe you’ve noticed with age that you’re putting on weight in those areas. If diet and exercise efforts won’t help to slim these bothersome areas of excess fat, Dr. Samuel Pearl and Dr. Alexander Ereso of Pearl-Ereso Plastic Surgery Center can help. Here, they explain some of the treatment options that are available at our Bay Area plastic surgery practice

Liposuction for Unwanted Body Fat

Liposuction is the most popular procedure to reduce areas of diet- and exercise-resistant body fat. It can safely and effectively slim the abdomen, thighs, flanks, back, arms and many other areas of the body.

During a liposuction procedure in the Bay Area, Dr. Pearl or Dr. Ereso will create small incisions in the targeted area and insert a thin, hollow tube called a cannula. The plastic surgeon moves the cannula through the fat to break it up, and then applies suction to remove the fat from the body. Once the fat has been removed, it won’t return. The result is a slimmer, more sculpted body contour.

Kybella for Unwanted Fat Under the Chin

Unwanted fat under the chin is a common problem, and one that we can treat non-invasively. Dr. Pearl and Dr. Ereso offer Kybella, an injectable product that breaks up unwanted fat under the chin without surgery, incisions or anesthesia. Small amounts of Kybella are injected under the chin and the active ingredient destroys the fat, which is later filtered from the body. Removing selective fat under the chin and along the jawline with Kybella can make the entire face look slimmer and more defined.

Lift Procedures for Unwanted Fat and Loose Skin

Sometimes Dr. Pearl and Dr. Ereso see patients that are bothered by a combination of excess fat and loose, saggy skin. Often these patients have lost a significant amount of weight through diet and exercise or bariatric surgery, but their smaller physique is concealed beneath loose folds of skin and localized fat pockets.

Body lift procedures are a good option because they simultaneously treat the fat and skin. Lower body lift is the most comprehensive of these procedures, and targets the lower torso, thighs and buttocks. Thigh lift isolates and treats excess fat and skin on the upper thighs, and arm lift treats the upper arms. Our plastic surgeons in the Bay Area can recommend the most suitable treatment option after examining your area(s) of concern and learning more about your specific goals.

Discuss Your Treatment Options with Our Plastic Surgeons

To discuss your particular body contouring needs with Dr. Pearl or Dr. Ereso, please call or email our practice today and request an appointment.

Liposuction Recovery: Tips and General Timeline

Like any surgery, rates of recovery after liposuction can vary between individuals. However, if the patient is a healthy, nonsmoking adult, he or she should have little trouble recovering from the procedure. In this blog post, Dr. Samuel Pearl and Dr. Alexander Ereso shed a little light on what to expect in the weeks following liposuction surgery.  

Expectation Versus Reality

Before you schedule your surgery, you will sit down with your doctor during a formal consultation and discuss whether you are a good candidate for liposuction. Depending on the type of liposuction being performed, the surgery is performed under general or local anesthesia, and is normally an outpatient procedure. However, even the fittest folks shouldn’t expect to exit the operating room looking and feeling 10 years younger. It’s important to allow your body time to properly heal before jumping back into your normal routine.

What Is the General Timeline for Recovery?

Your body will ultimately decide when you’re ready to head back to work or hit the gym, but here is how you can expect the general timeline to go:

  • The first two to three days after surgery are usually the toughest. Depending on the amount of fat removed and the area of removal, you will likely have localized swelling that can leave you feeling sore.
  • Most patients are able to return to work within a week of the operation. Compression garments will still need to be worn to help minimize swelling, but they are easily hidden under clothing.
  • Depending on your health, your doctor may give you the green light to slowly ease back into your exercise routine after two to three weeks.
  • While you’ll be feeling great and looking better within a matter of weeks, it’s important to realize it may take a few months for the treated tissues to heal and for your body to settle into its new shape.

Don’t Overdo It

Patience and realistic expectations are keys to a good recovery from liposuction surgery. Relax and make sure to truly allow your body time to heal before jumping back into a high-impact gym routine. Good communication with your doctor is another important factor to reestablishing good health. Call your doctor right away to discuss any new pain or questions you may have.

Liposuction is a great way to shed stubborn pockets of fat. Call Pearl-Ereso Plastic Surgery Center today at (650) 964-6600 to schedule a consultation with Dr. Samuel Pearl or Dr. Alexander Ereso.

How Many Areas Can Be Liposuctioned At One Time?

Nearly everyone is bothered by one “problem” area of excess body fat that they would like removed with liposuction. But what if you have two, or three, or even five problematic areas? Is liposuction able to treat multiple areas at one time? In this blog post, Drs. Samuel Pearl and Alexander Ereso explain whether it is possible to address more than one problem area in a single liposuction operation.

Other Factors Are More Important than Number of Treatment Areas

Most plastic surgeons are more concerned with the total volume of fat and fluid removed than the number of treatment areas. The general rule is that not more than five liters of fat should be removed in a single operation when performed on an outpatient basis (that number can be removed from one large surface area or several smaller surface areas). Higher volume liposuction can be done in certain circumstances, however, safety may become compromised. When treating patients of a healthy weight that simply want a bit of sculpting and shaping, it is highly unlikely that five liters of fat needs to be removed (even if multiple areas are treated).

Operating time is another important consideration — the longer the patient is under general anesthesia, the higher the risks. No more than six hours on the operating table is the general rule of thumb. Again, if the surgeon is removing a small amount of fat from multiple small areas, it is unlikely the operation will take longer than six hours.

As long as they meet these criteria, many liposuction surgeries address several problem areas at once. In fact, there are benefits to doing so — primarily the cost savings to the patient and that it requires only one recovery period.

Suitable Candidates for Liposuction

Wondering whether liposuction is right for you? Without meeting you, it is difficult for our doctors to tell whether you are a suitable candidate.

In general, good liposuction candidates are individuals that:

  • Are not overweight
  • Have tried to sculpt problem areas with diet and exercise (and been unsuccessful)
  • Have relatively elastic/firm skin
  • Are healthy and free of any serious medical conditions that could compromise the healing process

The best way to verify that you are a suitable candidate is to schedule a personal consultation. The surgeon will examine your body, inquire about your specific areas of concern and ask you to describe your ideal results before confirming that liposuction is the appropriate method of treatment.

Contact Our Liposuction Surgeons

The information in this post is for educational purposes only and does not represent formal medical advice. If you are interested in pursuing liposuction for multiple “problem” areas, you should personally consult with our doctors to learn more.

Schedule your appointment by contacting Pearl-Ereso Plastic Surgery Center either by phone at (650) 964-6600 or by sending us an email.

Can I Get Lipo on My Neck and Chin?

Some patients who desire a younger and more attractive appearance without extensive treatment and recovery time choose to have liposuction (lipo) on their neck and chin instead of a full facelift. Liposuction can remove stubborn fat deposits and give the neck, chin and jawline a more elegant and refined appearance. Dr. Samuel Pearl and Dr. Alexander Ereso of the Pearl-Ereso Plastic Surgery Center would like to share some information about this option, along with information about Kybella injections as an alternative to lipo.

Liposuction Basics

Liposuction, also known as lipoplasty or body contouring, is a surgical procedure that uses a cannula (thin, hollow tube) to break up fat from specific areas of the body and suction it out. Drs. Pearl and Ereso have adopted an advanced technique called SAFELipo that achieves smoother, more natural looking results than traditional liposuction in targeted areas, including the neck and underneath the chin.

Liposuction on the face and neck can achieve several objectives:

  • Reduce a thick neck
  • Give the neck a leaner and more elegant contour
  • Eliminate a “double chin”
  • Give the chin and jawline more definition
  • Provide long-lasting results that age naturally with the patient

Liposuction can also be combined with facelift surgery or another facial rejuvenation procedure.


Liposuction is not the only way to reduce excess fat underneath the chin. The Pearl-Ereso Plastic Surgery Center also offers Kybella injectable treatment, a non-surgical option that generally requires two to six sessions to reduce “submental fullness,” or a double chin. Kybella is made from deoxycholic acid, a substance that occurs naturally in the body. The acid targets fat cells, and literally melts the fat away. Results can start to appear after a month and improve over three to four months.

Downtime after a Kybella treatment is minimal, and side effects can include some swelling and redness that generally only last for a day or two. The results from Kybella are permanent, and although a patient may regain fat in the chin area if they experience overall weight gain, the weight will be distributed more evenly. One thing to note is that if you have sagging or excess skin on your chin, Kybella injections will not tighten the skin — only reduce excess fat.

Dr. Pearl and Dr. Ereso are available to discuss neck and chin liposuction, along with any of your other plastic surgery needs. Please call Pearl-Ereso Plastic Surgery Center at (650) 964-6600 for a consultation.

How to Get Your Body Back after Baby

Recently, celebrity moms like Mila Kunis and Blake Lively have been lavished with praise for losing their baby weight seemingly overnight and hitting the red carpet looking as svelte as ever. This is just the latest example of the rabid coverage of Hollywood moms snapping back after baby, which sets an impossible standard for the average woman.

If you are a new mother concerned with losing baby weight, Drs. Samuel Pearl and Alexander Ereso encourage you to relax and spend the first few months to a year concentrating on your child’s needs. Follow your obstetrician’s guidelines for gradually returning to exercise. Breastfeeding, eating and sleeping well will also help you shed baby weight.

But what about post-baby body issues that aren’t weight-related? For example, you may reach your pre-pregnancy weight but still have lax looking abdominal skin and sagging breasts. Drs. Pearl and Ereso caution that some pregnancy-related issues will not resolve naturally. Sadly, no amount of diet or exercise will repair lax skin and saggy tissue after giving birth. Surgical correction is the best solution.

Tummy Tuck for a Flatter, Firmer Abdomen

Tummy tuck is designed to address several common post-pregnancy issues in the abdomen. The goal is a firmer, flatter abdomen.

During tummy tuck, excess abdominal skin under the navel is removed, and the remaining skin is tightened. This often minimizes or removes stretch marks on the skin below the navel. Abdominal muscles that have weakened or separated during pregnancy (causing abdominal protrusion) are repaired. And, if needed, excess abdominal fat is removed by incorporating liposuction techniques into the operation.

Breast Lift for Perky, Youthful-Looking Breasts

Breast lift corrects breast sagging after pregnancy and nursing and improves the overall shape and position of the breasts (and nipples).

During breast lift, the breast tissue is sculpted to create the breast mound higher on the chest wall. Excess skin is removed and the remaining skin is tightened. Downward-pointing nipples are corrected, and enlarged areolas are reduced. Very frequently, breast implants are added to the breast lift. This improves upper pole fullness as well as enhances the size of the breasts.

Breast Augmentation for Bigger, Fuller Breasts

If nursing has left the breasts looking small and “deflated,” saline or silicone breast implants can be used to add volume and boost cleavage. Breast augmentation may be combined with breast lift to improve the size, shape and position of the breasts.

Want a natural alternative to breast implants? Drs. Pearl and Ereso can perform breast augmentation with fat transfer, which uses donor fat from another area of the body to add breast volume and cleavage. Fat transfer can be combined with breast implant placement to soften and narrow the cleavage area, or it can be performed as a separate procedure at a later time.

Learn More about Post-Pregnancy Plastic Surgery

If your post-baby body isn’t what it used to be, Drs. Pearl and Ereso can help. Schedule a private consultation with the surgeons to discuss your treatment needs and goals. Call (650) 964-6600 today to make an appointment.

Improving Tummy Tuck Results with Lipoabdominoplasty

When performed as a standalone procedure, abdominoplasty (a.k.a., tummy tuck) can be incredibly transformative. The procedure is designed to treat excess belly fat, loose skin and weakened/separated muscles along the abdominal wall.

Drs. Samuel Pearl and Alexander Ereso, plastic surgeons in Mountain View, can improve upon the results of traditional tummy tuck by incorporating advanced liposuction techniques. This combination approach is known as lipoabdominoplasty, and produces an even sleeker and sexier looking body.

What Tummy Tuck Will Accomplish

Before we address the benefits of the combination approach, let’s remember what tummy tuck will accomplish on its own:

  • Remove surplus fat to reduce abdominal protrusion
  • Repair separated or weakened abdominal muscles
  • Remove loose skin
  • Tighten the remaining skin
  • Relocate the navel to a higher position on the abdomen

Tummy tuck is often requested by two types of patients: individuals that have lost a lot of weight but are left with a saggy or protruding belly, and women that have stretched skin and muscles from pregnancy.

More about Lipoabdominoplasty

Lipoabdominoplasty will produce results that are vastly superior to those achieved by traditional tummy tuck. It is designed for those that are deemed to be good candidates and desire dramatic improvement in the stomach, hip and flank area.

In the first stage of the operation, Drs. Pearl and Ereso will perform tummy tuck as normal. This involves making a horizontal incision from hipbone to hipbone right above the pubic area. Through the incision, the surgeon will remove fatty tissue and skin. He will repair the abdominal muscles, stitching them together into an internal corset.

During lipoabdominoplasty, the surgeon will continue with the operation with additional steps. He will use advanced liposuction techniques to remove excess fat from the flanks, hips and lower back. This gives the entire area a more sculpted, attractive shape. The mid- to lower body will look firmer, flatter and sexier.

Patients that seek a comprehensive body transformation may opt to include another procedure, depending on their personal cosmetic goals. Some women choose to have breast lift or breast augmentation. Men with excessive breast tissue may be interested in male breast reduction. Our surgeons will work with every patient on an individual basis to develop a customized surgical plan.

Contact Our Practice

For more information about lipoabdominoplasty, tummy tuck, liposuction or another plastic surgery procedure of your choice, please contact the practice of Dr. Samuel Pearl and Dr. Alexander Ereso. Call (650) 964-6600 or send us an email at to make an appointment.

Introducing the Liposuction S.A.F.E. Technique

Are you frustrated because you consistently make healthy diet and exercise decisions, yet you aren’t seeing the fat reduction results you desire?

Unfortunately, some problem areas of the body simply won’t respond to lifestyle efforts. It might be time to explore a surgical alternative with liposuction. Traditional liposuction is generally a safe procedure, but it has its limitations. Dr. Samuel Pearlhas discovered an advanced liposuction system that improves upon traditional liposuction and provides smoother, more natural-looking body contouring results. Dr. Pearl is pleased to offer SAFELipo to his Mountain View liposuction patients.

More about SAFELipo

S.A.F.E. Liposuction is a technique developed by Dr. Simeon Wall from Shreveport, La., and has truly improved Dr. Pearl’s results. S.A.F.E. stands for Separation, Aspiration and Fatty Equilibration!

SAFELipo can be used to remove excess fat around the thighs, knees, waist, upper arms and neck. It can also be combined with another body contouring procedure, such as abdominoplasty or breast enhancement surgery.

Treatment Steps

First, Dr. Pearl will use special power-assisted liposuction probes to carefully loosen the targeted fat and separate the cells from each other and the supporting framework, without damaging the delicate surrounding structures. No suctioning is used during this portion of the procedure and no fat is removed. SAFELipo does not use thermal energy, which means that there is no risk of any heat damage.

Then, Dr. Pearl will use gentle suction to remove the fat cells from the body. Because the targeted fat has already been separated from the surrounding structures in the previous stage, Dr. Pearl is usually able to remove the fat with less effort. The approach is less traumatic than traditional liposuction and reduces post-operative bruising, swelling and internal scarring.

The final, crucial step of the SAFELipo procedure is what differentiates it from other liposuction approaches. Dr. Pearl will treat the remaining thin layer of subcutaneous fat that remains in the body and is essential for smooth, natural-looking results. He will use special probes to equalize this fat, therefore preventing the skin from adhering to the underlying muscle layer. This helps to prevent contour irregularities (e.g., lumps, divots, “wavy” skin) that can compromise the cosmetic effects of traditional liposuction treatment.

Schedule a SAFELipo Consultation

If you would like more information about SAFELipo, please contact Dr. Pearl at our Mountain View plastic surgery practice. Call (650) 964-6600 or send us an email at