Dr. Sean Hill, MD

BBL, or Broad-Based Light, is similar to a photofacial but offers more profound results with less downtime. It targets pigments like brown and red spots, vascular issues, and can be used for hair removal. Halo is an Erbium Laser that performs both ablative and non-ablative resurfacing, addressing texture, pigment issues, acne scarring, fine lines, and wrinkles, with particularly profound effects on pigments. Both treatments are performed in the office, stimulate collagen, and can reverse sun damage, reduce rosacea, and reduce acne. Halo treatment typically has a downtime of five to seven days.

Dr. Hill's practice performs jawline snatching, neck contouring, and chin liposuction every Wednesday as a favorite in-office procedure. The goal is to create a more structured, sculpted, snatched, or thinned jawline, address jowls, sculpt the mid-cheek, and eliminate 'turkey neck' or 'double chin.' The procedure typically takes about two hours, uses local anesthetics, and patients remain awake and talking. It involves almost zero downtime and no incisions. The practice often combines chin liposuction with FaceTite, an internal radiofrequency probe that uses heat for skin tightening.

A breast lift centers the nipple on the breast footprint and tightens the skin envelope. It's recommended if your nipple position is down by more than an inch or if you have a lax skin envelope. While breast implants alone can raise the nipple position slightly (typically no more than an inch), they may not be sufficient for significant laxity. If the skin envelope is very loose, a very large implant would be needed, and it might not fill completely, potentially leading to the breast tissue sliding off and positioning lower than the implant.

Dr. Hill's philosophy is to fit the implant to the patient's body, not the other way around, aiming for a 'tailor-made suit' fit. The process begins by measuring the width of the patient's chest and matching it to the implant's width to ensure desired cleavage and upper fullness without the implant spilling into the armpit or making the patient feel wide. After this, the implant's profile (how far it projects) is adjusted based on the patient's aesthetic preference – a higher profile for more volume or an 'exotic look,' and a lower profile for a more conservative or 'natural/ballerina boobs' appearance. It's crucial to understand that CC volume is only one measurement; implants with the same CCs can have vastly different physical characteristics and profiles (moderate, full, extra full, narrow, tall, wide, short). Patients should bring inspiration photos to their consultation. Skin quality is also assessed, as a looser skin envelope may require a larger implant to fill it. It's impossible to determine the right implant size without a physical examination.

Gluteal implants are an effective option when fat transfer (BBL) is insufficient, especially for patients who have experienced failed BBLs due to limited donor fat. They provide immediate shape and projection, ensuring that petite individuals do not have to settle for no projection. Dr. Hill emphasizes that achieving desired results often depends more on choosing the right technique than simply adding more fat.

Dr. Hill emphasizes that not all tummy tuck procedures are the same, and the technique must be matched to the patient's specific needs. He performs a full spectrum of tummy tucks, including: * **Standard Tummy Tuck:** The most common type, with an incision from hip to hip. It's for skin excess both above and below the belly button, typically includes muscle repair, and is often paired with liposuction of the flanks. * **Mini Tummy Tuck:** For patients with a small amount of skin excess only below the belly button, typically without muscle repair. * **Extended Tummy Tuck:** Involves a longer incision than a standard tummy tuck, for patients with more significant skin excess. * **360-Degree Tummy Tuck (Lower Body Lift):** Typically for massive weight loss patients (e.g., after bariatric surgery or GLP-1 medications) who need the incision to go all the way around the body to ensure smooth contour and eliminate 'dog ears.' * **Fleur de Lis Tummy Tuck:** Considered the most powerful, for patients with significant weight loss and skin excess in both vertical and horizontal dimensions who desire the flattest possible abdomen. This technique results in an additional vertical scar, and can potentially be paired with a 360-degree tummy tuck. Dr. Hill stresses that customization, surgeon experience, and surgical judgment are crucial, as choosing the right procedure significantly impacts the outcome.

A reverse tummy tuck is a specialized technique designed for patients with loose skin or laxity primarily in the upper abdomen, especially above the belly button, including post-weight loss patients or those combining it with a breast lift or augmentation. Unlike a standard tummy tuck, the tightening is achieved through an incision hidden along the breast crease, which often needs to extend across the sternum. Dr. Hill notes that the resulting scar 'may be kind of ugly' and is generally harder to hide and tends to look less favorable than a standard tummy tuck scar. He emphasizes that a standard tummy tuck, by repairing muscles and pulling skin down, often effectively addresses upper belly skin excess, making the reverse tummy tuck a less common choice. Not every surgeon performs this specialized technique.

Dr. Hill recommends choosing a board-certified plastic surgeon who specializes in breast surgery and is experienced and comfortable performing the full spectrum of procedures, not just one approach. It's important to ensure the surgeon performs accurate measurements and utilizes extensive body contouring expertise to customize each surgical plan to the patient’s anatomy and goals. Experience, customization, and surgical judgment are paramount for achieving smooth, balanced results.