If you re a woman who s struggling to achieve or reclaim your ideal body shape…

…or a man who would love to get rid of those love handles.

Then you need to listen to second part of our series where  Dr. Dennis Hurwitz of the Hurwitz Center For Plastic Surgery is going to share his breakthrough alternative to traditional tummy tucks and lower body lifts

• That delivers better results than a total body lift


• With less discomfort and downtime

Welcome to The HD Lipo Podcast Episode 14 (Part 2) where you’ll discover

• What Oblique Flankplasty is.


• Who it s for.


• Why it s game changer when it comes to having a slimmer waist.


• How it compares to a tummy tuck or lower body lift.


• The critical role of your plastic surgeon.


• How to achieve the best possible results with the least amount of pain, down time and expense.


• How to preview the new you with 3D before and after simulation.

Have you received your free Personal Aesthetic Roadmap yet?

Discover your easiest path to achieving your best possible results with minimal invasiveness, downtime and expense by clicking below:

Episode Transcript

HD Lipo Podcast 14: How To Narrow Your Waist with Oblique Flankplasty

Frank Felker: Welcome back to the HD Lipo Podcast. I’m Frank Felker in Washington DC. Our guest today is board certified plastic surgeon Doctor Dennis Hurwitz of the Hurwitz Center for Plastic surgery in Pittsburgh, Pennsylvania. Doctor Dennis Hurwitz, welcome back to the program.

Dr. Hurwitz: It’s my pleasure, Frank. Nice to be here.

Frank Felker: Doctor Hurwitz, I know that back in 2002, the Annals of Plastic Surgery published an article of yours entitled Single-Stage Total Lift, which had to do with comprehensive body contouring after weight loss. I wanted to talk to you about that today, and specifically the techniques that are called oblique flankplasty and lipoabdominoplasty. What can you tell us that … I always like to be the advocate for our listener. Could you please define those two terms for us, and then tell us what you were up to back in 2002, and how your techniques and thinking have evolved over the past 15 plus years?

Dr. Hurwitz: Well, that’s just what I like to do. In 2002, after working on this issue of how to deal in an organized and effective way where people who had lost a lot after, say, bariatric surgery, I came up and evolved the concept of a total body lift. Whether it be a single-stage or multiple stages, depending on the condition of the patient who was at hand. There were a number of operations that are part and parcel of that. A tummy tuck, abdominoplasty, a breast reshaping or lift, and thighplasty, et cetera.

Up till then, they were all independently worked out, thought about, and just not joined together like we did in craniofacial surgery. That’s the groundbreaking work, and I think it’s safe to say, Frank, I’ve been recognized to turn people in the right direction, that is plastic surgeons. Now, that’s 16 years ago, and I’ve been heavily involved in the field, and doing a lot of this surgery, and lecturing ever since.

The most exciting thing to come up in the last few years, frankly about a half a dozen years, that I’m just bringing out to the plastic surgery community, both in the United States and throughout the world, is the oblique flankplasty, as you said, and how it combines so nicely with lipoabdominoplasty. Oblique flankplasty, number one, a flank is the area of the body between the lower ribs, from the sides going to the back, to your hipbone. It contributes to the waist.

If you go around the front, you’ve got the abdomen, the tummy, and together the flanks and the abdomen make the waist. For anybody who has had trouble with gaining too much weight, you know exactly what happens. That waist become blunted and full, or even too full. It’s been a struggle for individuals to take care of that, and there has been a variety of ways to deal with it starting with dieting, and when that’s incomplete, to surgery. To surgery, whether it be HD liposuction, or abdominoplasty, or now for the first time, coming out is my work oblique flankplasty.

We know what a flank is. It’s that area of the body, the torso. The flanks can be adjusted by liposuction, or by body lifts, or more recently, by an excision surgery, what I used to call a direct flank excision. Now a plasty, whether it’s a thighplasty or a brachioplasty, just means reshaping and lifting. It’s reshaping, lifting to make it narrower, and then a critical word is oblique. The oblique, of course, is not straight up and down. It’s not side to side.

It’s on an angle, and that’s exactly that interval between the rib cage and the hipbone that’s on a angle. When you take it out on the angle, which I discovered a little bit serendipitously, it has far more impact on narrowing and smoothly reshaping the waist than if you took it up and down or side to side. So, I made that a part of the term, Frank, oblique flankplasty. It’s my goal to provide that for patients and to teach it to surgeons.

Now, that operation almost always is combined with an abdominoplasty, and I’m sure your viewers have a good idea what I mean, but simply stated we take all that excess skin in the lower tummy, which tends to overhang the groin or even the thigh, get rid of it from the belly button to the pubic area. Then take the upper area, release it from its adherences, and bring it down like a window shade and pop through the belly button. What’s a lipoabdominoplasty is before we take it down, we take a suction machine and remove the excess fat.

So, often it’s too full. When we remove the excess fat, we not only flatten it, but we also liberate it without cutting away too much of the blood supply and can safely move it down. The safest way to do it is using special, a modern technology called the VASER. We can get into that if you’d like later, but in any event, we release the fat, bring it down.

As it comes down, you think about it, going around to the sides towards the flanks and the back, is there’s a beautiful transition of tissues of a persistent nice tightness that seems to work just like a beautifully elastic garment. It just covers the body the way you want. I’ve been so excited about the wonderful transition between these two operations. The flankplasty, the oblique flankplasty, and the lipoabdominoplasty. Sorry for the long-winded discussion, but it needs it.

Frank Felker: I was interested in one thing. As you spoke to the medical technology, and the terminology, and so forth you were clearly the medical professional, the scientist, the technician. Then as you spoke to how well this technique works, the artist in you came out, and it was interesting how much pleasure and passion you have for the work that you do and the great results you’re able to achieve. With that having been said, one thing you mentioned is that these techniques are often prescribed by you after someone’s had bariatric surgery or had otherwise lost a great deal of weight. Is that generally the case, that this is for people who have maybe a little bit more than just a little bit of trimming down that needs to be done?

Dr. Hurwitz: Well, certainly all patients who have lost maybe more than 50 pounds, and some of them lose hundreds of pounds, will have loose skin, but are otherwise healthy. Sometimes, and often some bulging in the tissues, and just removing the bulge, the fat, gets more loose skin. Yes. They’re the prime patients, and frankly, when I was developing this, they were the only ones. But the success the so incredible, the satisfaction patients had was so remarkable that I looked at people, women who never had a great figure, a boxy figure, what we call an android, a male-like presentation with little to no waist.

They have little to lose, and they haven’t lost a lot of weight, but I took that, carved them a nice waist between the lipoabdomi