Common Post-Pregnancy Body Changes and How to Treat Them

Motherhood profoundly changes a woman’s life – and body. Carrying, delivering and nursing babies can lead to changes that no amount of diet or exercise can fix. Some women are discouraged by these changes and turn to plastic surgeon Dr. Alexander Ereso for help.

Read on as Dr. Ereso discusses some of the most common changes after pregnancy and explain how they can help. Continue reading “Common Post-Pregnancy Body Changes and How to Treat Them”

The Most Commonly Treated Areas for Liposuction

Commonly Treated Areas for Liposuction at Pearl Plastic SurgeryFat is difficult to shed from a number of areas of the body, areas you may know better by their nicknames: muffin top, saddlebags, love handles, and bra rolls.

These areas and more can be treated effectively with liposuction, which permanently removes excess fat from a person’s body, resulting in a smoother, tighter, more youthful appearance.

As long as there is good skin elasticity, liposuction should be an option. But some body parts are more popular treatment areas than others.

Below, Dr. Alexander Ereso discusses the most common liposuction treatment areas. Continue reading “The Most Commonly Treated Areas for Liposuction”

Eliminating the Stubborn “Bra Bulge” and Back Fat

Removing the Bra Bulge and Back Fat at Pearl-Ereso Plastic Surgery

Nearly everyone has an area of fat that simply will not respond to diet or exercise efforts. For some women, it is a noticeable “bra bulge,” or unwanted fat between the armpit and bra. The bra bulge may be especially embarrassing when wearing sleeveless or strapless tops, dresses or bathing suits.

This is a particularly obscure area of the body to spot-tone, and most women find it nearly impossible to diet or exercise the fat away.

Luckily with the help of the team at Pearl-Ereso Plastic Surgery Center, bra bulge can be a distant memory. Continue reading “Eliminating the Stubborn “Bra Bulge” and Back Fat”

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. Alexander Ereso explains 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. 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. 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. Ereso offers 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. Ereso sees 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. 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. Alexander Ereso sheds 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. 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. 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. Dr. Ereso has 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. Ereso is 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.