Liposuction, Suture Suspension, PDO Threads, Breast Reduction and Face Lifts in Texarkana, Texas

Suture Suspension

Results are seen after an SSL immediately, as seen in our before and after photos. Most of our before & after pictures were taken the same day or less than 48 hours later.

suture suspension surgery
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Suture Suspension Lift (SSL) is, in its simplest terms, a procedure that lifts loose skin or flabby soft tissue.

Where traditional lifts require a surgeon to make large, dramatic incisions in order to create results, the SSL experience is quite the opposite. Instead of extensive incisions, the SSL technique utilizes several minor puncture wounds, through which we place special FDA approved internal sutures to contour and shape the face and body.

The procedure is so minimally invasive that it is done utilizing local anesthesia – it does not require IV sedation or general anesthesia! We attach and lift sagging and misshapen anatomical features to immovable and fixed anatomical structures, resulting in a permanent “fix.” You’ll be wide awake and comfortable during the entire procedure, and you will have little or no “down time” for recovery. Most patients are able to return to their normal activities of daily living or work the very next day.

The SSL technique leads to permanent results.

The Reynolds-Serdev Techique lifts the deep moveable subcutaneous tissue by anchoring it to non-moveable tissue (fascia which covers the muscle, periosteum which covers the bone, or the bone itself). Employing this technique results in a more natural and youthful appearance. The Reynolds-Serdev technique is ideal for lifting the face, neck, chin, ear, nose, eyebrow, breast, buttocks, and abdomen.

This technique is significantly better than typical forms of of lifting, which are superficial and generally do not last as long. These superficial lifts go by the names of “Curl Lift”, “Coffee Break Lift”, “Contour Thread Lift”, “Feather Lift”, etc. These approaches appear similar but do not last nearly as long as procedures done using the Reynolds-Serdev Technique. (For patients who desire a cheaper but less permanent facial or buttock lift, we also offer the Silhouette Lift.)

  • Key Benefits of Suture SuspensionImage: Drama Masks illustrate the concept of Suture Suspension
  • No scarring
  • No general anesthesia or IV sedation
  • A natural look.
  • Immediate results
  • Reversible results
  • Beautification Principles

Beautification of the face is best on 3 principles:
1-Proportion (“1/3” “1/3” “1/3”)

Face suspension / lifts – Replace a sad, sagging face with a happy face. Create a younger and more natural appearance.

Buttocks suspension / lifts – Narrow the buttocks while giving the appearance of more volume and lift. Elongate the legs.

Breast suspension / lifts – Lift the breast approximately 1-2 inches via a scarless puncture wound. Particularly beneficial to women who often suffer from keloiding from traditional breast lifts.

Custom Dimpling – Add beautiful dimples to your cheeks.

Brow lift: The appearance of droopy eyelids and/or the gradual appearance of a “squinting” visage often accompanies the aging face.  One technique to address this problem is a plastic surgical procedure involving cutting a portion of extra or redundant skin from the upper lid, a procedure known as a “blepharoplasty.” In many cases a similar, or even more effective result can be achieved in a brief Suture Suspension lift known as a brow lift.  If you are troubled by droopy eyelids or think your eyes would look better if you had a more “eyes wide open” appearance, talk with Dr Whitten about a Suture Suspension Browlift.  This procedure can typically be completed in the office in about an hour.
Glabellar Ablation (Frown lift) The facial frown lines that develop in the aging face can be successfully treated with botulinum toxin.  The botulinum toxin usually has to be repeated at least 3-4 times per year as the effect is not permanent.  The deeply etched permanent frown line between the eyes, however, can be permanently eliminated with a Suture Suspension Technique known as a Glabellar Ablation in which the glabellar muscle, which is the main muscle involved in frowning, is permanently paralyzed. This procedure is inexpensive and can be accomplished in the office in less than an hour.

There have been no reported significant complications reported using the Reynolds-Serdev Suture Suspension technique. This procedure has been in practice since 1996 and has been performed thousands of times.

PDO Threads

PDO is short for a long chemical word: polydioxanone.  A PDO thread lift uses small threads made of polydioxanone and can be done in less than an hour, depending on how many threads are used in the procedure.  This technique is available only for the face and neck, as it is far too fragile to be used in other areas, such as the breasts.  This is a minimally invasive procedure by which the practitioner places PDO threads under the skin in a series of relatively painless needle sticks.

The PDO threads are specially designed to have small barbs that are closely spaced and operate like tiny hooks to snare a little bit of the subcutaneous tissue as the practitioner pulls the thread slightly taught in a lifting manner.  These tiny hooks allow for a visible lifting or tightening of the overlying skin. There is almost no limit to the number of these threads that can be placed so it is possible to lift virtually the entire face and neck in one session.  The larger the number of threads, the more expensive the procedure, and the longer it takes to complete the job.  The only significant discomfort is from the initial needle stick by which each thread is placed & being that the PDO threads have small barbs that serve as tiny hooks, they can also be felt just beneath the skin when washing one’s face etc.

Learn More About PDO Thread Lifts Versus Suture Suspension – CLICK HERE


While many women desire breast augmentation and while breast implant surgery is a very popular procedure, at least as many women are troubled by excessively large breasts. We offer relief for women who suffer the embarrassment and discomfort of an overly generous bosom.

Excessive fat and breast tissue can be far more than a cosmetic problem, because very heavy breasts are associated with chronic chest wall pain, feelings of shortness of breath, and skin rashes which can be due to excessive heat, friction and even fungal growth in the folds under the heavy breast. Often dress sizing is difficult and finding an adequately supporting bra can be a challenge. We can promise at least a 2 cup reduction in breast size with a scarless and relatively brief procedure that can be performed with or without sedation.

Typically, our patients can spend half an afternoon or morning to achieve a permanent improvement in the discomfort and embarrassment of an overly generous bosom.

Gynecomastia literally means “Male Breast.” This is a problem that many men have which is undesirable and may be severely embarrassing. The condition arises as a result of the excessive development of the normally rudimentary breast tissue present in all men. This can be genetically determined or may be the result of treatment with various drugs, including certain hormones and occasionally with blood pressure medications. Most commonly, there is no definite cause that can be identified – it just happens in some men.

We have a procedure that is performed with or without sedation that restores a natural and sleek appearance to the chest without scarring. This procedure combines limited liposuction of excessive fat underlying the breast with complete excision of the abnormal breast tissue. This procedure can restore a man’s confidence in his appearance to the point that men who have never taken their shirt off in public may proudly dress in beachwear revealing their new manly appearance.


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Liposuction is defined as the removal of fat deposits beneath the skin using a hollow stainless-steel tube (called a cannula) with the assistance of a powerful vacuum. Liposuction at The Beauty & Wellness Center–located in Northeast Texas–is accomplished with local anesthetic (tumescent fluid) and is with our cutting-edge LipoSelect® ultrasound machine. Our patients are never put to sleep.

UHD Liposuction/Body Sculpting is the latest and most exciting new offering at BWC. Using VASER 1.0 and special techniques, we can not only flatten, but greatly enhance the definition and presence of muscles that may be hiding under a little fat. Popular among celebrities and elite athletes, UHD liposuction is now not only available to all of our potential patients, but is also more affordable than ever before.

LipoSelection® only by VASER® / Sound Surgical Technologies is latest-generation liposuction equipment that combines new patented technology with advanced surgical techniques to break up and melt fatty tissue. Unwanted fat can be efficiently removed from abs, arms, back, hips, knees, love handles, neck, chin, saddlebags and thighs.

The VASER system is a state-of-the-art liposuction machine that features an ultrasound probe that melts fat, leaving surrounding tissue (such as nerves, blood vessels and connective tissue) relatively intact. The liquefied fat is then removed through our gentle suctioning process, through which damage to surrounding tissue is further reduced. Fat can also be harvested for transfer into other, more desirable areas of your body.

A hot trend in liposuction and body sculpting, fat transfer procedures use your own fat (removed from one area of your body) to add volume to or contour another part of the body. VASER Lipo-treated fat is typically higher-quality, and easier to transfer for these types of procedures.

The amazing VASER liposuction system can also be used to harvest stem-cells from your fat cells, making it one of the most unique and significant pieces of medical equipment of any kind. The Beauty & Wellness Center in Texas remains on the cutting edge by offering VASER 1.0 to our patients and future patients.

Tumescent liposuction refers to a technique that uses large volumes of very dilute local anesthesia that is injected into the fat causing the targeted areas to become tumescent, or swollen and firm. Local anesthesia is widely regarded as the safest form of anesthesia. Post Op patients typically take Extra Strength Tylenol for pain.

The tumescent technique for liposuction is unquestionably the safest form of liposuction. When tumescent liposuction is done correctly (not excessively), it is a very safe procedure. For example, there have been no reported deaths associated with tumescent liposuction totally by local infiltration anesthesia. The dilute epinephrine contained in the tumescent anesthetic solution profoundly shrinks capillaries and thus virtually eliminates surgical blood loss.

Compressive liposuction garments are worn for a period of time to augment the reattachment of skin to the underlying surface and to aid in the molding of the contour of the body. All liposuction patients order one prior to surgery from one of our recommended garment resellers.

Liposuction patients can develop seromas (a collection of lymphatic fluid) which must be drained. Patients can also develop skin irregularities, hematomas or numbness of the skin. Liposuction should be done without general anesthesia.

Most life-threatening liposuction complications have been associated with the use of general anesthesia (being put to sleep), including excessive blood loss, perforation of organs due to penetration of the abdominal cavity causing damage to abdominal organs, including intestines, liver, stomach, etc. The important thing to remember is that 97% of these kinds of liposuction complications are associated with general anesthesia, which is not administered at The Beauty & Wellness Center in Northeast Texas.

other surgical services

Scar revision is an attempt to minimize a scar so that it is less conspicuous and blends in with surrounding skin tone & texture.
Scars are visible signs that remain after a wound has healed.  They are the unavoidable results of injury or surgery and their development can be unpredictable.  Poor healing may contribute to scar formation that is obvious, unsightly or disfiguring.  Even a wound that heals well can result in a scar that affects your appearance or esteem. Scars may be noticeable due to their size, shape or location.  They can also be raised or depressed and may differ in color or texture from the surrounding healthy  tissue.
Your treatment options may vary based on the type and degree of scarring and can include:  
1.  Simple topical treatment
2.  Minimally invasive procedure
3.  Surgical revision with advanced techniques in wound closure
Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased. Our goal is to always aim for improvement not perfection. 
Most of our patients find that, although they have areas of the face or body which are too full, they also have other areas that have either lost volume from aging or would be improved if they were just a bit fuller.  One way to address a fuller look is by using artificial fillers, such as restylane, juviderm, radiesse or other commercially available products. While  these products are useful & many people choose to use them, another technique is by using a bit of fat from their own bodies as a more permanent and completely natural filler. 
In this technique, Dr Whitten aspirates fat from an area of the body that may be  too full and injects as a tissue graft (so-called “autologous” graft) to provide desired fullness.  In most cases, the fat that is transferred not only corrects a defect or improves the fulness in the problem areas, but “takes” as a permanent or very long lasting completely natural filler.  In this way, we can correct tissue loss in aging hands or faces, rendering a much more youthful appearance, or we can enhance other areas, such as breasts or buttocks. 
In many cases, fat transfer can be a preferred alternative to breast implants or silicone buttock implants, without the risk for potential medical or surgical complications sometimes seen in implants.  The cost for these procedures varies depending on the volume or the areas involved, but if fat is being harvested already, as in tumescent liposuction, the fat transfer can be a relatively affordable add-on to achieve a more pleasing body sculpting outcome.  If the amount of the needed fat volume is smaller, the fat can usually be obtained by a much less invasive technique known as direct aspiration, using the fat as a suitable and much more permanent solution. 

Many people who struggle with obesity (or who have had multiple children) can develop a large deposit of fat in the lower abdomen that may hang down over the pelvis, a condition known popularly as an “apron,” (or a “pannus” in medical terms.) This pannus can be resected surgically in our office using mild sedation and local anesthesia, resulting in a single low transverse surgical scar in the same location as would be true for a modern C-section (a Pfannenstiel or “bikini line” incision scar.) 

Since the pannus typically extends all the way across the abdomen, the incision must be taken all the way to the lateral-most portion of the abdomen on both sides, resulting in a much longer scar than would be seen in a C-section but it still can be hidden by all but the most daring bikini. 

The procedure is called a “panniculectomy” in medical terms but is also often referred to as a “mini-tummy tuck.” While this is an in-office procedure, it can be quite time consuming, requiring meticulous suture repair closure of the surgical wound to get the best cosmetic result.

If you think you have a pannus and would like to be rid of it, schedule a consultation with Dr Whitten & Susan to discuss in detail.  Some patients who have chronic medical issues associated with a large pannus, such as recurrent yeast infections or other skin problems, can get insurance coverage for the procedure.