Cosmetic Body Procedures
Sculpt, refine, and enhance your natural shape with our comprehensive range of cosmetic body procedures. Whether you're looking to contour stubborn areas, restore your pre-pregnancy figure, or achieve a more toned, confident appearance, our body treatments are customized to your unique goals and anatomy.
From liposuction and tummy tucks to body lifts, fat transfer, and mommy makeovers, our board-certified surgeons use advanced techniques to deliver natural-looking, lasting results with safety and precision. We’re here to support you every step of the way—with personalized care, expert guidance, and a focus on helping you feel your absolute best.
Discover the transformative power of body contouring and take the first step toward the silhouette you’ve always wanted.
Mommy Makeovers
Real You Plastic Surgery and Wellness celebrates the transformative power of motherhood with our Mommy Makeovers. Our customizable expert procedures include tightening and lifting the breasts, restoring volume and shape, as well as repairing and tightening the abdominal wall, skin, and muscles that may have been affected during pregnancy. By embracing these positive changes, you can embark on new life chapters feeling confident, beautiful, and empowered. Our personalized approach honors the incredible journey of motherhood, helping you feel your best every step of the way.
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A Mommy Makeover is a personalized combination of cosmetic procedures designed to restore and enhance a woman’s body after pregnancy and childbirth. Common treatments include tummy tuck, breast lift or augmentation, and liposuction—targeting areas that are often resistant to diet and exercise. Whether you want to tighten loose skin, reshape your breasts, or contour your body, a Mommy Makeover can help you regain confidence and feel like yourself again. Customized to your unique goals, this comprehensive approach offers transformative results with the convenience of one recovery period.
Tummy Tucks (Abdominoplasty)
Abdominoplasties are a restorative procedure that uses a combination of techniques and approaches to enhance the contour of the waist and tummy. This requires the use of Dr. Mecham’s advanced skillset to remove excess fat, repair the abdomen, re-support your core, and redrape your skin for a smoother, stronger and tighter body. For patients who have had their abdominal wall stretched through weight gain and loss, pregnancy or any other life events, they often develop a permanent spreading of the abdominal muscles. This spreading creates weakness in the core and creates something called diastasis recti. For most people, diastasis does not resolve on its own, even with appropriate therapy and exercise. A tummy tuck repairs the diastasis recti, which allows you to regain the strength and support of your core. We have found this to be a life changing procedure and is one of our favorite procedures to perform.
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What Is a Tummy Tuck?
A tummy tuck is a cosmetic surgical procedure designed to remove excess skin and fat from the abdomen and tighten the underlying abdominal muscles. This results in a flatter, firmer, and more toned abdominal profile.Who Is a Good Candidate?
Individuals with loose or sagging abdominal skin due to pregnancy, weight loss, or aging
Those with weakened or separated abdominal muscles (diastasis recti)
People in good overall health at a stable weight
Non-smokers or those willing to quit before surgery
The Procedure
Anesthesia: General anesthesia is administered for comfort and safety.
Incision: A horizontal incision is made just above the pubic area, extending from hip to hip. The length and shape of the incision depend on the amount of excess skin.
Muscle Repair: The surgeon tightens the abdominal muscles by suturing them together to create a firmer abdominal wall.
Skin and Fat Removal: Excess skin and fat are trimmed away to improve contour.
Navel Repositioning: The belly button is usually repositioned to a natural location on the tightened abdomen.
Closure: Incisions are closed with sutures, skin adhesives, or surgical tape. Drain tubes may be placed to prevent fluid buildup.
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Recovery
Swelling, bruising, and discomfort are common and managed with medication.
A compression garment is worn to reduce swelling and support healing.
Light walking is encouraged soon after surgery to improve circulation.
Strenuous activities and heavy lifting should be avoided for 4 to 6 weeks.
Drain tubes, if used, are typically removed within 1 to 2 weeks.
Follow-up appointments are essential to monitor healing and progress.
At our plastic surgery clinic and med spa, our goal is to enhance your body's natural shape by removing fat from targeted areas. The benefits of it are spot reduction of fat, enhancement of natural landmarks in the body, and volume reduction of your most troublesome and stubborn areas. We do this by using well-honed techniques and skills with an artistic eye to help maximize your natural contours. This can range from large volume fat reduction to detailed line enhancement. All plans are designed to achieve your specific goals.
Liposuction
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What Is Liposuction?
Liposuction is a cosmetic surgical procedure designed to remove stubborn excess fat deposits from specific areas of the body. It helps contour and reshape areas such as the abdomen, thighs, hips, arms, and neck that are resistant to diet and exercise, resulting in a slimmer and more proportionate appearance.Who Is a Good Candidate?
Individuals at or near their ideal weight but with localized fat deposits
People with good skin elasticity and muscle tone
Non-smokers or those willing to quit before surgery
Healthy individuals without significant medical conditions
Those seeking body contouring, not weight loss
The Procedure
Anesthesia: Liposuction can be performed under local anesthesia with sedation, regional anesthesia, or general anesthesia, depending on the extent of treatment and patient preference.
Incision: Small, discreet incisions (usually less than half an inch) are made near the treatment area.
Fat Removal: A thin tube called a cannula is inserted through the incisions to loosen excess fat using a controlled back-and-forth motion. The fat is then suctioned out with a surgical vacuum or syringe.
Techniques: Various liposuction methods may be used, including traditional suction-assisted, tumescent, ultrasound-assisted (UAL), or laser-assisted liposuction (LAL), depending on the surgeon’s approach and patient needs.
Duration: The procedure typically takes 1 to 3 hours, depending on the size and number of areas treated.
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Recovery
Compression garments are worn for several weeks to reduce swelling and support healing.
Mild bruising, swelling, and soreness are common in the treated areas and usually subside within a few weeks.
Light activity and walking are encouraged soon after surgery to promote circulation.
Strenuous exercise and heavy lifting should be avoided for at least 2 to 4 weeks.
Follow-up appointments ensure proper healing and address any concerns.
Results
Results appear gradually as swelling decreases, with most patients seeing final contour improvements within 3 to 6 months.
Liposuction provides long-lasting results if a stable weight is maintained.
It is important to understand that liposuction is not a substitute for weight loss or a treatment for obesity.
Arm Lift (Brachioplasty)
An arm lift is a cosmetic procedure designed to remove excess skin and fat from the upper arms, creating a more toned and contoured appearance. Ideal for individuals with sagging skin due to weight loss or aging, this surgery tightens and reshapes the arms for a smoother, firmer look. Results are long-lasting, especially when combined with a healthy lifestyle. Regain confidence in sleeveless styles with beautifully sculpted arms.
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What Is an Arm Lift?
An arm lift is a cosmetic surgical procedure that reshapes the upper arms by removing excess skin and fat, typically caused by aging or significant weight loss. It results in a more toned, tightened, and contoured appearance of the arms.Who Is a Good Candidate?
You may be a good candidate if you:
Have sagging or loose skin on the upper arms ("bat wings")
Have lost a significant amount of weight and are left with excess upper arm skin
Are at a stable, healthy weight
Are in good general health and a non-smoker
Have realistic expectations and understand the trade-offs (such as scarring)
The Procedure
Anesthesia:
Typically performed under general anesthesia
Incision Options:
The standard incision runs along the inside or back of the upper arm, from the armpit to the elbow.
A limited incision may be used for patients with minimal excess skin, placed only in the armpit area.
If excess fat is present, liposuction may be combined with the lift for better contouring.
Tissue Removal & Tightening:
Excess skin and fat are removed, and the underlying tissues are tightened and reshaped.
The skin is then re-draped to create a smoother contour.
Closure:
Sutures are used to close the incisions. Some are absorbable; others may need to be removed after a few weeks.
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First Few Days:
Expect swelling, bruising, and discomfort, which are managed with prescribed pain medication and compression garments.
Temporary drains may be placed to prevent fluid buildup.
Arms should be kept elevated when possible to reduce swelling.
Compression Garment:
A compression sleeve or wrap is worn for 3–6 weeks to support healing and reduce swelling.
Activity Restrictions:
Light activity is encouraged after a few days, but no lifting, stretching, or strenuous activity for at least 4–6 weeks.
Most patients return to non-strenuous work within 1–2 weeks.
Scars:
Incisions will scar, but they typically fade significantly over time and are placed in discreet areas (inside or back of the arm).
Results
Results are visible almost immediately, though final results are seen once swelling fully resolves (usually in a few months).
Arms appear slimmer, firmer, and more proportionate to the rest of the body.
Results are long-lasting, especially if you maintain a stable weight and active lifestyle.
Buttocks Lift
Rejuvenation of the buttock encompasses multiple procedures. This could include liposuction and fat grafting (more commonly known as a Brazilian Butt Lift or BBL), open buttock lift, or even in some rare cases buttock implants. Each of these procedures help to enhance volume and contour and create soft fullness with the goal of designing a youthful heart shape between the waist and bottom. Dr. Mecham’s goal is to shape and enhance what is already naturally yours while unearthing your natural curves.
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What Is a Butt Lift?
A butt lift is a cosmetic surgical procedure designed to enhance the shape, size, and contour of the buttocks. It can involve removing excess skin and fat, lifting sagging tissue, and sometimes adding volume through fat grafting (Brazilian Butt Lift) or implants to create a fuller, more youthful appearance.Who Is a Good Candidate?
Individuals with sagging or flattened buttocks due to aging, weight loss, or genetics
Those seeking improved contour, lift, or volume in the buttock area
People in good overall health and at a stable weight
Non-smokers or those willing to quit before and after surgery
Patients with realistic expectations about the procedure and results
The Procedure
Anesthesia: General anesthesia is typically used for patient comfort and safety.
Incisions: The location and length depend on the technique used:
Traditional butt lift involves incisions around the lower buttocks and upper thighs.
BBL involves liposuction incisions and small injection sites.
Implants require incisions in the crease between the buttocks or upper thigh.
Tissue Removal and Contouring: Excess skin and fat are removed (traditional lift), or fat is harvested and injected (BBL), or implants are placed to enhance volume.
Closure: Incisions are closed with sutures, and drains may be placed temporarily.
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Recovery
Swelling, bruising, and discomfort are common and managed with medication.
Avoid sitting directly on the buttocks for 2 to 3 weeks after surgery, especially after BBL. Special cushions may be recommended.
Compression garments are worn to reduce swelling and support healing.
Light walking is encouraged soon after surgery, but strenuous activity and heavy lifting should be avoided for 4 to 6 weeks.
Follow-up visits are important to monitor healing and address any concerns.
Results
Expect a lifted, firmer, and more contoured buttock appearance.
BBL results can last many years with proper care, but some fat absorption is normal.
Scars from traditional lifts fade over time and are strategically placed for minimal visibility.
Maintaining a stable weight and healthy lifestyle is key to long-lasting results.
Thigh Lift
Using a combination of fat removal and redraping of the skin, Dr. Mecham will help to shape and contour your thighs, to help you be confident in anything you put on. This combination of techniques lifts the skin and shapes the leg to create a more youthful and shapely appearance. She achieves these results by first using liposuction to decrease the size of the thighs and removes excess skin to make a lifted and tighter appearance. Her eye for detail and artistry will serve you in achieving your desired goals.
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What Is a Thigh Lift?
A thigh lift is a cosmetic surgical procedure designed to remove excess skin and fat from the thighs to improve their shape and contour. It is often sought by individuals who have experienced significant weight loss, aging, or genetics-related skin laxity, resulting in sagging or loose skin in the upper legs.Who Is a Good Candidate?
Individuals with loose, sagging skin on the inner, outer, or front thighs
People with localized fat deposits resistant to diet and exercise
Those in good overall health and at a stable weight
Non-smokers or those willing to quit before and after surgery
Realistic about the results and recovery process
The Procedure
Anesthesia: Performed under general anesthesia or, in some cases, local anesthesia with sedation.
Incisions: The location and length of incisions depend on the type of thigh lift:
Inner thigh lift: Incision runs along the groin crease, sometimes extending down the inner thigh.
Outer thigh lift: Incision often extends along the hip area, sometimes wrapping around the thigh.
Circumferential thigh lift: Involves an incision that goes all the way around the thigh, typically for more extensive contouring.
Tissue Removal and Tightening: Excess skin and fat are removed, and the remaining skin is tightened to create a smoother, firmer thigh contour.
Closure: Incisions are closed with sutures, and drains may be placed temporarily to prevent fluid buildup.
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Recovery
Swelling, bruising, and discomfort are common and managed with prescribed medication.
Compression garments are worn for several weeks to support healing and reduce swelling.
Light walking is encouraged to promote circulation, but strenuous activities and heavy lifting should be avoided for 4 to 6 weeks.
Follow-up visits are essential to monitor healing and remove drains or sutures if needed.
Labiaplasty
Labiaplasty focuses on reshaping or reducing the size of the labia minora or majora, enhancing aesthetics, reducing discomfort from twisting or chafing, and improving confidence in intimate settings.
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What Is Labiaplasty?
Labiaplasty is a cosmetic surgical procedure that reshapes or reduces the size of the labia minora (the inner vaginal lips) or labia majora (outer lips) to improve comfort, function, or appearance. It’s commonly sought by women experiencing discomfort during physical activity, irritation, or self-consciousness about the size or asymmetry of their labia.Who Is a Good Candidate?
Women experiencing discomfort or irritation caused by enlarged or uneven labia
Those unhappy with the appearance of their labia and seeking improved confidence
Healthy individuals with realistic expectations
Women who have completed childbirth and are in good overall health
The Procedure
Anesthesia: Usually performed under local anesthesia with sedation or general anesthesia, depending on patient preference and extent of surgery.
Incision and Reshaping: Excess tissue is carefully trimmed and reshaped to achieve a natural, symmetrical appearance. Various surgical techniques can be used, such as the trim method or wedge technique.
Closure: Incisions are closed with dissolvable sutures designed to minimize scarring.
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Labiaplasty Recovery
Swelling, bruising, and mild discomfort are common for the first few days and can be managed with prescribed pain medication and cold compresses.
Avoid strenuous activity, sexual intercourse, and use of tampons for about 4 to 6 weeks or as advised by your surgeon.
Follow-up appointments are essential to monitor healing and address any concerns.
Vaginoplasty
Vaginoplasty is a surgical procedure that tightens and restores the vaginal canal, often sought after childbirth, aging, or to address personal concerns about sensation and support. It can improve both physical comfort and sexual confidence.
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What Is Vaginoplasty?
Vaginoplasty is a surgical procedure designed to tighten and rejuvenate the vaginal canal and surrounding tissues. It is commonly sought by women experiencing vaginal laxity due to childbirth, aging, or hormonal changes, which can affect sexual satisfaction and pelvic support. Vaginoplasty can improve vaginal tone, reduce discomfort, and enhance confidence.Who Is a Good Candidate?
Women experiencing vaginal looseness or decreased sensation after childbirth or aging
Those with pelvic floor weakening or mild prolapse symptoms
Healthy individuals seeking improved vaginal function and appearance
Women with realistic expectations and in good overall health
The Procedure
Anesthesia: Usually performed under general anesthesia or regional anesthesia (spinal or epidural).
Surgical Technique: The surgeon tightens the vaginal canal by removing excess vaginal lining and tightening the underlying muscles and tissues.
Additional Repairs: Often combined with perineoplasty (tightening of the area between the vagina and anus) or labiaplasty for comprehensive vaginal rejuvenation.
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Vaginoplasty Recovery
Swelling, bruising, and mild discomfort are common in the first week and can be managed with medication.
Avoid strenuous activities, heavy lifting, tampon use, and sexual intercourse for 6 to 8 weeks or as directed by your surgeon.
Follow-up visits are important to ensure proper healing.
Reclaim confidence and comfort with our personalized vaginal rejuvenation procedures, designed to restore both form and function.
Performed by Dr. Mecham in a safe, supportive environment, these procedures are tailored to your individual anatomy and goals—always with privacy, dignity, and care at the forefront.
