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Body Procedures

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Remove Fatty Deposits


Liposuction is a highly effective technique for the removal of localized areas of fatty deposits that won’t go away with diet and exercise. Unfortunately, it is not effective as a technique for losing a lot of weight, and it won’t remove excess skin. With the right circumstances and reasonable expectations, liposuction can lead to satisfying and durable results.

How is it done?

The initial examination will determine if you are a good candidate for liposuction, and what areas might be addressed. Commons areas are the flanks, lower abdomen, thighs, arms, and the neck. Any area with fat can be suctioned if done carefully. On the day of surgery, markings are performed with your input. After the administration of anesthesia (local for small areas, general anesthesia for larger), the areas are filled up with a solution that reduces pain and bleeding. Suctioning is performed with a series of tubes, or cannulae of different sizes. The procedure is continued until the excess has been removed. The incisions for the cannulae are about a quarter of an inch in size and usually heal well. They are hidden in inconspicuous areas. A compression garment is used afterward to reduce swelling.

What about recovery?

Recovery is not significant. Discomfort may last a day or two. Bruising is variable. Some clear drainage may last a day or two. Normal activity can be resumed when comfortable. Final results take about two to three months, once the swelling is completely gone.

What about risks?

Irregularities can be seen under the skin, but being both well-trained and careful we rarely have this problem. Infection and bleeding are rare. Severe complications are uncommon and usually related to very large volume liposuctions, so we limit the areas treated to those which can be safely combined.

Youthful Arms


Brachioplasty, commonly known as an arm lift, attempts to procure a more natural and youthful look by removing the fat and excess skin hanging down from the underarms. This is most commonly requested by aging women, but some men opt to have this procedure as well. An arm lift is often performed on post-bariatric surgery patients who have lost huge amounts of weight in a short amount of time. The procedure helps to relieve patients’ self consciousness in wearing short sleeves or otherwise showing their arms.

During the arm lift procedure, the incision is made beneath the arm and can extend from the armpit to the elbow or even onto the forearm, depending on how much skin must be removed. The skin is then cut away from the rest of the arm and pulled taut around the extremity.

This procedure is very likely to leave a scar that could be noticeable. Most doctors can adjust where they make their incision so that the cut runs either underneath the arm or on the inside surface. These are less visible in normal poses and can improve over time as the scar fades. However, most patients need to be firmly aware that they are essentially trading “skin for scars” with this procedure.

Remove Excess Skin


Also called belt lipectomy, torsoplasty and panniculectomy, the circumferential body lift is performed to remove excess skin from the torso and upper legs.

Candidates for body lifts typically suffer from loose (inelastic) skin on many or most areas of the body as a result of age, childbearing or significant weight loss due to diet, exercise or bariatric surgery. Because of this, the procedure is often combined with others such as breast lifts, arm lifts and liposuction to retain a proper body proportion. Body lifts tighten and tone the abdomen, back, buttocks, hips and thighs.

During the procedure, skin is lifted from underlying tissue, muscles are tightened and stitched, fat is removed where necessary, and the skin is sutured closed.

The navel is often separated from the skin during the procedure, and then secured into a new opening in the advanced skin in the same location. Surgical tubes may be needed for a few days to drain any fluid, and patients may need to wear compression garments for a few weeks to facilitate faster healing.

After surgery, patients are encouraged to walk as soon as they are able to, although strenuous activities must be limited for about a month. Results are visible immediately.

Slim Legs


A thigh lift is performed to remove excess skin and fat from the upper legs. Candidates typically suffer from loose, inelastic skin after extreme weight loss due to diet, exercise or bariatric surgery. Because of this, the procedure is often combined with others such as breast lifts, facelifts and arm lifts to retain an attractive body proportion.

In a medial thigh lift (inner thigh lift), the surgical incision is made in the inner thigh along the line where the leg meets the groin. In a lateral thigh lift (outer thigh lift), the incision is made from the groin around the back of the body, so that the buttocks are lifted along with the thigh.

Remove Excess Skin


You’ve lost weight, toned your ab muscles, and no matter what you do, that same roll of skin is still perched on your lower stomach. Unfortunately, the excess skin left over from pregnancy, weight loss, or the passage of time won’t go away.

Abdominoplasty, or “tummy tuck”, is the removal of excess skin and the reshaping of the abdominal wall. Abdominal muscles, stretched over time, are stitched to create a more shapely waistline.  Excess skin is removed to flatten the contour of the abdomen, allowing clothes to fit better.


The best candidates have a lot of extra skin, have lost most of their extra weight, and may have a degree of bulging of their abdominal wall from the stretching of pregnancy or previous obesity. The doctor can advise you at the consultation about your specific situation, but if you have a lot of extra skin that won’t go away with exercise and diet, you are probably a candidate. Patients must have quit smoking at least two months before surgery.


The incision usually goes from hip to hip across the lower abdomen like a bikini line. The extra skin is lifted up off the muscles up to the rib cage and just below the breast bone. The loose muscles are sewn together, and then the extra skin is trimmed off. A new opening is created for the belly button.

Some people only need the skin from below the belly button removed, this is called a “mini-abdominoplasty” or “lower abdominoplasty”.  Some patients require skin removed from all around their body, called a “Belt lipectomy”, or “body lift.”  Your surgeon will advise you regarding the best procedure for you.


We use only fully accredited surgical facilities, whether it is our state-of-the-art operating room or the local surgery center. An overnight stay is available, although most procedures are outpatient same day visits. We use only board-certified MD anesthesiologists for your safety and comfort.


We use a medication called Exparel for pain control. With the addition of oral pain medications, pain control should be good. The first week, honestly, can be sore and tight. It is important to keep moving, and soon the benefit of your vastly improved tummy soothes the postoperative discomforts. You will have a drain under the incision for a few days, the output of which we ask you to record. Once the output is less than 30 cc per day we can remove it. We feel that wearing a girdle-like compression garment afterward provides support for the incision and reduces swelling. Return to work depends on lifting. If you have a desk job, 7-14 days may be enough. We ask you not to lift anything over 10 pounds for month, or twenty pounds for two months. We will work with you and your employer on activity restrictions.


Problems are unusual with abdominoplasty, and if they occur, tend to be easily treated. Occasionally bleeding will occur that will require a second operation to fix. Infections can result in redness or drainage that require antibiotics or minor surgery. Areas of slow healing might need to be treated with dressings. Major complications such as blood clots, pneumonia, severe infections, or death are exceedingly rare.

Scars are unpredictable. Typically they fade and patients don’t notice them. Usually they are concealed, even under a bikini. Some people get thick scars. Usually, after a year, they are thin and white. Most people find the trade-off between a tummy roll and a scar to be a good one.



The entire staff was so nice during consultation, pre op and post op. I can't say enough good words about the wonderful job Dr. Muskett did on my tummy tuck with work on my abs as well. The scar is minimal and the recovery wasn't nearly as bad as I was thinking. Definitely recommend Dr. Muskett at Billings Plastic Surgery. 



Front desk staff was wonderful. Nurses and Dr. Grosso were efficient, friendly, and had complete confidence in themselves. They answered all the questions we had and more. We went for a consultation and did not feel uncomfortable or "judged" at all, will be returning!



I received a breast reduction from Dr. Grosso and I am so happy with the results. I was hesitant to go in because I am 19 and I was worried that they would try to talk me out of the procedure. I have had headaches and severe back pain for five years and just three months afterwards I am so happy and pain free. Dr. Grosso and all his staff were friendly and professional before, during and well after the surgery whenever I had questions or concerns.



My experience was amazing! I can truly say my breasts are gorgeous and perfectly symmetrical! My recovery was so easy! I highly recommend Dr. Muskett! His staff was friendly and professional, bedside manner is great, and I felt very comfortable around him. I couldn't say enough good things! I am so thankful I was recommended to go to Dr. Muskett!



I call this incredible medical facility “My Happy Place.” Not only was I greeted with kindness, care and concern from the office personnel but also treated with dignity and respect from the physicians. Every situation is followed through and I’m never left to figure my medical issues by myself. Thank you.


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