Rod J. Rohrich, M.D.
UT Southwestern Medical Center
1801 Inwood Road
Dallas, Texas 75390-9132
Tel: (214) 645-3119
Dallas Plastic Surgery Institute
9101 North Central Expressway, Suite 600
Dallas, Texas 75231
Tel: (214) 821-9114
What You Should Know:
Whether it is your face, nose or another part of your body, you can rely on Dr. Rohrich’s expertise and experience as a highly skilled plastic surgeon to enhance or restore your appearance. He will personally guide you on realistic options to accomplish your goals, answer questions regarding surgical or non-surgical alternatives and offer plastic surgery innovations and how they fit with your objectives. Because Dr. Rohrich strongly believes plastic surgery should be individualized, his approach is based on meticulous attention to detail. He addresses the underlying foundation of each patient’s unique features.
Your experience will be first class before and after your procedure. Our team offers exceptional support and care, including superb nursing and skin care staff. All plastic surgery procedures are performed at state-of-the-art facilities, fully accredited and staffed by a skilled team of medical and surgical professions for patient safety and comfort. Dr. Rohrich specializes in cosmetic surgery of the face, breast and body. He is recognized as an international expert in rhinoplasty surgery, including primary and secondary nasal surgery.
Dr. Rohrich is board certified by the American Board of Plastic Surgery, which ensures he has completed the most stringent plastic surgery training and has been examined and approved by the governing board.
“Thank you very much for your care, benevolence, and scrupulousness regarding my rhinoplasty. I am blessed to have a doctor who cares about his patients and is a consummate professional. You are an incredible doctor and I imagine you do wonderful things for your clients every day. I also am grateful for your tranquil reassurance that was calm but always beneficial.”
“Dr. Rohrich is an excellent surgeon and professional and every sense of the word. Dr. Rohrich is truly the finest and most gifted plastic surgeon in the United States, possibly the best in the world. Dr. Rohrich is a true asset to UT Southwestern Medical Center.”
Before & After:
Circumferential abdominoplasty performed by Dr. Feledy
“I come from a family of Rubenesque people,” says Mariane, 63. “I was always the fat kid on the block. That’s just the way it was.” But when Mariane became FOF, she says, she went from “chubby” to “obese.”
“I don’t like to talk numbers, but I was a good 100 pounds overweight by the time I was 50,” she admits. A new grandma, Mariane wanted to be able to get down on the floor and play with her granddaughter. “I also wanted to be around to see her grow up.” So, in 2000, she had gastric bypass surgery and lost over 120 pounds. She felt great, but she didn’t love the way she looked undressed. “The best way to understand it is to look at my ‘before’ pictures,” Mariane says. “There was a lot of excess skin and bad scarring all the way around.” She discussed corrective plastic surgery with her husband. “We talked about it off and on for 10 years. But you’re only ready when you’re ready. Last year, I thought, I have longevity in my family. If I fix this now, I could enjoy it for a good twenty years!”
Here, Mariane discusses exactly which procedure she had done, what surprised her most about the result and why she says her doctor is her “Michelangelo.”
Julia on the beach post-op.
Julia*, 55, doesn’t cover up at the beach. But this wasn’t always the case. “I was looking in a mirror and my boobs were just hanging there,” this flight attendant and mother of three recalls thinking, about two years ago. Julia knew working out and dieting would not resolve this issue, so she decided surgery was “the perfect choice.” It was an opportune time for her to have this done, as her skin was “already stretched out” with “deflated” breasts and a saggy tummy from three C-sections. After extensively discussing her options with Dr. Jeffrey Ditesheim, Julia scheduled her surgery.
*Name changed to protect privacy.
Karen B., 62, vividly remembers report card day in sixth grade. “In those days, your grades were listed with your height and weight,” Karen explains, and the teacher would read them out loud as he handed the report to you. “I remember jumping out of my seat and running to his desk in tears, begging him not to read mine.” Karen was 12 years old and 126 pounds. “I was the biggest girl in the class. Always,” she says.
Smart and ambitious, Karen excelled in school, eventually earning a B.S. in chemistry and becoming a nurse. She married a Marine in her early 20s and they had two children while he built a successful business. Through it all, Karen felt powerless over her weight, which fluctuated between 220 and 280. “I would diet, work out and then gain it back,” she says. Finally, in 1989, she had gastric bypass—then a new procedure—and lost 120 pounds. “But the brain is funny thing,” she relates now, “and you can find ways to circumvent the surgery and eat what you want.” Over the next two decades, the weight crept back. “When I retired three years ago, I was hanging out at about 215.”
Then, during a routine physical, Karen was diagnosed with diabetes. Shocked and upset, she spent the next year researching on the internet. “I found a good diet and a trainer at LA Fitness. I also started taking Byetta, a diabetes medication.” Over the year, the weight came off steadily. “I hated working out. Hated it,” Karen laughs. But ultimately, her weight got down “to the low 140s” and stayed there for two years.
Now at her “perfect weight,” Karen was thrilled, but when she looked in the mirror, she saw “all these sags. I looked like a melting snowman. My 10-year-old granddaughter would say, ‘I love your arms, Grandma!’ and would swing the skin back and forth!
“I didn’t want to grow up to be a saggy, saggy old lady,” Karen says. So she asked a friend who was in a gastric bypass support group if anyone had come to talk to them about plastic surgery. “She gave me Dr. Boynton’s name and said he seemed wonderful. So I called his office.”
Ten months and two surgeries later, and the results speak for themselves. “I want to run through the mall naked!” Karen laughs. “I have not stopped smiling.” Here, she explains the details of what Dr. Boynton did to give her “a body I never in my wildest dreams thought I would have.”
Tell me about your first meeting with Dr. Boynton.
First of all, the thought of showing someone an old body with all this saggy droopy skin on it made me want to die of embarrassment! I’ve spent my whole life trying to tuck it in and not show it. But you walk in his office, and everyone is so nice. He meets with you while you’re dressed, so you can get to know him. He tells you about his philosophy and his training, and you can just feel that he has a good spirit. I thought, ‘I can handle this!’
What surgeries did you have?
Dr. Boynton likes to do things in stages. He’s very careful, which I like. The first surgery was a tummy tuck and some liposuction on my flanks and lower back. He told me he likes to start with the tummy—the core. After having two babies my muscles were spread apart, so the muscle repair was a big deal. He did a breast lift in round two, as well as a breast augmentation and my upper arms.
How was the recovery?
Surprisingly easy. Dr. Boynton had explained that he was using Experil, a new drug that keeps you comfortable for 72 to 96 hours after the surgery. He injects the drug along the muscles and the incisions during surgery so when you wake up you really feel great. I’m a geek, so when he told me about it I went on YouTube and watched procedures being done. I was very impressed. After the first recovery, I asked him if he could use Experil again when he did my breast augmentation and he actually researched it and learned the technique for breasts at my request. I couldn’t believe he did that.
When were you able to get up and leave the house?
One and a half weeks after the second surgery I went to the mall, still with my compression garment on, because I wanted the woman at Victoria’s Secret to measure me. I wanted to see what size I was. She couldn’t believe I was out. She said, ‘no one is up like this two weeks later!’
So what is your new size?
Well, I went to Black House White Market the other day and I bought a new pair of pants, because literally everything is falling off of me. And they were a size four. A four! I’m someone who used to be over the moon about a size 10. I showed my husband and he was like, ‘did you ever in your wildest dreams think you’d be a size 4?’
What’s your husband’s reaction to all of this?
My husband is the most wonderful person. He has told me my whole life, ‘I love you no matter what you weigh.’ And he has loved me unconditionally no matter what. What makes him happy now is seeing how happy I am. That’s the kind of guy of guy he is. I said ‘honey, you have your trophy wife and you didn’t even have to get divorced and lose half your money to get it.’
What about friends? What do they say?
People who haven’t seen me for a while have said, ‘Oh my god, what have you done?’ And I just say, ‘I lost some weight and I kept it off and I had a little something something done.’ And then I hand them Dr. Boynton’s card. I went back to see my co-workers after my tummy tuck and they could not believe it. Three of them asked for his card.
Do you plan to have any more surgeries, or are you done?
In the fall we’re going to do legs and butt—get the sags off and finally finish it. We’re not quite there, yet, but as long as Spanks exist I can fake it til I make it!
What’s your overall impression of Dr. Boynton?
I have worked with hundreds of doctors over my 32 years as a nurse and assisted on many surgeries, and I can tell you he is number one in every respect. I feel like I am in such competent hands. But more than that, he’s very real and down to earth. You can talk to him. One day I came into his office with my 10-year-old granddaughter. She has a lot of physical disabilities, and the first thing he said when he saw her was, ‘You have pink river shoes on!’ And that just melted my heart, because most doctors—especially surgeons—won’t do that. They are too rushed and harried and they have no bedside manner. His heart is right there.
And trust me, you never want to go to a doctor that a nurse wouldn’t go to!
What would you tell an FOF who was considering surgery?
It’s never too late. I’m an evangelical Christian, and I remember going to a big camp meeting in 1981 with a popular evangelist minister. He had everyone close their eyes and think about the desire of their hearts. Mine had always been to be a normal size. He said, ‘I will pray for everyone here, and if you hang onto that, it will happen.’
Well, it took 32 years—diabetes, exercise, bypass surgery. It wasn’t overnight, but all this time has made me appreciate it that much more. I mean, unless you’ve lived in double your body, I don’t know if you can really appreciate size-four pants. This is the first time ever in my life that I actually feel desirable and alive and sexy. Before, that wasn’t even in my realm of awareness.
Many FOFs hate their tummies. Can you make it simple for us to understand the options if we want to change the look of our tummies?
OK, I’ll start with the non-surgical option and move up to the most invasive treatments. I’ll also tell you about the ideal candidates for each procedure.
- CoolSculpting: This has become a hot new procedure in the last couple of years. We don’t create any incisions or openings in the skin. Basically, a suction cup device freezes fat and helps us contour small, limited areas of the body. Love handles are a great indication for this. Heavy patients aren’t candidates. Non Invasive: Level 0
- Liposuction & body contouring: This treatment eliminates irritating fat in limited, finite locations, such as the upper belly, love handles and thighs.
It’s not for women who have loose hanging skin anywhere around the belly. This includes those who had children and lost elasticity in their tummies or those who gained and lost weight and their skin can’t return to its normal form. The amount of elasticity varies with each of us, but the older we get, the more we lose elasticity. Invasive: Level 5
- Mini-tummy tuck, full tummy tuck, and lower body lift: These are your three options if you want to remove loose hanging skin around the belly.
- You’re a perfect candidate for a mini-tummy tuck, accompanied by liposuction, if you have a limited area of hanging skin, let’s say from the belly button to the pubic region, and some areas of troublesome fat. The procedure takes roughly 1.5 to 2 hours. Invasive: Level 7; this creates a glorified Caesarian section scar.
- Full tummy tuck: This procedure removes far more skin, repositions the belly button, and tightens the musculature. We work on the six-pack muscles that go straight up and down the belly, from your waist to your rib cage. They may have spread apart and stretched due to childbirth, weight and age, creating a wider mid section and less defined abdomen.
This two-to-three-hour procedure creates a longer horizontal scar on the lower part of the belly than with a mini-tummy tuck. The scar goes from hip to hip, but is always below the underwear line. Invasive: Level 8
Please define the belly area for us.
The belly is from below your breasts down to your public area; some women have more fat above the belly button, some below since the way fat is deposited varies from patient to patient.
How do you tell whether a woman needs a full or a mini-tummy tuck?
On exam, we pinch from a patient’s belly button down to her pubic area. If we can grab the whole amount of skin in one pinch, the patient usually is a good candidate for a full tummy tuck. But it does vary from woman to woman.
- Lower body lift (LBL) or body contouring: This is the most involved procedure and encompasses a full tummy tuck from the front and also removes skin from the back to re-contour the upper buttocks. It is mostly used on patients who have lost a great deal of weight, either through surgery or on their own. Invasive: Level 9.
I’ve heard the term ‘high lateral tension abdominoplasty.’ Is that the same as lower body lift?
There are different names for comparable procedures. What it’s called depends on where you place the sutures; HLT’s encompass the tummy but also the outer thigh. We smooth out and re-contour that area and place the scar a little higher, but still take into account that more women are wearing lower-riding jeans and underwear than they did 20 years ago.
Many of us have gone away from the name HLT and transitioned to LBL, but the procedure you do varies from patient to patient.
From your perspective, as a young man and a doctor, what do you think is happening to FOF’S in the area of plastic surgery?
The population is acting younger as it’s getting older. You see it in athletes, too. They’re participating in their sports during their late 30s and early 40s; years ago, they were retired by that time. Also, people in general are taking better care of themselves and feeling better. A woman who is in her 40s, 50s and 60s has eaten right, taken good care of herself, exercised, perhaps raised children. Now she’s come to a point where she’s ready to seek a surgical solution for an area that’s been bothering her and she has the time and resources to take care of it. She’s spent her life taking care of others and now she wants to take care of herself.
I have an 80-year-old patient coming in to have Botox and Scupltra for the first time. She teaches a sculpting class; she’s dating someone; she’s active in her neighborhood. And she lost some volume in her face and feels she’d like to have Botox and Sculptra. For the first time in her life, she knows she has options.
Do women also have cosmetic surgery so they can attract more men?
I don’t see that as much in women who are in the 40s, 50s and 60s. Some women in the 30s, however, say they just ended a relationship and want to do something to help them move forward.
Who will you turn away if she wants surgery?
I don’t do cosmetic procedures on women who smoke, have diabetes, or are cardiac patients. These put you at risk for improper fluid draining, wound healing and other complications. I wouldn’t recommend an elective procedure without medical clearance.
Is liposuction an answer for losing weight?
No. First, you should optimize your body mass index if it’s above 30. You’re better off getting it down by exercising and eating right. It also will optimize your outcome when you have surgery.
Do women make mistakes when they choose docs?
Women in general in NY are pretty savvy when it comes to finding physicians and rarely will go with a doctor who isn’t referred or recommended. But if you go to a non-board certified doctor, and there are complications, they can’t manage and help you. Everything might be hunky dory, until there are complications. It would be equivalent to me performing a neurosurgical procedure.
Many dermatologists work with fillers. Is it better to see a dermatologist or a plastic surgeon for this non-invasive procedure?
Both types of doctors can responsibly inject fillers, but generally, we have greater depth and knowledge of a patient’s anatomy than a dermatologist. If a patient is interested in fillers, but I think she’s best served with a one-time surgical procedure, I will be frank with her. We can offer the whole gamut: Fillers and surgical procedures.
What would you recommend I say to a woman to convince her to at least have a consultation with you? Let’s say she’s scared of surgery, she doesn’t want to look like Joan Rivers, or she doesn’t have the money.
My aunt is a great example: She’s 55 and at this point she’d like to have some work done, but she has a little fear about surgery. I told her: ‘You don’t commit simply by going in to speak to someone. It’s just a conversation. If you develop a rapport, that’s great. You’ll get more information, at the very least.’ We also work with plans that help women finance procedures.
Although the taboo of plastic surgery has been removed, I’d never try to convince a patient to have an elective procedure.
Is there a new rule of thumb to follow when you’re considering plastic surgery?
Less is more. Avoid the wind blown approach.
Dr. Tommaso Addona
New York Plastic Surgical Group
999 Franklin Avenue, Suite 400
Garden City, New York 11530
Click here for more locations.
Tel: (516) 504-3014
Fax: (516) 742-4716
Click here to view Dr. Addona’s profile.
There are many myths and misconceptions surrounding tummy tucks, starting with the popular belief that a tummy tuck is the perfect way to lose weight. If you’re overweight and have decided to slim down once and for all, you may be surprised to learn that a tummy tuck is not a “quick fix” that will eliminate extra pounds as a shortcut to your dream body. Although it is possible to lose weight by having some surgeries, a tummy tuck is not one of them. However, once a person has reached a healthy weight, a tummy tuck can be an ideal way to fine-tune the figure and enhance weight loss success.
Understand the Limitations of Tummy Tucks
Most patients misunderstand the purpose and scope of a tummy tuck, which leads to many unrealistic expectations about the results of the surgery.
Simply put, a tummy tuck removes excess stomach skin and fatty tissue and tightens underlying abdominal muscles.
The total amount of weight loss typically is only a few pounds. Just like any plastic surgery, the best candidate for a tummy tuck is going to see the best results. The procedure is not a substitute for adopting a healthy lifestyle. Instead, a tummy tuck performed after weight loss will accentuate your thinner figure. Patients who have the procedure before reaching their target weights may end up with more lax skin that requires revision surgery to correct. Being patient and approaching weight loss and body contouring in the right order—reach your target weight first, then look into a tummy tuck if necessary—increases the likelihood you’ll be more satisfied with your new look in the long run.