# Spann MD > Discover personalized, natural-looking plastic surgery with board-certified Dr. Michael Spann in Fayetteville & NW Arkansas. Experience boutique care focused on your unique goals. This document contains the full content of all pages on this website. --- ## Redefined Transformation **Link:** [Redefined Transformation](https://spannmd.com/) ([md](https://spannmd.com/index.html.md)) **Description:** Discover personalized, natural-looking plastic surgery with board-certified Dr. Michael Spann in Fayetteville & NW Arkansas. Experience boutique care focused on your unique goals. Michael Spann, MD | Plastic Surgery in Fayetteville, AR ### Content #### Rediscover You *Board-Certified Plastic Surgeon in Fayetteville, AR* Welcome to Michael Spann, MD, your trusted destination for **natural-looking plastic surgery** in Northwest Arkansas. Here, we believe in a different kind of aesthetic experience—one rooted in personalized care and genuine connection. Led by Dr. Michael Spann, a **board-certified plastic surgeon** with over 20 years of medical experience, our boutique practice offers a warm, welcoming space where your goals are truly heard. We take a thoughtful and collaborative approach that fosters **natural, lasting outcomes** that align with your deepest desires. Together, let’s explore what’s possible for you. #### Twice The Surgeon *Meet Michael Spann, MD* Dr. Michael Spann is a** Fayetteville board-certified plastic surgeon** and dedicated physician whose journey began with a foundational commitment to comprehensive patient care. His distinction as double board-certified in both General Surgery and Plastic Surgery speaks volumes. This rigorous path, chosen over the "easier route," provides him with an unparalleled judgment and insight. It allows him to diagnose with greater precision, offering a discernment that ensures your plan is not just effective, but truly right for you. [.has-dr-logos][] [learn more](/about/meet-dr-spann/) [schedule a consultation](/consultation/) #### Art in Motion *Before & After Gallery* The true artistry of plastic surgery lies in the ability to craft **natural-looking plastic surgery results** that harmonize with each patient's unique beauty. Dr. Spann's work is more than surgery; it's art in motion, reflecting individuality and elegance. His transformations unfold into masterpieces of precision and care, each telling a story of personal perseverance and rejuvenation. [View Before & Afters](/gallery/) #### Your Path to Confidence *Explore Our Signature Procedures* At Michael Spann, MD, we understand that considering a cosmetic procedure is a deeply personal decision. **Fayetteville Plastic Surgery** provider, Dr. Spann offers a curated selection of treatments, each designed to help you achieve **natural-looking, lasting outcomes** that align with your unique vision. Our approach is always collaborative, focusing on what feels right for you and your goals. #### “Dr. spann is amazing!” *patient testimonials* [more testimonials](/testimonials/) #### Safety. Comfort. Results. *Our State-of-the-Art Facility* At Michael Spann, MD, your safety, comfort, and **exceptional plastic surgery results** are our highest priorities. That’s why we are proud to offer the convenience and personalized care of our office-based operating room, accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). This prestigious accreditation means our facility adheres to the most rigorous national standards for patient safety, equipment, and personnel, equivalent to those found in hospitals. #### Thoughtfully Tailored Aesthetics *Optimizing Your Recovery* At Michael Spann, MD, your journey to refined transformation is supported by both advanced surgical techniques and a deeply comprehensive approach to recovery. Specializing in highly sought-after procedures like the Deep Plane Facelift (with typical downtime of 5-7 days), Hi-Definition Liposuction using power-assist technology, Facial Rejuvenation, Tummy Tuck recovery (7-14 day downtime), and Skin Removal After Weight Loss, we combine precision with a proactive strategy for healing. #### Connect With Us! Stay connected with Michael Spann, MD, and be the first to see our latest transformations, patient stories, and insights into natural-looking plastic surgery. Follow us on social media for a closer look at our **boutique aesthetic practice** and to join our community. We love sharing the journeys of our patients in Little Rock and Northwest Arkansas—and beyond! --- ## Sorry, this page couldn't be found. **Link:** [Sorry, this page couldn't be found.](https://spannmd.com/404/) ([md](https://spannmd.com/404/index.html.md)) **Description:** 404 Page Not Found ### Content [Back To Home Page](/) --- ## About **Link:** [About](https://spannmd.com/about/) ([md](https://spannmd.com/about/index.html.md)) **Description:** Meet Our Team at Michael Spann MD and discover the experienced and compassionate professionals dedicated to attentive personalized patient care. Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area ### Content --- ## Meet Dr. Spann **Link:** [Meet Dr. Spann](https://spannmd.com/about/meet-dr-spann/) ([md](https://spannmd.com/about/meet-dr-spann/index.html.md)) **Description:** With 20+ years of experience, Dr. Michael Spann delivers natural, lasting results in facelifts, body contouring, and breast surgery across Arkansas. ### Content #### Why Choose Dr. Michael Spann? Choosing the right surgeon is just as important as choosing the right procedure. With Dr. Spann, you gain the confidence of working with a surgeon whose reputation is built on **experience, artistry, and trust.** At Michael Spann, MD, you are more than a patient—you’re a partner in the process. Every treatment plan is tailored to your specific needs, lifestyle, and personal vision. --- ## Meet the Team **Link:** [Meet the Team](https://spannmd.com/about/meet-the-team/) ([md](https://spannmd.com/about/meet-the-team/index.html.md)) **Description:** Meet the dedicated team behind Michael Spann, MD—experienced professionals committed to delivering personalized care, exceptional service, and outstanding patient support. --- ## Our Accessibility Statement **Link:** [Our Accessibility Statement](https://spannmd.com/accessibility/) ([md](https://spannmd.com/accessibility/index.html.md)) **Description:** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities. View our Accessibility Statement here. ### Content **General** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that website accessibility efforts assist all users and that every person has the right to live with dignity, equality, comfort and independence. **Accessibility on Our Site** We make available a Web Accessibility Widget, which improves this site's compliance with the Web Content Accessibility Guidelines (WCAG 2.1). **Enabling the Accessibility Menu** Our accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. **Disclaimer** We continue our efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. In an ongoing effort to continually improve and remediate accessibility issues, we also regularly scan our site with an Accessibility Scanner to identify and fix every possible accessibility barrier on our site. Despite our efforts to make all pages and content on our site fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. **Here For You** If you are experiencing difficulty with any content on our site or require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist. **Contact Us** If you have any questions, need assistance, or want to report an accessibility issue, please call us at [501-219-8000](tel:123.456.7890) or fill out the [contact form](http://localhost:3000/contact/) on our website. --- ## Blog **Link:** [Blog](https://spannmd.com/blog/) ([md](https://spannmd.com/blog/index.html.md)) **Description:** Explore the Plastic Surgery Blog at Michael Spann MD and discover expert insights tips and guidance from Dr Michael Spann MD on achieving your aesthetic goals. ### Content --- ## Arm Lift vs. Liposuction with Laser Skin Tightening: Which Is Right for You in Fayetteville, AR? **Link:** [Arm Lift vs. Liposuction with Laser Skin Tightening: Which Is Right for You in Fayetteville, AR?](https://spannmd.com/blog/arm-lift-vs-liposuction-with-laser-skin-tightening-which-is-right-for-you-in-fayetteville-ar/) ([md](https://spannmd.com/blog/arm-lift-vs-liposuction-with-laser-skin-tightening-which-is-right-for-you-in-fayetteville-ar/index.html.md)) **Description:** Discover effective arm contouring options in Northwest Arkansas, from traditional surgery to innovative liposuction and laser skin tightening. ### Content If you’re struggling with sagging upper arms in the Fayetteville and Northwest Arkansas area, you’re not alone. Many patients face the difficult decision between traditional brachioplasty (arm lift surgery) and newer, less invasive alternatives like liposuction combined with laser skin tightening. Understanding your options can help you make an informed decision about your arm contouring treatment. ## Understanding Your Arm Contouring Options in Northwest Arkansas When considering arm contouring procedures in the Fayetteville area, it’s essential to understand that not all patients require the same treatment approach. The choice between surgical and non-surgical options depends largely on the severity of your arm ptosis (sagging) and the amount of excess fat present. ### Traditional Brachioplasty: The Gold Standard for Severe Cases Traditional arm lift surgery remains the most effective option for patients with significant skin excess and severe ptosis. However, this procedure comes with notable drawbacks: - **Lengthy scars** that extend from the armpit to the elbow - **Higher risk of complications** including wound gapping and hypertrophic scarring - **Longer recovery time** with restrictions on physical activity for 2-3 weeks - **Potential for permanent disfigurement** if complications arise ### Liposuction with Laser Skin Tightening: A Modern Alternative For patients with moderate arm concerns, liposuction combined with laser skin tightening offers a compelling alternative. This minimally invasive approach addresses both excess fat and skin laxity without the extensive scarring associated with traditional surgery. ## Comparing Treatment Outcomes Recent advances in minimally invasive arm contouring have shown remarkable results when compared to traditional surgical approaches: ### Objective Measurements - **Equivalent arm circumference reduction** between surgical and non-surgical approaches - **Similar ptosis elimination** rates for appropriately selected patients - **Comparable long-term results** for moderate arm sagging ### Patient Satisfaction and Recovery The minimally invasive approach offers significant advantages in patient experience: - **Higher patient satisfaction scores** across multiple studies - **Significantly less postoperative pain** - **Faster return to work** (typically less than a week vs. 2-3 weeks) - **No visible scarring** compared to permanent arm scars ### Complications Comparison **Liposuction/Laser Group:** - Minimal complications (occasional minor seromas) - No burns or neurologic complications - Rarely requires revision surgeries **Traditional Surgery Group:** - Higher rates of wound complications - Potential need for scar revision surgery - Longer healing periods with activity restrictions ## Maximizing Results with Apyx One: The Next Generation of Renuvion Technology For patients in Northwest Arkansas seeking maximum skin tightening results, the latest advancement in plasma energy technology offers unprecedented outcomes. The Apyx One system represents a significant evolution beyond traditional Renuvion devices, providing superior results for arm contouring procedures. ### Why Apyx One Surpasses Traditional Renuvion **Enhanced Energy Delivery System:** - **More precise plasma generation** with improved energy consistency - **Better tissue penetration** for more effective collagen stimulation - **Reduced thermal spread** minimizing risk of tissue damage - **Optimized helium flow** creating more stable plasma fields **Advanced Control Technology:** - **Real-time tissue monitoring** allows for more precise treatment - **Automated safety shutoffs** prevent overtreatment - **Customizable energy settings** tailored to specific tissue types - **Improved handpiece ergonomics** for better surgeon control **Superior Clinical Outcomes:** - **Up to 40% greater skin contraction** compared to traditional Renuvion - **More uniform tissue heating** resulting in better overall results - **Faster treatment times** with equivalent or better outcomes - **Reduced post-procedure inflammation** leading to quicker recovery ### The Science Behind Apyx One’s Superior Performance The Apyx One system utilizes fourth-generation plasma technology that creates a more stable and controllable energy field. Unlike traditional Renuvion devices that can produce variable plasma density, Apyx One maintains consistent plasma generation throughout the treatment, resulting in: **More Predictable Results:** - Uniform collagen denaturation across the treatment area - Consistent tissue heating zones for optimal skin contraction - Reduced variability in patient outcomes **Enhanced Safety Profile:** - Lower risk of thermal injury due to improved temperature control - More predictable tissue response reduces chance of overcorrection - Advanced monitoring systems prevent tissue overheating **Improved Patient Experience:** - Shorter procedure times reduce anesthesia exposure - Less post-procedure swelling and discomfort - Faster return to normal activities ## Are You a Candidate for Non-Surgical Arm Contouring? You may be an ideal candidate for liposuction with skin tightening if you have: - **Moderate arm ptosis** (mild to moderate sagging skin) - **Significant fat deposits** in the upper arms - **Good skin quality** without severe stretch marks - **Realistic expectations** about results and potential need for touch-up procedures ## Making the Right Choice for Your Lifestyle in Northwest Arkansas For active individuals in the Fayetteville area who want to return quickly to their outdoor lifestyle—whether hiking the Ozark trails, enjoying Buffalo National River activities, or exploring Devil’s Den State Park—the minimally invasive approach offers distinct advantages. The faster recovery time means less disruption to your daily routine and quicker return to the activities you love throughout Northwest Arkansas. ## Expert Care with Advanced Technology in Fayetteville Dr. Michael Spann, MD, offers the most advanced arm contouring options available for patients throughout Northwest Arkansas. As one of the first surgeons in the region to utilize the cutting-edge Apyx One system, Dr. Spann combines expertise in both traditional surgical techniques and the latest minimally invasive technologies to deliver superior results. The integration of liposuction, laser skin tightening, and Apyx One technology in Dr. Spann’s practice represents the pinnacle of minimally invasive arm contouring, offering patients exceptional results that often exceed what traditional surgery can achieve—without the associated risks and lengthy recovery. To schedule a consultation and learn more about your arm contouring options, including the revolutionary Apyx One technology, call **501-219-8000**. ## Consultation Is Key Proper patient selection remains critical for treatment success. During your consultation, Dr. Spann will: - Assess your degree of arm ptosis using standardized measurements - Evaluate your skin quality and elasticity to determine Apyx One candidacy - Discuss your aesthetic goals and lifestyle needs - Demonstrate how Apyx One technology can enhance your results - Create a customized treatment plan combining optimal techniques for your anatomy ## The Future of Arm Contouring is Here The field of body contouring continues to evolve rapidly. The combination of proven techniques with revolutionary technologies like Apyx One offers patients in Fayetteville and Northwest Arkansas results that were previously impossible without extensive surgery. The Apyx One system’s ability to deliver more precise, predictable, and powerful skin tightening effects makes it the ideal complement to liposuction and laser treatments, creating a comprehensive approach that addresses all aspects of arm aging and sagging. If you’re considering arm contouring procedures, don’t settle for outdated technology or invasive surgery. Contact Dr. Michael Spann at **501-219-8000** to discover how the advanced Apyx One system can help you achieve the toned, youthful arms you desire with minimal downtime, maximum safety, and superior results. *Individual results may vary, and a consultation with a qualified plastic surgeon is essential to determine the best treatment approach for your specific needs.* --- ## Body Contouring After GLP-1 Weight Loss **Link:** [Body Contouring After GLP-1 Weight Loss](https://spannmd.com/blog/body-contouring-after-ozempic-glp1-weight-loss/) ([md](https://spannmd.com/blog/body-contouring-after-ozempic-glp1-weight-loss/index.html.md)) **Description:** Considering body contouring after Ozempic or Wegovy? Dr. Spann explains what new research means for NWA patients seeking tummy tucks & body lifts What the Latest Research Reveals About Safety and Results ### Content A few months ago, a patient walked into my Fayetteville office for her consultation and said something I've been hearing more and more often: "I've lost 70 pounds on Mounjaro, and I finally feel like myself again—except when I look in the mirror." She'd done the hard work. The weight was gone. But the loose skin around her midsection made her feel like she was still hiding in oversized clothes. Summer was coming on and she really wanted to feel good floating the Buffalo. Her story isn't unique. Over the past two years, I've seen a significant shift in my body contouring consultations. Where I once saw primarily post-bariatric surgery patients, I'm now seeing just as many—if not more—patients who achieved their weight loss through Ozempic, Wegovy, Mounjaro, or one of the other GLP-1 medications that have become so widely prescribed. This shift prompted a question I found myself asking: Are outcomes different between these two groups? A new study out of Johns Hopkins, published this year in the *Aesthetic Surgery Journal*, finally gives us some solid data to work with—and frankly, the findings align with what I've been observing in my own practice. The Numbers Tell a Story The Johns Hopkins team analyzed over 6,200 aesthetic procedures performed between 2016 and 2024. What stood out to me wasn't just the complication data—it was how dramatically the patient population has shifted. After the FDA approved Wegovy and Mounjaro, aesthetic procedures among GLP-1 users grew at nearly 54% per year. Meanwhile, procedures among post-bariatric patients actually declined. That tracks with what I'm seeing in consultations. The accessibility of these medications—no surgery, no hospital stay, just a weekly injection—has opened the door for patients who might never have considered bariatric surgery but still struggled with significant weight. But here's the part that matters most if you're considering body contouring: how do these patients do after surgery? What the Complication Data Actually Shows After controlling for age, BMI, gender, diabetes, and other factors, the researchers found that GLP-1 patients experienced fewer complications across several important measures. Post-bariatric patients were roughly twice as likely to develop a hematoma, 37% more likely to develop an infection, and 54% more likely to end up in the emergency department after surgery. I'll be honest—these numbers didn't surprise me, especially the hematoma finding. In the operating room, I've noticed that post-bariatric patients tend to have larger, more prominent perforating vessels. These require more time and attention to achieve proper hemostasis. I'm meticulous about this regardless of the patient, but with post-bariatric cases, I budget extra time to ensure every vessel is addressed before closing. That careful approach pays off, but the anatomy is simply different. Beyond the vessels, GLP-1 patients often come to surgery with what I'd call better overall tissue health. Their skin tends to retain more elasticity—it has more "snap back" to it. Post-bariatric patients, particularly those who lost weight rapidly or lost very large amounts, often have skin that's thinner, less elastic, and more challenging to work with. That difference in skin quality affects everything from how I plan incisions to how I anticipate the tissue will heal and settle over time. That's not to say post-bariatric patients can't have excellent outcomes—they absolutely can, and I operate on them regularly. But it does mean the preoperative optimization conversation is different, and I approach the surgery itself with these tissue considerations in mind. Why the Difference? The study authors speculate about a few mechanisms, and some of this resonates with what we understand about wound healing. GLP-1 medications appear to have effects beyond just appetite suppression—there's emerging research suggesting they may reduce oxidative stress and improve vascularization, both of which matter when you're asking tissues to heal after surgery. Interestingly, GLP-1 patients in the study actually had higher HbA1c levels on average, which you'd typically expect to correlate with worse healing. The fact that they still did better suggests something else is going on—possibly a protective effect from the medication itself. We don't have definitive answers yet, but it's an area I'm watching closely. The nutritional piece is worth mentioning too. After bariatric surgery—especially bypass procedures—patients can develop deficiencies in protein, iron, B12, and other nutrients critical for healing. Even when labs come back "normal," they may be normal-low rather than optimal. GLP-1 patients, because they haven't had their GI tract rearranged, generally don't face these same challenges. Better nutrition likely contributes to better skin quality and elasticity going into surgery. What This Means If You're Considering Surgery If you've lost significant weight on a GLP-1 medication and you're bothered by loose skin, this research should be reassuring. Body contouring procedures—abdominoplasty, arm lifts, thigh lifts, breast procedures—appear to be safe and well-tolerated in this population. That said, there are a few things I discuss with every GLP-1 patient in consultation: Timing matters. I generally want to see weight stability for at least three to six months before operating. If you're still actively losing, we're aiming at a moving target, and you may end up with more laxity than anticipated—or need a revision down the road. Skin elasticity varies. During your consultation, I'll assess your skin quality and elasticity. This affects what results are achievable and helps me set realistic expectations. Some patients have skin that will tighten beautifully once the excess is removed; others may need a more aggressive resection. Age, genetics, sun exposure, and how quickly you lost weight all play a role. Medication management around surgery. The American Society of Anesthesiologists recommends holding weekly GLP-1 medications for a week before surgery and daily formulations on the day of surgery. This is because these drugs slow gastric emptying, which increases aspiration risk under anesthesia. It's a straightforward precaution, but an important one. Your goals drive the plan. Some patients want comprehensive transformation—a full tummy tuck, maybe combined with breast work. Others want to address one area that bothers them most. There's no single right answer. What matters is that we're aligned on expectations and I can realistically deliver what you're hoping for. The Bigger Picture I think we're in the early chapters of a significant shift in body contouring. GLP-1 medications have made substantial weight loss achievable for millions of people who, for various reasons, weren't candidates for or interested in bariatric surgery. And as this population grows, plastic surgeons are seeing more of these patients in consultation. The good news, as this Johns Hopkins data suggests, is that we can help them safely. Body contouring after GLP-1 weight loss isn't just cosmetic—for many patients, it's the final step in a transformation that affects how they move through the world, how they dress, how they feel in their own skin. If that resonates with you, I'd encourage you to schedule a consultation. We can talk through your goals, look at what's realistic, and figure out whether surgery makes sense for where you are in your journey. I see patients at my Northwest Arkansas practice, serving Fayetteville, Bentonville, Rogers, Springdale, and the surrounding communities. Call to schedule your body contouring consultation. Reference: *Khong J, Suresh R, Park KE, Soltanian H. New Contours, Different Risks: A 9-Year Comparison of Trends and Postoperative Complications in Patients Undergoing Aesthetic Surgery With Previous Bariatric Surgery Vs Glucagon-Like Peptide 1 Receptor Agonist Use. *Aesthetic Surgery Journal. 2025;45(11):1159-1165. Disclaimer: This blog post is for educational purposes only and does not constitute medical advice. Individual results vary, and the best treatment plan depends on your unique circumstances. --- ## Breast Augmentation in Fayetteville, Arkansas **Link:** [Breast Augmentation in Fayetteville, Arkansas](https://spannmd.com/blog/breast-augmentation-in-fayetteville-arkansas/) ([md](https://spannmd.com/blog/breast-augmentation-in-fayetteville-arkansas/index.html.md)) **Description:** Discover the benefits of Motiva implants for breast augmentation in Fayetteville, AR. Achieve natural-looking results with advanced safety features. ### Content Why Motiva Implants Are Leading the Way Are you considering breast augmentation in Fayetteville, Arkansas? You’re not alone. Breast enhancement surgery remains one of the most popular cosmetic procedures in Northwest Arkansas, helping women achieve their desired silhouette and boost their confidence. At our Fayetteville clinic, we’re proud to offer the latest advancement in breast implant technology: Motiva breast implants. ## What Makes Motiva Breast Implants Special? Motiva breast implants represent the cutting edge of breast augmentation technology. These FDA-approved implants offer several advantages over traditional breast implants, making them an excellent choice for women in Fayetteville and throughout Arkansas seeking natural-looking, long-lasting results. ### Advanced Safety Features Motiva implants incorporate innovative safety technology, including: - **ProgressiveGel Ultima**: A cohesive silicone gel that maintains its shape while providing natural movement - **SilkSurface Technology**: Reduces the risk of capsular contracture and bacterial adhesion - **Q Inside Safety Technology**: Allows for easy identification and tracking throughout the implant’s lifetime - **BluSeal Visual Indicator**: Provides immediate visual confirmation of shell integrity ### Natural Look and Feel Women choosing Motiva implants in Fayetteville consistently report satisfaction with the natural appearance and feel these implants provide. The advanced gel technology creates results that look and feel remarkably similar to natural breast tissue. ## Breast Augmentation Options in Fayetteville, Arkansas Our Fayetteville clinic offers comprehensive breast augmentation services tailored to each patient’s unique goals and anatomy. During your consultation, we’ll discuss: ### Implant Placement Options - Submuscular (under the chest muscle) - Subglandular (above the chest muscle) - Dual plane technique ### Size and Profile Selection Motiva implants come in various sizes and profiles to achieve your desired outcome, whether you prefer a subtle enhancement or more dramatic results. ### Incision Locations - Inframammary (under the breast fold) - Periareolar (around the nipple) - Transaxillary (through the armpit) ## Why Choose Our Fayetteville Plastic Surgery Clinic for Breast Augmentation? Located in the heart of Northwest Arkansas, our Fayetteville clinic serves patients from Bentonville, Rogers, Springdale, and throughout the region. Dr. Spann understands that choosing breast augmentation is a significant decision, and we’re committed to providing: **Expert Surgical Care**: Dr. Spann is a board-certified plastic surgeon with extensive experience with Motiva implants and breast augmentation techniques. **Personalized Treatment Plans**: Every patient receives a customized approach based on their anatomy, lifestyle, and aesthetic goals. **State-of-the-Art Facility**: Our Fayetteville location features the latest surgical technology and maintains the highest safety standards. **Comprehensive Aftercare**: We provide detailed post-operative care instructions and ongoing support throughout your recovery. ## The Breast Augmentation Process in Fayetteville ### Initial Consultation Your breast augmentation journey begins with a thorough consultation at our Fayetteville clinic. We’ll discuss your goals, examine your anatomy, and help you understand your options with Motiva implants. ### Pre-Operative Planning Using advanced imaging technology, we’ll help you visualize potential results and make informed decisions about implant size, placement, and surgical approach. ### Surgery Day Breast augmentation with Motiva implants typically takes 1-2 hours and is performed under general anesthesia in our accredited Fayetteville surgical facility. ### Recovery and Results Most patients can return to work within a week and resume normal activities within 2-3 weeks. Full results are visible once swelling subsides, typically within 3-6 months. ## Financing Your Breast Augmentation in Arkansas We understand that breast augmentation is an investment in yourself. Our Fayetteville clinic offers various financing options to make your procedure more accessible, including: - CareCredit healthcare financing - Flexible payment plans - Insurance considerations for reconstructive cases ## Frequently Asked Questions About Motiva Breast Implants **How long do Motiva implants last?** While no breast implant is permanent, Motiva implants are designed for longevity with advanced materials and construction techniques. **Are Motiva implants safe?** Yes, Motiva implants are FDA-approved and feature multiple safety technologies that exceed industry standards. **What’s the recovery like after breast augmentation?** Most patients experience mild to moderate discomfort for the first few days, with significant improvement within the first week. ## Schedule Your Breast Augmentation Consultation in Fayetteville Ready to learn more about breast augmentation with Motiva implants? Contact our Fayetteville, Arkansas clinic today to schedule your personal consultation. Our experienced team is here to help you achieve the beautiful, natural-looking results you desire. **Call us at [501-219-8000](tel:501-219-8000)to get started.** Serving patients throughout Northwest Arkansas, including Fayetteville, Bentonville, Rogers, Springdale, and surrounding communities. *This blog post is for informational purposes only and does not constitute medical advice. Results may vary, and individual consultation is necessary to determine the best treatment plan for your specific needs.* ## Related Services - Breast Lift (Mastopexy) - Breast Reduction - Breast Reconstruction - Mommy Makeover - Body Contouring **Keywords**: Breast augmentation Fayetteville Arkansas, Motiva breast implants Arkansas, plastic surgery Fayetteville, breast enhancement Northwest Arkansas, cosmetic surgery Fayetteville AR --- ## Subfascial Breast Augmentation in Fayetteville, Arkansas **Link:** [Subfascial Breast Augmentation in Fayetteville, Arkansas](https://spannmd.com/blog/breast-augmentation-subfascial-placement-fayetteville-ar/) ([md](https://spannmd.com/blog/breast-augmentation-subfascial-placement-fayetteville-ar/index.html.md)) **Description:** Dr. Spann offers subfascial breast augmentation in Fayetteville, AR with 79% lower capsular contracture rates. Advanced Motiva implants. Schedule consultation. ### Content By Dr. Michael Spann, MD - Board-Certified Plastic Surgeon serving Fayetteville, Bentonville, Rogers, and Northwest Arkansas If you're considering breast augmentation in Northwest Arkansas, you've likely heard about different implant placement options. Recent groundbreaking research published in *Aesthetic Surgery Journal* has confirmed what many of us leading plastic surgeons already knew: subfascial breast augmentation offers significant advantages over traditional subpectoral (under-the-muscle) placement. At my Fayetteville practice, I routinely go subfascial during breast augmentation. Primarily due to the advanced Motiva implants - a combination that delivers superior outcomes with lower complication rates for qualifying patients. **What is Subfascial Breast Augmentation?** Subfascial breast augmentation places the implant beneath the pectoralis major fascia - a distinct, strong layer of tissue covering the chest muscle - rather than underneath the muscle itself. This technique: - Preserves your natural pectoralis muscle function - Provides excellent soft tissue coverage - Creates a natural, aesthetically pleasing result - Reduces recovery time compared to subpectoral placement *Subfascial vs. Subpectoral Results* A comprehensive 2025 study comparing 193 patients (386 breasts) found compelling evidence for subfascial placement advantages: **Dramatically Lower Capsular Contracture Rates** - Subfascial: **1.1%** capsular contracture rate - Subpectoral: **5.2%** capsular contracture rate - **This represents a statistically significant 79% reduction** (p=0.04) Capsular contracture remains the leading cause of breast augmentation revision surgery. By choosing subfascial placement, you significantly reduce this risk. **Reduced Lateral Implant Malposition** - Subfascial: **8.8%** malposition rate - Subpectoral: **23.4%** malposition rate - **62% reduction in lateral displacement** (p<0.001) Lateral malposition causes asymmetry and often requires corrective surgery. The subfascial plane's superior anatomic support dramatically minimizes this frustrating complication. **Elimination of Double Bubble Deformity** - Subfascial: **0%** double bubble deformity - Subpectoral: **3.7%** double bubble occurrence (p=0.02) The double bubble deformity - where an unnatural fold appears below the implant - is notoriously difficult to correct and often requires multiple revision surgeries. **Equivalent Safety Profile** - Both techniques showed acceptably low acute complication rates (1.0% overall) - No statistical difference in immediate post-operative complications Why Motiva Implants Excel in Subfascial Placement At my Fayetteville practice, I've observed exceptional results combining subfascial technique with Motiva breast implants for several key reasons: **Advanced Surface Technology** Motiva's proprietary **SmoothSilk®/VelvetSurface®** technology features a unique nano-textured surface that: - Promotes optimal tissue integration - Reduces capsular contracture risk - Maintains implant position without aggressive texturing - Combines the benefits of smooth and textured surfaces **Lower Documented Capsular Contracture Rates** Clinical studies of Motiva implants have demonstrated capsular contracture rates as low as **0.5-1%** - even lower than the already excellent subfascial results in the recent comparative study. When you combine: - The anatomic advantages of subfascial placement (1.1% contracture rate) - Motiva's advanced implant technology (0.5-1% contracture rates in studies) You create the optimal environment for long-term breast augmentation success. **TrueMonobloc® Design** Motiva's seamless, single-piece shell construction enhances implant strength and reduces the theoretical risk of gel migration, making them ideal for the subfascial plane where the implant has direct contact with breast tissue. **Who Is a Candidate for Subfascial Breast Augmentation?** While subfascial placement offers numerous advantages, it's not right for everyone. Ideal candidates typically have: - **Adequate upper pole soft tissue coverage** (typically >1.7-2.0cm at the lateral sternal margin) - Sufficient breast tissue to camouflage the superior implant contour - Good skin quality and elasticity - Realistic expectations about breast augmentation outcomes For patients with minimal upper pole tissue, I may recommend: - **Composite breast augmentation** (subfascial placement combined with fat grafting) - Traditional subpectoral placement (when soft tissue coverage is insufficient) **The Subfascial Advantage for Active Women in Northwest Arkansas** If you lead an active lifestyle in the Fayetteville area - whether hiking the Ozark trails, practicing yoga, rock climbing, or strength training - subfascial breast augmentation offers particular benefits: **Preserved Muscle Function** Research has documented that subpectoral placement can reduce pectoralis major strength by 10-15%. By preserving the muscle's anatomic position and attachments, subfascial augmentation: - Maintains full upper body strength - Prevents animation deformity (implant distortion with muscle flexion) - Allows faster return to exercise and athletic activities - Eliminates the "pistol effect" where muscle contraction displaces the implant **Faster Recovery** Because the pectoralis muscle isn't disrupted, most subfascial patients experience: - Less post-operative pain - Reduced recovery time - Quicker return to normal activities - Earlier resumption of upper body exercises What to Expect: The Subfascial Procedure **Comprehensive Pre-Operative Planning** Dr. Spann uses advanced measurement techniques and 3D imaging to: - Assess your soft tissue coverage - Determine optimal implant selection - Plan precise pocket dimensions - Set realistic expectations **Surgical Technique** The subfascial procedure involves: - **Precise incision placement** (typically inframammary fold) - **Careful dissection** in the plane just beneath the pectoralis fascia - **Pocket creation** matching your implant dimensions - **Minimal-touch technique** using a Keller funnel for implant insertion - **Meticulous closure** with fascial reinforcement of the inframammary fold Recovery Timeline - **Days 1-3**: Mild to moderate discomfort, managed with prescribed medication - **Week 1**: Most patients feel significantly better; return to light activities - **Weeks 2-3**: Return to work for most occupations - **Weeks 4-6**: Gradual resumption of exercise - **Months 3-6**: Final settling and optimal aesthetic result Addressing Common Concerns **"Will subfascial placement look natural?"** Yes! The subfascial plane actually provides more natural-looking results by: - Maintaining breast tissue mobility over the implant - Preventing the "stuck-on" appearance sometimes seen with subglandular placement - Avoiding animation deformity from muscle disruption - Creating smooth upper pole contours **"What about implant rippling?"** With adequate soft tissue coverage and modern Motiva implants, rippling risk is minimal. Dr. Spann carefully assesses your tissue quality during consultation to ensure you're a good candidate. **"How long do results last?"** While breast implants aren't lifetime devices, the subfascial plane's superior stability and lower complication rates suggest longer-lasting, more predictable results. The dramatically lower capsular contracture and malposition rates mean fewer patients require revision surgery. *Why Choose Dr. Michael Spann for Subfascial Breast Augmentation?* **Advanced Training and Expertise** Dr. Spann stays at the forefront of breast augmentation techniques, offering Northwest Arkansas patients access to the most advanced surgical approaches available. **Focus on Natural Results** Our philosophy emphasizes beautiful, natural-looking outcomes that enhance your proportions while maintaining your unique aesthetic. **Cutting-Edge Technology** We utilize the latest implant technology, including Motiva implants with their proven safety record and advanced features. **Personalized Care** Every patient receives an individualized surgical plan based on their anatomy, goals, and lifestyle. **Comprehensive Follow-Up** Dr. Spann and his team provide thorough post-operative care to ensure optimal healing and results. The Science Behind Superior Results The recent comparative study provides clear explanations for subfascial advantages: **Capsular Contracture Prevention** The pectoralis fascia creates a complete anatomic barrier between the implant and breast tissue bacteria - more protective than the partial barrier of released pectoralis muscle in dual-plane techniques. This biological mechanism explains the significantly lower contracture rates. **Enhanced Implant Stability** The subfascial plane preserves Cooper's ligaments to the chest wall, creating a natural "internal bra" that: - Stabilizes implant position - Prevents lateral displacement - Maintains aesthetic breast shape over time - Eliminates deformational forces from muscle contraction **Reduced Double Bubble Risk** By avoiding muscle release and maintaining natural tissue planes, subfascial placement eliminates several factors that contribute to double bubble formation in traditional dual-plane augmentation. Important Considerations **Implant Volume and Complication Risk** Research shows that implant volumes exceeding approximately 330cc carry higher malposition risk regardless of placement plane. I carefully consider these findings when recommending implant size, balancing your aesthetic goals with long-term outcome optimization. **Not a Universal Solution** While subfascial placement offers numerous advantages, I maintains expertise in all augmentation techniques. For patients with insufficient soft tissue coverage, traditional subpectoral placement may still be recommended. Frequently Asked Questions **Q: Does insurance cover breast augmentation?**A: Cosmetic breast augmentation is typically not covered by insurance. However, reconstructive procedures may qualify for coverage. We can discuss financing options during your consultation. **Q: How do I know if I have enough tissue for subfascial placement?**A: Dr. Spann performs comprehensive measurements during your consultation, including pinch tests to assess upper pole soft tissue thickness. We'll determine the best approach for your anatomy. **Q: Can subfascial placement be combined with a breast lift?**A: Yes! Subfascial augmentation can be successfully combined with mastopexy procedures when appropriate. **Q: What's the difference between subfascial and subglandular?**A: Subfascial placement is beneath the pectoralis fascia but above the muscle, while subglandular placement is directly behind the breast gland with no fascial coverage. The fascia provides additional soft tissue coverage and support. **Q: Are Motiva implants FDA approved?**A: Motiva implants are approved in over 80 countries and are available in the United States. Dr. Spann can discuss the regulatory status and clinical evidence during your consultation. **Q: How long until I can exercise after subfascial augmentation?**A: Most patients can resume lower body exercise within 1-2 weeks and gradually return to full upper body training by 4-6 weeks - typically faster than with subpectoral placement. **Q. How much does subfascial breast augmentation with Motiva cost?**A. Approximately $7,000 which includes all fees: OR, anesthesia, implant. Schedule Your Consultation in Fayetteville, Arkansas If you're considering breast augmentation in Northwest Arkansas, schedule a consultation with Dr. Michael Spann to learn whether subfascial placement with Motiva implants is right for you. During your visit, we'll: - Perform a comprehensive evaluation of your breast anatomy - Discuss your aesthetic goals and expectations - Review all placement options and implant choices - Create a personalized surgical plan - Answer all your questions about the procedure and recovery **Contact Dr. Michael Spann's office today:** 📍 **Location:** 3733 N. Business Dr., Fayetteville, Arkansas 📞 **Phone:**501 219-8000 💻 **Website:** spannmd.com Serving patients throughout Northwest Arkansas, including Fayetteville, Bentonville, Rogers, Springdale, and surrounding communities. References and Further Reading - Gougoutas AJ, Gilson A, Check J, Movassaghi K. Subpectoral vs Subfascial Cosmetic Breast Augmentation: Are We Ready to Settle? *Aesthetic Surgery Journal*. 2025. doi:10.1093/asj/sjaf210 - Graf RM, Bernardes A, Rippel R, Araujo LR, Damasio RC, Auersvald A. Subfascial breast implant: a new procedure. *Plast Reconstr Surg*. 2003;111(2):904-8. - Shen Z, Chen X, Sun J, et al. A comparative assessment of three planes of implant placement in breast augmentation: A Bayesian analysis. *J Plast Reconstr Aesthet Surg*. 2019;72(12):1986-1995. - Motiva Implants® Clinical Data and Product Information. Available at: motivahealth.com *Disclaimer: This blog post is for educational purposes only and does not constitute medical advice. Individual results may vary. All surgical procedures carry risks. Please schedule a consultation with Dr. Spann to discuss your specific situation and determine the best treatment approach for your needs.* *Dr. Michael Spann is a board-certified plastic surgeon providing expert cosmetic surgery services to patients throughout Northwest Arkansas.* --- ## Breast Augmentation Without General Anesthesia: How Motiva Preservé Changes the Conversation **Link:** [Breast Augmentation Without General Anesthesia: How Motiva Preservé Changes the Conversation](https://spannmd.com/blog/breast-augmentation-without-general-anesthesia/) ([md](https://spannmd.com/blog/breast-augmentation-without-general-anesthesia/index.html.md)) **Description:** The first board-certified plastic surgeon in Arkansas certified in Motiva Preservé explains how breast augmentation can now be performed in under 30 minutes with local anesthesia and light sedation — no general anesthesia required. By Michael Spann, MD ### Content When patients walk into my consultation room asking about breast augmentation, anesthesia is almost always one of the first three questions they raise. Sometimes it's framed directly — *"Will I be put all the way under?"* — and sometimes it's through worries about nausea, grogginess, or the simple unease of losing consciousness in an operating room. Other times it's "I need to get back to life." For the better part of three decades, the honest answer was: yes, general anesthesia is standard. Breast augmentation traditionally requires creating a pocket beneath the chest muscle or breast tissue, and that level of dissection isn't tolerable while awake. General anesthesia became the default because the surgical technique demanded it. That equation has now changed. As the first board-certified plastic surgeon in Arkansas certified to perform ***Motiva Preservé breast augmentation****,* I'm able to offer a procedure that takes under 30 minutes and is performed with **l*ocal anesthesia and light sedation*** — no general anesthesia, no breathing tube, no extended PACU recovery. For the right person, that distinction is significant, and I think it deserves a careful explanation rather than a marketing one-liner. ## Why traditional breast augmentation requires general anesthesia To understand what makes Preservé different, it helps to understand why conventional breast augmentation has historically required full general anesthesia in the first place. In a traditional augmentation — whether subpectoral (under the muscle) or subglandular (under the gland) — the surgeon creates an implant pocket by cutting and releasing tissue planes. Subpectoral placement, in particular, requires dividing portions of the pectoralis major muscle along its lower attachments. That dissection produces real intraoperative discomfort and post-operative soreness, and it isn't something a patient can comfortably remain awake through. General anesthesia, while extraordinarily safe in accredited facilities like ours, does carry trade-offs. Patients are intubated. They wake with grogginess and, sometimes, post-operative nausea. They need a longer monitored recovery before discharge. They typically lose most of the rest of the day. None of this is dangerous — but none of it is trivial, either, particularly for patients who are anxious about being placed under. ## What Preservé actually does differently The Preservé technique, developed by Motiva (Establishment Labs), is built around a fundamentally different surgical philosophy: tissue preservation rather than tissue division. Using a patented set of instruments, the implant pocket is created by *stretching and dilating* the natural tissue planes rather than cutting through them. The pectoralis muscle is left completely undisturbed. The breast tissue itself is preserved. The implant — a Motiva Ergonomix2 device, which I place in the subfascial plane consistent with my standard technique — is introduced through a small inframammary incision, typically around 2.5 cm. Because the dissection is minimal and the muscle is never violated, the procedure becomes **tolerable under local anesthesia with light IV sedation. **The breast is thoroughly numbed with long-acting local anesthetic. A board-certified anesthesia provider administers light sedation through an IV — the patient breathes on their own, isn't intubated, and is comfortable throughout. Most patients describe the experience as similar to a dental procedure with sedation: aware that something is happening, but relaxed, comfortable, and without pain. The total operative time is **typically under 30 minutes**. ## Why "no general anesthesia" actually matters I want to be careful here. General anesthesia in an AAAASF-accredited surgery center with a board-certified anesthesiologist is exceptionally safe — this isn't a procedure I would describe as risky in any meaningful clinical sense. But "safe" and "preferred" aren't the same thing, and there are real, concrete reasons patients value avoiding general anesthesia when the technique allows for it: - **Faster, clearer recovery.** Patients walk out of the surgery center alert. There's no anesthesia hangover, no full day lost to grogginess. - **Lower incidence of post-operative nausea and vomiting**, which is one of the most common complaints after traditional general anesthesia. - **No intubation**, which matters for patients with reflux, prior intubation trauma, or anxiety about airway management. - **A genuine option for patients who are medically appropriate for surgery but personally averse to general anesthesia.** This is a larger group than people realize — patients who've had a bad experience with general anesthesia in the past, patients with significant anesthesia anxiety, and patients who simply prefer to remain in a lighter plane. - **Combined with the muscle-sparing pocket dissection, a markedly faster return to normal activity.** Many of my Preservé patients are back to light daily activities within a day or two and back to most routines within a week. ## What this is *not* A few honest caveats, because patients deserve them. This is not "awake surgery" in the sense of being fully alert and conscious of every step. With light IV sedation, most patients remember little to nothing of the procedure itself. The goal isn't to make you watch — it's to make the experience comfortable while sparing you the deeper physiologic demands of general anesthesia. This is also not the right technique for every patient or every goal. Preservé is best suited for primary breast augmentation in patients with adequate native tissue coverage who want a **natural-appearing, proportionate result** with a Motiva implant in the subfascial plane. Patients seeking very large implants, significant revision work, or augmentation combined with a lift may still be better served by a more traditional approach. Part of my job in consultation is being straightforward about that. ## A word on credentialing Preservé is not simply a product — it's a surgical system, and Motiva requires surgeons to complete dedicated training and certification before performing it. I completed that certification in April 2026, making my practice the first in Arkansas authorized to offer it. The procedure is performed in our AAAASF-accredited surgical facility with a board-certified anesthesia provider present for every case. That combination — surgeon certification, accredited facility, dedicated anesthesia — is what allows this to be a safe, predictable, in-and-out experience rather than a novelty. ## Frequently asked questions **Will I feel anything during the procedure?** No. The breast is thoroughly numbed with local anesthetic, and light IV sedation keeps you relaxed and comfortable. Most patients remember very little of the procedure itself. **Is light sedation safer than general anesthesia?** Both are safe when administered by a board-certified anesthesia provider in an accredited facility. That said, light IV sedation avoids intubation, reduces post-operative nausea, and produces a much faster, clearer recovery — which is why patients who are eligible often strongly prefer it. **How long is the actual procedure?** The operative portion is typically under 30 minutes. With check-in, anesthesia setup, and recovery, you're usually in our facility for around two to three hours total. **When can I go home?** The same day, within a short period after the procedure ends. You'll need someone to drive you home, but you won't need the extended recovery typical after general anesthesia. **Can anyone have Preservé, or are there specific candidacy requirements?** Candidacy is determined during your consultation. Generally, Preservé is best suited for primary augmentation patients with adequate tissue coverage who want a natural, proportionate result. I'll be direct with you in consultation if I think a different approach would serve your goals better. **Is this FDA-approved?** Yes. Motiva implants received FDA PMA approval in September 2024. The Preservé technique uses these approved implants with a specific instrumentation and training system. **Let's have a conversation.** There's no longer a reason to travel to Dallas, Tulsa, or Kansas City for advanced breast augmentation technology. Preservé is now available right here in Northwest Arkansas. Consultations are offered at our Fayetteville office at 3733 N Business Dr, with surgical days at our accredited ASC in Bentonville. --- ## Breast Implant Placement: Above vs Below Muscle Guide for Arkansas Patients **Link:** [Breast Implant Placement: Above vs Below Muscle Guide for Arkansas Patients](https://spannmd.com/blog/breast-implant-placement-above-vs-below-muscle-guide-for-arkansas-patients/) ([md](https://spannmd.com/blog/breast-implant-placement-above-vs-below-muscle-guide-for-arkansas-patients/index.html.md)) **Description:** Explore breast implant placement options in Fayetteville, AR. Learn about above vs below muscle choices and their impact on recovery and satisfaction. ### Content **Meta Description:** Breast implant placement options in Fayetteville, AR. Learn about above vs below muscle placement, recovery, and which option is right for you. Expert guidance from Spann MD Plastic Surgery. **Target URL:** /breast-implant-placement-above-below-muscle-fayetteville-ar/ Choosing the right breast implant placement is one of the most important decisions you’ll make during your breast augmentation journey. At Spann MD Plastic Surgery in Fayetteville, Arkansas, we understand that patients throughout Northwest Arkansas—including Bentonville, Rogers, and Springdale—want comprehensive information to make informed decisions about their breast enhancement procedures. The placement of your breast implants significantly impacts your final results, recovery experience, and long-term satisfaction. This guide explores the two primary placement options: above the muscle (subglandular) and below the muscle (submuscular), helping you understand which approach may be best for your unique anatomy and lifestyle goals. ## Understanding breast implant placement anatomy Breast implant placement refers to where your surgeon positions the implant in relation to your chest muscle, specifically the pectoralis major muscle. This fundamental decision affects everything from your immediate post-operative experience to your results five years from now. **Above the muscle placement (subglandular)** positions the implant between your natural breast tissue and the chest muscle. **Below the muscle placement (submuscular)** places the implant partially or completely underneath the pectoralis major muscle, providing additional tissue coverage. Your plastic surgeon will evaluate multiple factors including your current breast tissue amount, chest wall anatomy, lifestyle considerations, and aesthetic goals to recommend the most appropriate placement for your individual case. ## Above the muscle placement: benefits and considerations **Subglandular placement** offers several distinct advantages that make it the preferred choice for many patients, particularly those with adequate natural breast tissue or active lifestyles. ### Benefits of above muscle placement **Shorter, more comfortable recovery** represents the primary advantage of subglandular placement. Since the chest muscle remains undisturbed, patients typically experience less pain and can return to normal activities sooner. Most patients report minimal discomfort after the first few days, with full recovery often achieved within 2-3 weeks. **Maintained muscle function** is crucial for athletic women or those with physically demanding careers. The pectoralis major muscle retains its full strength and function, eliminating concerns about muscle weakness or distortion during exercise. This makes subglandular placement particularly attractive for fitness enthusiasts, personal trainers, and women involved in competitive sports. **Natural muscle definition** remains visible in women who have developed their chest muscles through exercise. The implant sits above the muscle, preserving the natural contours and definition that these patients have worked to achieve. **No animation deformity** occurs with subglandular placement since the implant doesn’t move when you contract your chest muscles. This eliminates the potential for implant distortion during activities like push-ups, weightlifting, or even simple movements like reaching overhead. ### Considerations for above muscle placement **Adequate tissue coverage** is essential for optimal results with subglandular placement. Patients need sufficient natural breast tissue to provide smooth, natural-looking coverage of the implant. The pinch test—measuring the tissue thickness between your thumb and forefinger—helps determine if you have adequate coverage (typically 2-3 centimeters). **Potential for visible rippling** increases when there’s insufficient tissue coverage, particularly in thin patients or those with minimal breast tissue. This risk is higher with saline implants compared to silicone gel implants. **Mammography considerations** may require specialized techniques since the implant can potentially obscure breast tissue during screening. However, experienced mammography technicians can adjust their techniques to ensure adequate breast tissue evaluation. ## Below the muscle placement: comprehensive overview **Submuscular placement** has been the gold standard for many plastic surgeons, particularly for patients seeking the most natural-looking results or those with minimal existing breast tissue. ### Advantages of submuscular placement **Superior natural appearance** is the hallmark of submuscular placement, especially for women with minimal natural breast tissue. The muscle provides additional coverage that creates a more gradual, natural-looking transition from the chest wall to the breast. This extra layer of tissue helps disguise the implant edges and creates softer, more natural-looking cleavage. **Reduced capsular contracture risk** is a significant long-term benefit. Studies consistently show lower rates of capsular contracture—the formation of thick scar tissue around the implant—with submuscular placement. This may be due to the muscle’s massage effect on the implant and improved blood supply to the area. **Improved mammography accuracy** allows for better visualization of breast tissue during screening mammograms. The muscle helps push breast tissue away from the implant, making it easier for radiologists to detect any abnormalities in the natural breast tissue. **Enhanced upper pole fullness** creates a more natural breast slope, particularly important for women seeking subtle enhancement rather than an obviously augmented appearance. ### Submuscular placement considerations **Extended recovery period** is the primary drawback of submuscular placement. Patients typically experience more discomfort for the first week to ten days as the muscle adjusts to the implant. Full recovery, including return to strenuous exercise, may take 6-8 weeks. **Temporary muscle weakness** occurs while the pectoralis major muscle adapts to the implant. Some patients report difficulty with certain exercises or activities for the first few weeks post-surgery. **Potential animation deformity** can occur when the chest muscle contracts forcefully, causing the implant to move or change shape temporarily. This is most noticeable during activities like push-ups or bench pressing, though it typically diminishes over time as the muscle adapts. **Higher initial discomfort** during the first few days after surgery requires appropriate pain management and patience during the healing process. ## Choosing the right placement for your goals The decision between above and below muscle placement depends on multiple individual factors that your plastic surgeon will evaluate during your consultation. ### Ideal candidates for above muscle placement **Adequate natural breast tissue** is the primary requirement for successful subglandular placement. If you can pinch 2-3 centimeters of tissue at the lower portion of your breast, you likely have sufficient coverage for above muscle placement. **Active lifestyle considerations** make subglandular placement attractive for women who participate in regular strength training, competitive sports, or physically demanding careers. This placement preserves full muscle function and eliminates concerns about animation deformity during exercise. **Mild to moderate breast drooping** may be better addressed with subglandular placement, as the implant can provide additional lift to the breast tissue without the muscle potentially interfering with the position. ### Ideal candidates for submuscular placement **Minimal existing breast tissue** makes submuscular placement the preferred choice for many patients. The additional muscle coverage creates a more natural appearance when you don’t have adequate tissue to cover the implant effectively. **Desire for natural-looking results** is often best achieved with submuscular placement, particularly for women seeking subtle enhancement rather than an obviously augmented appearance. **Strong family history of breast cancer** may make submuscular placement preferable due to improved mammography visualization, though this should be discussed with both your plastic surgeon and physician. **Thin body type** or **very athletic build** with minimal body fat may benefit from the additional coverage provided by submuscular placement. ## Recovery differences between placement options Understanding the recovery timeline for each placement option helps set realistic expectations and plan accordingly for your breast augmentation procedure. ### Above muscle recovery timeline **Days 1-3:** Mild to moderate discomfort, easily managed with prescribed pain medication. Most patients can perform light activities and return to office work within 2-3 days. **Week 1:** Discomfort significantly decreases. Light exercise like walking is encouraged. Driving is typically permitted once you’re off pain medication and can move comfortably. **Weeks 2-3:** Most daily activities can be resumed. Light upper body exercises may be permitted based on your surgeon’s specific guidelines. **Weeks 4-6:** Full activity clearance for most patients, including heavy lifting and strenuous exercise. ### Below muscle recovery timeline **Days 1-5:** More significant discomfort as the muscle adjusts to the implant. Prescription pain medication is typically needed for the first week. **Weeks 1-2:** Gradual improvement in comfort levels. Activities remain limited to allow proper muscle healing. **Weeks 3-4:** Noticeable improvement in comfort and range of motion. Light activities can be gradually resumed. **Weeks 6-8:** Full activity clearance, including return to strenuous exercise and heavy lifting. ### Factors affecting recovery **Individual healing response** varies significantly between patients. Some people naturally heal faster than others, regardless of placement choice. **Age and general health** impact recovery speed. Younger, healthier patients typically experience faster healing. **Compliance with post-operative instructions** significantly affects recovery outcomes. Following your surgeon’s guidelines for activity restrictions, wound care, and follow-up appointments is crucial. **Support system availability** helps ensure proper rest and care during the initial recovery period. ## Making your decision: consultation and planning Choosing between above and below muscle placement requires careful consideration of your anatomy, lifestyle, and aesthetic goals. At Spann MD Plastic Surgery, we believe in educating our patients throughout Northwest Arkansas to make informed decisions about their breast augmentation procedures. ### Your consultation process **Comprehensive evaluation** includes assessment of your current breast tissue, chest wall anatomy, and skin quality. Your surgeon will perform measurements and potentially use imaging to determine the best approach for your individual case. **Lifestyle discussion** covers your activity level, exercise habits, and career demands to ensure your implant placement aligns with your daily life requirements. **Aesthetic goal planning** involves discussing your desired outcome, including size, shape, and overall appearance goals to determine which placement option best achieves your vision. **Risk assessment** includes reviewing your medical history, family history, and individual risk factors to ensure the safest possible procedure. ### Questions to ask your surgeon Understanding the specifics of your procedure helps ensure you make the best decision for your unique situation: - What placement do you recommend for my anatomy and why? - How will my chosen placement affect my long-term results? - What are the specific risks and benefits for my individual case? - How will placement choice impact my recovery timeline? - What should I expect in terms of pain management and activity restrictions? ## Expert breast augmentation in Northwest Arkansas At Spann MD Plastic Surgery, we understand that breast augmentation is a significant personal decision that requires careful consideration and expert guidance. Our commitment to patient education and individualized care ensures that each patient receives the most appropriate treatment for their unique needs and goals. **Board-certified expertise** ensures you receive the highest standard of care, with extensive training in the latest breast augmentation techniques and safety protocols. **Personalized approach** means your treatment plan is tailored specifically to your anatomy, lifestyle, and aesthetic goals, not a one-size-fits-all solution. **Comprehensive aftercare** includes detailed post-operative instructions, regular follow-up appointments, and ongoing support throughout your recovery journey. **Advanced techniques** incorporate the latest innovations in breast augmentation surgery, including dual-plane placement options and advanced implant technologies. ### Serving Northwest Arkansas communities We proudly serve patients throughout Northwest Arkansas, providing convenient access to expert plastic surgery services for residents of Fayetteville, Bentonville, Rogers, Springdale, and surrounding communities. Our central location makes it easy for patients throughout the region to access comprehensive breast augmentation services. **Local expertise** means we understand the unique needs and preferences of Arkansas patients, from conservative aesthetic goals to practical considerations like recovery timing around work and family commitments. **Community commitment** drives our dedication to providing exceptional patient care and building lasting relationships with our patients and their families. ## Conclusion Choosing between above and below muscle breast implant placement is a significant decision that impacts your results, recovery, and long-term satisfaction. While above muscle placement offers faster recovery and maintained muscle function, below muscle placement provides superior natural appearance and improved mammography visualization. The best choice depends on your individual anatomy, lifestyle needs, and aesthetic goals. Working with an experienced, board-certified plastic surgeon who takes time to understand your unique situation ensures you make the most informed decision possible. Ready to explore your breast augmentation options? Contact Spann MD Plastic Surgery today to schedule your comprehensive consultation and take the first step toward achieving your aesthetic goals with confidence. --- ## The Letter and the Look: What Thousands of Sizing Conversations Have Taught Me About What Women Actually Want **Link:** [The Letter and the Look: What Thousands of Sizing Conversations Have Taught Me About What Women Actually Want](https://spannmd.com/blog/breast-implant-sizing/) ([md](https://spannmd.com/blog/breast-implant-sizing/index.html.md)) **Description:** Board-certified plastic surgeon Dr. Michael Spann explains how he sizes breast implants and why his patients almost never second-guess their size. By Michael Spann, M.D. ### Content It's a Thursday morning in Arkansas, and a woman I've just met is about to tell me a letter of the alphabet as if it were a destination. She's done her homework. She has a folder on her phone full of screenshots, saved posts, and a photo of a friend's result taken in a beach house bathroom with good light. She sits across from me in the consultation room, takes a breath, and says the sentence I've heard, in one form or another, thousands of times: "I want to be a full C. Nothing crazy." I love this moment. I mean that really love it. After thousands of augmentations and breast reconstructions, after more sizing conversations than I could begin to count, this is still my favorite part of the work. What happens in the next forty-five minutes will determine, more than anything I do in the operating room, whether this woman loves her result for the rest of her life. And the first thing I have to do, gently, is take the letter C away from her. The Tyranny of the Alphabet Here is a small scandal of the modern wardrobe: the cup size is a fiction. Not a harmless one, either. It's a fiction with consequences. A "C" at one retailer is a "D" at another and a "B" at a third. There is sister sizing, vanity sizing, European sizing, and the private, unaccountable judgment of whichever nineteen-year-old happens to be working the fitting room that afternoon. The lingerie industry has never agreed on a standard, and it has no intention of starting now. We have all simply agreed to speak a language in which none of the words mean the same thing to any two people. Then we've asked women to plan surgery in it. Years ago, a patient of mine asked for exactly that small C. We talked at length, measured carefully, and chose an implant together. At her six-week visit the result was precisely what we had designed. Soft, proportionate, the kind of natural that makes people ask about your workout routine rather than your surgeon. She was glowing. Then she started laughing. "The girl at Victoria's Secret just put me in a D," she said. "Am I a D?" She hadn't gotten bigger than we planned. Nothing about her had changed at all. The letter changed, because the letter always changes, depending on who is holding the measuring tape and which brand's tag is sewn into the band. That conversation rearranged something in how I practice. I stopped letting the alphabet run my consultations. We don't aim for a letter anymore. We aim for a look, her look, and we build backward from there, out of measurements and mirrors and honesty. I'll tell you something else that took me years to fully appreciate. When a woman says "full C, nothing crazy," she is almost never describing a bra size. She is describing a feeling. She's telling me she wants to look like herself, but finished. She wants strangers not to notice and her husband to notice constantly. She wants to fill out the dress and still be taken seriously in the deposition. The letter is shorthand for a life she's picturing. My job is to translate. What the Chest Wall Knows There's a truth about implant sizing that rarely survives the trip through the internet, so let me put it plainly: your anatomy has already voted before you walk in the door. Every breast has a footprint on the chest wall. A base width, a height, a thickness of tissue, a particular give and stretch to the skin that covers it. Those dimensions define the range of implants a body can carry gracefully, the way a foundation defines the house you can build on it. I cannot put a 4,000-square-foot house on a 1,200-square-foot foundation. Well, I can. Surgeons do it every day, somewhere. But the edges hang off, and in breast surgery the edges hanging off looks like implants drifting wide toward the armpits, visible rippling through thin tissue, skin stretching and thinning over the years, and that unmistakable, faintly architectural look that nobody, truly nobody, sits in my consultation room and requests. Surgeons call the alternative tissue-based planning, or biodimensional planning if we're feeling fancy. I think of it as listening to the anatomy before anyone starts talking. Base width, tissue pinch, nipple position, skin stretch. A quiet five minutes with a caliper and a tape tells me more about the right implant than an hour of scrolling inspiration photos ever could. I came to this conviction the hard way, which is to say the reconstructive way. Before my practice was built on aesthetics, I spent years rebuilding breasts after cancer, work where guessing is simply not on the menu. Reconstruction teaches you to read tissue the way a carpenter reads grain: what it will hold, where it will thin, how it will settle over a decade. It teaches you that a breast is not a volume. It is a shape, with a footprint and a projection and a relationship to the shoulders and the ribcage and the whole architecture of a body. I have carried that discipline into every cosmetic augmentation I've performed since, and I credit it, more than any single thing, for what our patients tell us about their results years down the road. Which brings me to a number I say carefully. The Number I Say With Confidence Our patients' satisfaction with their size runs at nearly one hundred percent. Women coming back to change their implant size after surgery is, in my practice, nearly unheard of. I know exactly how that sounds. It sounds like something printed on a banner over a car dealership. So let me tell you why I say it anyway. It isn't luck, and it certainly isn't because I attract unusually agreeable patients. It's because the process we run has been refined across thousands of sizing conversations, the way a family recipe gets refined. A small adjustment here after something didn't quite land. An ingredient added there after a patient taught me a question I hadn't known to ask. When you've stood in that consultation room a few thousand times, you learn precisely where regret comes from. And regret in breast augmentation almost never comes from the operating room. It comes from a sizing conversation that ended too early, one where a surgeon heard a letter, nodded, and reached for a catalog. So ours doesn't end early. Here's what it looks like instead. We start with her words and her pictures. The ones she loves and, more usefully, the ones she hates. When a woman hands me three photos and says "too fake, too round, too much," she has taught me her entire aesthetic in thirty seconds, more reliably than any adjective could. Then the measurements, and an honest look at symmetry, because here is another secret the internet keeps poorly: almost nobody is symmetric. One breast slightly fuller. One nipple a few millimeters higher than the other. A ribcage rotated a couple of degrees, the souvenir of a posture, a sport, or simply of being human. We find it together, in the mirror, before surgery, because the best sizing plan is often two slightly different decisions, one for each side, in service of a result that finally looks even. Then comes the part patients remember. We use sizers. She puts on a fitted shirt, ideally her own, the one she actually lives in, and she stands in front of the mirror at one volume, then another, then another. I have watched hundreds of women have the same moment in front of that mirror. They arrive certain. They try the certainty on. And then they adjust. Up, sometimes. Down, just as often. Usually with a laugh, occasionally with a small happy gasp, once in a while with tears of the very best kind. Five minutes of her own eyes in a mirror will outperform every cc number on every forum on the internet. I would far rather she have that realization in my office in August than at her six-week visit in November. And somewhere in all of this, we talk about her life. The actual one, not the folder of screenshots. Does she run? Are there pregnancies still ahead? Do her summers happen on the lake or in a courtroom? A marathoner and a woman who wants unapologetic curves in a swimsuit can both be superb candidates, for different implants. The same 350 cubic centimeters that reads as quiet elegance on one frame reads as a statement on another, and neither is a mistake unless it lands on the wrong woman. A number from a friend's surgery is a fact about the friend. It is not a plan. The last ingredient is the one patients thank me for years later: my honest opinion. Nobody is paying me to agree with her. She's paying me for judgment, the kind you can only earn through volume and years. If a requested size will outstrip her tissue or quarrel with her frame, I say so plainly, and I show her why on her own measurements. Some of my most grateful patients are women I talked down a size. A few of them, and they'd be delighted for you to know it, are women I talked up. A Year Later The happiest patients, twelve months out, are almost never the ones who got the biggest implant their bodies could technically hold. They're the ones whose result looks like it was always supposed to be there. They come back for follow-ups and tell me their clothes finally fit. One told me last year, with visible delight, that no one at work had noticed anything at all. "They just keep asking if I've been working out." I consider that sentence a five-star review. Because that is the actual target, the one hiding underneath the letter C all along. A breast proportionate to her shoulders, her hips, her posture, her life. One that will still look right in the photographs from her daughter's wedding fifteen years from now. When the measuring is careful and the mirror gets the final vote and neither of us books surgery until we're seeing the same picture, the size takes care of itself. I promise you that. She walks out of that Tuesday consultation without a letter. She walks out with a plan. In my experience, that trade is the whole difference. The Questions I'm Asked Most About Sizing What cup size will I be after breast augmentation? No honest surgeon guarantees a cup size, because cup sizes aren't standardized between brands. We plan for a proportionate look on your frame, then confirm it with in-office sizers before surgery. How many cc's should I get? There is no universal number. The right volume depends on your base width, tissue, and goals. Identical cc's look completely different on different bodies. Can I try implant sizes before surgery? Yes, and you should. In my practice, every sizing consultation includes trying sizers in a fitted shirt in front of a mirror. It remains the most reliable predictor of satisfaction I've found. What if I want a size my surgeon disagrees with? Then you deserve a real conversation, not a shrug. I'll show you exactly what your measurements support and why, and we'll find the size that achieves your look safely. The truth belongs before surgery, never after. Dr. Michael Spann is a double board-certified plastic and reconstructive surgeon. To schedule a sizing consultation, call (501) 219-8000 or visit spannmd.com.* --- ## Deep Plane Facelift in Fayetteville, Arkansas: When Does the Neck Need Direct Attention? **Link:** [Deep Plane Facelift in Fayetteville, Arkansas: When Does the Neck Need Direct Attention?](https://spannmd.com/blog/deep-plane-facelift-neck-incision-fayetteville/) ([md](https://spannmd.com/blog/deep-plane-facelift-neck-incision-fayetteville/index.html.md)) **Description:** Not every facelift requires a neck incision. Dr. Spann explains when opening the neck improves deep plane facelift results in Fayetteville, AR. By Dr. Michael Spann, Board-Certified Plastic Surgeon | Fayetteville, Arkansas ### Content If you're researching deep plane facelift surgery in Northwest Arkansas, you've probably encountered conflicting information about the neck. Some surgeons open the neck routinely; others rarely do. So what's the right approach? As a board-certified plastic surgeon performing deep plane facelifts in Fayetteville, I take an individualized approach. The decision to include a submental (under-chin) incision depends entirely on your anatomy. What Is a Deep Plane Facelift? A deep plane facelift is an advanced surgical technique that repositions the deeper structural layers of the face—not just the skin. By releasing key ligaments and lifting the SMAS (superficial musculoaponeurotic system) as a single unit with the overlying fat and skin, this technique produces more natural, longer-lasting results than traditional facelift methods. The deep plane technique is particularly effective for patients with significant jowling, midface descent, and early neck laxity. However, certain neck concerns require direct access through a small incision hidden beneath the chin. Three Reasons to Open the Neck During a Deep Plane Facelift 1. Submental Fullness (Double Chin) Submental fullness—commonly called a double chin—is excess fat beneath the chin that creates a heavy, undefined neck contour. While some improvement occurs with facelift techniques alone, moderate to significant submental fat is best addressed through direct access. Through a small incision hidden in the natural crease under the chin, I can precisely sculpt this area using direct excision or liposuction, creating the defined cervical-mental angle patients desire. 2. Platysmal Banding The platysma is a thin muscle that spans from your chest to your lower face. As we age, the medial edges of this muscle can separate and become visible as vertical neck bands—those cords you see when you clench your teeth or strain your neck. No amount of lateral lifting will correct platysmal bands. They require direct repair through the submental incision, where I can suture the muscle edges back together in the midline (platysmaplasty) and create a smooth, youthful neck contour. 3. Submandibular Gland Enlargement or Ptosis The submandibular glands are salivary glands located just below the jawline. In some patients, these glands are naturally enlarged (hypertrophy) or have descended below their normal position (ptosis). This creates persistent fullness in the upper neck that mimics fat—but won't respond to liposuction. During your consultation at my Fayetteville office, I specifically evaluate these glands. When they contribute to neck fullness, I can address them through the submental incision using partial reduction or suspension techniques. When a Submental Incision Isn't Necessary Many deep plane facelift patients in Northwest Arkansas don't need the submental incision. If you have minimal submental fat, no visible platysmal banding, normal submandibular glands, and good skin elasticity, we can often achieve excellent neck rejuvenation through the facelift incisions alone. Why Choose a Board-Certified Plastic Surgeon in Northwest Arkansas Deep plane facelift surgery requires advanced training and experience. As a member of the American Society of Aesthetic Plastic Surgeons (ASAPS) and the American Society of Plastic Surgeons (ASPS), board-certified in both plastic surgery and general surgery, I've dedicated over 20 years to achieving natural, lasting facial rejuvenation results. I'm one of the few surgeons in Arkansas trained in the deep plane facelift technique, bringing expertise developed alongside top surgeons in Dallas, Beverly Hills, and New York to patients right here in Fayetteville. Schedule Your Deep Plane Facelift Consultation in Fayetteville Every face ages differently, which is why I spend considerable time during consultations evaluating not just what you see in the mirror, but what's happening beneath the surface—including submental fat, platysmal muscle tone, submandibular gland position, and skin quality. **Michael Spann, MD: Northwest Arkansas** 3733 N Business Dr, Suite 200 Fayetteville, AR 72703 (479) 900-9795 *Serving patients from Fayetteville, Bentonville, Rogers, Springdale, and throughout Northwest Arkansas.* Frequently Asked Questions: Deep Plane Facelift in Northwest Arkansas **What is the recovery time for a deep plane facelift?** Most patients return to non-strenuous activities within two weeks. Swelling and bruising gradually resolve over four to six weeks, with final results visible at three to six months. **Does the deep plane facelift last longer than a traditional facelift?** Yes. Because the deep plane technique addresses the underlying structural causes of facial aging rather than simply tightening skin, results typically last 10 to 15 years. **Will I have visible scars?** Incisions are placed within the natural creases around the ear and, when necessary, in the shadow beneath the chin. With proper healing, these scars become nearly imperceptible. **How do I know if I need my neck opened during a facelift?** This is determined during your consultation. I evaluate your submental fat, platysmal muscle bands, and submandibular glands to determine whether direct neck access will improve your result. **Where is Dr. Spann's Northwest Arkansas office located?** Our Fayetteville office is located at 3733 N Business Dr, Suite 200, Fayetteville, AR 72703. We serve patients throughout Northwest Arkansas, including Bentonville, Rogers, and Springdale. --- ## Does Laser Skin Resurfacing Work? New Study Shows 93% Patient Satisfaction **Link:** [Does Laser Skin Resurfacing Work? New Study Shows 93% Patient Satisfaction](https://spannmd.com/blog/does-laser-skin-resurfacing-work-new-study-shows-93-patient-satisfaction/) ([md](https://spannmd.com/blog/does-laser-skin-resurfacing-work-new-study-shows-93-patient-satisfaction/index.html.md)) **Description:** Discover the benefits of laser skin resurfacing in Fayetteville. Achieve smoother, youthful skin with high patient satisfaction rates. ### Content ###### *Published: 07/14/2025 | By Dr. Michael Spann, Board-Certified Plastic Surgeon | Fayetteville, Arkansas* [.block][]If you’ve ever looked in the mirror and wished your skin looked smoother, tighter, or more youthful, you’re not alone. As a **plastic surgeon in Fayetteville**, I frequently see patients seeking effective solutions for aging skin, sun damage, and uneven texture. Now, groundbreaking research confirms what we’ve observed in our practice: **laser skin resurfacing in Arkansas** delivers exceptional results with high patient satisfaction. A comprehensive study published in *Plastic and Reconstructive Surgery* (July 2025) evaluated real patient-reported outcomes after **facial laser resurfacing in **practices, using advanced technology like hybrid erbium:YAG and broadband light (BBL). The results? Over **93% of patients said they were pleased with their outcomes** and felt the treatment was “worth it.” ## What Is Laser Skin Resurfacing? Understanding Your Options in Arkansas **Laser resurfacing** is a minimally invasive treatment that precisely targets multiple skin concerns without the downtime of traditional surgery. This advanced procedure addresses: - **Fine lines and wrinkles** around the eyes, mouth, and forehead - **Sun damage and age spots** common in Arkansas’s sunny climate - **Uneven texture and skin tone** - **Acne scars and enlarged pores** - **Overall skin laxity and firmness** At **SpannMD:Fayetteville Plastic Surgery**, serving **Rogers, Fayetteville, and Northwest Arkansas**, we use cutting-edge fractional laser platforms including: - Comprehensive skin rejuvenation - **Hybrid erbium:YAG lasers** for deeper resurfacing These technologies gently remove damaged skin layers while stimulating natural collagen production, leading to smoother, brighter, and firmer skin with minimal downtime. ## Breakthrough Study Results: Why Patients Choose Laser Resurfacing This prospective study followed **71 patients** (average age: 56) who received **hybrid fractional laser treatments**. The scientifically-measured outcomes speak volumes about the effectiveness of modern laser technology: ### ✔ Dramatic Improvement in Facial and Skin Appearance - **Facial appearance scores improved significantly** (P < 0.001) - **Skin quality** (texture, clarity, health) saw **major improvement** (P < 0.001) - Patients reported looking younger and more refreshed ### ✔ Outstanding Patient Satisfaction Rates - **93% were pleased** with the final outcome - **85% said results turned out “great”** - **87% confirmed treatment was “money well spent”** - **90% felt it was “worth the time and effort”** ### ✔ Manageable, Temporary Side Effects The study found that common symptoms like tightness, swelling, and tenderness were temporary and well-tolerated. Most patients reported feeling significantly better within **4–10 weeks post-treatment**, with the majority experiencing only mild discomfort during recovery. ## Is Laser Skin Resurfacing Right for You? Fayetteville Patient Considerations This study confirms what we’ve observed with our **Arkansas patients**: laser skin resurfacing is one of the most effective **non-surgical treatments for facial rejuvenation**. The treatment works exceptionally well for: - **Men and women ages 40-70+** seeking skin improvement - **Patients wanting a non-invasive alternative** to facelift surgery - **Anyone desiring to refresh their appearance** without extensive downtime - **Individuals with realistic expectations** about gradual improvement - **Patients committed to proper aftercare** and sun protection ### Customized Treatment Plans for Arkansas Patients We tailor each **laser resurfacing treatment** based on your: - **Skin type and tone** (crucial in Arkansas’s diverse population) - **Specific concerns** (sun damage, aging, scarring) - **Lifestyle and downtime availability** - **Budget and treatment goals** For comprehensive rejuvenation, we may combine laser resurfacing with complementary treatments such as: - **Renuvion (J-Plasma)** for skin tightening - **Fat transfer** for volume restoration - **Chemical peels** for enhanced results - **Injectables** for dynamic wrinkle treatment ## Why Choose Spann Plastic Surgery for Laser Resurfacing in Fayetteville ? As a **board-certified plastic surgeon** with extensive expertise in both surgical and non-surgical facial rejuvenation, **Dr. Michael Spann** brings a comprehensive understanding of facial anatomy, aesthetic harmony, and long-term outcomes. ### Our Arkansas Practice Advantages: ✅ **Evidence-based protocols** using the latest research[.block][]✅ **Customized treatment plans** for each patient’s unique needs[.block][]✅ **Advanced laser technology** + skilled, experienced hands[.block][]✅ **Honest expectations** setting + natural, beautiful results[.block][]✅ **Comprehensive care** from consultation through recovery[.block][]✅ **Convenient locations** in Little Rock and Fayetteville ### Patient Safety & Comfort Our state-of-the-art facilities prioritize patient safety with: - Board-certified plastic surgeon oversight - Advanced laser safety protocols - Comprehensive pre-treatment consultations - Detailed aftercare instructions - Follow-up appointments to monitor healing ## What to Expect: Your Laser Resurfacing Journey in Arkansas ### Before Treatment: - Comprehensive skin evaluation - Customized treatment plan discussion - Pre-treatment skin preparation - Clear expectation setting ### During Treatment: - Comfortable, controlled environment - Topical anesthesia for patient comfort - Precise laser application - Treatment typically takes 30-60 minutes ### After Treatment: - Detailed recovery instructions - Follow-up appointments - Gradual improvement over 4-10 weeks - Long-lasting results with proper care ## Frequently Asked Questions About Laser Resurfacing **Q: How much does laser skin resurfacing cost in Fayetteville ?**[.block][]A: Costs vary based on treatment area and technology used. We provide detailed pricing during your consultation and offer financing options. **Q: How long do results last?**[.block][]A: With proper sun protection and skincare, results can last several years. Many patients choose maintenance treatments annually. **Q: Can I combine laser resurfacing with other procedures?**[.block][]A: Yes! We often combine laser treatments with other facial rejuvenation procedures for comprehensive results. ## Ready to Reveal Your Best Skin? Schedule Your Little Rock Consultation If you’re curious about how **laser skin resurfacing** can refresh your look and boost your confidence, **schedule a consultation today**. Let us guide you through your customized rejuvenation plan and start your journey toward clearer, tighter, younger-looking skin. **Research-backed results. Arkansas-based expertise. Beautiful, natural outcomes.** ### Contact Spann Plastic Surgery 📍 **Serving Central and Northwest Arkansas**[.block][]🏥 **Little Rock** | **Fayetteville** | **Northwest Arkansas**[.block][]📞 **Call (501) 219-8000**[.block][]🌐 **Visit SpannMD.com**[.block][]📧 **info@spannmd.com** ## SEO Keywords & Phrases Optimized: - laser skin resurfacing Little Rock - plastic surgeon Little Rock Arkansas - BBL laser treatment Arkansas - fractional laser resurfacing Fayetteville - non-surgical facelift Little Rock - Dr. Michael Spann plastic surgeon - facial rejuvenation Arkansas - laser resurfacing cost Little Rock - best skin laser treatment Arkansas - cosmetic procedures Little Rock - anti-aging treatments Arkansas - skin resurfacing Northwest Arkansas *Dr. Michael Spann is a board-certified plastic surgeon serving Little Rock, Fayetteville, and Northwest Arkansas. Spann Plastic Surgery specializes in advanced facial rejuvenation, body contouring, and reconstructive procedures using the latest evidence-based techniques.* --- ## Untitled Page **Link:** [Untitled Page](https://spannmd.com/blog/facelift/) ([md](https://spannmd.com/blog/facelift/index.html.md)) --- ## Facelift Surgery in Fayetteville & Rogers, Arkansas: Restore a Youthful, Natural Look **Link:** [Facelift Surgery in Fayetteville & Rogers, Arkansas: Restore a Youthful, Natural Look](https://spannmd.com/blog/facelift-surgery-in-fayetteville-rogers-arkansas-restore-a-youthful-natural-look/) ([md](https://spannmd.com/blog/facelift-surgery-in-fayetteville-rogers-arkansas-restore-a-youthful-natural-look/index.html.md)) **Description:** Discover the benefits of facelift surgery in Fayetteville and Rogers, restoring youthful skin and boosting your confidence today. ### Content As we age, gravity, sun exposure, and time take a visible toll—especially on the face and neck. Deep lines from the nose to the corners of the mouth (nasolabial folds), sagging jawlines, and loose skin under the chin are common signs of aging that many patients want to reverse. At our plastic surgery practice serving Fayetteville and Rogers, Arkansas, facelift surgery (also known as rhytidectomy) offers a proven solution to refresh your appearance and restore confidence. **What Can a Facelift Do?** A facelift targets the mid-to-lower face and neck, offering a comprehensive approach to facial rejuvenation. It’s one of the most effective procedures for: - Mid-face sagging - Deep creases below the eyes - Nasolabial folds (lines from the nose to mouth) - Jowls along the jawline - Sagging facial fat - Loose skin and fat beneath the chin and neck While a facelift significantly reduces these signs of aging, it doesn’t address the brow, eyelids, or nose. Patients in Northwest Arkansas often choose to combine a facelift with a brow lift, eyelid surgery (blepharoplasty), facial fillers, or laser resurfacing for full facial rejuvenation. **Am I a Good Candidate for a Facelift?** Ideal candidates for a facelift in Fayetteville or Rogers include individuals who: - Have visible signs of facial aging - Maintain good skin elasticity - Are in generally good health - Do not smoke - Have realistic expectations about the outcome If you’re noticing sagging skin or volume loss but still have skin flexibility, you may be an excellent candidate for a facelift. During your consultation, we’ll help determine whether this procedure—or a combination approach—is right for your goals. **How Is a Facelift Performed?** Facelift surgery is typically performed on an outpatient basis, either in our accredited surgical facility near Fayetteville and Rogers, AR or at a nearby hospital. You’ll be given either IV sedation or general anesthesia. There are two main types of facelifts we perform: - Traditional Facelift – Ideal for more advanced aging, involving incisions around the hairline and ears. - Limited-Incision Facelift – A less invasive option with smaller incisions for mild to moderate aging. In both cases, we tighten the underlying muscles, remove excess fat, and trim sagging skin. Incisions are carefully placed within the hairline and natural facial contours to keep scars discreet. **What to Expect After Your Facelift** After surgery, bandages and sometimes drainage tubes will be in place temporarily. We remove these during your first follow-up visit, typically the next day. You may experience: - Swelling and bruising - Temporary numbness or facial tightness - Mild asymmetry during healing Most patients in the Fayetteville and Rogers area return to normal daily activities within 2–3 weeks. Full healing, including reduced swelling and scar fading, occurs gradually over several months. **How Long Do Facelift Results Last?** While a facelift doesn’t stop the aging process, it turns back the clock—often by 7 to 10 years. Many patients continue to enjoy long-lasting results, and some may choose to undergo a second procedure 7–10 years later. Think of a facelift as a long-term investment in your appearance: even years down the road, you’ll still look younger than if you hadn’t had the procedure. **Are There Risks with Facelift Surgery?** As with any surgery, there are risks. Possible complications include: - Bleeding or infection - Bruising or swelling - Skin blistering (especially in smokers) - Nerve injury - Temporary or permanent numbness Our experienced surgical team in Northwest Arkansas takes every precaution to minimize risks and support a smooth, safe recovery. **Why Choose Us for Your Facelift in Fayetteville or Rogers?** Our board-certified plastic surgeon brings years of expertise and a commitment to natural-looking results. Patients from across Fayetteville, Rogers, Springdale, and Bentonville trust us for compassionate care, customized treatment plans, and state-of-the-art surgical techniques. We take the time to listen to your concerns and explain all your options so you can move forward with confidence. **Schedule Your Facelift Consultation Today** If you’re ready to look as young as you feel, a facelift can help. Contact our Fayetteville and Rogers, AR plastic surgery office to schedule your personalized consultation. Let’s explore how facelift surgery can enhance your natural beauty and restore your self-confidence. 📞 Call us today or [book your consultation online]. **Additional Resources** - American Society of Plastic Surgeons (ASPS) - MedlinePlus: [Facelift Information](https://medlineplus.gov/) - U.S. National Library of Medicine - WebMD: [Understanding Facelifts](https://www.webmd.com/) - Centers for Disease Control and Prevention (CDC) --- ## Hip Dip Correction with Fat Transfer: The Complete Guide to Formare™ Procedure in Northwest Arkansas **Link:** [Hip Dip Correction with Fat Transfer: The Complete Guide to Formare™ Procedure in Northwest Arkansas](https://spannmd.com/blog/hip-dip-correction-with-fat-transfer-the-complete-guide-to-formare-procedure-in-northwest-arkansas/) ([md](https://spannmd.com/blog/hip-dip-correction-with-fat-transfer-the-complete-guide-to-formare-procedure-in-northwest-arkansas/index.html.md)) **Description:** Transform your silhouette with the Formare™ Procedure for hip dip correction at SpannMD. Achieve natural curves with expert care. ### Content Are you dealing with hip dips that create an unwanted indentation between your waist and thighs? You’re not alone. Hip dips, also known as violin hips or C-point depression, affect many people regardless of body type or fitness level. At SpannMD Plastic Surgery in Northwest Arkansas, Dr Michael Spann offers an innovative solution: the Formare™ Procedure for hip dip correction through strategic fat transfer. ## What Are Hip Dips? Understanding the Anatomy Hip dips are natural indentations that occur on the outer sides of your hips, creating a curved inward appearance between your waist and the widest part of your hips. This contour irregularity is caused by: - **Bone structure**: The shape of your pelvis and femur - **Hip bone prominence**: How high your hip bone sits - **Muscle and fat distribution**: The amount of gluteal muscle and subcutaneous fat - **Genetics**: Your natural body shape and proportions ### Why Do Some People Have More Prominent Hip Dips? Hip dips are completely normal and occur when there’s a space between your hip bone and femur. Factors that can make hip dips more noticeable include: - Athletic body types with lower body fat percentages - Wider hip bones with less soft tissue coverage - Genetic predisposition to fat distribution patterns - Previous weight fluctuations affecting fat distribution ## The Formare™ Procedure: Part of Our Silhouette by Spann Approach The Formare™ Procedure represents a breakthrough in hip dip correction, offering patients a minimally invasive solution that uses their own fat to create smooth, natural-looking curves. This advanced fat transfer technique specifically targets the C-point depression to restore balanced hip contours, exemplifying our comprehensive Silhouette by Spann philosophy of refined, natural enhancement. ### How Formare™ Works: The Three-Step Process **Step 1: Strategic Fat Harvesting**[.block][]Using advanced liposuction techniques, we carefully remove excess fat from donor areas such as: - Abdomen and flanks - Inner and outer thighs - Lower back - Arms (if needed) **Step 2: Fat Processing and Purification**[.block][]The harvested fat undergoes specialized processing to: - Remove impurities and damaged cells - Concentrate healthy fat cells - Prepare the fat for optimal survival after transfer **Step 3: Precision Fat Injection**[.block][]Using micro-droplet injection techniques, we strategically place the purified fat into the hip dip areas to: - Fill the C-point depression - Create smooth transitions between waist and hips - Achieve natural-looking curves ## Combining Formare™ with Other Procedures Many patients choose to combine hip dip correction with complementary procedures for comprehensive body contouring: ### Formare™ + Tummy Tuck (Abdominoplasty) This popular combination addresses both abdominal concerns and hip irregularities: - **Enhanced results**: Creates a complete torso transformation - **Efficient recovery**: Single recovery period for multiple improvements - **Cost-effective**: Often more economical than separate procedures - **Complementary contouring**: Smooth transitions from abdomen to hips ### Formare™ + Brazilian Butt Lift (BBL) While Formare™ focuses on hip dips, combining it with BBL can: - **Comprehensive lower body enhancement**: Address multiple areas simultaneously - **Balanced proportions**: Create harmonious curves throughout the lower body - **Maximized fat utilization**: Use harvested fat for multiple enhancement goals ### Formare™ + Liposuction Strategic liposuction combined with fat transfer can: - **Enhance donor site contouring**: Improve areas where fat is harvested - **Create more dramatic curves**: Remove fat from waist while adding to hips - **Achieve hourglass silhouette**: Emphasize waist-to-hip ratio ## Benefits of the Formare™ Procedure ### Natural Results - Uses your own fat for biocompatible enhancement - Creates smooth, natural-looking curves - Avoids artificial implants or foreign materials ### Minimally Invasive - Performed as an outpatient procedure - Minimal anesthesia with sedation options - No major incisions or extensive surgical trauma ### Dual Benefits - Removes unwanted fat from donor areas - Enhances hip contours simultaneously - Improves overall body proportions ### Long-Lasting Results - Fat transfer provides permanent enhancement - Results improve as swelling subsides - Maintenance requires stable weight ## Recovery and Aftercare ### Immediate Post-Procedure (Days 1-7) - **Activity level**: Light activities, avoid strenuous exercise - **Sitting restrictions**: Minimize direct pressure on treated areas - **Compression garments**: Wear as directed to optimize healing - **Pain management**: Typically minimal discomfort, managed with prescribed medications ### Early Recovery (Weeks 2-4) - **Gradual activity increase**: Return to normal daily activities - **Work**: Most patients return within 3-5 days - **Exercise**: Light cardio approved, avoid high-impact activities - **Results**: Initial swelling subsides, early results visible ### Full Recovery (Months 2-6) - **Final results**: Fat integration complete, final contours visible - **Exercise**: Full activity clearance - **Maintenance**: Stable weight important for lasting results ## Ideal Candidates for Hip Dip Correction ### Physical Characteristics - **Adequate donor fat**: Sufficient fat for harvesting and transfer - **Good skin elasticity**: Ability to conform to new contours - **Stable weight**: BMI within healthy range - **Overall health**: No contraindications to surgery ### Aesthetic Goals - **Desire for subtle enhancement**: Natural-looking improvement - **Realistic expectations**: Understanding of achievable results - **Commitment to aftercare**: Willing to follow post-procedure instructions ## Why Choose Spann Plastic Surgery for Hip Dip Correction? ### Expertise and Experience - **Board-certified plastic surgeon**: Dr. Michael Spann’s extensive training - **Specialized techniques**: Advanced fat transfer methods - **Proven results**: Documented success with body contouring ### Comprehensive Care - **Personalized consultations**: Customized treatment plans - **State-of-the-art facility**: Modern surgical suites and equipment - **Concierge-level service**: Dedicated patient care team ### Northwest Arkansas Locations - **Fayetteville office**: Convenient for central Arkansas patients - **Bentonville location**: Serving Northwest Arkansas region - **Accessible care**: Easy scheduling and consultation options ## Frequently Asked Questions About Hip Dip Correction ### How long does the Formare™ procedure take? The procedure typically takes 2-3 hours, depending on the amount of fat transfer needed and whether additional procedures are performed simultaneously. ### What is the cost of hip dip correction? Cost varies based on individual needs, extent of treatment, and combination procedures. During your consultation, we provide detailed pricing information. ### How long do results last? Fat transfer results are generally permanent, with most transferred fat establishing permanent blood supply. Maintaining stable weight helps preserve results. ### Can hip dips return after treatment? While the transferred fat is permanent, significant weight fluctuations can affect results. Maintaining a stable weight helps ensure long-lasting outcomes. ### Is the procedure painful? Most patients experience minimal discomfort, which is well-controlled with prescribed pain medications. The procedure is performed under anesthesia for comfort. ### When can I see final results? Initial results are visible immediately, with continued improvement over 3-6 months as swelling subsides and fat integrates. ## Schedule Your Hip Dip Correction Consultation Ready to address your hip dips and achieve the smooth, curved silhouette you desire? Dr. Michael Spann and the team at Spann Plastic Surgery are here to help you explore your options and create a personalized treatment plan. ### Contact Information - **Phone**: (501) 219-8000 - **Online**: Request consultation through our website - **Locations**: Fayetteville and Bentonville, Arkansas ### What to Expect During Your Consultation - **Comprehensive evaluation**: Assessment of your anatomy and goals - **Treatment planning**: Customized approach to your specific needs - **Detailed discussion**: Understanding of procedure, recovery, and results - **Cost breakdown**: Transparent pricing information - **Before/after photos**: Review of similar cases and expected outcomes ## Transform Your Silhouette with Formare™ Hip dips don’t have to be a permanent source of dissatisfaction. The Formare™ Procedure offers a safe, effective solution for creating the smooth, curved silhouette you’ve always wanted. Using your own fat, this innovative technique provides natural-looking results that enhance your body’s natural proportions as part of our comprehensive Silhouette by Spann approach. Experience the difference that comes from choosing a practice dedicated to refined, natural enhancement. Don’t let hip dips hold you back from feeling confident in your body. Contact Spann Plastic Surgery today to learn more about hip dip correction and discover how the Formare™ Procedure can help you achieve your ideal Silhouette by Spann. **SEO Meta Description**: Correct hip dips with the Formare™ Procedure at Spann Plastic Surgery in Northwest Arkansas. Natural fat transfer for smooth curves. Expert results. Schedule consultation today. **Keywords**: hip dip correction, violin hips, C-point depression, fat transfer, Formare procedure, Northwest Arkansas plastic surgery, body contouring, hip dip surgery, Fayetteville plastic surgeon, Bentonville cosmetic surgery --- ## Mastering Dead Space Management in Rhinoplasty: Expert Insights for Northwest Arkansas Patients **Link:** [Mastering Dead Space Management in Rhinoplasty: Expert Insights for Northwest Arkansas Patients](https://spannmd.com/blog/mastering-dead-space-management-in-rhinoplasty-expert-insights-for-northwest-arkansas-patients/) ([md](https://spannmd.com/blog/mastering-dead-space-management-in-rhinoplasty-expert-insights-for-northwest-arkansas-patients/index.html.md)) **Description:** Discover expert insights on rhinoplasty in Northwest Arkansas, focusing on dead space management for superior surgical outcomes. ### Content ###### *Expert analysis by Dr. Michael Spann, Board-Certified Plastic Surgeon serving Fayetteville, Bentonville, Rogers, and Northwest Arkansas* When considering rhinoplasty in Northwest Arkansas, understanding the technical nuances that separate exceptional results from merely adequate ones can make all the difference in your surgical outcome. As a plastic surgeon practicing in the Fayetteville area, I want to share critical insights from groundbreaking research that’s revolutionizing how we approach nose surgery. ## What Is Dead Space in Rhinoplasty and Why Should Fayetteville Patients Care? Dead space in rhinoplasty refers to the separation between your skin and soft tissue envelope and the underlying nasal framework after surgery. Think of it as unwanted gaps that can form during the healing process. This seemingly technical concept has profound implications for your final results. Recent research published in *Plastic and Reconstructive Surgery* by Dr. Rod Rohrich and colleagues represents a landmark study in rhinoplasty technique, offering a systematic 10-point approach to managing this critical aspect of nose surgery. For patients in Northwest Arkansas seeking rhinoplasty, understanding these principles can help you make informed decisions about your surgeon and procedure. ## Who Is Most at Risk for Dead Space Complications? The research identifies specific patient populations at higher risk for dead space formation: **Higher Risk Patients:** - Male patients - Individuals with thick nasal skin (common in certain ethnic backgrounds) - Patients requiring revision rhinoplasty - Those with weak internal nasal framework If you’re a patient in the Fayetteville, Rogers, or Bentonville area who fits these criteria, it’s crucial to choose a surgeon who understands advanced dead space management techniques. ## The 10 Cardinal Points: A Systematic Approach to Superior Results ### 1. **Advanced Bleeding Control with Tranexamic Acid** Modern rhinoplasty in Northwest Arkansas should incorporate tranexamic acid (TXA) to minimize bleeding and reduce post-operative swelling. This medication stabilizes blood clots and has anti-inflammatory properties, leading to faster healing and better definition. ### 2. **Strategic Soft Tissue Management** For revision cases or patients with thick skin, careful removal of scar tissue and excess soft tissue is essential. This technique restores natural lymphatic drainage and improves skin pliability—critical for achieving natural-looking results in Northwest Arkansas patients. ### 3. **Precise Internal Closure Techniques** The research emphasizes closing the membranous septum with specialized suturing techniques to prevent fluid accumulation and maintain proper nasal shape. This prevents the “memory” of previous deformities from recurring. ### 4. **Structural Framework Reinforcement** The “push up, push down” philosophy involves strengthening the internal nasal framework while carefully managing the overlying soft tissues. This includes: - Tension spanning sutures for stability - Spreader grafts or flaps when needed - Fixed-mobile septal extension grafts for reliable tip support ### 5. **Alar Rim Contouring** Careful reshaping of the nostril area helps eliminate dead space while achieving optimal aesthetic proportions. This step is particularly important for patients seeking natural-looking results in Northwest Arkansas. ### 6. **Supratip Definition** The supratip break—that subtle indentation between the tip and bridge of the nose—is crucial for feminine aesthetics. A specialized spanning suture technique ensures this area heals with proper definition rather than fullness. ### 7. **Strategic Drainage Ports** Leaving specific areas open for fluid drainage prevents complications while allowing natural healing. This includes carefully planned incision management that doesn’t compromise the final result. ### 8. **External Support Sutures** When needed, temporary external sutures help define the alar grooves and prevent unwanted contour irregularities during the critical early healing phase. ### 9. **Comprehensive Splinting Protocol** Both internal and external splints play crucial roles in supporting the new nasal structure while minimizing swelling. The research supports extended taping protocols—up to 6 months for revision cases. ### 10. **Specialized Soft Triangle Management** The delicate soft triangle areas require specialized materials rather than traditional sutures to prevent notching and ensure natural healing. ## Advanced Techniques for Complex Cases ### Steroid Injections for Optimal Healing For patients at high risk of excessive scarring or swelling, carefully timed steroid injections can significantly improve outcomes. The research protocol involves triamcinolone injections that may continue for up to two years in complex cases. ### Isotretinoin for Thick-Skinned Patients In select cases, isotretinoin (commonly known as Accutane) can reduce skin thickness and improve tip definition. This is particularly beneficial for patients with oily skin or those with a history of acne. ### Doxycycline Rhinodesis An innovative technique using doxycycline solution can help adhere the skin to the underlying framework in patients with thick skin, improving early definition and long-term results. ## What This Means for Northwest Arkansas Rhinoplasty Patients ### Choosing the Right Surgeon When considering rhinoplasty in Fayetteville, Bentonville, Rogers, or surrounding Northwest Arkansas communities, ask potential surgeons about their approach to dead space management. Surgeons who understand and implement these advanced techniques are more likely to deliver predictable, superior results. ### Setting Realistic Expectations Understanding that rhinoplasty is one of the most technically challenging procedures in plastic surgery helps set appropriate expectations. The complexity of managing dead space explains why experience matters significantly in achieving optimal outcomes. ### The Importance of Technique Over Technology While advanced equipment matters, this research emphasizes that surgical technique and systematic approach are paramount. The 10-point system represents decades of refinement and thousands of procedures worth of experience. ## Recovery Considerations for Northwest Arkansas Patients The systematic approach to dead space management affects your recovery timeline: - **Immediate post-op (1-7 days):** Splints and careful wound management - **Early healing (1-3 weeks):** Continued taping and monitoring - **Intermediate healing (1-6 months):** Possible extended taping for complex cases - **Long-term (up to 2 years):** Potential adjunctive treatments for optimal results ## Conclusion: The Future of Rhinoplasty in Northwest Arkansas This landmark research provides a roadmap for achieving consistently excellent rhinoplasty results. For patients in Fayetteville and surrounding Northwest Arkansas communities, understanding these principles can help you choose a surgeon who employs state-of-the-art techniques. The systematic approach to dead space management represents the difference between good and exceptional rhinoplasty results. As plastic surgery continues to evolve, these evidence-based protocols ensure that patients in Northwest Arkansas have access to the most advanced techniques available. When considering rhinoplasty, remember that the “final frontier” in achieving beautiful, natural results lies in these technical details that separate expert surgeons from the rest. **Reference:**[.block][]Rohrich, R.J., Payton, J., Rohrich, R., Fisher, S.M., & Borab, Z.M. (2025). Dead Space, the Final Frontier in Rhinoplasty: Review and 10 Key Recommendations. *Plastic and Reconstructive Surgery*, 155(5), 867e-873e. DOI: 10.1097/PRS.0000000000011561 *This article is for educational purposes and should not replace consultation with a qualified plastic surgeon. If you’re considering rhinoplasty in Northwest Arkansas, schedule a consultation to discuss your specific needs and goals.* --- ## Motiva Preservé™ Breast Augmentation Comes to Northwest Arkansas **Link:** [Motiva Preservé™ Breast Augmentation Comes to Northwest Arkansas](https://spannmd.com/blog/motiva-preserve-northwest-arkansas/) ([md](https://spannmd.com/blog/motiva-preserve-northwest-arkansas/index.html.md)) **Description:** I'm the first plastic surgeon in Arkansas certified in Motiva Preservé—a minimally invasive breast augmentation. Here's what it means for NWA patients. By Michael Spann, MD — Double Board-Certified Plastic Surgeon | Spann MD, Bentonville ### Content For nearly two decades, breast augmentation has been one of the most-requested procedures I perform for women in Northwest Arkansas. And for most of that time, the conversation followed a familiar arc: I would walk a patient through implant choices, incision options, recovery expectations, and the trade-offs that come with traditional augmentation. Patients understood those trade-offs, but they rarely loved them. This year, that conversation changed. After completing my Motiva Preservé™ certification training, **I am the first and only plastic surgeon in Arkansas certified to perform this minimally invasive breast augmentation technique.** For my patients in Bentonville, Fayetteville, Rogers, Springdale, and the surrounding region, that means access to a procedure that preserves the breast's native anatomy, reduces the scope of dissection, and shortens recovery — without compromising the elegant, natural-looking outcomes that have always defined my practice. This post is my attempt to explain what Motiva Preservé actually is, why I pursued certification, and what NWA patients should understand before considering it. ## What Is Motiva Preservé™? Motiva Preservé is a minimally invasive breast augmentation technique developed by Establishment Labs, the manufacturer of Motiva implants. It is not a different implant. It is a different *way of placing* the implant. One that uses a smaller incision, a precisely engineered set of instruments, and a tissue-sparing surgical sequence to create the implant pocket without the broader dissection that traditional augmentation requires. The technique uses three purpose-built tools: - **The Motiva Channel Separator** — used to tunnel through tissue planes with precision rather than cutting broadly. - **The Motiva Inflatable Balloon** — used to expand the pocket through controlled tissue elongation, working *with* the body's natural elasticity rather than against it. - **The Motiva Insertion Sleeve** — used to deploy the SmoothSilk® Ergonomix2® implant through the prepared channel without contamination or excessive handling. Each step is designed around a single principle: disturb as little tissue as possible while still creating an ideal pocket for the implant. That principle is the entire reason I committed to this certification. ## Why I Pursued Motiva Preservé Certification My surgical philosophy across every procedure I perform — facelift, rhinoplasty, body contouring, and breast surgery alike — is built around respect for native anatomy. I trained with surgeons whose work I admire deeply (Marten, Hamra, and Barton in facial surgery) precisely because their techniques are organized around preserving structure, not just changing it. The most enduring aesthetic results, in my experience, come from operating with the body rather than around it. Motiva Preservé is the breast augmentation embodiment of that same idea. When I evaluated the technique against my existing approach, three things stood out: - **Smaller incision.** A shorter, more discreet incision means less visible scarring and a faster healing window. - **Less dissection.** Reduced tissue disruption translates directly to less postoperative pain, less bruising, and a more predictable recovery. - **Faster return to normal life.** Patients who return to desk work, school drop-offs, and light daily activity within a few days — not a few weeks — are not anomalies under this protocol. They are the expectation. For NWA patients, many of whom are working professionals, mothers, or both, that recovery profile is meaningful. The procedure has to fit into a real life. I also pair Preservé with subfascial implant placement — positioning the implant beneath the pectoralis fascia rather than under the muscle itself. Subfascial placement avoids the animation deformity (visible muscle flexion distorting the implant) that some patients experience with submuscular placement, while still providing soft-tissue coverage over the implant edge. The combination of subfascial positioning and the Preservé technique is, in my view, the most refined breast augmentation approach currently available. ## How the Procedure Works, Step by Step Here is what a Motiva Preservé augmentation looks like in my OR at our accredited Bentonville surgery center: **1. Tunneling with the Motiva Channel Separator.** After the inframammary incision is made, I use the Channel Separator to create a precise tunnel toward the planned implant position. This tool is engineered to follow the correct tissue plane without the wider undermining a traditional dissection would require. **2. Controlled tissue elongation with the Motiva Inflatable Balloon.** The balloon is introduced and gradually inflated to create the implant pocket. Because the expansion is gradual and pressure-controlled, the surrounding tissue elongates rather than tearing. This is the step that, more than any other, distinguishes Preservé from conventional augmentation. **3. Deployment of the SmoothSilk® Ergonomix2® implant.** The implant is placed using the Motiva Insertion Sleeve, a no-touch delivery system that minimizes implant handling and protects the SmoothSilk surface. Once positioned, the pocket is checked, and closure is performed in layers. The total operative time is comparable to a traditional augmentation. The recovery profile is not. ## What Makes Motiva Implants Different I want to address the implants themselves briefly, because the technique is only half the story. Motiva's SmoothSilk® Ergonomix2® implants are sixth-generation devices with several features that, in my hands, produce reliable results: - **SmoothSilk surface technology** — a nanotextured surface designed to reduce inflammatory response and capsular contracture risk compared with older textured implants. - **Ergonomix2 form** — a highly cohesive but dynamically responsive gel that holds shape upright and softens naturally when the patient is supine. The result reads as natural breast tissue rather than as a fixed shape. - **ProgressiveGel Ultima** filler — engineered for both shape retention and softness, two properties that historically pulled in opposite directions. Motiva also offers the longest implant warranty in the industry (Always Confident Warranty), which I think speaks to the manufacturer's confidence in the product. None of this means an implant is the right choice for every patient — but for those who are candidates, the Motiva platform is, in my judgment, the strongest available. ## Who Is a Candidate for Motiva Preservé? Motiva Preservé is not a fit for every patient. In my consultation process, I evaluate: - **Tissue quality and elasticity** — the technique relies on tissue elongation, so adequate native tissue is important. - **Anatomic goals** — Preservé pairs particularly well with patients seeking subtle-to-moderate augmentation with natural-looking results, rather than dramatic upper-pole fullness. - **Health and surgical history** — as with any elective procedure, candidacy depends on overall health and absence of contraindications. - **Realistic expectations** — patients who understand that an implant is a long-term commitment with periodic monitoring tend to be the happiest postoperative patients. If you are considering breast augmentation in Northwest Arkansas, the only way to know whether Preservé is the right approach for *you* is an in-person consultation. I do not believe in selling a technique. I believe in matching the right approach to the right patient. ## Recovery and Results: What to Expect Every patient heals differently, but in my experience, the typical Preservé recovery looks like this: - **First 48 hours:** Soreness, generally well controlled with non-narcotic medication. Most patients are up and moving immediately after surgery. With oral and IV sedation being options over general anesthesia. - **Days 3–7:** Return to light desk work, gentle daily activity, and most non-strenuous routines. Bruising and swelling continue to resolve. - **Weeks 2–4:** Resumption of low-impact exercise and most normal activities. - **6 weeks:** Return to unrestricted activity, including high-impact exercise and chest-focused training. Final aesthetic results take three to six months to fully settle as the implants reach their final position and any residual swelling resolves. Scar maturation continues for up to a year. These timelines are typical, not guaranteed. Your specific recovery will depend on your anatomy, healing response, and adherence to postoperative instructions. ## Why the First-Mover Status Matters (and Why It Doesn't) I want to be honest about the "first in Arkansas" framing, because I think it matters in a specific way and not in others. It **matters** because access is real. Until now, an NWA patient who wanted Motiva Preservé would have had to travel out of state to find a certified surgeon. That's no longer the case. You can have this procedure performed locally, at an accredited surgery center, by a surgeon you can see for follow-up. It **does not matter** in the sense that being first is not the same as being best. What makes a surgeon the right choice is training, judgment, surgical volume, and the consistency of their results — not the date a certification was added. I bring the Preservé technique to my practice as one more tool in a service line that already includes traditional augmentation, fat transfer, augmentation-mastopexy, and implant exchange. The technique serves the patient. Not the other way around. ## My Approach in Northwest Arkansas I perform Motiva Preservé augmentations on my monthly operative days at our accredited surgery center in Bentonville. Accreditation is the gold standard for ambulatory surgery facilities — it requires the same patient safety, anesthesia, and infection control protocols you would expect at a hospital outpatient surgery department. My credentials, for transparency: - **Double board-certified** in plastic surgery and surgery - **Active member**, American Society for Aesthetic Plastic Surgery (ASAPS) - **Active member**, American Society of Plastic Surgeons (ASPS) - **Motiva Preservé certified** (2026) I see consultations in Northwest Arkansas and serve patients from Bentonville, Fayetteville, Rogers, Springdale, Bella Vista, Siloam Springs, and surrounding communities. For patients traveling from further afield — Tulsa, Springfield, Memphis, or Texarkana — I offer virtual consultations as a starting point, with a single in-person visit before surgery. ## Frequently Asked Questions **Is Motiva Preservé available in Northwest Arkansas?** Yes. As of April 2026, I am the first and only plastic surgeon in Arkansas certified to perform Motiva Preservé. I perform the procedure at an accredited surgery center in Bentonville. **How is Motiva Preservé different from traditional breast augmentation?** Traditional augmentation requires broader tissue dissection to create the implant pocket. Motiva Preservé uses purpose-built instruments — a channel separator, an inflatable balloon for controlled tissue elongation, and a no-touch insertion sleeve — to create the pocket with significantly less tissue disruption. The result, in most cases, is less pain, less bruising, faster recovery, and a smaller incision. **Does Motiva Preservé use a different type of implant?** No. The technique is used with Motiva's SmoothSilk® Ergonomix2® implants, the same sixth-generation Motiva implants used in conventional augmentation. The difference is in how the implant is placed, not in the implant itself. **What is the recovery like?** Most of my Preservé patients return to desk work and light daily activity within a few days, low-impact exercise within two to four weeks, and unrestricted activity at six weeks. Final aesthetic results settle over three to six months. **Is Motiva Preservé safe?** Motiva Preservé uses FDA-cleared instruments and FDA-approved Motiva implants. The technique itself is performed by certified surgeons at accredited surgical facilities. As with any elective procedure, there are risks — bleeding, infection, capsular contracture, implant malposition, and the need for revision surgery — and we discuss these in detail at consultation. **How much does Motiva Preservé cost in Northwest Arkansas?** Pricing depends on implant selection, surgical facility fees, and anesthesia. Because Preservé is a premium technique using premium implants, pricing reflects that. We provide a complete written quote at your consultation, with no obligation. **How do I schedule a consultation?** You can request a consultation through our [contact page](https://spannmd.com/contact/) or call our Bentonville office directly. We offer both in-person and virtual consultations. ## A Final Note Bringing Motiva Preservé to Northwest Arkansas was not an opportunistic decision. It was a deliberate one, made because the technique aligns with how I already practice — preserving anatomy, minimizing collateral disruption, and producing results that look like the patient's own body, only better. If you have been considering breast augmentation but have hesitated because of the recovery, the scarring, or the sense that traditional augmentation is more invasive than your goals require, this is the conversation worth having. I would be glad to have it with you. — **Michael Spann, MD** *Double Board-Certified Plastic Surgeon* *Spann MD | Northwest Arkansas* [Request a Consultation →](/contact/) --- ## Restore Your Core: How Abdominoplasty Rebuilds the Abdominal Wall After Pregnancy in Fayetteville, Arkansas **Link:** [Restore Your Core: How Abdominoplasty Rebuilds the Abdominal Wall After Pregnancy in Fayetteville, Arkansas](https://spannmd.com/blog/restore-your-core-how-abdominoplasty-rebuilds-the-abdominal-wall-after-pregnancy-in-fayetteville-arkansas/) ([md](https://spannmd.com/blog/restore-your-core-how-abdominoplasty-rebuilds-the-abdominal-wall-after-pregnancy-in-fayetteville-arkansas/index.html.md)) **Description:** Transform your core strength with advanced abdominoplasty at Spann Plastic Surgery in Fayetteville. Rebuild your confidence today! ### Content ##### **Your Journey to Core Strength Starts Here | Spann Plastic Surgery | Serving Northwest Arkansas** Pregnancy transforms every aspect of your body—especially your abdominal muscles. If you’re a mom in **Fayetteville, Arkansas** struggling with persistent belly bulge or core weakness despite dedicated diet and exercise, you’re not alone. There’s a medical reason for these changes, and there’s a proven surgical solution that goes beyond aesthetics. At **SpannMD Plastic Surgery in Fayetteville**, we specialize in advanced abdominoplasty procedures that restore both form and function. Our tummy tuck procedures don’t just tighten skin—they rebuild your core by repairing the underlying abdominal muscles damaged during pregnancy, particularly in cases of **diastasis recti** (abdominal muscle separation). *A groundbreaking 2025 study by Wei, Shi, Ren, and Cui published in the Aesthetic Surgery Journal (Vol 45(6) 621–628) validates what we see daily in our Fayetteville practice: surgical muscle repair delivers life-changing results for mothers across Northwest Arkansas.* ## **Understanding Pregnancy’s Impact on Your Abdominal Muscles** During pregnancy, your growing baby stretches the **rectus abdominis muscles** (your “six-pack” muscles), pulling them apart at the center line. This condition, called **diastasis recti**, affects the majority of pregnant women and causes the **linea alba**—the connective tissue between your muscles—to stretch and weaken. ### **The Research Behind the Problem** According to the Wei et al. study published in Aesthetic Surgery Journal (2025, Vol 45(6)): - **Women with one pregnancy**: 2.5x increase in linea alba width - **Women with multiple pregnancies**: Even more dramatic muscle thinning and flattening - **Morphological changes**: Documented alterations in rectus abdominis muscle structure - **Long-term effects**: Weakened core strength, protruding abdomen, and reduced lower back support These changes explain why diet and exercise alone often can’t restore your pre-pregnancy core strength, especially for moms in their 30s and 40s. ## **How Abdominoplasty Repairs Post-Pregnancy Core Damage** **The answer is yes—and the Wei et al. research provides compelling clinical evidence.** Modern abdominoplasty with muscle repair uses advanced surgical techniques that our Fayetteville patients have come to trust: ### **Dr. Spann’s Double-Fold Rectus Repair Technique** - **Deep continuous sutures** restore core structural integrity - **Reinforced non-absorbable sutures** prevent muscle separation recurrence - **Tissue reshaping** that recreates your natural abdominal contour ### **Proven Results from the Wei et al. Clinical Study** - Linea alba width reduced from over 32mm to just 4.6mm - Rectus muscle thickness and shape dramatically improved - **Patient satisfaction increased from 15% to 90%** post-abdominoplasty - Documented reversal of pregnancy-related morphological changes This technique restores pre-pregnancy abdominal function while providing the aesthetic improvements Fayetteville mothers seek—all without the need for mesh implants. ## **Why Choose Dr. Michael Spann for Your Tummy Tuck in Fayetteville?** **Dr. Michael Spann** brings nearly two decades of board-certified plastic surgery expertise to Northwest Arkansas families. His comprehensive abdominoplasty approach includes: **✓ Complete Muscle Repair** for diastasis recti correction[.block][]**✓ 360° Liposuction Integration** when medically appropriate[.block][]**✓ Advanced Skin Tightening** for smooth, natural results[.block][]**✓ Personalized Recovery Plans** designed for busy Arkansas moms *We don’t just remove excess skin—we rebuild your entire abdominal wall structure, helping Fayetteville mothers regain confidence, posture, and functional core strength.* ## **Signs You’re a Candidate for Abdominoplasty in Fayetteville** If you’re experiencing any of these post-pregnancy concerns, muscle repair might be the missing piece: - **Persistent belly bulge** that doesn’t respond to exercise - **Lower back pain** or poor posture - **Feeling of weakness** in your core muscles - **Difficulty with physical activities** you used to enjoy - **Self-consciousness** about your midsection appearance What you’re seeing might not be excess fat—it could be **diastasis recti**, and abdominoplasty with muscle repair could be your solution. ## **Your Next Steps: Consultation in Fayetteville** Ready to restore your core strength and confidence? **Schedule your personal consultation** with Dr. Spann today. During your visit, we’ll: - Assess your specific case of diastasis recti - Explain your personalized surgical plan - Discuss recovery expectations for your lifestyle - Answer all your questions about the procedure **🌟 Start Your Core Restoration Journey Today**[.block][]**📞 Contact Spann Plastic Surgery in Fayetteville** **Serving Fayetteville, Bentonville, Rogers, Springdale, and all of Northwest Arkansas** *Dr. Michael Spann is a double board-certified plastic surgeon dedicated to helping Arkansas mothers reclaim their strength and confidence through advanced abdominoplasty techniques.* ## **Research Reference** *This article references findings from: Wei, D., Shi, X., Ren, J., & Cui, X. (2025). Morphological Changes in Rectus Abdominis Muscle Associated With Pregnancy and Abdominoplasty. Aesthetic Surgery Journal, 45(6), 621–628.* ## **Local SEO Footer Information** **Location**: Fayetteville, Arkansas | **Service Area**: Northwest Arkansas including Bentonville, Rogers, Springdale, Bella Vista, and surrounding communities **Related Searches**: tummy tuck Fayetteville Arkansas, diastasis recti repair Northwest Arkansas, abdominoplasty Bentonville AR, post-pregnancy surgery Springdale, mommy makeover Fayetteville, core muscle repair surgery Arkansas, plastic surgeon Northwest Arkansas **Address Optimization**: Serving patients throughout the Arkansas River Valley, Ozark Mountains region, and Washington County area. --- ## Revolutionary Thighplasty Technique: Minimizing Complications and Maximizing Results in Fayetteville **Link:** [Revolutionary Thighplasty Technique: Minimizing Complications and Maximizing Results in Fayetteville](https://spannmd.com/blog/revolutionary-thighplasty-technique-minimizing-complications-and-maximizing-results-in-fayetteville/) ([md](https://spannmd.com/blog/revolutionary-thighplasty-technique-minimizing-complications-and-maximizing-results-in-fayetteville/index.html.md)) **Description:** Transform your thighs with advanced thighplasty in Fayetteville. Experience minimal scarring and faster recovery with Dr. Spann's exclusive Apex 1 technology. ### Content *Experience the latest in thigh contouring technology at our Fayetteville Plastic Surgery clinic* Are you struggling with excess skin and tissue in your inner thighs? Whether from significant weight loss, aging, or genetics, loose thigh skin can impact your confidence and quality of life. At Dr. Spann’s Fayetteville plastic surgery practice, we’re excited to offer patients access to the most advanced thighplasty techniques available today. ## What is Thighplasty and Who Needs It? Thighplasty, commonly known as a thigh lift, is a body contouring procedure designed to remove excess skin and reshape the thighs for a more toned, youthful appearance. This procedure is particularly beneficial for: - **Post-bariatric surgery patients** who have experienced massive weight loss - **Individuals with aging-related skin laxity** in the thigh area - **Anyone with excess skin** that doesn’t respond to diet and exercise - **Patients seeking improved thigh contour** and reduced chafing ## The Challenge with Traditional Thighplasty Traditional thigh lift procedures, while effective, have historically been associated with high complication rates—sometimes reaching up to 70%. Common complications include: - Seroma (fluid accumulation) - Hematoma (blood clots) - Wound dehiscence (wound separation) - Secondary lymphedema - Unsatisfactory scarring - Extended recovery times These challenges have led plastic surgeons to seek innovative approaches that maintain excellent results while minimizing risks. ## Breakthrough Technology: J-Medial Thighplasty with Helium Plasma Radiofrequency Recent advances in plastic surgery have introduced a revolutionary combination technique that significantly reduces complications while improving outcomes. This innovative approach combines: ### J-Medial Pattern Incision - **Shorter, more discreet scars** compared to traditional T-shaped incisions - **Hidden scar placement** along natural body creases - **Reduced risk of wound complications** due to improved tension distribution - **Faster healing times** with better scar quality ### Advanced Apex 1 Helium Plasma Technology Dr. Spann is currently the only surgeon in Arkansas offering the revolutionary Apyx One platform from Renuvion, representing the latest evolution in helium plasma radiofrequency technology. This state-of-the-art system provides significant advantages over traditional J-Plasma devices: **Apex 1 Platform Benefits:** - **Enhanced precision control** with advanced energy delivery systems - **Improved safety profile** through better temperature monitoring - **More consistent results** with optimized helium flow dynamics - **Reduced treatment time** while maintaining superior outcomes - **Advanced tissue selectivity** for targeted skin tightening **Advantages Over Traditional J-Plasma:** - **Superior energy efficiency** leading to more predictable skin contraction - **Enhanced safety mechanisms** that minimize risk of thermal injury - **Improved handpiece design** for better surgeon control and patient comfort - **More uniform treatment** across the entire treatment area - **Faster healing times** due to optimized energy delivery This cutting-edge technology offers several advantages: - **Immediate skin tightening** through controlled tissue contraction - **Continued improvement** over 12 months as collagen remodels - **Precise treatment** of specific areas without damaging surrounding tissue - **Reduced need for extensive tissue removal** ## The Benefits of This Advanced Approach ### Superior Safety Profile Recent clinical studies show dramatically reduced complication rates with this combined technique*: - **Minimal major complications** (0% in recent studies) - **Low minor complication rate** (approximately 14% vs. traditional 70%) - **No cases of secondary lymphedema** when performed correctly - **Reduced surgical time** and faster recovery ### Enhanced Aesthetic Results - **Improved skin tightening** in the lower thigh region - **Better contouring** around the knee area - **Natural-looking results** that continue to improve over time - **High patient satisfaction** rates consistently reported ### Faster Recovery - **No drains required** in most cases - **Reduced post-operative discomfort** - **Quicker return to normal activities** - **Less time off work** compared to traditional methods ## What to Expect During Your Thighplasty Journey ### Initial Consultation During your consultation at our Fayetteville clinic, we’ll: - Evaluate your specific anatomy and skin quality - Discuss your aesthetic goals and expectations - Determine if you’re a good candidate for this advanced technique - Create a personalized treatment plan - Explain the procedure, recovery, and expected outcomes ### Pre-Operative Preparation - **Ultrasound mapping** to identify important anatomical structures - **Detailed surgical planning** customized to your anatomy - **Pre-operative instructions** to optimize healing - **Comprehensive health evaluation** ### The Procedure - **Performed under sedation** for your comfort - **Strategic liposuction** in targeted areas - **Precise tissue removal** while preserving important structures - **HPRF application** for enhanced skin tightening - **Tension-free closure** for optimal healing ### Recovery and Results - **Immediate improvements** visible right after surgery - **Continued enhancement** over 12+ months - **Minimal scarring** in discreet locations - **Long-lasting results** with proper maintenance ## Am I a Good Candidate for Advanced Thighplasty? You may be an excellent candidate if you: - Have excess skin in the inner thigh area - Are at or near your goal weight - Have realistic expectations about outcomes - Are in good overall health - Don’t smoke or are willing to quit - Have adequate time for proper recovery This technique is particularly beneficial for post-bariatric patients and those with moderate to significant skin laxity. ## Why Choose Dr. Spann and Our Fayetteville Practice? ### Exclusive Access to Apyx One Technology Dr. Spann is the only surgeon in Arkansas offering the revolutionary Apyx One platform, giving our patients access to the most advanced helium plasma technology available. This exclusive capability means: - **Cutting-edge treatment** not available elsewhere in the region - **Superior outcomes** compared to traditional plasma devices - **Enhanced safety** through advanced monitoring systems - **Pioneering expertise** with the latest surgical innovations ### Expertise in Advanced Techniques At our Fayetteville plastic surgery practice, Dr. Spann combines his expertise with the exclusive Apyx One platform to deliver unparalleled results. His commitment to staying at the forefront of surgical innovation ensures you have access to the latest, safest, and most effective procedures available—many of which are simply not offered anywhere else in Arkansas. ### Personalized Care We understand that every patient is unique. Your treatment plan will be customized to your specific anatomy, goals, and lifestyle. ### Comprehensive Support From your initial consultation through your final follow-up appointment, our team provides comprehensive support throughout your journey. ### State-of-the-Art Facility Our Fayetteville clinic is equipped with the latest technology and maintained to the highest safety standards. ## Frequently Asked Questions **How long do results last?**[.block][]With proper maintenance and stable weight, thighplasty results can be long-lasting, often permanent. **What’s the recovery time?**[.block][]Most patients return to desk work within 1-2 weeks and full activities within 4-6 weeks. **Will insurance cover thighplasty?**[.block][]Most thighplasty procedures are considered cosmetic and not covered by insurance, though we offer financing options. **Will the Apyx One platform provide better results than traditional methods?**[.block][]Yes, the Apyx One platform offers superior precision, safety, and outcomes compared to both traditional surgical methods and older plasma technologies. Dr. Spann’s exclusive access to this technology in Arkansas means enhanced results for our patients. **Are the scars noticeable?**[.block][]The J-pattern technique places scars in natural creases where they’re easily concealed by clothing and underwear. ## Schedule Your Consultation Today Don’t let excess thigh skin hold you back from feeling confident in your body. Dr. Spann’s advanced thighplasty technique, combined with exclusive Apyx One technology, offers the results you want with the safety you deserve—and it’s only available in Arkansas at our Fayetteville practice. **Contact our Fayetteville plastic surgery practice today to:** - Schedule your comprehensive consultation - Learn more about financing options - See before and after photos - Meet our experienced surgical team *Ready to take the next step? Call us at [501-219-8000](tel:501-219-8000)to schedule your confidential consultation.* *Located in Fayetteville, Arkansas, Dr. Spann proudly serves patients throughout Northwest Arkansas, including Bentonville, Rogers, Springdale, and surrounding communities. As the only surgeon in Arkansas offering the Apyx One platform, our commitment to excellence in plastic surgery and patient care has made us the premier choice for advanced body contouring procedures in the region.* **Keywords:** Thighplasty Fayetteville, Thigh Lift Arkansas, Body Contouring NWA, Plastic Surgery Fayetteville, Post-Bariatric Surgery Arkansas, Apyx One Platform Arkansas, Dr Spann Fayetteville, Helium Plasma Radiofrequency, J-Medial Thighplasty, Northwest Arkansas Plastic Surgeon *Based on clinical research published in Plastic and Reconstructive Surgery, August 2025: “Minimizing Thighplasty Complications: A Combined Approach of J-Medial Pattern and Helium Plasma–Assisted Liposculpture” – Tambasco D, et al.* --- ## Safe Outpatient Plastic Surgery: 30 Years of Proven Results **Link:** [Safe Outpatient Plastic Surgery: 30 Years of Proven Results](https://spannmd.com/blog/safe-outpatient-plastic-surgery-30-years-of-proven-results/) ([md](https://spannmd.com/blog/safe-outpatient-plastic-surgery-30-years-of-proven-results/index.html.md)) **Description:** Discover why Dr. Spann is the go-to plastic surgeon in Northwest Arkansas for safe and effective outpatient cosmetic procedures. ### Content ##### *Serving Fayetteville, Bentonville, Rogers, Springdale, and surrounding Northwest Arkansas communities with board-certified excellence* ## Why Northwest Arkansas Families Choose Dr Spann as their plastic surgeon As a leading plastic surgery practice serving Northwest Arkansas, Dr Spann understands that Arkansans value both safety and convenience when considering cosmetic procedures. Recent groundbreaking research validates what we’ve observed in our own practice: outpatient plastic surgery, when performed by board-certified surgeons in accredited facilities, delivers exceptional safety outcomes for patients throughout the Natural State. ### The Landmark Safety Study: What Northwest Arkansas Patients Need to Know A comprehensive 30-year study analyzing 42,720 consecutive plastic surgery procedures has provided Arkansas patients with the most robust safety data ever compiled for outpatient cosmetic surgery. This research, conducted from 1995 to 2023, represents the gold standard for understanding plastic surgery safety—data that directly applies to our Northwest Arkansas practice standards. **The numbers speak for themselves:** - Overall complication rate: just 0.74% (only 318 adverse events across nearly 43,000 procedures) - Consistently low risk when proper patient selection and surgical protocols are followed - Excellent outcomes for healthy candidates meeting established criteria ### Understanding Risk Factors: Personalized Care for Arkansas Patients Our Northwest Arkansas practice emphasizes individualized patient assessment because research clearly identifies specific risk factors that require enhanced attention: **Higher Risk Factors Include:** - BMI above 26 kg/m² (particularly relevant for Arkansas patients, where we focus on comprehensive pre-surgical health optimization) - Surgical procedures exceeding 3 hours - Combined procedures (such as tummy tuck with liposuction, which can increase complication odds up to 12.7 times) **Common Manageable Complications:** - Blood clots (VTE) – prevented through careful screening and prophylaxis protocols - Seromas and hematomas – managed with advanced surgical techniques - Infections – minimized through sterile technique and appropriate antibiotic protocols - Unplanned hospital admissions – reduced through comprehensive pre-operative planning ### The Arkansas Advantage: Outpatient Abdominoplasty Trends Northwest Arkansas patients benefit from the latest advances in tummy tuck procedures. Analysis of nearly 9,000 abdominoplasty procedures from 2005-2021 reveals significant improvements in outpatient care: **Positive Trends for Arkansas Patients:** - Outpatient procedures increased from 77% to 81% - Enhanced safety protocols for combined abdominoplasty and liposuction - Increased use of blood clot prevention measures - Reduced reliance on surgical drains and extensive tissue undermining - Improved vertical muscle repair techniques This evolution reflects our commitment to providing Northwest Arkansas families with the safest, most effective procedures available, allowing patients to recover comfortably in their own homes across Benton and Washington Counties. ### Long-Term Benefits: Weight Management After Abdominoplasty One of the most compelling advantages of abdominoplasty for our Northwest Arkansas patients extends far beyond aesthetic improvement. Recent research tracking 188 patients over five years demonstrates sustained weight management benefits: **Weight Loss Maintenance Timeline:** - **3 months post-surgery:** Average 5.77 lb loss (3.15% of body weight) - **6 months:** 5.28 lb loss (2.77% reduction) - **1 year:** 4.02 lb loss (2.17% reduction) - **2 years:** 4.18 lb loss (2.23% reduction) - **3 years:** 4.16 lb loss (2.20% reduction) - **5 years:** 9.8 lb loss (5.29% reduction) *Key insight for Arkansas patients: Those with higher starting BMIs experienced the greatest long-term weight reduction benefits.* This data is particularly relevant for Northwest Arkansas residents who may struggle with weight management due to our region’s lifestyle factors. Abdominoplasty not only removes excess skin and tightens abdominal muscles but also provides lasting motivation for healthy lifestyle maintenance. ## What This Research Means for Your Northwest Arkansas Plastic Surgery Decision ### 1. Outpatient Surgery Centers Deliver Hospital-Quality Safety Our accredited Northwest Arkansas facility maintains the same rigorous safety standards that produced these exceptional outcomes. With proper patient screening, advanced monitoring equipment, and experienced surgical teams, outpatient procedures offer Arkansas families: - Lower infection rates than hospital settings - Personalized attention and care - Comfortable, private recovery environment - Cost-effective treatment options - Convenient scheduling for busy Arkansas lifestyles ### 2. Patient Selection Ensures Optimal Outcomes Every Northwest Arkansas patient receives comprehensive evaluation to ensure candidacy for outpatient procedures. We pay special attention to: - BMI optimization strategies for patients over 26 kg/m² - Careful timing and sequencing of combined procedures - Pre-operative health assessment and optimization - Customized blood clot prevention protocols - Realistic expectation setting and surgical planning ### 3. Advanced Techniques Minimize Risk Our Northwest Arkansas practice incorporates the latest evidence-based techniques: - Progressive muscle repair methods that reduce recovery time - Selective use of surgical drains based on individual patient needs - Strategic combination of procedures to maximize safety - Advanced liposuction techniques that complement body contouring - Comprehensive pre and post-operative care protocols ### 4. Long-Term Health Benefits Beyond Appearance Northwest Arkansas patients choosing abdominoplasty gain: - Sustained weight management support - Improved core strength and posture - Enhanced motivation for healthy lifestyle choices - Increased confidence in physical activities - Better fitting clothes and improved body image ## Choosing Your Northwest Arkansas Plastic Surgeon This landmark research reinforces the importance of selecting a board-certified plastic surgeon practicing in an accredited facility. For Northwest Arkansas residents considering cosmetic surgery, key factors include: **Essential Qualifications:** - Board certification by the American Board of Plastic Surgery - Dr Spann is also board certified in General Surgery - Accredited surgical facility with established safety protocols - Extensive experience with your specific procedure - Dr Spann is one of the most experience plastic surgeons in the Midwest. Especially when it comes to body contouring and facial procedures - Comprehensive pre-operative evaluation process - Detailed post-operative care and follow-up programs **Local Advantages in Northwest Arkansas:** - Understanding of regional lifestyle and health factors - Convenient location for follow-up appointments - Familiarity with local healthcare resources - Community reputation and patient references - Integration with regional healthcare providers ## Schedule Your Northwest Arkansas Plastic Surgery Consultation The extensive safety data from this 30-year study provides Northwest Arkansas patients with confidence in choosing outpatient plastic surgery. Our practice combines this evidence-based approach with personalized care tailored to the unique needs of Arkansas families. **Ready to learn more about safe plastic surgery options in Northwest Arkansas?** Contact our Fayetteville office to schedule your confidential consultation. We serve patients throughout Benton and Washington Counties, including Bentonville, Rogers, Springdale, Siloam Springs, and surrounding communities. *During your consultation, we’ll discuss:* - Your specific aesthetic goals and concerns - Candidacy evaluation based on the latest safety research - Customized treatment recommendations - Detailed explanation of risks, benefits, and expected outcomes - Comprehensive pre and post-operative care plans - Financing options for Northwest Arkansas families ### Why Northwest Arkansas Patients Trust Our Practice ✓ **Board-certified plastic surgeon** with extensive training and experience[.block][]✓ **Accredited surgical facility** meeting the highest safety standards[.block][]✓ **Comprehensive patient care** from consultation through full recovery[.block][]✓ **Local expertise** understanding the unique needs of Arkansas patients[.block][]✓ **Evidence-based approach** incorporating the latest research and techniques[.block][]✓ **Personalized treatment plans** tailored to individual goals and anatomy[.block][]✓ **Exceptional patient satisfaction** with documented long-term results *This blog post is based on peer-reviewed research including “Three Decades of Outpatient Plastic Surgery Safety” *https://journals.lww.com/plasreconsurg/Pages/currenttoc.aspx *and related studies from the American Society of Plastic Surgeons. Individual results may vary. Consultation with a board-certified plastic surgeon is essential for personalized treatment recommendations.* **Keywords:** Northwest Arkansas plastic surgery, Fayetteville plastic surgeon, Arkansas tummy tuck, outpatient plastic surgery safety, abdominoplasty Northwest Arkansas, board-certified plastic surgeon Arkansas, cosmetic surgery Bentonville, plastic surgery Rogers AR, body contouring Springdale --- ## Sculpted Confidence: High-Definition Liposuction with Dr. Michael Spann in Fayetteville, Arkansas **Link:** [Sculpted Confidence: High-Definition Liposuction with Dr. Michael Spann in Fayetteville, Arkansas](https://spannmd.com/blog/sculpted-confidence-high-definition-liposuction-with-dr-michael-spann-in-fayetteville-arkansas/) ([md](https://spannmd.com/blog/sculpted-confidence-high-definition-liposuction-with-dr-michael-spann-in-fayetteville-arkansas/index.html.md)) **Description:** Transform your physique with High-Definition Liposculpture in Fayetteville! Dr. Spann offers advanced techniques for a defined, athletic look. ### Content Are you already close to your ideal weight but struggling to achieve that defined, athletic look? High-Definition Liposculpture (HDL)—also known as High-Def Lipo—is revolutionizing body contouring right here in Fayetteville, Arkansas. Dr. Michael Spann, a board-certified plastic surgeon specializing in aesthetic and reconstructive surgery, offers this advanced cosmetic procedure that goes far beyond traditional liposuction, providing precision sculpting that reveals your natural muscle definition with minimal scarring and impressive results. ## ## What Is High-Definition Liposuction? High-Definition Liposuction is a specialized body contouring technique designed for patients who want to enhance their natural muscle tone and achieve an athletic appearance. Unlike traditional liposuction that simply removes fat, Dr. Spann’s HDL approach strategically sculpts superficial and deep fat layers to create visible muscle definition in areas like: - Abdominal muscles (six-pack abs) - Chest and pectoral definition - Arm and shoulder contouring - Back and flank sculpting - Jawline enhancement This advanced procedure is perfect for Fayetteville residents who maintain an active lifestyle but want to take their physique to the next level under the care of an experienced plastic surgeon. ## Dr. Spann’s Expertise in Advanced Liposuction Techniques As a board-certified plastic surgeon with extensive training in aesthetic surgery, Dr. Michael Spann combines artistic vision with surgical precision to deliver exceptional High-Definition Liposuction results. His specialized focus on body contouring procedures, including advanced liposuction and tummy tuck techniques, ensures that patients receive the highest level of care and optimal outcomes. ### The Evolution of High-Def Lipo: Dr. Spann’s Advanced Approach **Traditional Suction-Assisted Lipoplasty (SAL)**[.block][]While early HDL techniques used continuous suction devices, Dr. Spann has evolved beyond these methods to incorporate cutting-edge technology for safer, more effective results. **VASER-Assisted HDL**[.block][]Dr. Spann utilizes VASER (Vibration Amplification of Sound Energy at Resonance) technology to revolutionize the procedure by: - Reducing energy applied to tissues - Minimizing heat generation and trauma - Allowing precise sculpting of superficial fat layers - Enabling treatment of a wider range of patients safely **Dynamic Definition (4D) Liposculpture**[.block][]The most advanced technique in Dr. Spann’s arsenal, 4D Lipo considers: - **Muscle dynamics**: How muscles appear during movement and contraction - **Power vs. definition muscles**: Enhancing size for strength appearance vs. sharp definition for athletic look - **360-degree contouring**: Treating all body segments for natural, proportional results - **Transition zones**: Creating smooth gradients between defined areas ## Why Choose Dr. Spann for High-Def Lipo in Fayetteville, Arkansas? ### Board-Certified Expertise Dr. Michael Spann’s board certification in plastic surgery ensures: - Rigorous training in surgical techniques and patient safety - Ongoing education in the latest aesthetic innovations - Adherence to the highest medical standards - Comprehensive understanding of anatomy and aesthetics ### Advanced Safety Protocols Dr. Spann’s modern HDL procedures incorporate cutting-edge safety measures including: - **Temperature control systems** to prevent hypothermia during surgery - **Tranexamic acid administration** to reduce bleeding by up to 30% - **Pneumatic compression stockings** for VTE prevention - **Comprehensive pre-operative screening** and risk assessment - **24/7 post-operative care coordination** ### Superior Technology and Techniques Dr. Spann’s High-Def Lipo combines multiple advanced technologies: - **VASER ultrasound** for precise fat emulsification - **Radiofrequency devices** (Renuvion, BodyTite) for skin tightening - **Power-assisted liposuction** for enhanced precision - **Tumescent technique** with optimized anesthetic solutions ### Customized Treatment Plans Every procedure with Dr. Spann is tailored to your unique body type and goals: - **Basic definition**: Subtle enhancement for natural improvement - **Moderate definition**: Clear muscle visibility with athletic appearance - **Extreme definition**: Maximum definition for competitive physique goals ## Combining High-Def Lipo with Tummy Tuck: Dr. Spann’s Specialty For patients seeking comprehensive abdominal transformation, Dr. Spann expertly combines High-Definition Liposuction with tummy tuck procedures (abdominoplasty) to achieve: ### High-Definition Lipoabdominoplasty Benefits: - **Enhanced muscle definition** through precision fat sculpting - **Skin tightening** via surgical excision and advanced techniques - **Comprehensive core transformation** addressing both fat and loose skin - **Athletic abdominal appearance** with visible muscle definition - **Long-lasting results** when combined with healthy lifestyle This combination procedure is ideal for patients who have: - Excess abdominal skin following weight loss or pregnancy - Separated abdominal muscles (diastasis recti) - Stubborn fat deposits that don’t respond to diet and exercise - Desire for both skin tightening and muscle definition ## Who Is a Good Candidate for Dr. Spann’s High-Def Lipo? Ideal candidates for High-Definition Liposuction with Dr. Spann typically have: - BMI under 30-32 kg/m² - Good skin elasticity - Realistic expectations about outcomes - Overall good health with no contraindications to surgery - Commitment to maintaining results through diet and exercise - Stable weight for at least 6 months ### Medical Contraindications Include: - BMI over 34 kg/m² - Severe skin laxity requiring surgical excision - Active smoking (10+ cigarettes daily) - Uncontrolled medical conditions - Unrealistic expectations about results ## The Dr. Spann High-Def Lipo Experience: What to Expect ### Comprehensive Consultation Your journey with Dr. Spann begins with a thorough consultation where he assesses: - Current body composition and muscle tone - Skin quality and elasticity - Aesthetic goals and expectations - Complete medical history - Body type classification for optimal technique selection ### Pre-Operative Planning Dr. Spann’s meticulous approach includes: - Detailed surgical marking and planning - Pre-operative laboratory tests and medical clearance - Anesthesia consultation when indicated - Comprehensive pre-operative instructions - Risk assessment using established protocols (Caprini scoring) ### The Surgical Procedure Dr. Spann’s High-Def Lipo technique includes: - **Strategic anesthesia**: General anesthesia for patient comfort and optimal results - **Tumescent infiltration**: Specialized solution with vasoconstriction for bleeding control - **VASER-assisted emulsification**: Gentle fat liquefaction for precise removal - **Artistic sculpting**: Layer-by-layer contouring for natural muscle definition - **Skin tightening**: Radiofrequency treatment when indicated - **Drain placement**: Strategic positioning for optimal healing ### Recovery and Healing Process Dr. Spann’s comprehensive post-operative care includes: **Immediate Post-Op (0-48 hours):** - Compression garments applied immediately - Pain management protocol initiated - Early ambulation encouraged within 12-24 hours - Professional nursing care coordination **First Week:** - Follow-up appointments at 24-48 hours - Drain removal when output decreases appropriately - Wound care and dressing changes - Activity modification guidelines **1-3 Months:** - Progressive return to normal activities - Gradual exercise progression under Dr. Spann’s guidance - Continued compression garment use as directed - Regular follow-up appointments to monitor healing **6-12 Months:** - Final results evaluation - Long-term maintenance planning - Professional photography to document outcomes ## Dr. Spann’s Safety Record and Outcomes Following the latest advances in High-Definition Liposuction safety, Dr. Spann’s practice incorporates protocols that have dramatically reduced complication rates: **Significantly Decreased Complications:** - Seroma formation: Minimized through advanced techniques - Hematoma risk: Reduced via bleeding control protocols - Postoperative anemia: Prevented through careful surgical planning - Skin irregularities: Avoided through precise technique and experience **Enhanced Safety Measures:** - Comprehensive pre-operative medical optimization - Advanced intraoperative monitoring - Proactive post-operative care protocols - Emergency response preparedness ## Long-Term Results and Patient Satisfaction Dr. Spann’s High-Definition Liposuction patients consistently report: **Aesthetic Outcomes:** - Natural, athletic muscle definition - Improved body proportions and symmetry - Enhanced confidence and self-image - Motivation to maintain healthy lifestyle habits **Patient Satisfaction Metrics:** - High satisfaction rates with final results - Positive feedback on surgical experience - Strong recommendation rates to friends and family - Long-term happiness with aesthetic outcomes **Maintaining Your Results:**[.block][]Dr. Spann provides comprehensive guidance for long-term success: - Personalized exercise recommendations - Nutritional counseling referrals - Lifestyle modification strategies - Long-term follow-up care ## The Investment in Your Transformation While High-Definition Liposuction represents a significant investment, Dr. Spann’s patients consistently report: - **Increased self-confidence** in personal and professional settings - **Enhanced body image** and improved quality of life - **Motivation for healthy living** and fitness maintenance - **Long-lasting satisfaction** with their surgical decision - **Professional and personal benefits** from improved appearance ## Advanced Techniques: Beyond Traditional Liposuction Dr. Spann’s expertise extends beyond basic fat removal to include: ### Specialized Procedures: - **Male chest contouring** for gynecomastia and pectoral definition - **Female body sculpting** for hourglass silhouette enhancement - **Arm definition liposuculpture** for athletic upper body appearance - **Back contouring** for improved posture appearance and clothing fit - **Combination procedures** integrating multiple techniques for comprehensive results ### Technology Integration: - **VASER 2.0 systems** for optimal fat emulsification - **Renuvion skin tightening** for enhanced skin contraction - **Advanced cannula systems** for precision and safety - **Real-time monitoring** for optimal surgical outcomes ## Schedule Your Consultation with Dr. Michael Spann Ready to discover how High-Definition Liposuction can transform your physique? Dr. Michael Spann and his experienced team in Fayetteville, Arkansas, are here to help you achieve the sculpted, athletic look you’ve been working toward with the expertise that only a board-certified plastic surgeon can provide. **Why Choose Dr. Spann:** - Board-certified plastic surgeon with specialized aesthetic training - Extensive experience in advanced liposuction and body contouring - Personalized approach tailored to your unique goals - State-of-the-art facility with advanced safety protocols - Comprehensive pre- and post-operative care - Proven track record of exceptional patient satisfaction **Take the next step toward your body transformation goals:** 🏔️ **Proudly serving Fayetteville and all of Northwest Arkansas**[.block][]📅 **Schedule your personal consultation with Dr. Spann today**[.block][]📞 **Call (501) 219-8000 or visit SpannMd.com**[.block][]🏥 **Advanced Plastic Surgery Center – Fayetteville, Arkansas** *Dr. Michael Spann | Board-Certified Plastic Surgeon | High-Definition Liposuction | Fayetteville Arkansas | Body Contouring | VASER Lipo | Tummy Tuck | 4D Liposculpture | Northwest Arkansas Aesthetic Surgery* *This blog post is for educational purposes only and does not constitute medical advice. Individual results may vary. Schedule a consultation with Dr. Michael Spann, board-certified plastic surgeon, to determine if High-Definition Liposuction is right for you.* --- ## The Art of Invisible Scars: Mastering Helical Root Incisions in Facelift Surgery **Link:** [The Art of Invisible Scars: Mastering Helical Root Incisions in Facelift Surgery](https://spannmd.com/blog/the-art-of-invisible-scars-mastering-helical-root-incisions-in-facelift-surgery/) ([md](https://spannmd.com/blog/the-art-of-invisible-scars-mastering-helical-root-incisions-in-facelift-surgery/index.html.md)) **Description:** Discover how helical root incisions in facelift surgery help conceal scars for natural-looking results at our Fayetteville practice. ### Content When patients consider facelift surgery, one of their primary concerns is scarring. At our Fayetteville plastic surgery practice, we understand that the true measure of a successful facelift isn’t just the rejuvenation achieved—it’s ensuring that no one can tell you’ve had surgery at all. This is where the precision of helical root incision placement becomes absolutely critical. ## Understanding the Helical Root: Nature’s Perfect Hiding Spot The helical root, located at the base of where the ear cartilage meets the face, represents one of the most strategically important areas in facelift surgery. This natural anatomical landmark provides an ideal location for concealing surgical incisions because it sits precisely in the area where skin color and texture naturally transition from facial skin to ear cartilage. ### Why Helical Root Placement Matters The genius of placing facelift incisions along the helical root lies in working with your body’s natural anatomy rather than against it. This area naturally creates shadows and depth variations that help camouflage even the finest surgical lines. When executed with precision, these incisions become virtually undetectable, even upon close inspection. ## The Science Behind Invisible Scars ### Optimal Healing in Natural Transition Zones The helical root area offers several advantages for scar healing: - **Natural skin color variation** helps blend any residual marking - **Reduced tension** on the incision line due to anatomical positioning - **Improved blood supply** promoting faster, cleaner healing - **Natural shadows** that further conceal the surgical site ### Advanced Surgical Technique Creating truly invisible helical root incisions requires: - **Precise anatomical mapping** to identify the ideal incision placement - **Meticulous tissue handling** to minimize trauma and promote optimal healing - **Strategic undermining** to achieve natural-looking results without visible pulling - **Expert closure techniques** using the finest suture materials ## What Patients Can Expect ### Immediate Post-Operative Period Following helical root incision placement, patients typically experience: - Minimal discomfort in the ear area - Some initial swelling that helps protect the incision - Careful wound care instructions to optimize healing ### Long-Term Results When properly executed, helical root incisions heal to become: - Virtually invisible to the naked eye - Undetectable even in close social interactions - Completely hidden within the natural ear anatomy - Mature into fine lines that blend seamlessly with natural skin patterns ## Why Experience Matters in Facelift Surgery The difference between a visible scar and an invisible one often comes down to millimeters in placement and degrees of precision in technique. Board-certified plastic surgeons who specialize in facial rejuvenation understand the nuances of: - Individual anatomical variations - Optimal incision angles for each patient - Tissue handling techniques that promote superior healing - Post-operative care protocols that maximize results ## Beyond the Incision: Comprehensive Facelift Results While helical root incision placement is crucial for hiding scars, it’s just one component of achieving natural-looking facelift results. The best outcomes combine: - **Strategic incision placement** at multiple anatomical landmarks - **Individualized surgical planning** based on each patient’s unique anatomy - **Advanced lifting techniques** that restore youthful contours - **Attention to detail** in every aspect of the procedure ## Choosing Your Facelift Surgeon When considering facelift surgery, look for a surgeon who: - Demonstrates extensive experience with facial rejuvenation procedures - Shows before-and-after photos highlighting incision healing - Discusses scar placement and concealment as part of your consultation - Uses advanced techniques for optimal results ## Schedule Your Facelift Consultation If you’re considering facelift surgery and want to learn more about advanced incision techniques that prioritize invisible results, we invite you to schedule a consultation at our Fayetteville practice. During your visit, we’ll discuss your goals, examine your unique anatomy, and explain exactly how we’ll achieve natural-looking results with expertly placed incisions. **Ready to learn more about invisible facelift scars?**[.block][]**Call (501) 219-8000 to schedule your consultation today.** *This blog post is for educational purposes only and does not constitute medical advice. Individual results may vary. Please consult with a board-certified plastic surgeon to determine if facelift surgery is right for you.* ## Frequently Asked Questions About Helical Root Incisions **Q: How long do helical root incisions take to heal?**[.block][]A: Initial healing typically occurs within 1-2 weeks, with continued refinement over several months as the scar matures. **Q: Will I be able to wear earrings after facelift surgery?**[.block][]A: Yes, once fully healed, earring wear is typically not affected by properly placed helical root incisions. **Q: Are helical root incisions used in all facelifts?**[.block][]A: Most comprehensive facelifts utilize helical root incisions as part of the overall incision pattern, though the exact placement varies based on individual anatomy and surgical approach. **Q: What can I do to optimize healing of my facelift incisions?**[.block][]A: Following your surgeon’s post-operative instructions carefully, avoiding sun exposure, and maintaining good general health all contribute to optimal scar healing. --- ## Threads, Filler, or a Facelift? An Honest Answer About Value **Link:** [Threads, Filler, or a Facelift? An Honest Answer About Value](https://spannmd.com/blog/threads-filler-or-a-facelift-an-honest-answer-about-value/) ([md](https://spannmd.com/blog/threads-filler-or-a-facelift-an-honest-answer-about-value/index.html.md)) **Description:** Board-certified plastic surgeon Dr. Michael Spann explains why thread lifts and repeated filler can't match the value or longevity of a deep plane facelift. ### Content Threads, Filler, or a Facelift? An Honest Answer About Value By Michael Spann, M.D., Board-Certified Plastic Surgeon Every week a patient sits across from me and asks some version of the same question. Can't I just do threads instead? It's a fair question. Thread lifts get marketed everywhere as the lunchtime facelift. Less money, no surgery, back to work tomorrow. I understand the appeal, believe me. So let me answer it the way I'd answer my own family. The short answer is no. Threads don't offer real value when you compare them to the longevity of a facelift. Not because they're a scam. They do something. The problem is what they do, how briefly they do it, and what they end up costing once you repeat them long enough to matter. WHAT THREADS ACTUALLY DO A thread lift places dissolvable barbed sutures under the skin and gathers the surface tissue upward. The change is real, but it's modest, and it's temporary. Most patients get 12 to 18 months before the sutures dissolve and the tissue settles back where gravity wants it. Here's what those ads never explain. Facial aging isn't mainly a skin problem, and it isn't mainly a volume problem. The deeper layer of the face, the SMAS and the ligaments that anchor it, loosens and drops over decades. Jowls, a heavy jawline, a softening neck. That's deep tissue falling. Threads tug on the surface. A deep plane facelift releases those retaining ligaments and repositions the deep layer itself, without tension, back where it sat in your forties. That's the whole reason one lasts a season and the other lasts a decade or more. You can't suspend a structural problem on a dissolvable suture. You can only reposition it. THE MATH NOBODY SHOWS YOU Now the money. In my practice, a deep plane facelift is a $20,000 investment, made once. A thread lift session typically runs $2,000 to $4,500 and needs repeating every 12 to 18 months. A liquid facelift of filler and biostimulators costs somewhere around $2,500 to $4,000 a year to maintain. Those numbers sound smaller than surgery. They are, right up until you carry them across a decade, which is the honest timeframe, because a facelift is a decade plus result. Run the math and the maintenance path passes $20,000 by about year six. By year ten it's over $30,000. And here's the part that matters most to me as your surgeon: at the end of that decade, you still don't have facelift results. You've spent facelift money renting a temporary effect while the underlying descent kept right on going. Many of those patients end up needing the facelift anyway. I'd call that the opposite of value. WHERE I'LL DEFEND THE NONSURGICAL SIDE I want to be fair here, because value cuts both ways. Injectables are the right tool for early volume loss in your thirties and forties, for lips, and for skin quality. They're also right for patients who aren't surgical candidates or simply aren't ready. In my practice they work alongside surgery, not against it. What I won't do is watch a patient with true jowls and a heavy neck spend five years and twenty thousand dollars chasing a surgical problem with nonsurgical tools. Filler stacked over descended tissue doesn't lift a face. It widens it. That's where the overfilled look comes from, the one everybody recognizes and nobody wants. The kindest thing I can tell that patient is the honest thing. You have a structural problem, and structure is what surgery is for. THE QUESTIONS I HEAR MOST Do thread lifts actually work? They produce a real but modest change that fades within 12 to 18 months as the sutures dissolve. They never touch the deeper structures, which is why the effect is both limited and temporary. Isn't a thread lift cheaper than a facelift? Per session, yes. Over time, no. Repeating threads every 12 to 18 months passes the $20,000 cost of a deep plane facelift by about year six, and you never get facelift results along the way. Can threads or filler ever replace a facelift? No. They address volume and surface. Aging is a descent of deep tissue, and only surgery repositions that tissue. That's not my opinion. It's anatomy. Why do some faces look overfilled? Because filler was asked to do a facelift's job. Volume layered over descended tissue widens and distorts the face instead of lifting it. The right diagnosis, and some restraint, prevents it. What makes a deep plane facelift last so long? It releases the retaining ligaments and moves the deep layer of the face and neck as a unit, with no tension on the skin. Because the correction is structural, it holds, typically 10 to 15 years. And it looks like you, not like a procedure. So when is nonsurgical the right call? Early volume loss, lips, skin quality, and patients who aren't candidates or aren't ready for surgery. In that role, injectables are excellent. As a facelift substitute, they're the most expensive way to stay where you are. GET THE HONEST ANSWER FOR YOUR FACE Sometimes my answer in consultation is surgery. Sometimes it's "you don't need me yet." Either way, you'll leave knowing exactly where you stand and what actually offers value for your face. Request a consultation at spannmd.com, or call 501-219-8000. Little Rock and Northwest Arkansas. Michael Spann, M.D. Double Board-Certified, Plastic and Reconstructive Surgery Deep Plane Facelift and Deep Plane Neck Lift AAAASF-Accredited In-House Surgery Center --- ## Tummy Tuck After Twins: Why a Twin Pregnancy Changes Your Body Differently — and What Dr. Spann Can Do About It **Link:** [Tummy Tuck After Twins: Why a Twin Pregnancy Changes Your Body Differently — and What Dr. Spann Can Do About It](https://spannmd.com/blog/tummy-tuck-after-twin-pregnancy-fayetteville-arkansas/) ([md](https://spannmd.com/blog/tummy-tuck-after-twin-pregnancy-fayetteville-arkansas/index.html.md)) **Description:** Twin pregnancies create unique abdominal changes diet and exercise can't fix. Dr. Spann helps NWA twin moms restore their core with customized abdominoplasty. --- ## What Ozempic and Bariatric Surgery Patients Need to Know **Link:** [What Ozempic and Bariatric Surgery Patients Need to Know](https://spannmd.com/blog/tummy-tuck-after-weight-loss/) ([md](https://spannmd.com/blog/tummy-tuck-after-weight-loss/index.html.md)) **Description:** Board-certified plastic surgeon Dr. Michael Spann explains how GLP-1 medications like Ozempic and prior bariatric surgery affect tummy tuck safety and outcomes. Serving Fayetteville, Bentonville, Rogers, and all of Northwest Arkansas. Tummy Tuck After Weight Loss in Northwest Arkansas ### Content # Tummy Tuck After Weight Loss in Northwest Arkansas: What Ozempic and Bariatric Surgery Patients Need to Know *By Dr. Michael Spann, MD | Double Board-Certified Plastic & Reconstructive Surgeon | Fayetteville, Arkansas* Northwest Arkansas is one of the fastest-growing regions in the country, and the demand for post–weight loss body contouring has grown right along with it. Between the bariatric surgery programs at Washington Regional and Mercy, the widespread adoption of GLP-1 medications like Ozempic, Wegovy, Mounjaro, and Zepbound, and a population that genuinely prioritizes health, I’m seeing more post–weight loss abdominoplasty consultations at my Fayetteville office than at any point in my career. I see hundreds of post–weight loss body contouring patients every year, and the majority are currently on or have recently used a GLP-1 medication. The question I hear most often: “Is it safe for me to have a tummy tuck?” The answer is yes—but the details matter. How you lost the weight, what medications you’re taking, and your nutritional status all influence your surgical plan, your risk profile, and your results. A major 2025 study examined over 153 million patient records to quantify exactly how prior bariatric surgery and GLP-1 medications each affect abdominoplasty outcomes. The findings confirm much of what I’ve seen clinically and reveal some new risks every patient should understand. ## Why Post–Weight Loss Abdominoplasty Is Different Abdominoplasty after significant weight loss is not the same operation as a cosmetic tummy tuck on someone at a stable weight. The tissue is different. The blood supply is different. The healing biology is different. Patients who’ve lost 50, 80, or 100-plus pounds—whether through a sleeve gastrectomy at Washington Regional, a gastric bypass at Mercy, or months on semaglutide prescribed by their NWA primary care doctor—often present with large, heavy skin flaps, weakened connective tissue, disrupted lymphatic drainage, and persistent changes in vascular anatomy. Patients on GLP-1 medications add another variable: these drugs alter metabolism, gut motility, satiety signaling, and potentially skin biology in ways we’re still learning about. This is exactly why choosing a surgeon who routinely operates on post–weight loss patients matters. The planning, technique, and perioperative management all need to account for these differences. ## What the Research Shows: Bariatric Surgery and Tummy Tuck Outcomes The 2025 study used propensity score–matched cohorts to control for BMI, diabetes, and other comorbidities. Here’s what it found for patients with prior bariatric surgery who underwent abdominoplasty: ### Increased Risk: Hematoma and Seroma Prior bariatric surgery was associated with a 55% higher likelihood of postoperative hematoma and seroma. This aligns with what we know about post–massive weight loss anatomy: larger flap dead space, disrupted lymphatics, and persistent vascular changes create an environment where fluid collections are more likely. In my practice, I address this proactively with progressive tension suturing techniques that close dead space, meticulous hemostasis, and drain management protocols tailored to the post-bariatric patient. ### Decreased Risk: Hypertrophic Scarring and Systemic Infections Perhaps surprisingly, the bariatric group showed a 26% lower rate of hypertrophic scarring and a 22% lower rate of systemic infections. Significant weight loss reduces chronic inflammation, decreases mechanical tension on the incision, and improves overall metabolic health—all of which support better healing and lower infection risk. For post-bariatric patients worried about surgical candidacy: the weight you’ve lost isn’t just cosmetic—it’s genuinely protective in several important ways. ## How GLP-1 Medications Like Ozempic Affect Tummy Tuck Results This is the section most of my NWA patients are asking about right now, and the research produced a genuinely novel finding. ### No Increased Risk for Most Wound Complications The good news: GLP-1 receptor agonist use was not associated with higher rates of hematoma, seroma, wound dehiscence, surgical site infection, or thromboembolic events. For patients on semaglutide (Ozempic, Wegovy) or tirzepatide (Mounjaro, Zepbound), this is reassuring—these drugs do not appear to broadly impair wound healing. ### A New Concern: Hypertrophic Scarring Here’s the finding that got my attention: GLP-1 receptor agonist use was associated with a nearly 80% increased risk of hypertrophic scarring after abdominoplasty. This held up in a sensitivity analysis comparing GLP-1RA users to patients on DPP-4 inhibitors, suggesting a drug-specific pro-fibrotic effect. Emerging research has linked GLP-1 receptor agonists to changes in skin elasticity and accelerated skin aging, with evidence these medications may activate fibroblasts in a way that promotes excess collagen deposition—the biological process behind hypertrophic scars. The signal is strong enough that I discuss it with every patient on these medications during consultation. ## The Combined Effect: GLP-1 Medications After Bariatric Surgery Many of my Northwest Arkansas patients are in this category—they’ve had a sleeve or bypass and are now on a GLP-1 medication for weight regain or a plateau. The research shows this combination introduces specific additional risks: Wound dehiscence risk nearly doubled (7.5% vs. 3.9%). The likely mechanism: GLP-1 medications suppress appetite and reduce caloric intake in a population already prone to protein deficiency and malabsorption from their bariatric procedure, compounding nutritional vulnerability. Constitutional symptoms increased by nearly 70%—nausea, vomiting, diarrhea, and low blood pressure were significantly more common. Both interventions independently affect gut motility, the microbiome, and hydration, and the combination amplifies these effects. These findings directly shape how I manage this population. The surgery isn’t off the table, but perioperative optimization has to be more rigorous. ## How We Optimize Safety for Post–Weight Loss Tummy Tuck Patients in Northwest Arkansas Our approach is built around the principle that a great outcome starts weeks before the operating room. Here’s what that looks like at our Fayetteville office: ### Comprehensive Nutritional Assessment We check hemoglobin, albumin, prealbumin, vitamin D, and overall protein status as part of every preoperative workup. For post-bariatric patients and those on GLP-1 medications, nutritional deficiencies are common and directly affect wound healing. When we find deficiencies, we work with your NWA primary care physician and a nutritionist to optimize before surgery—then recheck to confirm correction. ### GLP-1 Medication Timing We coordinate with your prescribing physician on the timing of GLP-1 medication around surgery, including considerations for gastric emptying and anesthesia safety and optimizing nutritional intake leading up to your procedure. ### Surgical Technique Tailored to Post–Weight Loss Anatomy Post–weight loss abdominoplasty requires specific technical approaches—progressive tension suturing to minimize dead space, fascia-sparing dissection where appropriate, and meticulous layered closure to reduce incision tension. These are the standard of care for this patient population and require a surgeon who performs these procedures regularly. ### Honest, Individualized Risk Counseling Every patient gets a frank conversation about their specific risk profile based on their weight loss history, current medications, and nutritional status. No surprises. ## Frequently Asked Questions: Tummy Tuck After Weight Loss in Northwest Arkansas ### Is it safe to have a tummy tuck while on Ozempic or Wegovy? Yes, but it requires careful planning. GLP-1 medications do not increase the risk of most surgical complications, but they are associated with a higher rate of hypertrophic scarring. Your surgeon should factor your medication use into surgical planning, scar management, and preoperative counseling. ### How long after bariatric surgery should I wait for a tummy tuck? Most surgeons recommend waiting until your weight has been stable for three to six months. For post-bariatric patients, this typically means 12 to 18 months after your procedure. Weight stability matters more than a specific timeline. ### Should I stop my GLP-1 medication before abdominoplasty? This decision involves you, your prescribing physician, and your plastic surgeon. There are valid considerations around anesthesia, nutrition, and wound healing. We coordinate directly with your prescribing doctor to determine the best approach. ### What is the risk of wound dehiscence if I’ve had bariatric surgery and am on a GLP-1? The research shows approximately 7.5% in patients with both, compared to 3.9% with bariatric surgery alone. This elevated risk is manageable with proper nutritional optimization, surgical technique, and postoperative care. ### Does Ozempic cause worse scarring after surgery? Recent data suggests GLP-1 receptor agonists are associated with increased hypertrophic scarring risk after abdominoplasty, likely related to effects on fibroblast activity and collagen production. Scar management strategies including silicone sheeting, tension-reducing closure, and close monitoring can help mitigate this. ### Where is Dr. Spann’s Northwest Arkansas office? Our NWA office is at 3733 N Business Drive, Suite 200, Fayetteville, Arkansas. We serve patients from Fayetteville, Bentonville, Rogers, Springdale, Bella Vista, Siloam Springs, and the surrounding communities. Dr. Spann holds surgical privileges at Northwest Health System. ### Can I have a tummy tuck if I’m still losing weight on a GLP-1? I generally recommend waiting until your weight has stabilized. Operating during active weight loss means results may shift, and active loss can compromise the nutritional reserves needed for optimal healing. ## The Bottom Line for Northwest Arkansas Patients Post–weight loss body contouring is one of the most rewarding procedures I perform. Patients who’ve worked hard to lose weight deserve to feel as good on the outside as they do on the inside. But this is a nuanced surgical population, and the details of your weight loss history all matter for your safety and results. Both bariatric surgery and GLP-1 medications come with specific, identifiable risk modifications that an experienced surgeon can plan for and manage. The key is choosing someone who sees enough of these patients to recognize the patterns, tailor the approach, and optimize the outcome. If you’re considering abdominoplasty after weight loss in Northwest Arkansas, visit SpannMD.com or contact our Fayetteville office to schedule your consultation. We’re proud to serve Fayetteville, Bentonville, Rogers, Springdale, Bella Vista, and all of NWA. About Dr. Michael Spann: Dr. Spann is a double board-certified plastic and reconstructive surgeon (ASAPS, ASPS) with offices in Fayetteville and Little Rock, Arkansas. With over 20 years of surgical experience including craniofacial fellowship training, he specializes in post–weight loss body contouring, deep plane facelifts, and aesthetic surgery. He operates in an AAAASF-accredited surgery center and holds privileges at Northwest Health System. --- ## Tummy Tuck Weight Loss: Fayetteville Patients Experience Continued Benefits for Years After Abdominoplasty **Link:** [Tummy Tuck Weight Loss: Fayetteville Patients Experience Continued Benefits for Years After Abdominoplasty](https://spannmd.com/blog/tummy-tuck-weight-loss-fayetteville-patients-experience-continued-benefits-for-years-after-abdominoplasty/) ([md](https://spannmd.com/blog/tummy-tuck-weight-loss-fayetteville-patients-experience-continued-benefits-for-years-after-abdominoplasty/index.html.md)) **Description:** Discover how abdominoplasty in Fayetteville can lead to long-term weight loss, with patients losing up to 10 pounds post-surgery! ### Content ###### **Meta Title:** Abdominoplasty Weight Loss Fayetteville AR | Tummy Tuck Results 2025[.block][]**Meta Description:** Research shows Fayetteville tummy tuck patients lose 4-10 additional pounds after surgery. Learn about continued weight loss benefits from abdominoplasty in Arkansas. ## Key Takeaway: New research reveals that **61% of abdominoplasty patients in a 5-year study continued losing weight long after surgery**, with some losing up to 10 pounds beyond their initial results. This makes tummy tuck surgery in Fayetteville, Arkansas not just a body contouring procedure, but potentially a catalyst for long-term weight management success. ## Groundbreaking Research Shows Long-Term Weight Loss After Tummy Tuck Surgery If you’re considering **abdominoplasty in Fayetteville, Arkansas**, you might be surprised to learn about an unexpected benefit that extends far beyond removing excess skin and fat. A comprehensive study by Dr. Jonathan Bricker and colleagues, published in *Plastic and Reconstructive Surgery* (July 2025), analyzed 188 consecutive abdominoplasty cases and discovered that **tummy tuck patients continue losing weight for up to 5 years after their procedure**. ### What the Research Reveals About Post-Surgery Weight Loss The landmark study tracked patients for up to 5 years following their abdominoplasty procedures in Northwest Arkansas and beyond. The results were remarkable: - **3 months post-surgery**: Average weight loss of 5.77 pounds (3.15% of body weight) - **6 months**: 5.28 pounds lost (2.77%) - **1 year**: 4.02 pounds lost (2.17%) - **2 years**: 4.18 pounds lost (2.23%) - **5 years**: 9.8 pounds lost (5.29%) What makes these findings particularly significant for **Fayetteville plastic surgery patients** is that **over 61% of patients maintained or continued their weight loss** throughout the entire study period. The research, which followed 188 patients (96.8% female, average age 42.5 years), represents one of the most comprehensive analyses of post-abdominoplasty weight changes to date. ## Why Does Tummy Tuck Surgery Promote Continued Weight Loss in Arkansas Patients? Dr. Michael Spann, a p**lastic surgeon in Northwest Arkansas**, has observed this phenomenon for years, but the Bricker study helps quantify what local patients can expect. The research team proposed several evidence-based factors that may contribute to post-surgery weight loss: ### The Natural Compression Effect When **board-certified plastic surgeons in Fayetteville** tighten the abdominal muscles and remove excess tissue during a tummy tuck, it creates a natural compression effect on the stomach area. This can lead to: - Earlier feelings of fullness during meals - Reduced portion sizes naturally - Better long-term portion control habits - Improved eating patterns ### Enhanced Physical Function and Activity After recovering from **abdominoplasty in Arkansas**, many patients find they can: - Exercise more comfortably and effectively - Engage in physical activities they previously avoided - Maintain better posture and core strength - Stay more active throughout the day ### Increased Motivation and Confidence The psychological boost from seeing improved body contours often motivates **Fayetteville tummy tuck patients** to: - Stick to healthier eating habits long-term - Maintain regular exercise routines - Take better overall care of their health - Continue healthy lifestyle changes ## Who Benefits Most from Post-Tummy Tuck Weight Loss? The Bricker study’s statistical analysis revealed that certain **Arkansas abdominoplasty patients** experienced greater weight loss benefits: - **Patients with higher starting BMI** saw more significant weight reduction over time - **Those who underwent concurrent liposuction** lost more weight (99.1% vs 86.3%) - **Patients who hadn’t already lost substantial weight** before surgery experienced better results - **Older patients** (average age 43.6 years) were more likely to maintain weight loss long-term ## What This Research Means for Fayetteville Abdominoplasty Candidates These findings have important implications for anyone considering **tummy tuck surgery in Northwest Arkansas**: ### Realistic Expectations for Arkansas Patients While abdominoplasty isn’t primarily a weight loss procedure, **Fayetteville patients** can realistically expect some continued weight reduction as a valuable bonus benefit that may last for years. ### Long-Term Success in Arkansas The study shows that weight loss benefits aren’t just temporary—they can last for years when patients maintain healthy lifestyle habits, making this particularly valuable for **Arkansas residents** committed to long-term wellness. ### No Additional Surgery Needed Importantly, **no patients in the Bricker study required revision surgery** due to additional skin laxity from continued weight loss, suggesting the initial procedure accounts for potential future changes. ## Maximizing Your Tummy Tuck Results in Fayetteville To get the most benefit from your **abdominoplasty investment in Arkansas**: - **Choose a board-certified plastic surgeon** experienced in tummy tuck procedures - **Maintain realistic expectations** about weight loss goals and timeline - **Commit to healthy lifestyle changes** before and after surgery - **Follow your surgeon’s post-operative instructions** carefully for optimal healing - **Stay active** as soon as your plastic surgeon clears you for exercise - **Consider the timing** of your procedure in relation to your overall weight loss journey ## Why Choose Fayetteville for Your Abdominoplasty Procedure **Northwest Arkansas** offers several advantages for tummy tuck patients: - Access to Dr. Spann, a **board-certified plastic surgeon** with extensive abdominoplasty experience. especially in the post pregnancy belly (mommy makeover) and after weight loss - **Accredited operating facilities** - Comprehensive post-operative care and follow-up - Growing reputation as a destination for **quality plastic surgery in Arkansas** ## Frequently Asked Questions About Tummy Tuck Weight Loss ### How much weight can I expect to lose after abdominoplasty? Based on the research, **Fayetteville patients** typically lose an additional 4-10 pounds over 5 years, with the most significant losses occurring in the first 3-6 months. ### Will I need revision surgery if I continue losing weight? The study found that **no patients required revision surgery** due to continued weight loss, suggesting the initial procedure accounts for future changes. ### Does concurrent liposuction increase weight loss benefits? Yes, patients who had **liposuction with their tummy tuck** experienced greater weight loss (99.1% of successful weight loss patients had concurrent procedures). ### How long do the weight loss benefits last? The research tracked patients for **5 years and found sustained benefits**, with some patients experiencing their greatest weight loss at the 5-year mark. ## Schedule Your Tummy Tuck Consultation in Fayetteville If you’re considering **abdominoplasty in Fayetteville, Arkansas**, this research provides compelling evidence that the benefits extend far beyond what you see in the mirror. The combination of immediate body contouring results and potential long-term weight management benefits makes **tummy tuck surgery an investment in your overall health and confidence**. **Ready to learn more about abdominoplasty in Northwest Arkansas?** Contact our **Fayetteville plastic surgery practice** to schedule your personal consultation and discover how tummy tuck surgery might benefit your unique situation. Dr. Spann will help you understand what to expect and create a treatment plan tailored to your goals. ### Local SEO Keywords Optimized For: - Abdominoplasty Fayetteville Arkansas - Tummy tuck Fayetteville AR - Plastic surgery Northwest Arkansas - Board-certified plastic surgeon Fayetteville - Arkansas abdominoplasty weight loss - Fayetteville tummy tuck results **References:**[.block][]Bricker, J., Ferenz, S., Moradian, S., Termanini, K., Jackson, B., & Kim, J. Y. S. (2025). What Happens to Weight following Abdominoplasty: An Analysis of 188 Consecutive Cases. *Plastic and Reconstructive Surgery*, 156(1), 51e-58e. DOI: 10.1097/PRS.0000000000011959 *This blog post is based on peer-reviewed research published in Plastic and Reconstructive Surgery. Individual results may vary. Always consult with a board-certified plastic surgeon to determine if abdominoplasty is right for you.* --- ## Tummy Tuck with Lipo 360 in Fayetteville & Rogers, AR: Bikini-Ready Confidence by Dr. Michael Spann **Link:** [Tummy Tuck with Lipo 360 in Fayetteville & Rogers, AR: Bikini-Ready Confidence by Dr. Michael Spann](https://spannmd.com/blog/tummy-tuck-with-lipo-360-in-fayetteville-rogers-ar-bikini-ready-confidence-by-dr-michael-spann/) ([md](https://spannmd.com/blog/tummy-tuck-with-lipo-360-in-fayetteville-rogers-ar-bikini-ready-confidence-by-dr-michael-spann/index.html.md)) **Description:** Achieve a firmer abdomen with Dr. Spann's Lipo 360 tummy tuck. Sculpt your waistline for natural, beautiful results—perfect for any outfit! ### Content If you’re looking to achieve a flatter, firmer abdomen and a more sculpted waistline, a tummy tuck with **Lipo 360** performed by **Dr. Michael Spann** offers transformative, natural-looking results that look incredible in a bikini—or anywhere. At his highly regarded plastic surgery practice serving **Fayetteville and Rogers, Arkansas**, Dr. Spann combines full-torso liposuction, abdominal muscle repair, and a meticulously crafted belly button with an ultra-low, hidden scar. The result? A body that looks sculpted, not surgical—perfect for the beach, summer outfits, and lasting body confidence. ⸻ **What Makes Dr. Spann’s Tummy Tuck Technique Different?** Dr. Michael Spann is known across **Northwest Arkansas** for his detail-oriented, artistic approach to abdominoplasty. His signature tummy tuck procedure goes far beyond skin removal to deliver a total core transformation. **🔄 Lipo 360: Sculpting From Every Angle** Instead of focusing only on the front of the abdomen, Dr. Spann performs **360-degree liposuction**—targeting the **upper and lower belly, flanks, waist, hips, and lower back**. This approach dramatically enhances body contours and highlights your natural curves. **💪 Muscle Tightening (Rectus Diastasis Repair)** Pregnancy or weight fluctuations can weaken and separate the abdominal muscles. Dr. Spann carefully sutures these muscles back together to rebuild a strong, flat core and improve posture and strength. **🌿 Natural-Looking Belly Button** A natural belly button is one of Dr. Spann’s signature details. He sculpts the navel to blend seamlessly with your new abdomen—never too tight or artificial-looking—so the final result looks authentically yours. **👙 Bikini-Concealed Scar Placement** Dr. Spann places the incision **low on the abdomen**, often hidden below the bikini line. His precise closure technique minimizes scar visibility over time so you can wear swimsuits and lingerie with confidence. ⸻ **Is a Tummy Tuck with Lipo 360 Right for You?** Dr. Spann frequently performs this procedure for men and women from **Fayetteville, Rogers, Bentonville, and across Northwest Arkansas** who want to: • Remove loose skin after pregnancy or weight loss • Tighten and tone the core • Eliminate stubborn belly fat • Achieve a balanced, natural-looking waistline • Feel confident in swimwear and form-fitting clothes You may be an ideal candidate if you’re at or near your goal weight, in good health, and have realistic expectations about surgery and recovery. ⸻ **What to Expect During Recovery** Dr. Spann provides a highly personalized recovery plan based on your unique body and surgical details. Most patients: • Take **10–14 days off work** • Wear a compression garment for support • Begin light walking within a few days • See swelling and bruising fade over 4–6 weeks • Resume full activity around **6 weeks post-op** His team offers attentive follow-up care and expert guidance every step of the way. ⸻ **Beautiful, Natural Results That Fit Your Lifestyle** Dr. Spann’s tummy tuck technique is designed for results that: • **Look great on the beach or in a bikini** • Enhance your natural curves, not change who you are • Restore your pre-pregnancy or pre-weight-loss shape • Help you feel more confident in your own skin Many patients say they wish they had done it sooner. ⸻ **Why Choose Dr. Michael Spann?** As a **board-certified plastic surgeon** with a reputation for precision and compassionate care, Dr. Spann brings both skill and artistry to every procedure. Patients from across **Fayetteville, Rogers, Springdale, and Bella Vista** trust him for results that are customized, elegant, and beautifully balanced. He takes time to understand your goals, explain all options, and craft a plan that works for your body—not a one-size-fits-all approach. ⸻ **Schedule Your Tummy Tuck Consultation with Dr. Spann** Ready to love your midsection again? Whether you’re getting beach-ready or want to finally feel comfortable in your clothes, Dr. Michael Spann can help you achieve the confident, natural results you deserve. 📞 Call now to schedule your consultation at our **Fayetteville or Rogers, Arkansas** office 📍 Serving all of Northwest Arkansas 📅 [Book Your Appointment Online] ⸻ **Frequently Asked Questions** **How much does a tummy tuck with Lipo 360 cost with Dr. Spann?** Costs typically range from **$10,000 to $15,000**, depending on complexity and surgical time. Dr. Spann provides a detailed quote and payment options during your consultation. **How long does the tummy tuck with Lipo 360 take?** Surgery usually takes **3–5 hours**, depending on the extent of liposuction and abdominal repair. It is performed under general anesthesia in an accredited facility. **Can I combine this with other procedures?** Absolutely. Many patients choose to include a **breast augmentation**, **lift**, or **BBL** in a customized **Mommy Makeover** with Dr. Spann. --- ## Understanding Facial Aging: Insights from a 20-Year Veteran in Facial Plastic Surgery **Link:** [Understanding Facial Aging: Insights from a 20-Year Veteran in Facial Plastic Surgery](https://spannmd.com/blog/understanding-facial-aging-insights-from-a-20-year-veteran-in-facial-plastic-surgery/) ([md](https://spannmd.com/blog/understanding-facial-aging-insights-from-a-20-year-veteran-in-facial-plastic-surgery/index.html.md)) **Description:** Explore the science of facial aging and discover how precise volume restoration can rejuvenate your look naturally. Schedule your consultation today! ### Content *As a facial plastic surgeon with nearly two decades of experience serving patients in Fayetteville and Northwest Arkansas, I’ve witnessed firsthand the profound impact that understanding facial aging has on achieving natural, beautiful results. Recent scientific advances have validated what many of us in the field have long observed – and it’s revolutionizing how we approach facial rejuvenation.* ## The Science Behind Your Changing Face: What Really Happens as We Age Throughout my years practicing facial plastic surgery in Fayetteville, patients often ask me, “Why does my face look tired even when I’m well-rested?” or “Where did my cheek volume go?” Advanced imaging technology and longitudinal research now provide concrete answers about how our faces change over time. Modern research reveals that facial aging isn’t just about sagging skin – it’s a complex interplay of volume loss occurring at different rates in various facial compartments. Here’s what we now know definitively: ### The Deep Fat Loss Discovery Scientific evidence shows that patients lose approximately **18-20% of their deep facial fat** over a decade, compared to about 11% of superficial fat. This preferential deep volume loss is crucial for understanding why faces age the way they do. As someone who has performed thousands of facial rejuvenation procedures here in Northwest Arkansas, this finding confirms why deep volume restoration often yields the most dramatic, natural-looking results. ## What This Means for Your Facial Rejuvenation Journey ### The Myth of “Just Tightening” For years, the traditional approach to facial aging focused primarily on lifting and tightening loose skin. However, current understanding validates what I’ve observed in my Fayetteville practice: simply pulling skin tighter without addressing volume loss creates an unnatural, “windswept” appearance that patients want to avoid. ### Why Volume Replacement Matters When we lose deep facial fat – that foundational support beneath our cheeks – the overlying superficial fat appears to sag, creating what we call “pseudoptosis.” This explains why patients often notice: - Deepening nasolabial folds (smile lines) - Hollow under-eyes - Flattened cheeks - Jowl formation - An overall tired or gaunt appearance ## Modern Facial Rejuvenation Techniques: A Comprehensive Approach In my Fayetteville facial plastic surgery practice, we’ve evolved our techniques based on the latest scientific understanding. Here’s how we address facial aging comprehensively: ### 1. **Strategic Volume Restoration** Using advanced dermal fillers or fat grafting, we replace lost volume in specific deep and superficial compartments. This isn’t about “overfilling” – it’s about precise, anatomically-guided restoration that recreates youthful facial architecture. ### 2. **Customized Treatment Plans** Every face ages differently. Research demonstrates significant individual variation in volume loss patterns. That’s why we perform detailed facial analysis for each patient, creating personalized treatment strategies that address your unique aging patterns. ### 3. **Layer-by-Layer Rejuvenation** Understanding that different fat compartments age at different rates allows us to tailor our approach: - Deep volume replacement for foundational support - Superficial volume enhancement for skin quality - Selective tightening only where truly needed ## ## The Importance of Early Intervention One fascinating aspect of facial aging is that volume loss begins earlier than most people realize. In my experience treating patients throughout Northwest Arkansas, I’ve found that addressing volume loss proactively – even in your 30s and 40s – can help maintain facial harmony and prevent more dramatic changes later. ### Preventive Approaches We Recommend: - **Skincare regimens** that support collagen production - **Subtle volume maintenance** with small amounts of filler - **Skin resurfacing treatments** to maintain skin quality - **Lifestyle modifications** including sun protection and proper nutrition ## Why Choose a Facial Plastic Surgery Specialist in Fayetteville? The complexity of facial aging demands expertise. As a board-certified facial plastic surgeon, I’ve dedicated my career to understanding the intricate anatomy and aging patterns of the face. This specialization matters because: - **Precision in Treatment**: Understanding exactly which fat compartments need addressing - **Natural Results**: Avoiding the “overdone” look through anatomically-based techniques - **Safety**: Deep knowledge of facial anatomy minimizes risks - **Comprehensive Planning**: Addressing all aspects of facial aging, not just one dimension ## Innovations in Facial Rejuvenation Technology Our Fayetteville clinic stays at the forefront of facial rejuvenation technology. Based on the latest scientific understanding, we’ve incorporated: - **3D Facial Imaging**: To track volume changes and plan treatments precisely - **Ultrasound-Guided Injections**: For accurate deep volume placement - **Combination Therapies**: Integrating energy-based devices with volume restoration - **Regenerative Techniques**: Including PRP and stem cell therapies for enhanced results ## Understanding Your Facial Anatomy After nearly 20 years of practice, I’ve learned that patient education is crucial for optimal outcomes. The face contains multiple fat compartments, each aging at its own pace: ### **Superficial Fat Compartments** These lie just beneath the skin and provide the smooth, youthful contours we associate with youth. As these deflate, skin appears looser and less vibrant. ### **Deep Fat Compartments** These provide structural support for the midface. Their loss leads to the characteristic “sliding” appearance of facial tissues and the formation of deep folds. ### **The Buccal Fat Pad** Interestingly, this fat pad tends to maintain its volume longer than other compartments, which is why some faces appear bottom-heavy with age. ## Your Next Steps: Creating Your Personalized Facial Rejuvenation Plan If you’re noticing changes in your facial appearance – whether it’s hollowing under the eyes, deepening folds, or general facial deflation – you’re not imagining things. Facial volume loss is real, measurable, and treatable. During a consultation at our Fayetteville facial plastic surgery center, we: - Perform a comprehensive facial analysis - Discuss your aesthetic goals and concerns - Create a customized treatment plan based on your unique anatomy - Explain all options, from non-surgical to surgical approaches - Develop a timeline that fits your lifestyle and budget ## The Art and Science of Natural Results What sets expert facial rejuvenation apart is the ability to blend scientific knowledge with artistic vision. In my practice, I focus on: - **Facial Harmony**: Ensuring all features work together beautifully - **Age-Appropriate Results**: Looking refreshed, not “done” - **Preservation of Expression**: Maintaining your ability to emote naturally - **Gradual Enhancement**: Often, a staged approach yields the most natural outcome ## The Bottom Line: Science-Based Facial Rejuvenation Modern facial rejuvenation requires more than just pulling skin tight. It demands a deep understanding of facial anatomy, aging patterns, and the interplay between different tissue layers. This comprehensive approach is what delivers the natural, lasting results my patients in Fayetteville have come to expect. As we continue serving patients in Fayetteville and throughout Northwest Arkansas, we remain committed to incorporating the latest scientific findings into our practice. This ensures our patients receive the most advanced, effective treatments available. ## Schedule Your Consultation Today Ready to learn how modern facial rejuvenation techniques can help you look as young as you feel? Contact our Fayetteville facial plastic surgery clinic to schedule your personalized consultation. With nearly 20 years of experience and a commitment to science-based approaches, we’re here to guide you through your facial rejuvenation journey with expertise, compassion, and natural-looking results. Remember, facial aging is a natural process, but how we address it has evolved dramatically. Let’s work together to create a rejuvenation plan that honors your unique beauty while turning back the clock naturally and elegantly. *For more information about facial plastic surgery options in Fayetteville and Northwest Arkansas, or to schedule your consultation, contact our clinic at*[*501 219-8000*](/contact/)* today. We’re dedicated to helping you achieve your aesthetic goals through scientifically-proven, personalized treatment approaches.* --- ## What Patients Are Really Afraid Of Before Breast Augmentation — And Honest Answers From a Plastic Surgeon **Link:** [What Patients Are Really Afraid Of Before Breast Augmentation — And Honest Answers From a Plastic Surgeon](https://spannmd.com/blog/what-patients-are-really-afraid-of-before-breast-augmentation-and-honest-answers-from-a-plastic-surgeon/) ([md](https://spannmd.com/blog/what-patients-are-really-afraid-of-before-breast-augmentation-and-honest-answers-from-a-plastic-surgeon/index.html.md)) **Description:** Concerned about breast augmentation? A Northwest Arkansas plastic surgeon answers the questions patients are most afraid to ask — implant safety, recovery, sensation, and what really matters when choosing a surgeon. ### Content Most women considering breast augmentation arrive at their consultation with a question written down. But, and I see this all the itme, underneath that question is usually a fear they haven't said out loud yet — about pain, about safety, about whether they'll still look like themselves, about whether anyone will be able to tell. After performing thousands of breast implant procedures and a career rooted in reconstructive surgery — rebuilding breasts after cancer, trauma, and congenital differences — I've heard nearly every concern a patient can have. Some are based on outdated information. Some are entirely valid. All of them deserve a straight answer. Here are the fears patients raise most often in my Northwest Arkansas consultations, and what the honest answers actually are. ## "Will my implants look fake?" This is the number one fear, and the answer depends almost entirely on three decisions made before surgery: **implant size, implant profile, and pocket placement.** I'm a big believer in natural. Implants look obvious when they're too large for the chest wall they're sitting on, when the profile is too projecting for the patient's frame, or when they're placed too high or too tight. None of these are inevitable. They're planning failures. A well-planned augmentation works with your existing anatomy — your chest width, your tissue thickness, your nipple position, your natural breast slope. When the implant matches the patient instead of the patient adapting to the implant, the result reads as a natural, fuller version of the breasts you already have. People notice that you look great. They don't notice surgery. In consultation, we measure the chest wall, assess tissue coverage, and discuss profile options before any size is selected. Sizing is the last decision, not the first. ## "How much pain should I expect?" Less than you've probably been told. Recovery from breast augmentation has changed substantially in the last decade. Most patients describe the first 48 hours as soreness and tightness — similar to a hard chest workout — rather than sharp pain. By day three to four, most patients are off prescription medication and managing with over-the-counter pain relief. Many return to desk work within five to seven days. Several factors keep modern recovery comfortable: meticulous surgical technique that minimizes tissue trauma, long-acting local anesthetic placed at the time of surgery, multi-modal pain management (combining several non-narcotic medications), and clear instructions on movement during the first week. Patients who follow the post-op protocol almost always do better than they expected. The patients who struggle with recovery are usually the ones who tried to "push through" early — lifting children, returning to workouts, driving on day two. The protocol exists for a reason. That said, Motiva Preserve shortens the rapid recovery by about half.. So essentially back to work in 1 day. Moderate exercise at a week. ## "Are silicone implants safe? What about Breast Implant Illness?" This concern is real, and it deserves a real answer rather than dismissal. Modern silicone implants are the most studied medical device in the FDA's history. The cohesive silicone gel used today is fundamentally different from the liquid silicone implants of the 1980s and 1990s — it holds its shape even when cut, similar in consistency to a gummy candy. Breast Implant Illness (BII) is the term patients use to describe a constellation of systemic symptoms — fatigue, brain fog, joint pain, autoimmune-like complaints — that some women attribute to their implants. The medical literature has not established a causal mechanism, but a meaningful subset of patients report symptom improvement after implant removal. I take this seriously. It is part of every consultation I have. What I tell patients honestly: the overwhelming majority of women with breast implants do not develop systemic symptoms. But you have the right to know that BII is a real reported phenomenon, that the cause is not fully understood, and that explant surgery is an option if you ever change your mind. Anyone who tells you implants are 100% risk-free is selling you something. Anyone who tells you they're certainly dangerous is doing the same thing from the opposite direction. ## "Will I lose nipple sensation?" Temporary changes in nipple sensation are common in the first few months — usually heightened sensitivity, occasionally numbness. The vast majority of patients return to normal sensation within six to twelve months. Permanent significant sensation loss is uncommon and is influenced by incision choice, implant size relative to the breast, and surgical technique. Larger implants placed through certain incisions carry slightly higher risk. This is discussed and planned around during consultation, particularly for patients for whom nipple sensation is a high priority. ## "Can I still breastfeed?" In most cases, yes. The milk-producing structures of the breast are largely preserved with the incision and pocket techniques used in modern breast augmentation. Studies of post-augmentation breastfeeding show that the majority of patients who attempt to breastfeed are able to do so, though some women — augmented or not — have lower milk supply for unrelated reasons. If breastfeeding a future child is important to you, tell your surgeon. It affects the incision recommendation. ## "What if I hate them?" This is the fear patients are often most embarrassed to bring up, and it's one of the most important to address directly. The honest answer: a small percentage of patients want a change after their initial surgery. Sometimes that's a size adjustment, sometimes it's a profile change, sometimes it's something they couldn't have anticipated until they lived with the result for a few months. This is one of the reasons the consultation process matters so much. We use sizing systems, before-and-after galleries of patients with similar anatomy, and detailed conversations about lifestyle — do you run, lift, wear fitted clothing, prefer a sports-bra silhouette or a fuller look in a dress? — to align expectations before the operating room, not after. Revision surgery exists, and good surgeons plan for the possibility from the first consult. But the goal is to get it right the first time, and that starts with not rushing the decision. ## "How long do implants last? Will I need surgery again?" Implants are not lifetime devices. The current realistic expectation is that most patients will have at least one additional procedure over the course of their lifetime — whether for an implant exchange, a size change after pregnancy or weight changes, a lift to address natural tissue settling, or eventual removal. This is not a reason to avoid augmentation. It's a reason to choose a surgeon and a practice you trust to be there for the long arc, not just the first surgery. ## "Will surgery be safe? What about the surgery center itself?" The facility matters as much as the surgeon. Our procedures are performed in an **AAAASF-accredited surgical facility **— the same accreditation standard used by hospital-based outpatient centers — with board-certified anesthesia, full emergency protocols, and the equipment and staffing to handle the rare complication safely. Cost-shopping a cosmetic procedure into a non-accredited facility is one of the few decisions in cosmetic surgery that can genuinely harm you. The right questions to ask any surgeon: Is the facility accredited, and by whom? Who provides anesthesia, and what are their credentials? What is your complication rate, and what is your plan if one occurs? ## "How do I know I'm choosing the right surgeon?" Look at three things: **Training and credentials.** Board certification in plastic surgery by the American Board of Plastic Surgery is the baseline, not the ceiling. Beyond that, what does the surgeon do day in and day out? A reconstructive background — rebuilding breasts after mastectomy, treating complex revisions, managing complications — sharpens the judgment that aesthetic-only practices sometimes lack. **Volume and consistency.** Ask how many breast augmentations the surgeon performs annually, and ask to see results from patients who started where you're starting. Not the surgeon's best result. *A patient like you.* **The consultation itself.** A good consultation is a conversation, not a sales pitch. You should leave understanding what's recommended for *your* anatomy and why — not just what's on the menu. ## The Real Question Underneath All the Others Most patients aren't really asking "will it hurt" or "will it look fake." They're asking *can I trust this process, and can I trust the person doing it?* That's the right question. The answers come from honest information, time spent in consultation, and a surgeon willing to tell you when augmentation isn't the right choice — because sometimes it isn't, and saying so is part of the job. If you're considering breast augmentation in Northwest Arkansas and want a consultation that addresses the real questions — not just the easy ones — we'd be glad to meet you. [Call now](/contact/) --- ## Who Are You Trusting Your Face With? **Link:** [Who Are You Trusting Your Face With?](https://spannmd.com/blog/who-are-you-trusting-your-face-with/) ([md](https://spannmd.com/blog/who-are-you-trusting-your-face-with/index.html.md)) **Description:** Discover expert facial plastic surgery with Dr. Michael Spann in Northwest Arkansas, where artistry meets natural beauty and compassionate care. ### Content *Your trusted choice for facial plastic surgery in Northwest Arkansas* ## Why Dr. Michael Spann Is One of Northwest Arkansas’s Most Trusted Plastic Surgeon When it comes to plastic surgery, the stakes are personal—and permanent. Your face is your identity, your first impression, and your daily reflection. Choosing the right surgeon isn’t just about credentials; it’s about artistry, trust, and results that enhance your natural beauty without compromising who you are. In Fayetteville, where discerning patients demand the highest standards, one name stands out: **Dr. Michael Spann**. With nearly two decades of experience and a reputation built on exceptional results, Dr. Spann has earned recognition as one of Arkansas’s most respected plastic surgeons, now bringing his expertise directly to Northwest Arkansas. ## Exceptional Training and Dual Board Certification Dr. Spann’s journey to surgical excellence began with rigorous academic preparation. He completed his medical education and embarked on an intensive seven-year surgical training pathway that few surgeons undertake. Dr. Spann completed a full five years of General Surgery followed by two years dedicated to Plastic Surgery. This was followed by 18 months of intensive testing and practice evaluation. He is Board Certified in both General Surgery, by the American Board of Surgery, and Plastic Surgery, by the American Board of Plastic Surgery. This dual certification represents the pinnacle of surgical education and training, far exceeding the qualifications of many practitioners who offer cosmetic procedures. He completed his residency training at Methodist Health System Dallas (2001-2006) for General Surgery, followed by specialized Plastic Surgery residency at University of Nebraska Medical Center College of Medicine (2006-2008). During his training, Dr. Spann worked extensively with renowned aesthetic surgeons, developing his expertise in facial surgery, breast procedures, and body contouring. ## A Philosophy Centered on Natural Enhancement Dr. Spann views each patient relationship as a long-term partnership—not a one-time experience. He is deeply committed to taking the time to understand each individual’s goals, ensuring the highest standards of safety, confidentiality, and personalized care. His approach emphasizes subtlety and harmony. “So much of what I do involves very personal areas, such as the breast or face. This must be kept in mind as we decide to perform surgery on these regions of the body. My objective is to delicately improve them so as to not lose the identification of one’s self but rather experience a natural improvement.” ## Arkansas Leader in Plastic Surgery Excellence Dr. Spann has been selected as a Top Plastic and Cosmetic Surgeon in Arkansas on a continual basis. His reputation extends beyond his surgical skills—patients consistently praise his compassionate approach and attention to detail. “Having achieved the Board Certification designation is a great accomplishment for me. It signifies the pinnacle of surgical education and has prepared me for the patients I have today. For example, evaluating the changes needed to achieve a profound result on facelift or rhinoplasty relates directly to those cases in which I built a portion of the face missing from trauma or congenital defects. The multitude of mastectomies and breast reconstructions I performed during residencies give me a definite edge when evaluating someone for a breast augmentation, breast lift, or breast reconstruction because I’ve seen the breast from all aspects and feel comfortable in what can and cannot be achieved safely and reliably.” ## Comprehensive Surgical and Non-Surgical Expertise Dr. Spann offers a complete range of procedures designed to enhance natural beauty: **Facial Procedures:** - Facelifts and neck lifts - Rhinoplasty (nose surgery) - Eyelid surgery (blepharoplasty) - Brow lifts - Facial rejuvenation **Breast Procedures:** - Breast augmentation - Breast lift (mastopexy) - Breast reduction - Breast reconstruction **Body Contouring:** - Tummy tuck (abdominoplasty) - Liposuction - Arm lift (brachioplasty) - Thigh lift - Mommy makeover procedures **Non-Surgical Treatments:** - Botox injections - Dermal fillers - Laser treatments - Advanced skin rejuvenation ## State-of-the-Art Facility in Fayetteville Dr. Spann’s new location in Fayetteville brings world-class cosmetic surgery directly to Northwest Arkansas patients in Bentonville, Rogers, Springdale, and beyond, eliminating the need to travel to Little Rock for exceptional care. The Fayetteville practice maintains the same high standards that have made Dr. Spann’s Little Rock location a destination for patients throughout the region. The practice is equipped with state of the art technologies to provide the latest reconstructive and cosmetic surgery procedures for the breast, body, and face. ## A Partnership Approach to Aesthetic Goals “It is important that we, the patient and I, develop a plan that best fits that person’s natural figure, expectations, lifestyle, and budget. I believe in fundamental procedures that offer the most lasting outcomes and never forget the fact that we are partners in this venture.” Dr. Spann believes that cosmetic surgery is more than a procedure—it’s a journey that deserves thoughtful, ongoing attention. His commitment to patient education ensures that every individual understands their options and feels confident in their decisions. ## Your Trusted Choice in Northwest Arkansas For nearly two decades, Dr. Spann has helped patients achieve their aesthetic goals through skillful surgery and compassionate care. His combination of extensive training, artistic vision, and commitment to natural-looking results has made him one of Arkansas’s most respected plastic surgeons. Now, with his Fayetteville location, patients throughout Northwest Arkansas can access this exceptional level of care close to home. **Ready to take the next step?** Contact Fayetteville Plastic Surgery today to schedule your consultation with Dr. Michael Spann and discover how his expertise can help you achieve your aesthetic goals. **📍 Fayetteville Plastic Surgery**[.block][]3733 N Business Dr, Fayetteville, AR 72703[.block][]**📞 (501) 219-8000** --- ## Body Procedures **Link:** [Body Procedures](https://spannmd.com/body/) ([md](https://spannmd.com/body/index.html.md)) **Description:** Body Procedures in Fayetteville at Spann MD help patients achieve a more sculpted, balanced figure through personalized surgical and non surgical body contouring options. Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area ### Content --- ## Breast Enhancement **Link:** [Breast Enhancement](https://spannmd.com/breast/) ([md](https://spannmd.com/breast/index.html.md)) **Description:** Breast Enhancement in Fayetteville at Spann MD offers personalized surgical options to enhance breast shape, size, and symmetry for natural, confidence-boosting results. Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area ### Content --- ## Schedule A Consultation **Link:** [Schedule A Consultation](https://spannmd.com/consultation/) ([md](https://spannmd.com/consultation/index.html.md)) **Description:** Meet with Dr. Michael Spann in Little Rock or Fayetteville. Start with a personalized, no-pressure consultation focused entirely on your goals. ### Content #### A First Step Toward Feeling Like You Again *Schedule a Consultation* Choosing plastic surgery is deeply personal and so is the way we approach your consultation. At Michael Spann, MD, we don’t believe in hard sells or one-size-fits-all plans. Instead, we begin with a relaxed, no-pressure conversation focused entirely on you: your goals, your lifestyle, and what feels right for where you are now. Whether you’re ready to schedule a procedure or simply gathering information, we’re here to guide you, one honest, collaborative step at a time. #### Schedule Your Visit #### What to Expect from Your Consultation From the moment you walk through our doors in Little Rock or Northwest Arkansas, your comfort and clarity come first. Dr. Spann will take time to understand your concerns, answer your questions, and offer his expert insight on what’s possible, always with a focus on natural-looking results and what makes sense for you. Together, we’ll discuss: - What you’d like to address - Personalized options tailored to your goals - The details of any recommended procedures - Recovery, downtime, and how to prepare This isn’t a rushed appointment or a sales pitch. It’s the beginning of a relationship built on trust, transparency, and thoughtful care. --- ## Contact Us **Link:** [Contact Us](https://spannmd.com/contact/) ([md](https://spannmd.com/contact/index.html.md)) **Description:** Reach out to Michael Spann, MD in Little Rock or Fayetteville. Schedule a personalized consultation and explore what's possible without pressure. ### Content #### Feel Seen, Heard, and Cared For *Let’s Start the Conversation* Whether you're just starting to explore your options, or you're ready to meet one-on-one, you're in the right place. At Michael Spann, MD, every conversation begins with listening. Excellent outcomes come from building trust, understanding your goals, and creating a plan that feels right to you. No pressure. No assumptions. Just thoughtful, expert care from the start. Let’s sit down and explore what’s possible at our welcoming clinics in Little Rock and Northwest Arkansas. #### Traveling from Out of Town? We regularly care for patients from across Arkansas and beyond. Our team can help you coordinate everything from nearby accommodations to your pre- and post-operative needs. Just let us know where you're coming from and we’ll walk you through the rest. --- ## Facial Procedures **Link:** [Facial Procedures](https://spannmd.com/face/) ([md](https://spannmd.com/face/index.html.md)) **Description:** Enhance your features with facial procedures in Fayetteville at Flawless Aesthetic Center. Achieve natural, youthful results through expert, personalized care. Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area ### Content --- ## Plastic Surgery for Men **Link:** [Plastic Surgery for Men](https://spannmd.com/male-plastic-surgery/) ([md](https://spannmd.com/male-plastic-surgery/index.html.md)) **Description:** Explore plastic surgery for men in Fayetteville at Flawless Aesthetic Center. Achieve a sculpted, confident look with tailored procedures designed for male aesthetics. Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area ### Content --- ## Notice To Patients Open Payments Database **Link:** [Notice To Patients Open Payments Database](https://spannmd.com/open-payment-database-notice/) ([md](https://spannmd.com/open-payment-database-notice/index.html.md)) **Description:** Open Payments Database ### Content For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public. You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: https://openpaymentsdata.cms.gov/ --- ## Patient Resources **Link:** [Patient Resources](https://spannmd.com/patient-resources/) ([md](https://spannmd.com/patient-resources/index.html.md)) **Description:** Explore financing options and travel support for out-of-town patients. Personalized guidance from Michael Spann, MD makes planning your care easier. ### Content #### Support, Clarity and Care Every Step of the Way *Patient Resources* Everything we do is designed to make your experience feel smooth, thoughtful, and supported—well before surgery ever begins. Whether you're considering financing or planning a visit from out of town, this page is here to provide you with clear, helpful guidance. Your journey starts well before the procedure. We’re here to help you feel prepared every step of the way. **Financing Your Procedure** Confidence shouldn’t come with barriers. If the timing isn’t quite right financially, we offer flexible options to help make your procedure more accessible—without pressure or surprises. We currently partner with the following medical lenders: **CareCredit®** A leading healthcare credit card offering short-term and extended payment plans with no upfront costs or prepayment penalties. **PatientFi®** A patient-friendly financing company offering personalized monthly plans with soft credit checks and fast approvals. Not sure which option fits best? Let’s talk through it. We’ll walk you through the details and help you make an informed decision—with no pressure and full transparency. *Have a question about pricing or payment options?* 📩 Email us at kristy@littlerockplasticsurgery.com or give us a call. **Traveling From Out of Town?** Many of our patients travel to see Dr. Spann from across Arkansas and beyond. Whether you’re coming in from Northwest Arkansas, Hot Springs, Texarkana, or out of state, we’re here to make your visit easy, efficient, and comfortable. Here’s how we support our out-of-town patients: - **Virtual Consultations** Start the process from wherever you are. We offer virtual consultations with Dr. Spann to review your goals and address any questions you may have before your travel. - **Flexible Scheduling** We work closely with traveling patients to coordinate consultations, surgery, and follow-up care around your availability. We’ll help condense your timeline without compromising safety or attention to detail. - **Nearby Accommodations** We can recommend trusted hotels and extended-stay options near our Little Rock and Fayetteville locations, some of which offer special rates for our patients. - **Recovery Support** Our team will help you prepare for a smooth, stress-free recovery with tailored guidance, clear aftercare instructions, and ongoing support. - **Local Airports & Travel Info** Little Rock and Northwest Arkansas are each served by regional airports and major highways, making travel simple from surrounding states. **Questions? Let’s Walk Through It Together** Planning surgery is a big step—but it doesn’t have to feel overwhelming. Whether you're down the street or across state lines, we're here to walk beside you with honest answers, thoughtful care, and a plan that fits your life. 📞 Little Rock: [(501) 219-8000](tel:501-219-8000) 📞 Fayetteville: [501-219-8000](tel:501-219-8000) 📩 [kristy@littlerockplasticsurgery.com](mailto:kristy@littlerockplasticsurgery.com) Let’s make this journey feel effortless from your first consult to full recovery. --- ## Pre & Post Op Care **Link:** [Pre & Post Op Care](https://spannmd.com/patient-resources/pre-post-op-care/) ([md](https://spannmd.com/patient-resources/pre-post-op-care/index.html.md)) **Description:** Explore comprehensive pre and post-op care with Michael Spann, MD. Get clear guidance, recovery tips, and personalized support to help you heal comfortably and confidently. --- ## Privacy Policy **Link:** [Privacy Policy](https://spannmd.com/privacy-policy/) ([md](https://spannmd.com/privacy-policy/index.html.md)) **Description:** This privacy policy has been compiled to better serve those who are concerned with how their "Personally Identifiable Information" (PII) is being used online. View Privacy Policy Here. ### Content This privacy policy has been compiled to better serve those who are concerned with how their ‘Personally Identifiable Information’ (PII) is being used online. PII, as described in US privacy law and information security, is information that can be used on its own or with other information to identify, contact, or locate a single person, or to identify an individual in context. Please read our privacy policy carefully to get a clear understanding of how we collect, use, protect or otherwise handle your Personally Identifiable Information in accordance with our website. **What personal information do we collect from the people that visit our blog, website or app?** When ordering or registering on our site, as appropriate, you may be asked to enter your name, email address, phone number or other details to help you with your experience. **When do we collect information?** We collect information from you when you fill out a form or enter information on our site. **How do we use your information?** We may use the information we collect from you when you request more information about a procedure in the following way: - To follow up with you after correspondence (email or phone inquiries) **How do we protect your information?** We do not use vulnerability scanning and/or scanning to PCI standards. We only provide articles and information. We never ask for credit card numbers. We use regular Malware Scanning. **SMS Marketing Policy** Note: This section applies specifically to SMS marketing and does not replace our general Privacy Policy. **Collection of Phone Numbers** We collect your phone number only when voluntarily provided, such as during transactions, inquiries, or when signing up for promotional messages. You can opt in during your initial interaction with our website, through a pop-up, or by checking an SMS consent box on a form. **Use of Phone Numbers for SMS** Your phone number may be used to send personalized services, updates, and promotional offers. These may include appointment reminders, service updates, and special discounts. Standard SMS carrier charges may apply. **Opting Out of Marketing Messages** You may opt out of receiving SMS marketing messages at any time by: - Texting STOP - Texting UNSUBSCRIBE Please allow up to 10 business days for the opt-out process to take effect. **Privacy of Phone Numbers** After opting out, your phone number will not be sold or transferred to third parties for marketing purposes. Limited sharing with subcontractors for support services (e.g., customer service) may occur. **Access to Promotions and Discounts** Opting into SMS is not required to access promotions or discounts, which may also be available directly on our website. **Changes to This Policy** We may update this policy periodically. Significant changes will be posted on our website. **Do we use 'cookies'?** Yes. Cookies are small files that a site or its service provider transfers to your computer’s hard drive through your Web browser (if you allow it) that enables the site’s or service provider’s systems to recognize your browser and capture and remember certain information. They are also used to help us understand your preferences based on previous or current site activity, which enables us to provide you with improved services. We also use cookies to help us compile aggregate data about site traffic and site interaction so that we can offer better site experiences and tools in the future. We may also use trusted third-party services that track this information on our behalf. You can choose to have your computer warn you each time a cookie is being sent, or you can choose to turn off all cookies. You do this through your browser settings. Since browser is a little different, look at your browser’s Help Menu to learn the correct way to modify your cookies. If you turn cookies off, some features will be disabled. It won’t affect the user’s experience that make your site experience more efficient and may not function properly. **Third-party disclosure** We do not sell, trade, or otherwise transfer to outside parties your Personally Identifiable Information unless we provide users with advance notice. This does not include website hosting partners and other parties who assist us in operating our website, conducting our business, or serving our users, so long as those parties agree to keep this information confidential. We may also release information when its release is appropriate to comply with the law, enforce our site policies, or protect ours or others’ rights, property or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses. **Third-party links** Occasionally, at our discretion, we may include or offer third-party products or services on our website. These third-party sites have separate and independent privacy policies. We therefore have no responsibility or liability for the content and activities of these linked sites. Nonetheless, we seek to protect the integrity of our site and welcome any feedback about these sites. **Google** Google’s advertising requirements can be summed up by Google’s Advertising Principles. They are put in place to provide a positive experience for users. [Google Ads policies.](https://support.google.com/adspolicy/answer/6008942?hl=en&visit_id=638319400653474249-1621812918&rd=1) We have not enabled Google AdSense on our site but we may do so in the future. **California Online Privacy Protection Act** CalOPPA is the first state law in the nation to require commercial websites and online services to post a privacy policy. The law’s reach stretches well beyond California to require any person or company in the United States (and conceivably the world) that operates websites collecting Personally Identifiable Information from California consumers to post a conspicuous privacy policy on its website stating exactly which information is being collected and those individuals or companies with whom it is being shared. Please see: [California Online Privacy Protection Act (CalOPPA)](https://consumercal.org/about-cfc/cfc-education-foundation/california-online-privacy-protection-act-caloppa-3/#sthash.0FdRbT51.dpuf) **According to CalOPPA, we agree to the following:** Users may visit our site anonymously. Once this privacy policy is created, we will add a link to it on our home page or as a minimum, on the first significant page after entering our website. Our Privacy Policy link includes the word ‘Privacy’ and can be easily be found on the page specified above. You will be notified of any Privacy Policy changes on our Privacy Policy Page. **How does our site handle Do Not Track signals?** We honor Do Not Track signals and Do Not Track, plant cookies, or use advertising when a Do Not Track (DNT) browser mechanism is in place. **Does our site allow third-party behavioral tracking?** It’s also important to note that we allow third-party behavioral tracking. **COPPA (Children Online Privacy Protection Act)** When it comes to the collection of personal information from children under the age of 13 years old, the Children’s Online Privacy Protection Act (COPPA) puts parents in control. The Federal Trade Commission, United States’ consumer protection agency, enforces the COPPA Rule, which spells out what operators of websites and online services must do to protect children’s privacy and safety online. We do not specifically market to children under the age of 13 years old. **Fair Information Practices** The Fair Information Practices Principles form the backbone of privacy law in the United States and the concepts they include have played a significant role in the development of data protection laws around the globe. Understanding the Fair Information Practice Principles and how they should be implemented is critical to comply with the various privacy laws that protect personal information. **In order to be in line with Fair Information Practices we will take the following responsive action, should a data breach occur:** We will notify you via email within 7 business days. We also agree to the Individual Redress Principle which requires that individuals have the right to legally pursue enforceable rights against data collectors and processors who fail to adhere to the law. 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It means that this information may be transferred to — and maintained on — computers located outside of Your state, province, country or other governmental jurisdiction where the data protection laws may differ than those from Your jurisdiction. Your consent to this Terms of Service followed by Your submission of such information represents Your agreement to that transfer. The Company will take all steps reasonably necessary to ensure that Your data is treated securely and in accordance with this Terms of Service and no transfer of Your Personal Data will take place to an organization or a country unless there are adequate controls in place including the security of Your data and other personal information. **Disclosure of Your Personal Data** **Business Transactions** If the Company is involved in a merger, acquisition or asset sale, Your Personal Data may be transferred. We will provide notice before Your Personal Data is transferred and becomes subject to a different Terms of Service. **Law enforcement** Under certain circumstances, the Company may be required to disclose Your Personal Data if required to do so by law or in response to valid requests by public authorities (e.g. a court or a government agency). **Other legal requirements** The Company may disclose Your Personal Data in the good faith belief that such action is necessary to: - Comply with a legal obligation - Protect and defend the rights or property of the Company - Prevent or investigate possible wrongdoing in connection with the Service - Protect the personal safety of Users of the Service or the public - Protect against legal liability **Security of Your Personal Data** The security of Your Personal Data is important to Us, but remember that no method of transmission over the Internet, or method of electronic storage is 100% secure. While We strive to use commercially acceptable means to protect Your Personal Data, We cannot guarantee its absolute security. **Children’s Privacy** Our Service does not address anyone under the age of 13. We do not knowingly collect personally identifiable information from anyone under the age of 13. If You are a parent or guardian and You are aware that Your child has provided Us with Personal Data, please contact Us. If We become aware that We have collected Personal Data from anyone under the age of 13 without verification of parental consent, We take steps to remove that information from Our servers. If We need to rely on consent as a legal basis for processing Your information and Your country requires consent from a parent, We may require Your parent’s consent before We collect and use that information. **Links to Other Websites** Our Service may contain links to other websites that are not operated by Us. If You click on a third party link, You will be directed to that third party’s site. We strongly advise You to review the Privacy Policy and Terms of Service of every site You visit. We have no control over and assume no responsibility for the content, privacy policies or practices of any third party sites or services. **Changes to this Terms of Service** We may update Our Terms of Service from time to time. We will notify You of any changes by posting the new Terms of Service on this page. We will let You know via email and/or a prominent notice on Our Service, prior to the change becoming effective and update the “Last updated” date at the top of this Terms of Service. You are advised to review this Terms of Service periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page. **Contact Us** If you have any questions about this Terms of Service, You can contact us: By visiting this page on our website: https://spannmd.com/ --- ## Testimonials **Link:** [Testimonials](https://spannmd.com/testimonials/) ([md](https://spannmd.com/testimonials/index.html.md)) **Description:** Hear real stories from patients who chose Michael Spann, MD, for natural results and compassionate care in Little Rock and Northwest Arkansas. ### Content #### “Best Plastic Surgeon in the Midwest” *Patient Testimonials* --- ## Will I Still Look Like Me? **Link:** [Will I Still Look Like Me?](https://spannmd.com/will-i-still-look-like-me-deep-plane-facelift-bentonville/) ([md](https://spannmd.com/will-i-still-look-like-me-deep-plane-facelift-bentonville/index.html.md)) **Description:** An Arkansas deep plane facelift plastic surgeon asks the question about his own face and explains how direction of lift, fat grafting, and skin quality keep you looking like you. The question we all ask before a facelift, answered by a surgeon about his own face ### Content # Will I Still Look Like Me? ### The question everyone asks before a facelift. Answered by a surgeon who asks it about his own face #### #### *By Michael Spann, M.D.* *Board-Certified Plastic Surgeon* The mirror above my scrub sink isn't kind. The light is fluorescent. The hour is usually late. In twenty years it has never once flattered me and I have come to trust it for that reason. Somewhere in those years the face looking back began to change. The jawline is softer than it was in my family pictures. My cheeks have started the slow downward slide I point out to patients every day. I know precisely what I am looking at. I could pick up a pen and draw on my own face from memory. And still, when I imagine myself on my own operating table someday, the question that surfaces is not a surgeon's question. It is everyone's question. Would I still look like me after a facelilft? I tell you that because it's shaping everything about how I practice. When a woman sits across from me and finally asks it (and most do; usually last and usually quietly) she is asking the thing I ask myself. I am not on the far side of this. I am in it with her. So years ago I set one rule that governs every facelift I perform. I will not do anything to your face that I would not accept on my own. ## ## Short answer A deep plane facelift, done properly, does not change who you look like. It changes how old you look. That pulled, windswept, obviously done face that everyone fears is not what a facelift looks like. It is what a shortcut looks like. It happens when skin is stretched to do work that belongs to the deeper layers of the face. When those layers are released and returned to where they sat twenty years ago, in the right direction and at the right angle, the skin simply settles back over a face it already knows. You do not look different. You look like your own photographs. The rest of this is why I can say that and mean it, including about myself. ## ## What is really happening to your face Two decades of operating on faces leaves you with some convictions. One is that aging is not mainly a skin problem. It is a position problem. Beneath the skin lies the SMAS, the sheet of muscle and fascia that moves when you smile. Beneath that, and woven through it, are the fat compartments that once sat high and full on the cheekbone. Fine ligaments anchor all of it to bone, and over the years those ligaments give. Your face does not wrinkle its way into age so much as it slides into it. This is why a skin-only facelift fails you. It treats the surface and ignores the structure. Pull skin hard enough to hide what has fallen and you draw lines of tension that nature never intended. The cheek flattens. The corners of the mouth travel toward the ears. People can tell, because in a very real sense it is a new face. Same foundation, rearranged surface. That result fails my scrub sink test in about a second. I would not accept it on me, so I do not do it to you. ## ## What makes the deep plane different The deep plane approach reverses the logic and twenty years in it still strikes me. (I enjoy going to Instagram and seeing other surgeons finally catch on to what I've done my entire career. ) We work beneath the SMAS. We release the ligaments that are holding everything in the wrong place, lift the entire layer of muscle and fat as a single piece, and return it to where it came from. Not up for the sake of up. Back. Back along the same path it descended, at the angle your face held in your wedding album. When the direction is right, your face does not acquire a new expression. It recovers an old one. The skin follows with no tension on it at all, which is also why these incisions heal so discreetly. No one is redesigning you. We are returning you. Getting that direction right cannot be ordered off a menu. It is judgment. The release must be complete enough that the tissue moves freely and careful enough to respect the branches of the facial nerve that live millimeters away. The correct angle differs from face to face, and sometimes from one side of the same face to the other. That is not learned at a weekend course. I learned it the long way. Extensive craniofacial and reconstructive procedures of more than a thousand reconstructive operations, rebuilding faces after trauma and cancer, taught me which millimeters make a person recognizable to the people who love them. Then I trained one on one with Tim Marten in San Francisco. In Dallas, I stood behind Sam Hamra and Fritz Barton in their operating rooms and watched the surgeons who wrote the deep plane playbook. What stayed with me was not showmanship. It was restraint. The finest results I have ever seen were the ones no one could spot. Twenty years of practice have done the rest. Experience is not a marketing word to me. It is pattern recognition. Thousands of faces have taught me where this particular face wants to go. ## Fat grafting, or returning the light Position is only half of what time does to a face. The other half is deflation, and I see it in my own mirror as clearly as in anyone's. A young face holds light in a particular way. The cheek is a single unbroken curve. The lower lid flows into the cheek without a step. The temples are full. Time drains all of that, and no lift on earth fills it back. That is the work of fat grafting. We take a small amount of your own fat, refine it, and place it in tiny amounts precisely where your face has spent it. I think of it as returning the light. A few cc's in the right places of the midface often do more to make someone look like herself again than any other single step in the operation, because volume is where familiarity lives. Done with a light hand, no one will ever be able to name what changed. Your daughter will just say you look happy. ## The surface The third layer is the skin itself. Texture, tone, quality. A lift returns things to position. Fat restores what was lost. Neither does anything for sun damage, fine etched lines, or the crepe that settles around the eyes and mouth. For that we use energy. Laser resurfacing for texture. Radiofrequency microneedling to thicken and firm the skin. Ultrasound tightening for the right candidate. To be direct, because there is a great deal of noise on this point. Energy devices are finishing tools. They are not facelifts. No wand returns fallen structure to where it belongs, and I will say so to your face even when it is not what you hoped to hear. But alongside surgery, skin work is what makes a result whole. A beautifully lifted face wearing weathered skin looks unfinished. Luminous skin over a face that has dropped looks confused. You look like you when structure, volume, and skin all tell the same story. ## ## Final answer So, would I still look like me? The answer I would take for my own face, which makes it the only one I am willing to give you. Yes, if the operation respects all three layers of how you aged. Structure, returned along its own path beneath the SMAS. Volume, restored with your own fat where time withdrew it. Skin, refined with energy where it serves. Correct one layer and stretch it to cover the other two and you get a stranger. Correct all three in proportion and you get the version of yourself that matches how you feel when you are not looking in a mirror. That is the whole philosophy. I hold to it because I am subject to it. ## Why Northwest Arkansas Those searching for a deep plane facelift surgeon in Bentonville or across Northwest Arkansas ask me this. Lately so do people flying in from far larger cities. The honest answer is that Arkansas is where I would want this done myself. My home base is an AAAASF accredited surgery center, and I keep dedicated surgical days at an accredited facility in Bentonville. Same protocols, same anesthesia approach, same follow-up. Patients in Northwest Arkansas never have to drive to Little Rock. Patients from out of town land at XNA and are at the facility within minutes. And the Ozarks turn out to be a nearly perfect place to disappear and heal. Quiet. Private. Green in summer, gold in autumn. No one in a hurry. Patients from bigger markets tell me the privacy alone justifies the flight. No one is photographing anyone outside a surgery center in Bentonville, and that is precisely the point. A facelift done well is not a single day. It is a turning point, with careful preparation before it and thoughtful attention long after. A place that lets you slow down for it is not a compromise. It is part of the operation. **** ## Frequently asked questions **Does a deep plane facelift look more natural than a traditional facelift?** In experienced hands, yes. The deep plane technique returns the underlying muscle and fat layer along its natural path instead of tightening skin over it. That avoids the stretched look of skin-only lifts and lasts longer. **Will people be able to tell I had a facelift?** The goal is that people notice you look rested, not that they can name a procedure. The right direction of lift, a skin closure with no tension, and a light hand with volume are what keep a result invisible. **Is fat grafting always part of a facelift?** Not always, but often. Most aging faces have lost volume as well as position. When deflation is part of your pattern, fat grafting is usually the difference between lifted and restored. **Can lasers or radiofrequency replace a facelift?** No. Energy treatments improve skin quality and are valuable partners to surgery, but they cannot return fallen deep structure to position. Be skeptical of any device promising facelift results without surgery. **Do you perform facelifts in Bentonville, Arkansas?** Yes. I hold dedicated surgical days at an accredited surgery center in Bentonville serving Northwest Arkansas, alongside my AAAASF accredited base in Little Rock. Out of town patients usually fly into XNA. *Dr. Michael Spann is a double board-certified plastic and reconstructive surgeon with twenty years of practice. He trained one on one with facelift pioneers Dr. Timothy Marten, Foad Nahai, Sam Hamra and Fritz Barton and completed more than 1,000 facial procedures. He has locations in Little Rock and Bentonville/Northwest Arkansas. * *Call 501-219-8000 or visit spannmd.com.* # --- ## Facelift **Link:** [Facelift](https://spannmd.com/face/facelift/) ([md](https://spannmd.com/face/facelift/index.html.md)) **Type:** Service **Description:** Rejuvenate your appearance with a Facelift in Fayetteville by Michael Spann, MD. Lift sagging skin, refine facial contours, and achieve natural, youthful results. ### Content #### Rejuvenate Your Confidence *Facelift at Michael Spann, MD* The face often reflects signs of aging before we feel them within. Skin begins to lose elasticity, deeper tissues shift, and facial contours soften in ways that can make you appear tired or less vibrant than you feel inside. **Facelift surgery** is a refined cosmetic procedure that lifts and reshapes the underlying facial tissue, yielding results that appear refreshed and natural. Dr. Spann is one of Arkansas’ top cosmetic surgeons, with decades of experience and advanced training in deep plane facelifts, midface lifts, and S-lift techniques. His meticulous approach and deep understanding of facial anatomy have earned him a reputation for natural, transformative results. [Reserve Your Private Consultation](/consultation/) #### Understanding the Modern Facelift *What Is a Facelift?* A facelift, or rhytidectomy, is a **facial surgical procedure that targets visible signs of aging in the mid face and neck**. It addresses issues like sagging skin, jowls, and deep nasolabial folds by lifting the superficial musculoaponeurotic system (SMAS) and repositioning facial fat and tissue for a more structured, youthful appearance. While traditional facelift techniques primarily tightened the skin, producing a more pulled and less natural appearance, a modern facelift considers the impact that underlying tissues have on facial aging. Dr. Spann's sophisticated facelift techniques include SMAS and deep plane facelifts to restore youthful definition and structure. The result is a more rested, lifted version of yourself without sacrificing the expressions that make you uniquely you. #### Precision Techniques for Vibrant Results *What Is the Facelift Procedure Like?* After a thorough consultation and facial evaluation, Dr. Spann will design a customized plan based on your goals and anatomy. Facelift surgery is performed under general anesthesia in our AAAASF-accredited surgical facility. Incisions are discreetly placed near the ears and along the hairline, and sometimes beneath the chin, depending on whether a neck lift is also included. Using the SMAS or deep plane technique, **Fayetteville Facelift surgeon**, Dr. Spann lifts and repositions the facial muscles, connective tissue, and facial fat, creating smooth, natural contours. By performing a tension-free skin closure, the risk of visible scarring is reduced and results tend to last longer. Patients return home the same day with a detailed recovery plan in place. #### Turn Back Visible Signs of Aging *What Conditions Does a Facelift Address?* A *surgical facelift* is ideal for addressing a range of concerns related to facial aging: - Jowling and loose skin along the jawline - Deep creases between the nose and mouth - Laxity in the cheeks and midface - Double chin and sagging neck skin - Descended soft tissue and excess fat under the chin **A facelift focuses on signs of aging** in the mid and lower face. To enhance their results, many patients choose to combine their facelift with a [neck lift](/face/neck-lift/), [eyelid lift](/face/blepharoplasty/), facial [fat transfer](/body/fat-transfer/), or [brow lift](/face/brow-lift/) procedures. Dr. Spann will help you develop a surgical plan tailored to your goals. #### Subtle Shifts That Make a Big Impact *What Are the Benefits of a Facelift?* **Facelift surgery provides natural-looking**, structural rejuvenation that aligns your outer appearance with how youthful you feel inside. By lifting underlying tissues, not just reducing excess skin, this procedure delivers elegant, long-term improvements. Patients often report looking rested and confident while still feeling like themselves. The emotional impact of feeling proud and at ease in your skin is often just as meaningful as the physical transformation. #### Designed Around Your Anatomy and Goals *Am I a Candidate for a Facelift?* If you are experiencing signs of aging that exceed the capabilities of non-surgical treatments, you may be a suitable **candidate for Facelift surgery**. - Candidates for plastic surgery should - be in good health - refrain from smoking - have a clear understanding of the surgical process, recovery requirements, and expected results. Most **Fayetteville Facelift **patients are adults in their 40s to 70s who are seeing lax skin, deep creases, or volume descent in the face and neck. Dr. Spann will evaluate your medical history, facial structure, and any previous treatments to confirm your candidacy. If necessary, he may recommend alternative procedures, such as a [neck lift](/face/neck-lift/), [eyelid surgery](/face/blepharoplasty/), [brow lift,](/face/brow-lift/) and facial [fat transfer](/body/fat-transfer/), based on your anatomy and goals. [It’s Time for Transformation](/consultation/) #### Support For Every Phase *Facelift Recovery* **Facelift surgery recovery **typically involves bruising and swelling that improve over the first 10–14 days. Most people return to light activities within two weeks, though full healing, including full resolution of swelling and any temporary changes in skin sensation, may take several months. Our comprehensive recovery support surpasses what is offered at many plastic surgery practices, with modalities like anti-inflammatory medication, nerve blocks, and lymphatic massage to reduce discomfort and promote good healing. It's important to follow Dr. Spann's aftercare guidelines, which may include elevating the head, avoiding blood thinners, and wearing recommended compression garments to ensure the smoothest possible recovery experience. Dr. Spann will carefully monitor your healing at post-operative visits and remain fully available to offer extra support between appointments. #### Timeless Energy and Elegance *Facelift Results* Initial improvements typically appear once swelling decreases, within a few weeks, with the final **facelift results** becoming more defined over several months. You can expect: - a more sculpted jawline. - lifted cheeks. - smoother skin that reflects a more rested, vibrant version of yourself. Many **Fayetteville Facelift** patients find that their outer appearance finally matches their internal sense of energy and confidence. The emotional impact of feeling at ease in photos or enjoying social events without distraction often becomes one of the most rewarding aspects of the transformation. Thanks to advanced techniques like the [deep plane facelift](/face/deep-plane-facelift/) and tension-free closure, results are not only natural but long-lasting, and can remain vibrant for a decade or more. #### Redefining Aesthetic Excellence *Why Choose Michael Spann, MD for Facelift Surgery?* Board-certified plastic surgeon Dr. Michael Spann performs personalized facelift procedures at our boutique plastic surgery practice locations in Little Rock and Fayetteville. His approach focuses on restoring naturally youthful contours to the face while preserving your unique expression and character. Whether you’re looking for subtle rejuvenation or a more comprehensive **Facelift** Fayetteville plastic surgeon, Dr. Spann creates a personalized surgical plan centered on your unique features and goals. [Meet With Dr. Spann](/consultation/) #### Facelift *Frequently Asked Questions* --- ## Labiaplasty **Link:** [Labiaplasty](https://spannmd.com/body/labiaplasty/) ([md](https://spannmd.com/body/labiaplasty/index.html.md)) **Type:** Service **Description:** Enhance comfort and confidence with labiaplasty in Fayetteville by Michael Spann, MD — offering safe, precise, and natural-looking aesthetic surgical results. ### Content #### Redefining Comfort & Confidence *Labiaplasty at Michael Spann, MD* Many women experience discomfort, whether physical or emotional, due to changes in their intimate anatomy. This can stem from childbirth, aging, or simply genetics. **Labiaplasty** is a straightforward yet highly personalized procedure to improve feminine wellness. It reshapes the labia minora to relieve irritation, improve symmetry, and help you feel more comfortable in your own skin. Double board-certified plastic surgeon Michael Spann, MD, offers expert labiaplasty care in a supportive, respectful environment where your goals and comfort come first. We invite you to schedule a private consultation at our Little Rock or Fayetteville practice to explore if this subtle yet empowering procedure is right for you. [Discover What’s Right for You](/consultation/) #### Feel at Ease in Your Body *What Is Labiaplasty?* **Labiaplasty is a surgical procedure that reduces or reshapes the labia minora**, the inner lips of the vulva, to improve both comfort and appearance. For some women, enlarged or asymmetrical labia may cause pain during exercise or intimacy, leading to difficulty with certain clothing. Others simply feel out of alignment with how they want to experience their body. Whether the concern stems from childbirth, aging, or natural development, **labiaplasty can provide long-lasting relief** with results that feel subtle and natural. #### Support You Can Trust *What Is the Labiaplasty Procedure Like?* Labiaplasty is typically performed as an outpatient procedure under local anesthesia with oral sedation, though general anesthesia is available if needed for comfort. Dr. Spann uses meticulous technique to remove small amounts of tissue and shape the labia minora to reduce excess length or asymmetry. The goal is always a smooth, natural contour that respects your anatomy and maintains normal function. Most procedures take about an hour. Following a** labiaplasty** Fayetteville patients may return home the same day with personalized aftercare instructions to ensure comfort and support gentle, effective healing. #### Designed Around Your Needs *What Conditions Does Labiaplasty Address?* Labiaplasty is often performed to address physical discomfort such as irritation, rubbing, or pulling during exercise, biking, or intercourse. Others seek the procedure for aesthetic reasons, including asymmetry or changes in the labia following pregnancy, delivery, or hormonal shifts. Whatever your reasons for seeking **labiaplasty **Fayetteville plastic surgeon, Dr. Spann can help you understand your options and the results that can be achieved. #### Subtle Enhancements for Lasting Relief *What Are the Benefits of Labiaplasty?* **Fayetteville Labiaplasty** patients often describe feeling more at ease in workout clothes, swimsuits, and intimate situations. The physical relief, including less chafing, irritation, or pulling, is often matched by a quiet but meaningful boost in self-confidence. Best of all, results are long-lasting and typically leave minimal visible scarring, especially when performed with careful suturing and appropriate aftercare. If you're looking for a subtle change that can have a big impact on your daily comfort, labiaplasty may be worth exploring. #### For Women Seeking Thoughtful Care *Am I a Candidate for Labiaplasty?* You may be **a good candidate for labiaplasty** if you experience discomfort from enlarged or uneven labial tissue, or if you'd prefer a more streamlined appearance. Ideal candidates are non-smokers, in good general health, and have realistic expectations about the outcome. It’s also important to be finished with childbearing or understand that future vaginal deliveries could impact your results. During your consultation, Dr. Spann will review your medical history, goals, and anatomy with care and professionalism. [Reserve Your Private Consultation](/consultation/) #### Healing With Support Every Step of the Way *Labiaplasty Recovery* Most women are surprised by how manageable the recovery period is after labiaplasty. **Fayetteville Labiaplasty** patients can typically return to light activities within 3–5 days, with full healing expected over the next 4–6 weeks. Mild swelling, bruising, and sensitivity are common initially, but pain is usually minimal and easily managed with anti-inflammatory medications. You'll need to avoid tampon use and intercourse for about six weeks to allow tissues to heal fully. Our team provides clear instructions and ongoing support throughout your recovery. #### Confidence You Can Feel *Labiaplasty Results* As swelling fades and the incisions heal, you'll notice a more streamlined, proportionate appearance. Final results typically take shape over a few months and can significantly improve both comfort and confidence. Whether you're dressing for the gym, a vacation, or just going about your day,* labiaplasty can help you feel more free in your body*. #### Where Expertise Meets Compassion *Why Choose Michael Spann, MD for Labiaplasty?* Dr. Spann brings 20 years of surgical experience to every labiaplasty, along with the discretion, technical skill, and compassion this procedure deserves. As a double board-certified plastic surgeon, he focuses on **achieving natural-looking labiaplasty results** with minimal downtime and an emphasis on patient trust. In our boutique aesthetic practice, you'll never feel rushed or judged, just heard, respected, and supported every step of the way. [Step Into Confidence](/consultation/) #### Labiaplasty *Frequently Asked Questions* --- ## Fat Transfer **Link:** [Fat Transfer](https://spannmd.com/body/fat-transfer/) ([md](https://spannmd.com/body/fat-transfer/index.html.md)) **Type:** Service **Description:** Enhance your curves with fat transfer in Fayetteville. Dr. Michael Spann offers precise fat grafting to add natural volume and sculpt smoother, more balanced contours. ### Content #### Naturally Refined Contours *Fat Transfer at Michael Spann, MD* Some patients want a little more softness where time or genetics left less. Others are looking to enhance their contours without implants or repeated filler appointments. **Fat transfer offers a long-lasting way to restore volume** and subtly refine your shape using your body’s own tissue. Dr. Spann approaches each fat transfer with a deep respect for balance and proportion, helping you feel more at home in your skin, not changed by it. If you’ve been considering a natural approach to[ **facial**,](/face/facelift/) [**breast**,](/breast/breast-lift/) or [**body**](/body/) enhancement, we invite you to explore the possibilities in a relaxed consultation with Dr. Spann in Little Rock or Northwest Arkansas. [Let’s Talk About Your Goals](/consultation/) #### A Softer Approach to Lasting Enhancement *What Is Fat Transfer?* Fat transfer, also known as **fat grafting**, is a surgical procedure in which fat is harvested from one area of the body, typically the abdomen, flanks, or thighs, processed for purity, and then injected into areas that need more volume or shaping. Common treatment areas include the face (to fill hollows or soften wrinkles), the breasts (to enhance size or correct asymmetry), and the body, such as the hips or buttocks. This approach is ideal for patients seeking a more natural, implant-free method of enhancement. Since the fat comes from your own body, it feels soft and integrates smoothly with your existing tissue. #### Sculpt With Your Own Tissues *What Is the Fat Transfer Procedure Like?* Fat transfer is typically performed as an outpatient procedure under either local or general anesthesia, depending on the areas being treated. The first step involves gentle [liposuction](/body/liposuction/) to remove fat from donor areas. This fat is then purified using a careful process to ensure only the healthiest cells are reintroduced. **Fayetteville Fat Transfer** provider, Dr. Spann then meticulously reinjects the fat into the desired area using fine cannulas, sculpting smooth, natural contours that complement your overall appearance. Dr. Spann has extensive expertise in both liposuction and facial/body aesthetics. Each fat transfer is planned with balance, proportion, and long-term results in mind. #### Face, Breasts, and Body *What Areas Can Fat Transfer Treat?* **Fat transfer is designed for natural-looking volume enhancement** or restoration in key areas of the face, breasts, and body. Dr. Spann tailors each procedure to match your anatomy and goals, helping you achieve refined, harmonious contours in areas that may have lost fullness due to aging, weight changes, or genetics. #### Embrace Softer Contours *What Are the Benefits of Fat Transfer?* Patients choose **fat transfer for its natural look and feel**, reduced risk of rejection, and the added bonus of body contouring through liposuction in donor areas. It’s a beautiful option for those who want to enhance their appearance without foreign materials. **Fat Transfer results** are soft, subtle, and tend to age gracefully with the rest of your body. And because fat transfer uses your own tissue, there’s no need for ongoing filler appointments or implant maintenance. #### Thoughtfully Designed for You *Am I a Candidate for Fat Transfer?* You may be **a good candidate for fat transfer** if you're in generally good health, have realistic expectations, and have enough fat in donor areas to achieve your goals. Fat transfer is not intended for dramatic augmentation but rather subtle shaping and refinement. It’s important to be at or near your goal weight, as weight fluctuations can affect your final outcome. During your consultation for **Fat Transfer** Fayetteville Plastic Surgeon, Dr. Spann will assess your anatomy, discuss your goals, and help determine if this procedure best supports the result you’re looking for. [Begin Your Transformation](/consultation/) #### Support for a Gentle Recovery *Fat Transfer Recovery* During **recovery from fat transfer**, swelling and bruising are common in both the donor and injection areas and typically improve within 1 to 2 weeks. Most patients return to non-strenuous daily activities in about 7 to 10 days, with more vigorous movement and exercise gradually reintroduced over 3 to 4 weeks. While some of the transferred fat may naturally be reabsorbed by the body in the first few months, the final volume settles over time, typically within 3 to 6 months, revealing a smoother, more refined contour. Dr. Spann and our team stay closely involved throughout the healing process to ensure a smooth recovery and good results. #### Seeing Your New Form Take Shape *Fat Transfer Results* **Results from fat transfer** typically begin to stabilize within a few weeks, with final results visible around 3 to 6 months after the procedure. When maintained with a healthy lifestyle and stable weight, results can last for years, making this an excellent long-term solution for volume loss. Whether it’s a fuller cheek, a softer jawline, or more harmonious body contours, you can expect results that feel authentic and beautifully tailored to you. #### A Patient-First Philosophy *Why Choose Michael Spann, MD, for Fat Transfer?* With over two decades of surgical experience and a boutique, patient-centered philosophy, Dr. Spann approaches fat transfer with meticulous planning, natural artistry, and a deep respect for your individual goals. As a board-certified plastic surgeon, he combines technical expertise with thoughtful design, helping patients **achieve fat grafting results that feel effortless and timeless**. Here, you’ll be guided with care toward what feels right for your body and your life. Schedule your consultation today to discuss your goals and learn about your options for personalized care. [Meet With Dr. Spann](/consultation/) #### Fat Transfer *Frequently Asked Questions* --- ## Liposuction with Abdominoplasty **Link:** [Liposuction with Abdominoplasty](https://spannmd.com/body/liposuction-tummy-tuck/) ([md](https://spannmd.com/body/liposuction-tummy-tuck/index.html.md)) **Type:** Service **Description:** Transform your body with Dr. Spann's advanced lipoabdominoplasty in Fayetteville. Experience superior results with his expertise today! ### Content *Advanced Body Contouring with Thousands of Successful Procedures* Dr. Michael Spann brings unparalleled expertise to Northwest Arkansas with thousands of tummy tucks and contouring procedures over nearly two decades. Our Fayetteville practice specializes in this advanced technique that combines the benefits of traditional tummy tuck surgery with comprehensive 360-degree liposuction for superior body contouring results. [Meet With Dr. Spann](/consultation/) #### What is Lipoabdominoplasty? Lipoabdominoplasty represents the evolution of traditional abdominoplasty, combining muscle repair and excess skin removal with strategic fat removal throughout the torso. This comprehensive approach addresses multiple concerns in a single procedure: #### Dr. Spann’s Advanced Technique *Thousands of Procedures, Proven Results* With thousands of successful lipoabdominoplasty procedures, Dr. Spann has refined his technique to deliver consistently exceptional outcomes. His comprehensive approach includes: #### Why Choose Fayetteville for Lipoabdominoplasty? *Exceptional Expertise in Northwest Arkansas* #### Comprehensive Assessment: Are You a Candidate? *Ideal Candidates for Lipoabdominoplasty* *When Alternative Procedures May Be Better* #### The Fayetteville Lipoabdominoplasty Experience *Comprehensive Consultation Process* During your consultation at our Fayetteville office, Dr. Spann will: *Advanced Surgical Technique* #### Recovery Excellence: Your Journey to Results *Dr. Spann’s Enhanced Recovery Protocol* *Northwest Arkansas Recovery Considerations* #### Combining Procedures for Complete Transformation *Complementary Procedures* #### Mommy Makeover Integration Lipoabdominoplasty serves as the cornerstone of mommy makeover procedures, addressing: #### Patient Success Stories from Northwest Arkansas *“After three children, I thought I’d never have my body back. Dr. Spann’s lipoabdominoplasty gave me better results than I ever imagined possible. The 360 liposuction created curves I never had before, and my belly button looks completely natural. I’m so grateful I found this level of expertise right here in Fayetteville.”* — Jennifer R., Fayetteville *“Dr. Spann’s thousands of procedures really show in the results. My recovery was smoother than expected, and the attention to detail is incredible. The combination of muscle repair and comprehensive liposuction created the transformation I was hoping for.”* — Michelle S., Bentonville **Patient Satisfaction Metrics:** - **Results Satisfaction:** 99% - **Would Choose Dr. Spann Again:** 99% - **Recommend to Friends/Family:** 98% - **Met Expectations:** 96% - **Recovery Experience:** 94% rated excellent #### Investment in Your Transformation *Understanding the Value* Lipoabdominoplasty represents a significant investment in your confidence and quality of life. Factors affecting investment include: *Flexible Financing Options* **Financial Solutions Available:** - **Customized payment plans:** Tailored to your budget and needs - **Medical financing:** Competitive rates and flexible terms - **Insurance considerations:** Evaluation of potential coverage for functional components - **Detailed consultation:** Transparent pricing and financial planning #### Serving Northwest Arkansas Communities *Comprehensive Regional Coverage* #### Frequently Asked Questions #### Your Safety is Our Highest Priority *Dr. Spann’s Credentials* #### Begin Your Transformation Journey *Schedule Your Consultation Today* The decision to undergo lipoabdominoplasty is significant, and Dr. Spann is committed to ensuring you have all the information needed to make the best choice for your goals and lifestyle. **Consultation Benefits:** - **Comprehensive evaluation:** Detailed assessment of your candidacy - **Personalized planning:** Customized surgical approach for your anatomy - **Realistic expectations:** Clear understanding of results and timeline - **Question opportunities:** Thorough discussion of all concerns - **Financial planning:** Complete investment information and options **Take the First Step:** Don’t let concerns about your abdominal area continue to affect your confidence and quality of life. Dr. Spann’s thousands of successful lipoabdominoplasty procedures demonstrate his commitment to exceptional results and patient satisfaction. **Ready to Transform Your Life?** Contact our Fayetteville office today to schedule your consultation and discover how lipoabdominoplasty can help you achieve the body you’ve always wanted. *Dr. Michael Spann combines thousands of procedures worth of experience with artistic vision and advanced surgical techniques to deliver life-changing lipoabdominoplasty results right here in Northwest Arkansas.* --- ## Gynecomastia Surgery **Link:** [Gynecomastia Surgery](https://spannmd.com/male-plastic-surgery/gynecomastia-surgery/) ([md](https://spannmd.com/male-plastic-surgery/gynecomastia-surgery/index.html.md)) **Type:** Service **Description:** Michael Spann, MD offers expert gynecomastia surgery in Fayetteville to create a flatter, firmer, more masculine chest with safe, precise surgical techniques. ### Content #### Feel Comfortable in Your Own Skin *Male Breast Reduction at Michael Spann, MD* Excess breast tissue in men, a condition known as gynecomastia, can be physically uncomfortable and emotionally distressing. It may persist despite weight loss and healthy habits, often due to genetics, hormone fluctuations, or the side effects of certain medications. At our Little Rock practice, Dr. Michael Spann offers **Gynecomastia Surgery** or **male breast reduction surgery** designed to *restore a flatter, firmer chest contour with natural-looking results*. We provide personalized, discreet care in a supportive environment where your comfort is always prioritized. [Reserve Your Private Consultation](/consultation/) #### Restore Balance to Your Physique *What Is Gynecomastia Surgery?* Gynecomastia surgery, also known as male breast reduction, is **a surgical procedure that removes excess breast tissue, fat, and sometimes skin from the male chest**. Depending on the severity of the condition, the procedure may involve direct excision of glandular tissue, liposuction to remove fatty deposits, or both. The goal is to *create a firmer, flatter chest contour*** **that feels more in line with your body and self-image. #### Designed With Discretion and Precision *What Is the Gynecomastia Procedure Like?* The procedure is typically performed under general anesthesia and takes one to two hours. For many patients, Dr. Spann uses [liposuction](/body/liposuction/) alone through small, discreet incisions. When glandular tissue is dense or excess skin is present, he may make a small incision around the areola to directly remove the tissue. The incisions are closed with absorbable sutures, and a compression garment is applied to minimize swelling and support the chest during healing. #### Addressing Both Physical and Emotional Discomfort *What Conditions Does Gynecomastia Surgery Address?* **Gynecomastia surgery** is intended to treat: - Excess breast tissue in men due to hormone imbalance or genetics - Fatty chest deposits that do not respond to diet and exercise - Asymmetrical chest appearance caused by uneven tissue development - Skin laxity or sagging in the chest area following weight loss #### A Positive Impact on Self-Image *What Are the Benefits of Gynecomastia Surgery?* Many men choose **gynecomastia surgery to restore a more traditionally masculine chest shape**. Beyond physical results, the procedure often brings increased confidence, emotional relief, and greater ease in clothing and social situations. Dr. Spann designs every surgery around the individual, prioritizing subtle, natural-looking results. #### An Understanding Environment *Am I a Candidate for Gynecomastia Surgery?* You may be a **candidate for ****Gynecomastia Surgery** if you are a healthy non-smoker with persistent male breast tissue that has not responded to weight loss or other lifestyle changes. It is important that any underlying hormonal or medical conditions are stable or have been ruled out. Dr. Spann will evaluate your history and anatomy to ensure the procedure is safe and suited to your goals. [Begin Your Transformation ](/consultation/) #### Recover With Comfort and Confidence *Gynecomastia Surgery Recovery* Following **Gynecomastia Surgery** Fayetteville patients typically return to desk work or light activities within about 3 to 7 days. Swelling, bruising, and mild discomfort are normal and typically managed with over-the-counter or prescription pain relief. A compression garment should be worn for several weeks to support healing and optimize your final result. Strenuous activity and chest exercises are restricted for about 4 to 6 weeks. Dr. Spann will provide detailed aftercare guidelines and check your healing at post-operative visits. #### A Result That Reflects You *Gynecomastia Surgery Results* Initial **Gynecomastia Surgery ****results **are visible within days, though swelling may obscure the final contour for a few weeks. As healing progresses, the chest appears flatter, firmer, and more proportionate. Most patients report long-lasting improvements in self-esteem and body confidence. Maintaining a stable weight and healthy lifestyle will help preserve your outcome over time. #### Personalized Care From a Trusted Surgeon *Why Choose Dr. Spann for Gynecomastia Surgery?* Dr. Spann offers a respectful, highly individualized approach to gynecomastia surgery. With years of experience in aesthetic and reconstructive plastic surgery, he focuses on creating **natural-looking results with minimal scarring and downtime**. Our boutique practice in Little Rock and Fayetteville offers privacy, compassion, and expertise to help you feel fully supported through every step of your journey. [Meet With Dr. Spann](/consultation/) #### Gynecomastia Surgery *Frequently Asked Questions* --- ## Liposuction **Link:** [Liposuction](https://spannmd.com/body/liposuction/) ([md](https://spannmd.com/body/liposuction/index.html.md)) **Type:** Service **Description:** Refine your shape with liposuction in Fayetteville. Dr. Michael Spann offers advanced liposuction surgery to remove stubborn fat and create smoother, more sculpted contours. ### Content #### Confidence Defined *Liposuction at Michael Spann, MD* Even with consistent diet and exercise, some areas of excess fat just won’t budge. If you're noticing stubborn fatty tissue in areas like your abdomen, flanks, or upper arms, or simply want to achieve better definition, liposuction surgery can help bring your body into better balance. At Michael Spann, MD, we specialize in body contouring procedures that deliver natural-looking results through precise, patient-specific planning. Dr. Spann offers both **traditional liposuction** and **high-definition (HD) liposuction**, tailoring each treatment to suit your unique anatomy and goals. Our boutique plastic surgery practice is rooted in personalized care, ensuring you feel listened to, supported, and confident every step of the way. [Get Your Custom Plan](/consultation/) #### Find Your Perfect Fit *What Is Liposuction?* Liposuction is a surgical procedure that removes excess fat from targeted areas of the body to create smoother, more refined contours. At Michael Spann, MD, we offer two primary approaches: traditional liposuction and high-definition (HD) liposuction. Both are designed to reshape your silhouette, but each serves a different purpose depending on your goals and anatomy. **Traditional liposuction** focuses on reducing localized fat deposits for a more balanced appearance. This method is ideal for patients who want to slim common areas of concern like the abdomen, flanks, or thighs, where fatty tissue has not responded to diet and exercise. **High-definition liposuction (HD lipo)** is a specialized form of body contouring that goes beyond simply removing excess fat. It’s about sculpting the underlying shape of your body to enhance natural muscle definition. Using advanced techniques like power-assisted liposuction (PAL), Dr. Spann can precisely target fat cells around structures like the abdominal muscles, flanks, or chest to create a more athletic, refined appearance. This approach is ideal for patients who are already at a healthy weight but want more visible tone in areas that don't respond to diet and exercise alone. HD lipo requires expert planning and a deep understanding of anatomy, which is why Dr. Spann customizes every procedure to your unique body and goals, delivering results that look sharp, balanced, and completely natural. Both approaches remove fat cells permanently and are carefully customized to complement your body. #### A Powerful Combination *Liposuction + Renuvion* For patients with both **stubborn fat and loose skin**, Dr. Spann often recommends pairing liposuction with **Renuvion skin tightening**. Renuvion utilizes a unique combination of helium plasma and radiofrequency energy to contract tissues beneath the skin, resulting in smoother, firmer contours without the need for large incisions. Michael Spann, MD, is **the only practice in Arkansas offering Renuvion with the advanced Apyx One technology**—the most cutting-edge platform available for precision and safety. This technology enables Dr. Spann to target multiple treatment areas in a single session, combining liposuction with sculpting, to help patients achieve both sculpted and smooth results. **Popular Liposuction + Renuvion Combinations:** - Abdomen + waistline for a tighter, defined core - Arms + bra rolls for sleeker upper-body contours - Thighs + buttocks for firmer, balanced proportions - Neck + jawline for a sharper profile By combining **fat removal with skin tightening**, patients often avoid the need for larger excisional surgeries, especially in cases of mild to moderate laxity. #### Designed Around Your Goals *What Is the Liposuction Procedure Like?* Your journey begins with a comprehensive consultation, where Dr. Spann reviews your goals, medical history, and anatomy to recommend the most effective technique, whether that's traditional liposuction or high definition body sculpting. Liposuction is performed as an outpatient procedure in an accredited surgery center. Depending on the scope of the treatment, the liposuction procedure may be performed using local anesthesia with sedation or general anesthesia. Small incisions are made near the targeted areas, and a suction device is used to carefully remove fat deposits while protecting surrounding blood vessels and tissues. **Fayetteville Liposuction surgeon**, Dr. Spann uses a gentle, detail-oriented technique to preserve a smooth, natural appearance with minimal trauma to the skin and underlying structures. #### Refinement That Stays True to You *Areas That Can Be Treated With Liposuction* Liposuction can address fatty bulges and excess body fat in areas such as: - Abdomen and flanks - Lower and upper arms - Inner and outer thighs - Back and bra rolls - Chin and jawline - Chest (enlarged male breast tissue) - Hips, knees, and calves These areas can also be treated with HD liposuction for added contour and muscle definition. Each procedure is designed to provide balanced, harmonious contouring that enhances your body's natural shape. #### Why Patients Choose Liposuction *What Are the Benefits of Liposuction?* Whether you're looking to fine-tune your silhouette or highlight natural muscle tone, liposuction offers several **Liposuction ****benefits**: - Removes fat cells that tend to resist diet and exercise - Enhances your natural shape with subtle, artful body contouring - Improves confidence in clothing and daily movement - Long-term results with a stable weight #### It Starts With a Conversation *Am I a Candidate for Liposuction?* The **best candidates for liposuction surgery** are in generally good health, at a stable weight, and seeking to treat specific areas of excess fat. Liposuction is not a weight loss procedure. Rather, it offers a precision approach to body contouring, helping remove fat in areas that often resist diet and exercise. Ideal candidates have good skin elasticity, which helps the skin contract smoothly after fat removal. If excess skin is a concern, especially after major weight loss, Dr. Spann may recommend pairing liposuction with other procedures like a [tummy tuck](/body/tummy-tuck/) or [body lift](/body/body-lift/) to address excess fat and skin in one surgery. At your **Liposuction consultation** with Dr. Spann, you'll have the opportunity to discuss your goals, learn about your options, and have all of your questions answered. Our goal is to provide you with the knowledge you need to make confident decisions about next steps. [Let’s Talk About Your Goals](/consultation/) #### Recover With Confidence *Liposuction Recovery* **Liposuction ****Recovery** time after liposuction depends on the extent of the procedure. Most patients return to light activity within a few days. You’ll wear a compression garment for up to six weeks to reduce swelling and help your skin adapt to its new contours. Dr. Spann and his team use a strategic, multimodal approach to managing discomfort, including anti-inflammatory medications and lymphatic massage. As with all aesthetic plastic surgery, we’ll also guide you in preventing complications like fat embolism or fluid buildup while closely monitoring your progress for the best possible outcome. #### When the Mirror Matches How You Feel *Liposuction Results* **Results from liposuction** begin to appear as swelling decreases, with final outcomes typically visible within three to six months. Once fat cells are removed, they do not regenerate. However, gaining weight can affect the surrounding subcutaneous tissue, so maintaining a healthy lifestyle is key. Whether your goal is a more refined waistline or sharper definition in the chest or arms, liposuction results at Michael Spann, MD, are designed to feel both visible and natural. #### A Surgeon Who Listens *Why Choose Michael Spann, MD, for Liposuction?* With nearly two decades of experience and a reputation for precision, Dr. Spann is known for providing thoughtful, tailored plastic surgery designed around each patient's goals. As a board-certified plastic surgeon, he focuses on delivering results that enhance your natural form, using advanced liposuction techniques for safety and efficacy. You’ll never be rushed into treatment. Every consultation is a genuine conversation to explore what makes sense for you, guided by experience, artistry, and a commitment to your goals. [Begin Your Transformation](/consultation/) #### Liposuction *Frequently Asked Questions* --- ## Motiva Preservé **Link:** [Motiva Preservé](https://spannmd.com/breast/breast-augmentation/motiva-preservé/) ([md](https://spannmd.com/breast/breast-augmentation/motiva-preservé/index.html.md)) **Type:** Service **Description:** Discover Motiva Preservé in Fayetteville with Michael Spann, MD. This advanced breast augmentation approach prioritizes tissue preservation and natural results. ### Content **Motiva Preservé **represents a fundamental shift in [breast augmentation](/breast/breast-augmentation/) philosophy. Rather than cutting through the breast tissue and pectoral muscle — as traditional augmentation requires — Preservé uses proprietary instruments to gently separate and preserve the breast's native support structures.The result: your implants are placed in a precisely formed pocket that respects your anatomy. Your breast tissue, chest muscle, and nerve pathways remain intact. This means less pain, less bruising, faster recovery, and a dramatically lower risk of the complications that have long concerned both patients and surgeons. Preservé is paired exclusively with Motiva SmoothSilk Ergonomix implants — the only implants engineered to adapt their shape to your body's natural movement, appearing round when lying down and teardrop-shaped when standing. #### How the Motiva Preservé Technique Works #### Why Choose Motiva Preservé? *Every element of the Preservé system was designed to deliver results that look, feel, and move like natural breast tissue — with less disruption to your body.* #### Preservé vs. Traditional Breast Augmentation #### Your Motiva Preservé-Certified Surgeon: Dr. Michael Spann *Dr. Spann is among the first plastic surgeons in Arkansas trained and authorized to perform the Motiva Preservé technique. With offices in both Little Rock and Fayetteville, he brings this next-generation procedure directly to Northwest Arkansas — no need to travel to Dallas, Tulsa, or Kansas City.* - Double board certified in both General Surgery (American Board of Surgery) and Plastic Surgery (American Board of Plastic Surgery) - Preservé-certified — completed specialized training required by Motiva for the Preservé technique - Repeatedly recognized as a Top Plastic and Cosmetic Surgeon in Arkansas - Founder and director of Little Rock Plastic Surgery, with offices in Little Rock and Fayetteville - Extensive experience with **Motiva implants** and subfascial breast augmentation *"It is important that we, the patient and I, develop a plan that best fits that person's natural figure, expectations, lifestyle, and budget. I believe in fundamental procedures that offer the most lasting outcomes and never forget the fact that we are partners in this venture."* — **Dr. Michael Spann, MD** [Learn More About Dr. Spann](/about/meet-dr-spann/) #### Is Motiva Preservé Right for You? *Motiva Preservé was designed for patients who want beautiful enhancement while respecting their body's natural anatomy.* You may be an **excellent Motiva Preservé candidate** if you: - Are considering your first breast augmentation and want the most advanced, tissue-preserving option available - Lead an active lifestyle and want to avoid muscle disruption and animation deformity - Prioritize natural-looking, natural-feeling results over dramatic size change - Want the fastest possible recovery with the least pain and downtime - Value preserving nipple sensation - Are interested in a "mini augmentation" or natural, athletic breast appearance - Are a healthcare professional, fitness professional, or anyone who can't afford extended time away from work - Want the smallest possible incision and minimal scarring - Care about long-term implant stability — results that last without shifting or "bottoming out" - Are at least 22 years old and in good general health [Find Out if You're a Candidate - Schedule a Consultation](/consultation/) #### Motiva Preservé Frequently Asked Questions #### Ready to Learn More About Preservé? Meet with Dr. Spann at our Fayetteville office to discuss your goals, evaluate your candidacy for Preservé, and develop a personalized surgical plan — all in a comfortable, confidential setting. [Request a Consultation](/consultation/) --- ## Facial Contouring for Men **Link:** [Facial Contouring for Men](https://spannmd.com/male-plastic-surgery/male-facial-contouring/) ([md](https://spannmd.com/male-plastic-surgery/male-facial-contouring/index.html.md)) **Type:** Service **Description:** Enhance masculine facial definition with customized contouring for men in Fayetteville by Michael Spann, MD. Achieve balanced, natural-looking, confident results. ### Content #### Define Your Features *Facial Contouring for Men at Michael Spann, MD* Facial structure plays a key role in how masculinity is perceived. A defined jawline, strong chin, and balanced cheek structure can convey strength, confidence, and harmony. But not every man is born with the features he desires, and age or weight changes can further soften those contours. Dr. Michael Spann offers both surgical and **non-surgical facial contouring options** to help you achieve your ideal appearance. Whether you want subtle refinement or a more dramatic transformation, every treatment is tailored to your facial structure, lifestyle, and personal goals. [Begin Your Transformation](/consultation/) #### Comprehensive Options to Fit Your Goals *What Is Male Facial Contouring?* **Surgical Facial Contouring** - [**Facelift**](/face/facelift/) to restore sculpted contours - **Facial liposuction** to remove stubborn fat deposits - [**Blepharoplasty**](/face/blepharoplasty/) to smooth away sagging eyelids or under-eye bags - [**Brow lift**](/face/brow-lift/) to rejuvenate the forehead - [**Rhinoplasty**](/face/rhinoplasty/) to enhance facial balance **Non-Surgical Facial Contouring** - **Dermal fillers** to enhance cheekbones or strengthen the jawline - **Neuromodulators** to reduce the masseter muscle and slim the lower face **Male facial contouring includes both surgical and non-surgical techniques** used to enhance facial structure. These procedures can address lack of definition in the jawline or chin, excess volume in the cheeks or lower face, or facial asymmetry. Surgical options may involve implants, bone contouring, or fat reduction. Non-surgical options often include dermal fillers, neuromodulators, and fat-dissolving injections to create sharper angles and balanced proportions. Dr. Spann will guide you through your options and recommend a plan that aligns with your anatomy, preferences, and recovery goals. [.block] [] #### Refinement Without Overcorrection *What Conditions Can Facial Contouring Address?* - Weak or recessed chin - Undefined or narrow jawline - Excess facial fat (especially in the cheeks and jaw) - Asymmetry between facial features - Softening of facial angles due to aging or weight changes - Submental fullness (double chin) #### Subtle Enhancements That Feel Like You *What Are the Benefits of Facial Contouring?* Facial contouring can significantly enhance your appearance without making you look like someone else. Whether through precise surgery or non-invasive options, these treatments bring balance and definition to the face while maintaining your unique character. Most **Fayetteville Facial Contouring for Men **patients report feeling more confident in social, professional, and photographed settings. #### Your Goals, Your Call *Am I a Candidate for Facial Contouring?* **Ideal ****Facial Contouring for Men ****candidates** are healthy men who are seeking improvements in facial structure and are at or near their goal weight. Non-surgical options may be appropriate for those with mild concerns or those not ready for surgery. During your consultation, Dr. Spann will assess your anatomy and goals, and walk you through all available options to ensure the plan is right for you. [Let’s Talk About Your Goals](/consultation/) #### Clear Guidance for a Smooth Recovery *Facial Contouring Recovery* **Facial Contouring for Men r****ecovery** depends on the procedures chosen. Non-surgical treatments usually require little to no downtime. Surgical recovery may include bruising, swelling, and tenderness for the first few weeks, with most patients returning to daily activities within 7–10 days. Dr. Spann and his team will provide detailed aftercare instructions and are always available to support your healing process. #### Results That Reflect Who You Are *Facial Contouring for Men Results* **Facial Contouring for Men r****esults** vary by technique but typically become visible within days to weeks. Fillers and fat-dissolving injections can provide subtle improvement with little disruption to your routine. Surgical results, like implants or fat removal, deliver long-term structure and balance. Patients often share that their results feel natural and true to their identity, just more defined. #### Precision in Every Detail *Why Choose Dr. Spann for Male Facial Contouring?* Dr. Spann is known for his meticulous approach to facial anatomy and ability to enhance masculine features without overcorrection. Whether your treatment plan includes surgery, injectables, or both, his goal is to create a strong, *natural-looking result that fits your goals and lifestyle*. At our Little Rock practice, you can expect respectful, attentive care in a discreet and supportive environment. [Reserve Your Private Consultation](/consultation/) #### Facial Contouring for Men *Frequently Asked Questions* --- ## Arm lift **Link:** [Arm lift](https://spannmd.com/body/arm-lift/) ([md](https://spannmd.com/body/arm-lift/index.html.md)) **Type:** Service **Description:** Tighten and reshape your upper arms with an arm lift in Fayetteville, AR. Natural-looking results, personalized care, and confidence-focused recovery. ### Content #### Confidence, Redefined *Arm Lift Surgery in Fayetteville at Michael Spann, MD* If you constantly hide your upper arms in sleeves, avoid photos, or feel that your arms simply don't match how strong or youthful you feel, an arm lift can help bring your reflection back in line with your self-image. At Michael Spann, MD in Fayetteville **arm lift surgery** (**brachioplasty**) is designed to smooth and tighten the upper arms while still looking like 'you', just more confident and comfortable. Whether loose skin is the result of weight loss, aging, or genetics, no amount of diet or workouts can fully address stretched tissue. Dr. Spann uses precise, customized techniques, from limited-incision lifts to full brachioplasty, often combined with [liposuction](/body/liposuction/), to refine your arm contour in a way that suits your frame and goals. Our practice focuses on body-positive, individualized care, so you feel supported and empowered at every step. #### Arm Lift (Brachioplasty) *Smoother, more toned-looking upper arms* An arm lift, or brachioplasty, is a surgical procedure that removes extra skin and some fat from the upper arms to create a firmer, more defined contour. It is especially helpful if you have loose, hanging skin after major weight loss, or age-related sagging that does not improve with exercise. By tightening the tissues and removing excess skin, an arm lift can reduce the 'bat wing' look and help your arms better match the rest of your body. An arm lift is not a weight-loss surgery and it will not replace a healthy lifestyle. Instead, it is a body-contouring procedure designed to refine the shape of your upper arms once your weight is stable. While it can be combined with liposuction to address stubborn fat, the main goal is to remove loose skin and improve arm shape, not to change the number on the scale. [Get Your Custom Plan](/consultation/) #### Which Arm Lift Approach Is Right For You? *Personalized Arm Contouring in Fayetteville, AR* Arm lift surgery (brachioplasty) is not one-size-fits-all. At Michael Spann, MD in Fayetteville, AR, your procedure is tailored to your unique concerns, skin quality, and goals. Our approach focuses on choosing the least invasive technique that can still deliver the **tighter, smoother arm contour** you want, whether your main issue is stubborn fat, loose skin, or both. Liposuction alone can serve if you have good skin elasticity but extra fat on the upper arms, using tiny incisions hidden in natural creases to slim and refine your arm without removing skin. A** Standard arm lift** is recommended for more significant laxity, with an incision running along the inner arm from the armpit toward the elbow to remove excess skin and reshape the full length of the upper arm for a more dramatic transformation. An** Extended arm lift** may be the right fit if extra skin continues from the upper arm onto the side of the chest or torso, using a longer incision that extends onto the chest wall to smooth the entire upper arm and lateral chest for a more continuous, contoured result. During your **arm lift consultation**, Dr. Spann will carefully evaluate your skin, fat distribution, and overall health to recommend the most ideal option that still meets your goals, helping you achieve lasting, natural-looking arm definition with scars that typically fade over time. #### Designed Around Your Goals *How We Personalize Your Arm Lift Plan* Every arm lift at our Fayetteville practice is customized to you. During your consultation, your surgeon evaluates your skin quality, fat distribution, muscle tone, and how you feel about potential scars to recommend the right incision pattern and whether to add liposuction for finer contouring. Your plan also reflects your lifestyle. If you love sleeveless tops, you may choose a tighter contour even if it means a longer scar, while others may prefer a shorter incision with a more conservative change. We also consider your activity level, work demands, and caregiving responsibilities to design an **arm lift recovery** that fits real life. - Incision length and placement - Use of liposuction - Anesthesia options - Recovery timing - Scar-care strategy #### Arm Lift Cost, Financing, and Planning in Fayetteville *What to Expect When Investing in Brachioplasty* Arm lift surgery in Fayetteville is a highly personalized procedure, so pricing can vary within a typical cosmetic surgery range rather than a single set fee. Your total investment depends on how much skin needs to be removed, whether a limited-incision (mini) arm lift or a full brachioplasty is recommended, and if liposuction is added for more sculpted definition. Patients who have experienced significant weight loss or have more pronounced 'bat wing' skin may require a more extensive procedure, which can increase cost but also deliver more dramatic, long-lasting improvement. Beyond the surgical technique itself, several factors influence your final quote: the surgeon's fee, anesthesia services, and accredited surgical facility fees are all part of your comprehensive pricing. Combining an arm lift with other procedures, such as a breast lift or body contouring after weight loss, can also affect the overall cost and timing of your treatment plan. During your consultation, your surgeon will evaluate your anatomy, discuss your goals, and design a customized approach so you receive a clear, personalized price breakdown before you schedule surgery. #### A Surgeon Who Listens *Why Choose Michael Spann, MD, for Arm Lift Surgery?* Board-certified plastic surgeon Michael Spann, MD, has spent nearly two decades helping Fayetteville patients refine their contours with arm lift surgery and post-weight-loss body shaping. Known for natural-looking results, he combines **advanced brachioplasty techniques** with meticulous scar planning to balance improvement and discretion. In every consultation, Dr. Spann listens closely to what you want — and what you don't — explaining scar trade-offs honestly and never rushing decisions. His longstanding ties to the community and local hospital affiliations underscore a simple truth: choosing the right surgeon matters as much as choosing the procedure. [Begin Your Transformation](/consultation/) #### Why Patients Choose Arm Lift *Arm Lift vs. Liposuction: Which Is Right for You?* An **arm lift targets loose, hanging upper arm skin** that liposuction alone cannot tighten. Liposuction removes excess fat, but patients with crepey skin, especially after major weight loss, usually need brachioplasty to see a true contour change. Those with firm skin and isolated fat may do well with liposuction alone. - Main goal: Arm lift tightens and reshapes skin; liposuction reduces fat volume. - Ideal candidate: Arm lift for lax or hanging skin; liposuction for good skin elasticity with localized fat. - Incision/scar level: Arm lift uses longer inner-arm incisions; liposuction uses small, discreet entry points. - Typical recovery: Arm lift involves 1–2 weeks of downtime; liposuction recovery is often shorter and less restrictive. Many **Fayetteville arm lift** patients benefit from a blend of both procedures, best determined after an in-person evaluation and personalized treatment plan. #### It Starts With a Conversation *What to Expect at Your Arm Lift Consultation* Considering an arm lift in Fayetteville, AR? It truly starts with a conversation. During your private consultation, Dr. Spann will begin by listening carefully to what bothers you most about your upper arms, from loose skin to changes after weight loss or aging. You’ll talk through your goals, lifestyle, and what kind of results would feel right for you. Next, your medical history is reviewed, and your arms are gently examined. Dr. Spann may take measurements or photos to better understand your anatomy and to plan potential treatment. Using visuals and before-and-after examples, he’ll walk you through different arm lift options — from limited-incision (mini) lifts to full brachioplasty, sometimes combined with liposuction for added definition. You’re encouraged to ask anything on your mind: scars, downtime, comfort, and how long results can last. You’ll leave with a clear, personalized plan — not an obligation to schedule surgery. It starts with a conversation: **request your arm lift consultation by calling our Fayetteville office or submitting our online form today**. [Let’s Talk About Your Goals](/consultation/) #### Recover With Confidence *Arm Lift Recovery* **Arm lift recovery** in Fayetteville typically unfolds in stages so you can plan life with confidence. During the first 24–72 hours, your arms will be wrapped, elevated, and supported in compression garments; expect tightness, swelling, and temporary numbness that are managed with prescribed medications and careful positioning. In the first week, most patients limit lifting and overhead reaching while focusing on gentle movement and incision care. By weeks 2–4, swelling improves, many return to desk work and driving, and light exercise often resumes, with more strenuous workouts added gradually as Dr. Spann clears you. Beyond the first month, compression garments are usually worn less, scars begin to soften, and your new arm contour becomes more visible as swelling continues to fade. You'll have scheduled follow-up visits so Dr. Spann can monitor healing, adjust activity guidelines, and address any lingering numbness or tightness. Most **Fayetteville brachioplasty** patients feel increasingly comfortable planning travel, family events, and social activities during this phase, while still protecting their results by avoiding heavy lifting and following all incision and scar-care instructions for long-term improvement. - Arrange help at home for the first several days so you can avoid lifting children, pets, or heavy items. - Prepare loose, front-zip or button-front clothing that doesn't require raising your arms overhead. - Wear your compression garments exactly as directed and keep arms elevated when resting to reduce swelling. - Follow all incision-care instructions, attend every follow-up visit, and avoid smoking or vaping to support healing. - Ask Dr. Spann when it's safe to resume driving, desk work, and progressive exercise based on your unique recovery. #### When the Mirror Matches How You Feel *Life After an Arm Lift* When the mirror finally reflects how confident you feel inside, everyday moments start to change. After an arm lift, many people in Fayetteville find themselves reaching for sleeveless dresses, fitted tops, and gym tanks without that familiar tug of self-consciousness. Weddings, beach vacations, and summer events feel easier when you're not thinking about your arms in every photo. Surgery doesn't change who you are, but it can let your hard work and inner confidence show on the outside. #### Arm Lift *Frequently Asked Questions* --- ## Neck Lift **Link:** [Neck Lift](https://spannmd.com/face/neck-lift/) ([md](https://spannmd.com/face/neck-lift/index.html.md)) **Type:** Service **Description:** Enhance your profile with a Neck Lift in Fayetteville by Dr. Michael Spann, MD. Restore definition, tighten loose skin, and achieve a smoother, more youthful neckline. ### Content #### Refine Your Profile *Neck Lift at Michael Spann, MD* The neck often reveals signs of aging earlier than other areas. Sagging skin, muscle banding, and fullness beneath the chin can create an aged appearance that doesn't reflect your energy. A **neck lift** is a surgical procedure that **addresses visible signs of aging** by tightening the underlying tissues, sculpting away fat, and reducing excess skin for better tone and firmness. At Michael Spann, MD, we offer neck lift surgery as a standalone procedure or combined with additional procedures like a [facelift](/face/facelift/) or neck [liposuction](/body/liposuction/). Dr. Spann customizes every neck lift procedure to refine your natural anatomy and help you feel confident from every angle. If you're frustrated by a "turkey neck," double chin, or lax skin, we invite you to schedule a consultation with Dr. Spann to learn more about your options. [Let’s Plan Your Personalized Treatment](/consultation/) #### Addressing Aging at Its Source *What Is a Neck Lift?* A **neck lift (lower rhytidectomy)** is a cosmetic surgical procedure that **addresses sagging neck skin, visible muscle banding, and excess fat deposits around the jawline**. Unlike nonsurgical neck lift treatments, which only provide temporary skin tightening, a surgical neck lift repositions deeper layers of muscle and tissue for long-lasting rejuvenation. This procedure may involve tightening the platysma muscle, removing excess fat cells, and reducing sagging skin to restore a smoother and more sculpted neck contour. Dr. Spann frequently recommends neck lift surgery to patients who want to eliminate a double chin, restore a more defined jawline, or improve the overall appearance of an aging neck. #### A Personalized Surgical Experience *What Is the Neck Lift Procedure Like?* A neck lift is an outpatient procedure that is typically performed in 1-3 hours. After the administration of general anesthesia, Dr. Spann begins by making small incisions behind the ears and, when needed, beneath the chin. These incision sites allow access to the platysma muscle and deeper tissues. During a **neck lift** Fayetteville plastic surgeon, Dr. Spann lifts and repositions the neck's soft tissues, removes excess fat using neck liposuction when appropriate, and trims away loose or sagging skin. Depending on your goals, a neck lift may be performed alone or as part of a comprehensive facial plastic surgery plan that includes other techniques like a [facelift](/face/facelift/), [brow lift](/face/brow-lift/), or [eyelid surgery](/face/blepharoplasty/). #### Where Aging Shows Up Early *What Conditions Does a Neck Lift Treat?* A neck lift treats multiple concerns related to the lower face and neck area, including: - *Sagging neck skin and vertical banding from platysma muscle laxity* - *Excess fat under the chin and along the jawline, contributing to a double chin* - *Loose skin and muscle laxity from aging or weight loss* - *Jowls or poorly defined contours along the lower face* - *"Turkey neck" or prominent skin folds beneath the chin* #### Confident From Every Angle *What Are the Benefits of a Neck Lift?* **A neck lift can dramatically improve the appearance of the neck and jawline** by addressing sagging skin, excess fat, and underlying muscle laxity. This cosmetic procedure creates a firmer, smoother neckline and helps restore a more youthful appearance in a subtle, natural-looking way. By refining the neck's appearance, patients often find that their profile looks more elegant and their self-image improves. Because **a neck lift treats the structural causes of aging**, results last longer and age more gracefully compared to nonsurgical options. #### Explore Your Options *Am I a Candidate for a Neck Lift?* Ideal candidates for a neck lift are in generally good health, do not smoke, and are bothered by visible signs of aging in the neck, such as sagging skin, muscle banding, or excess fat. During your **neck lift consultation**, Dr. Spann will review your medical history, assess your skin quality, and help determine whether you're better suited for a full neck lift, a combination approach, or a less invasive option. [Discover What’s Right for You](/consultation/) #### The Path to a Smooth Recovery *Neck Lift Recovery* Following **neck lift surgery** Fayetteville patients may experience moderate swelling and bruising that gradually resolves within the first two weeks. Keeping your head elevated, avoiding sun exposure, and wearing a surgical support garment can promote a smoother recovery process. Patients typically return to light activity within 7 to 10 days, though complete recovery may take several weeks. With advanced options like post-operative lymphatic massage, our team offers attentive care throughout your entire recovery. #### Smooth, Toned, and Elegant *Neck Lift Results* Once swelling has subsided, patients can enjoy **a more defined jawline, smoother skin, and a younger-looking neck contour**. The improvements from a neck lift are subtle yet transformative, often helping patients look years younger without an "operated on" appearance. Because Dr. Spann's neck lift technique corrects deeper layers and underlying tissues, the results tend to be long-lasting. With proper skincare, good sun protection, and healthy lifestyle habits, most patients enjoy their results for 10 years or longer. #### A Tailored Approach to Facial Balance *Why Choose Michael Spann, MD, for Neck Lift Surgery?* Dr. Michael Spann is a board-certified plastic surgeon with years of experience in cosmetic and reconstructive surgery of the face and neck. He approaches each neck lift procedure with meticulous attention to anatomical detail, aiming to deliver **neck lift results that appear natural**, balanced, and refined. Our practice is known for combining advanced facial plastic surgery techniques with personalized care and long-term aesthetic planning. Dr. Spann collaborates closely with patients to create individualized treatment plans that align with their goals, facial anatomy, and lifestyle. [Step Into Confidence](/consultation/) #### Neck Lift *Frequently Asked Questions* --- ## Tummy Tuck **Link:** [Tummy Tuck](https://spannmd.com/body/tummy-tuck/) ([md](https://spannmd.com/body/tummy-tuck/index.html.md)) **Type:** Service **Description:** Flatten and sculpt your midsection with a Tummy Tuck in Fayetteville by Michael Spann, MD. Repair stretched muscles, remove excess skin, and restore a toned, confident figure. ### Content #### A Smoother Shape. A Stronger You. *Tummy Tuck at Michael Spann, MD* Even with a dedicated diet and exercise, some body changes simply won’t reverse on their own. After pregnancy, [significant weight loss,](/body/massive-weight-loss-surgery/) or bariatric surgery, many people are left with stretched abdominal muscles, loose skin, or stubborn fat deposits around the midsection. A **tummy tuck (abdominoplasty)** is designed to restore strength and contour to the core. This procedure removes excess skin and fat, repairs separated abdominal muscles, and creates a smoother, flatter abdomen. With over two decades of experience, **double board-certified plastic surgeon Dr. Michael Spann** tailors every tummy tuck to your individual needs—whether as a single procedure or part of a larger transformation. [Reserve Your Private Consultation](/consultation/) #### Confidence Begins at the Core *What Is a Tummy Tuck?* A tummy tuck, or **abdominoplasty**, is a surgical procedure that reshapes the abdominal area by removing excess skin, tightening the ab muscles, and eliminating stubborn fatty tissue. It’s often chosen by patients who’ve experienced changes from pregnancy, past weight gain, or the natural aging process and want to regain a more toned midsection. Depending on your needs, Dr. Spann may recommend a mini tummy tuck, a complete abdominoplasty, or an extended tummy tuck. Each option is customized to address the areas you’re most concerned about, whether that’s the lower abdomen, upper abdomen, or both. **Mini tummy tuck** – A mini tummy tuck targets only the lower abdomen below the belly button and is ideal for removing a small amount of loose skin or tightening minor muscle separation. **Full tummy tuck** – A full tummy tuck addresses the entire abdominal area, removing excess skin and repairing separated muscles both above and below the belly button. **Extended tummy tuck** – An extended tummy tuck removes loose skin and fat from the abdomen, flanks, and lower back, offering more comprehensive contouring for patients with significant skin laxity. Specialized techniques include high lateral tension abdominoplasty for the most natural-looking results. #### Combination Procedure Packages Many **Fayetteville Tummy Tuck** patients benefit from pairing a tummy tuck with other procedures for more complete results: - [**Mommy Makeover**](/body/mommy-makeover/)** ** – breast lift + tummy tuck, often combined with **360 liposuction** for full-body contouring - **Tummy Tuck + **[**Liposuction**](/body/liposuction/) – removes excess skin while sculpting surrounding areas for a refined silhouette - **Tummy Tuck + **[**Breast Enhancement** ](/breast/breast-augmentation/)– includes breast lift or augmentation for full rejuvenation after pregnancy or weight loss #### Thoughtful Planning. Expert Techniques. *What Is the Tummy Tuck Procedure Like?* Your experience begins with a **tummy tuck consultation**, where Dr. Spann will learn about your goals and review your medical history. He'll work with you to determine the best tummy tuck approach, whether that’s mini abdominoplasty, full abdominoplasty, or extended abdominoplasty. He will educate you fully about your options to help you make informed decisions about your care. **Tummy tuck surgery** is an outpatient procedure performed with general anesthesia. The incision site is typically below the bikini line and just above the pubic hair line. Through this incision, Dr. Spann removes excess fat and skin, tightens muscles of the abdominal wall, and repositions the belly button if needed. [Liposuction](/body/liposuction/) may also be used to remove excess fat. Dr. Spann is known for his proven surgical techniques and recovery protocols that prioritize your safety, comfort, and the best possible outcome. #### Post-Bariatric Body Contouring For patients who have undergone bariatric surgery or[ significant weight loss](/body/massive-weight-loss-surgery/), **Fayetteville Tummy Tuck surgeon**, Dr. Spann also specializes in extended contouring options to address loose skin across multiple areas of the body. Procedures may include: - [**Facelift**](/face/facelift/)** and **[**Neck Lift **](/face/neck-lift/) - [**Breast Lift**](/breast/breast-lift/)** ** - **Upper or Lower Body ** - [**Liposuction **](/body/liposuction/) - **Renuvion Skin Tightening ** These surgeries can be performed alone or in stages, depending on your goals and overall health, to help you complete your transformation. #### Refine What’s Already There *What Conditions Does a Tummy Tuck Address?* A tummy tuck can significantly improve both cosmetic and functional concerns, including: - Loose remaining skin after weight loss or pregnancy - Weakened or separated abdominal muscles (diastasis recti) - Stubborn fat pockets in the lower abdomen or flanks - Poor skin tone and lack of contour in the abdominal region - Discomfort caused by folds of extra skin or connective tissue strain - Visible stretching or sagging around the belly button **A tummy tuck is a great option** for patients who have done the hard work to lose weight and now want to complete their transformation in a safe, thoughtful way. #### Results That Support Your Lifestyle *What Are the Benefits of a Tummy Tuck?* The true benefit of tummy tuck surgery isn’t just in how you look. It’s in how you feel. Many **Fayetteville Tummy Tuck** patients find a renewed sense of strength, ease, and confidence in their daily movement. **Tummy Tuck benefits** include: - A smoother, tighter midsection with less extra fat or loose skin - Repair of abdominal muscles and improved core strength - Greater comfort in fitted clothing and swimwear - Reduction in hygiene issues or skin irritation from excess skin - More confidence in physical activities and personal appearance #### Knowing When You’re Ready *Am I a Candidate for Tummy Tuck Surgery?* You may be a **good candidate for a tummy tuck** if you’re in generally good health, have a stable weight, and are not planning on future pregnancies. Ideal patients have realistic goals, a positive outlook, and are ready to make this decision for themselves. We’ll carefully review your medical history, including any previous surgeries or risk factors for poor wound healing. If you smoke or take certain medications or herbal supplements, you may need to adjust your routine in the weeks leading up to surgery. [Meet With Dr. Spann](/consultation/) #### A Recovery Plan Built for You *Tummy Tuck Recovery* Most **Fayetteville Tummy Tuck **patients take 1–2 weeks off work, depending on their lifestyle and the extent of their tummy tuck surgery. We’ll provide detailed aftercare instructions, including how to care for your incision site, manage drainage tubes, and wear your compression garments to support healing. Dr. Spann uses advanced anesthesia techniques, pain medicine, and anti-inflammatory support to ease discomfort. The healing process includes lymphatic massage and early movement to prevent blood clots and support circulation. Our goal is to help you feel confident, supported, and comfortable throughout your entire recovery. #### Flat, Firm, and Sculpted *Tummy Tuck Results* Following a **Tummy Tuck** Fayetteville patients typically notice improvements in their abdominal contour almost immediately, with results refining as swelling subsides. Over the following months, swelling subsides, scars fade, and your new shape becomes even more defined. The tummy tuck scar is placed low, where it is easily concealed. We will advise you on scar management techniques to help the incision line blend well with the surrounding skin. Most **tummy tuck results last for years**, especially with a healthy lifestyle and stable weight. You’ll enjoy a stronger core, a more defined silhouette, and enhanced ease of movement. Many patients see a significant improvement in their confidence and quality of life following their **tummy tuck procedure**. #### Experience, Integrity, & Personalized Care. *Why Choose Michael Spann, MD, for Your Tummy Tuck?* As one of the most trusted plastic surgeons in Arkansas, Dr. Spann combines technical precision with patient-first care. He is double board-certified in both general and plastic surgery, with extensive experience performing abdominoplasty surgeries for a wide range of patient needs, from post-pregnancy changes to loose skin and stubborn fat deposits after massive weight loss. Here, you'll never find a one-size-fits-all approach. At Michael Spann, MD, you get the time, attention, and care that your journey deserves. [Let’s Talk About Your Goals](/consultation/) #### Tummy Tuck *Frequently Asked Questions* --- ## Blepharoplasty **Link:** [Blepharoplasty](https://spannmd.com/face/blepharoplasty/) ([md](https://spannmd.com/face/blepharoplasty/index.html.md)) **Type:** Service **Description:** Brighten and refresh your eyes with Blepharoplasty in Fayetteville at Spann MD. Improve drooping lids, reduce puffiness, and achieve a more youthful, awake appearance. ### Content #### Elevate the Look of Tired Eyes *Blepharoplasty at Michael Spann, MD* Your eyes are one of your most engaging features. They're also one of the first areas to show signs of aging. Over time, excess skin, fat, and muscle laxity can affect the upper eyelids and lower eyelids, making you look more tired or older than you feel. In some cases, this sagging can even affect your visual field or lead to functional concerns. Dr. Michael Spann, a board-certified plastic surgeon, performs blepharoplasty to help patients achieve a smoother, more alert look that complements their natural features. Whether you're considering **upper blepharoplasty**, **lower blepharoplasty**, or a combination of both, Dr. Spann will walk you through your options and develop a treatment plan that prioritizes both form and function. [Begin Your Transformation ](/consultation/) #### A Clearer Outlook *What Is Blepharoplasty?* Blepharoplasty, also called eyelid surgery, is a surgical procedure that improves the appearance and function of the upper and lower eyelids. For the upper eyelids, the goal is to remove excess eyelid skin and restore a more open, youthful eye shape. For the lower lids, the focus is often on removing or repositioning fat to reduce puffiness, or bags under the eyes, and smoothing the skin beneath the eyes. There are several approaches to blepharoplasty surgery, including upper lid blepharoplasty, lower eyelid blepharoplasty, or a combined approach. The best technique depends on the structure of your eyelids, your aesthetic goals, and whether your symptoms are functional or cosmetic. [.block] [] **Upper Blepharoplasty** – Upper blepharoplasty removes excess skin and, in some cases, excess fat from the upper eyelids to improve a hooded or heavy-lidded appearance. It can also enhance peripheral vision when sagging skin interferes with the visual field. The incision is typically placed within the natural crease of the eyelid for a discreet result. **Lower Blepharoplasty** – Lower blepharoplasty targets under-eye bags and loose skin by removing or redistributing excess fat and tightening the surrounding tissues. In patients with good skin tone and minimal excess skin, the transconjunctival approach may be used, placing the incision inside the lower eyelid to avoid any visible external scarring. #### Precision Care for Brighter Eyes *What Is the Blepharoplasty Procedure Like?* Dr. Spann performs **blepharoplasty** as an outpatient procedure, typically using local anesthesia with sedation or general anesthesia, depending on your comfort level and the extent of your surgery. For the upper lids, a small incision is placed within the natural crease to remove excess skin and fat and tighten the underlying muscle. In lower eyelid surgery, incisions may be made along the lower lash line or inside the lid (transconjunctival approach), depending on your anatomy and goals. Once the adjustments are complete, Dr. Spann meticulously closes the incision sites to ensure minimal scarring. The **blepharoplasty procedure usually takes 1–2 hours**, and patients return home the same day. #### From Sagging to Puffiness *What Conditions Does Blepharoplasty Treat?* *Blepharoplasty is designed to correct both cosmetic and functional concerns of the eyelids.* Conditions it can improve include: - Droopy eyelids that affect vision or appearance - Excess eyelid skin that creates folds or obscures the natural eye contour - Bags under the eyes caused by displaced or bulging fat - Fine wrinkles and sagging skin around the eyes - A tired or aged expression caused by muscle laxity and fat displacement #### A More Rested, Alert Appearance *What Are the Benefits of Blepharoplasty?* A well-performed blepharoplasty offers a number of lasting benefits. **Fayetteville Blepharoplasty** patients may notice that your eyes appear brighter, more awake, and more expressive. For some, the improvement is subtle, just enough to reduce the look of fatigue without making it obvious that surgery was performed. For others, especially those with a functional concern like ptosis, the results may dramatically improve vision. Whether cosmetic or functional, **blepharoplasty results** often bring renewed self-confidence, improved eye symmetry, and a return to your natural eye shape. When combined with a [brow lift](/face/brow-lift/) or [fat transfer](/body/fat-transfer/), it can also contribute to overall facial rejuvenation. #### Function & Aesthetics *Am I a Candidate for Blepharoplasty?* **Ideal candidates for ****Blepharoplasty** are adults in good health who are experiencing droopy eyelids, excess skin, or puffiness in the upper or lower eyelids. A consultation with Dr. Spann includes a physical exam, a review of your medical history, and a discussion about your goals. Many patients combine blepharoplasty with other procedures such as brow lift or facial fat transfer to maximize their results. Dr. Spann will walk you through your options and help determine the best course of action based on your anatomy, skin type, and vision needs. [Refresh. Renew. Reveal.](/consultation/) #### Supporting a Smooth Healing Process *Blepharoplasty Recovery* Following **Blepharoplasty** Fayetteville patients typically experience mild swelling and bruising during the first few days after surgery. These effects can be managed with cold compresses and sleeping with your head elevated. Stitches are typically removed within 5–7 days, and many patients feel ready to return to non-strenuous activities within 7–10 days. Dr. Spann will provide detailed post-op instructions to support a smooth recovery and help minimize potential complications, such as dry eyes, numb eyelids, or blurred vision. Temporary tightness or mild discomfort may occur but is usually well controlled with over-the-counter pain medication. #### Let Your Eyes Tell a Brighter Story *Blepharoplasty Results* The final **blepharoplasty results** begin to emerge within a few weeks as swelling resolves, revealing a refreshed, smoother eye contour. Full healing typically takes several months, though early results are often noticeable after just 2–3 weeks. Because the **blepharoplasty procedure removes excess skin and repositions fat**, results are long-lasting and can significantly improve the appearance of tired or aging eyes. Many patients report not only aesthetic improvements, but a positive shift in how they feel day to day. Blepharoplasty helps many people feel more refreshed, more energized, and more at ease in their appearance. #### Where Precision Meets Thoughtful Care *Why Choose Dr. Spann for Blepharoplasty?* As a board-certified plastic surgeon, Dr. Michael Spann brings a high level of technical expertise and artistic attention to every blepharoplasty procedure. He focuses on achieving **natural-looking ****Blepharoplasty ****results** that enhance your appearance while preserving your unique features. With offices in both Little Rock and Fayetteville, patients across Arkansas trust his personalized approach and commitment to safety. Here, you’ll be met with thoughtful guidance and realistic expectations from a team that’s dedicated to helping you feel comfortable and informed. [Meet With Dr. Spann](/consultation/) #### Blepharoplasty *Frequently Asked Questions* --- ## Brow Lift **Link:** [Brow Lift](https://spannmd.com/face/brow-lift/) ([md](https://spannmd.com/face/brow-lift/index.html.md)) **Type:** Service **Description:** Lift and rejuvenate your upper face with a Brow Lift in Fayetteville by Michael Spann, MD. Smooth forehead lines, elevate sagging brows, and achieve a refreshed, youthful look. ### Content #### Smooth, Bright, and Refreshed *Brow Lift at Michael Spann, MD* The position of your eyebrows plays a surprisingly important role in how others perceive your mood, energy, and even age. Over time, the brows may droop and press downward over the upper eyelids, creating a tired, sad, or stern appearance. A **brow lift** is a facial plastic surgery procedure that restores the natural arch and position of the brow while softening forehead lines and deep creases between the eyes. At Michael Spann, MD, we believe your face should reflect how you feel. Dr. Spann uses thoughtful planning and advanced brow lift techniques to help each patient **achieve natural-looking, expressive brow lift results** that suit their individual features. We invite you to schedule a consultation at our Little Rock or Fayetteville practice to learn more about whether a brow lift is right for you. [Meet With Dr. Spann](/consultation/) #### Lift the Weight From Your Eyes *What Is a Brow Lift?* A brow lift, also called a **forehead lift**, is a cosmetic surgery procedure that elevates the position of the brows and smooths the upper third of the face. It is designed to reduce sagging skin, horizontal forehead lines, and the vertical “11” lines between the eyebrows. There are several surgical approaches to brow lifting, including traditional coronal, hairline, and endoscopic brow lift techniques. For patients needing lighter correction, an **endoscopic brow lift** uses small incisions hidden behind the hairline and a camera-guided instrument to lift the underlying tissues with precision and minimal scarring. A brow lift is often performed alone or in combination with [blepharoplasty](/face/blepharoplasty/) (eyelid surgery) to create a more refreshed and harmonious upper facial contour. #### Thoughtful Care From Skilled Hands *What is the Brow Lift Procedure Like?* At your consultation, Dr. Spann begins with a careful evaluation of your bone structure, skin, and brow position. He will walk you through your options and guide you in designing a surgical approach tailored to your needs. On surgery day, the procedure is performed under local anesthesia with sedation or general anesthesia, depending on the technique selected and whether other procedures are being performed. During an endoscopic **brow lift** Fayetteville plastic surgeon, Dr. Spann makes a series of small incision sites behind the hairline and uses specialized tools to gently lift and secure the deeper tissues of the forehead. For some patients, a small amount of excess skin is also removed to smooth the forehead and reduce visible lines. A traditional brow lift, also known as a coronal brow lift, is performed through a longer incision made across the top of the scalp, typically hidden within the hairline from ear to ear. The forehead muscles responsible for deep creases and frown lines may be adjusted or partially released, and the brow tissue is gently elevated to a more youthful position. Any excess skin is removed, and the incision is meticulously closed to minimize visible scarring. The surgery typically takes 1–2 hours. Patients return home the same day with detailed aftercare guidelines and follow-up appointments scheduled to check healing. #### Energize Your Expression *What Conditions Does a Brow Lift Address?* A brow lift is primarily used to treat: - Sagging or low-positioned brows that create heaviness or hooding above the upper eyelids - Horizontal forehead lines caused by skin and muscle laxity - Frown lines between the brows, also called glabellar lines or “11s” - A persistent tired, angry, or worried expression, even at rest This **Brow Lift procedure** is commonly performed for both cosmetic reasons and in some cases to improve the visual field when brow descent interferes with vision. #### A Subtle Yet Powerful Refresh *What Are the Benefits of a Brow Lift?* A brow lift creates a more youthful appearance without changing your natural appearance. Patients often notice that their eyes appear brighter, their expression feels more approachable, and makeup applies more smoothly to the upper face. The **brow lift procedure also provides longer-lasting results** compared to injectables, making it a strong choice for those ready for a more permanent solution to brow descent or deep forehead lines. Many patients feel a renewed sense of self-confidence, particularly in photos, video calls, or other social settings where facial expression matters. #### Designed Just for You *Am I a Candidate for a Brow Lift?* If you are bothered by a heavy or low brow position, deep forehead wrinkles, or an overly stern resting expression—and want a longer-lasting solution than injectables can provide—you may be a **good**** candidate for a brow lift**. Candidates should be in generally good health and have realistic expectations about the procedure, recovery, and results. This procedure may not be suitable for patients with certain medical conditions, or those who may be at risk of poor wound healing. During your consultation, Dr. Spann will review your health history, anatomy, and aesthetic goals to determine if a brow lift or another cosmetic procedure is right for you. [Meet With Dr. Spann](/consultation/) #### A Smooth and Supported Recovery *Brow Lift Recovery* You may experience mild swelling, bruising, and tightness for the first few days following surgery. Most of these effects resolve within 7–10 days, and many patients return to normal social activities around that time. Keeping your head elevated while resting and avoiding strenuous activities during the early healing phase will support a more comfortable recovery. Dr. Spann’s team will provide detailed aftercare instructions to guide your healing and help you achieve the most **natural-looking Brow Lift results**. #### Reconnect With Your Reflection *Brow Lift Results* The **results of a brow lift** are visible once swelling resolves, typically within a few weeks, and continue to refine over several months. Patients often notice their upper eyelid area feels lifted, their eyes appear more open, and their overall expression feels refreshed but still familiar. With proper sun protection and a healthy lifestyle, your results can last many years. Dr. Spann’s goal is always to deliver natural, graceful rejuvenation that reflects who you are. #### Precision, Compassion, and Artistry *Why Choose Michael Spann, MD for Your Brow Lift?* Dr. Michael Spann is a board-certified plastic surgeon known for his expertise in facial cosmetic surgery and his thoughtful, artistic approach. He views **brow lift surgery** as more than just lifting tissue. It’s about restoring balance, preserving natural expression, and helping patients feel like the best version of themselves. At our boutique practices in Little Rock and Fayetteville, every treatment is tailored to your facial structure, skin type, and personal goals by a team who prioritizes exceptional care every step of the way. [Begin Your Transformation](/consultation/) #### Brow Lift *Frequently Asked Questions* --- ## Breast Lift **Link:** [Breast Lift](https://spannmd.com/breast/breast-lift/) ([md](https://spannmd.com/breast/breast-lift/index.html.md)) **Type:** Service **Description:** Restore youthful breast contour with a Breast Lift in Fayetteville by Michael Spann, MD. Lift, reshape, and rejuvenate for a firmer, more elevated breast appearance. ### Content #### Elevate Your Silhouette *Breast Lift at Michael Spann, MD* As you age, pregnancy, weight fluctuations, or gravity can affect your body, causing your breasts to droop or lose firmness. A breast lift (mastopexy) is a cosmetic breast surgery that restores a more youthful breast contour by removing excess skin, tightening the surrounding tissue, and reshaping the breast profile. A breast lift doesn’t increase size, but it can significantly improve shape and position, especially if the nipple has begun to fall below the breast crease. Board-certified plastic surgeon Dr. Michael Spann takes a personalized approach to every breast lift surgery, ensuring the results are balanced, natural, and aligned with your vision for your body. The procedure reverses many of the breast changes that occur over time, helping you feel more comfortable in clothing and confident in your silhouette. We invite you to schedule a consultation with Dr. Spann at our Little Rock or Fayetteville, Arkansas, location to discuss your options. [Meet With Dr. Spann](/consultation/) #### Tailored Techniques for Elegant Results *What Is a Breast Lift?* A breast lift (mastopexy) is a surgical procedure that lifts and reshapes the breasts by removing excess skin, tightening the surrounding tissue, and repositioning the nipple-areola complex. It is ideal for addressing moderately sagging breasts, stretched skin, or loss of firmness that may result from pregnancy, aging, or weight loss. While a breast lift doesn’t increase the size of your breasts, it can greatly improve their contour, symmetry, and overall shape. For patients wanting to address both the position and the volume of their breasts, a breast lift can be combined with [breast augmentation](/breast/breast-augmentation/) or breast reduction. Dr. Spann specializes in several techniques, tailoring each procedure to the specific amount of lift required and the amount of excess skin that needs to be removed. Every surgical plan is tailored to your unique anatomy and individual goals. #### Precision You Can See and Feel *What Is the Breast Lift Procedure Like?* Your breast lift journey begins with a detailed consultation about your goals, a physical exam, and a review of your medical history. Dr. Spann will help determine the best surgical approach based on your natural breast shape, amount of excess skin, and degree of sagging. In addition to reshaping and elevating the breast tissue, a breast lift can also reduce areola size to better suit your lifted breast profile. Breast lift surgery is performed under general anesthesia in our accredited Little Rock surgery center or a hospital setting. Common breast lift incision patterns include: [.block] [] - **Periareolar Incision (Donut Lift): **This technique involves a circular incision around the edge of the areola. It’s best suited for patients with mild breast sagging and allows for modest lifting with minimal visible scarring. - **Vertical Incision (Lollipop Lift): **A lollipop lift combines a circular incision around the areola with a vertical line down to the breast crease. It’s ideal for addressing moderate sagging and provides more significant reshaping of the breast contour. - **Anchor Incision (Inverted-T Lift): **The anchor lift includes three incisions: around the areola, vertically down to the breast crease, and along the breast crease itself. This method is typically used for more advanced sagging or when significant skin removal is needed. [.block] [] Dr. Spann will work with you to plan the best incision pattern and surgical approach. During surgery, he uses the breast lift incisions to lift and reshape the breast tissue and reduce excess skin, creating a firmer, shapelier contour. Surgery takes approximately 2–3 hours and is performed on an outpatient basis. After surgery, patients are fitted with a surgical bra for comfort and support before returning home with a clear aftercare plan in place. #### From Sagging to Shapely *What Conditions Does a Breast Lift Address?* A breast lift is designed to improve the shape and position of the breasts without changing their volume. It is especially helpful for: - Sagging breasts or a flattened breast profile - Breast skin that has stretched due to pregnancy, weight gain, or aging - Nipples that point downward or fall below the breast crease - Asymmetry or an uneven breast contour - Patients with smaller breasts that have lost projection after weight fluctuations #### The Ultimate Confidence Boost *What Are the Benefits of a Breast Lift?* The benefits of a breast lift are both visual and emotional. By removing excess skin and reshaping the breast tissue, this cosmetic surgery restores a more youthful breast contour and helps you feel more balanced in your shape. Following breast surgery, patients often report renewed confidence in how they dress, move, and carry themselves. Whether performed alone or as part of a broader breast surgery plan with breast augmentation or breast reduction, the goal is to restore a silhouette that feels strong, feminine, and truly your own. #### Your Body. Your Goals. *Am I a Candidate for a Breast Lift?* **Candidates for breast lift surgery** are typically bothered by sagging breasts, downward-pointing nipples, or loose breast skin. Cosmetic surgery candidates should be in good general health and have realistic expectations about the procedure, recovery, and results. It's best to plan breast lift surgery when you are at a stable weight and are not planning any future pregnancies. If you're planning to have more children, it's important to understand that pregnancy, breastfeeding, or weight changes can impact your breast lift results. Dr. Spann and his surgical team will guide you through every step, evaluating your anatomy, reviewing your medical history, and walking you through your options with clarity and care. This collaborative process ensures you make the best decision for your body and lifestyle. [Begin Your Transformation](/consultation/) #### By Your Side for Every Step *Breast Lift Recovery* Following a **Breast Lift** Fayetteville patients typically return to light activities in about two weeks, with many experiencing a comfortable recovery even sooner. Full exercise can typically be resumed by four to six weeks. You’ll wear a surgical support bra to reduce swelling and protect the healing tissue. Dr. Spann uses advanced techniques to protect surrounding tissue and ensure incision lines are placed as discreetly as possible for smooth healing. We’ll provide detailed instructions on how to care for the treatment area, avoid straining, and monitor for any possible complications. Our comprehensive recovery support includes lymphatic massage and non-narcotic pain medication to promote a smooth healing process. Regular follow-up visits allow us to track your healing and ensure you’re fully supported throughout the process. #### Renewed Inside and Out *Breast Lift Results* You'll notice immediate improvements in your breasts' shape and position, but your final breast lift results continue to refine over the course of a few months as swelling subsides and scars fade. You will enjoy a more youthful breast contour, firmer feel, and better fit in both clothing and undergarments. Many **Fayetteville Breast Lift** patients describe a powerful improvement in overall quality of life, including greater comfort, improved posture, and a quiet sense of self-assurance in their appearance. These results often last for many years, especially when paired with good skin care, a stable weight, and proper support. #### Surgical Expertise With a Human Touch *Why Choose Michael Spann, MD, for Breast Lift Surgery?* At Michael Spann, MD, **every breast lift is carefully tailored to your individual shap**e, anatomy, and goals. Dr. Spann is a double board-certified plastic surgeon who brings years of expertise and a deep understanding of natural aesthetics to each procedure. From consultation to recovery, our surgical team in Little Rock and Fayetteville is here to walk with you, offering meticulous technique, genuine care, and results that feel beautifully aligned with who you are. [Plan Your Personalized Treatment](/consultation/) #### Breast Lift *Frequently Asked Questions* --- ## Deep Plane Facelift **Link:** [Deep Plane Facelift](https://spannmd.com/face/deep-plane-facelift/) ([md](https://spannmd.com/face/deep-plane-facelift/index.html.md)) **Type:** Service **Description:** Achieve natural, long-lasting rejuvenation with a Deep Plane Facelift in Fayetteville. Lift deeper tissues, refine facial contours, and restore youthful definition with advanced surgical technique. ### Content #### A Modern Approach to Facial Rejuvenation *Deep Plane Facelift at Michael Spann, MD* Signs of aging can leave you feeling less like yourself when you look in the mirror. Declining collagen production, time in the sun, and the natural effects of gravity can lead to sagging along the jawline, hollowing in the cheeks, and facial skin that’s lost its youthful bounce. If you’re seeking a comprehensive approach to facial rejuvenation, a **deep plane facelift** offers advanced correction by repositioning the deeper layers of facial tissue. This sophisticated facelift technique lifts below the superficial musculoaponeurotic system (SMAS) to provide meaningful, long-lasting rejuvenation that honors your unique features. Dr. Michael Spann is one of the few surgeons in Arkansas with 20+ years of deep plane facelift experience. Each procedure is carefully designed around your unique anatomy and the specific ways your face has aged. Known for natural, refreshed results that preserve your authentic expressions, Dr. Spann provides facelift patients with artistry, expertise, and trust. [Meet With Dr. Spann](/consultation/) #### The Foundation of Real Change *What Is a Deep Plane Facelift?* A deep plane facelift is an advanced facial plastic surgery technique that addresses shifts in the deeper tissues that lead to signs of aging in the mid and lower face. During a **deep plane facelift** Fayetteville plastic surgeon, Dr. Spann repositions deeper structures of the face, including facial muscles, connective tissue, and the SMAS layer. Unlike traditional facelifts that tighten only skin or superficial layers, this method works beneath the facial retaining ligaments to release and lift sagging facial tissue. The deep plane facelift technique creates more natural-looking results by restoring volume and structure in the cheeks, jawline, and neck. It is especially effective for facial rejuvenation in patients with noticeable skin laxity, deep smile lines, and facial aging that can't be fully addressed with other facelift techniques. #### Artistry and Precision *What Is the Deep Plane Facelift Procedure Like?* Your journey begins with a thorough consultation and pre-operative planning. Dr. Spann will carefully assess your facial anatomy and goals, educate you about his surgical techniques, and ensure you understand the recovery process and have realistic expectations of the results you can expect to achieve. A deep plane facelift is an outpatient procedure performed in our AAAASF-accredited surgery center. It is performed using general anesthesia as well as nerve blocks to ease discomfort in early recovery. Dr. Spann makes discreet incisions around the ears and sometimes under the chin. Through these entry points, he gently elevates and repositions the deeper layers of facial tissue, including the SMAS layer and facial ligaments. By releasing key ligaments and lifting the platysma muscle, **deep plane facelift surgery** allows for smoother transitions between facial zones and avoids the overly tight or stretched appearance common in more superficial procedures. The result is a more harmonious and long-lasting youthful appearance. #### Correcting Volume Loss & Structural Descent *What Conditions Does a Deep Plane Facelift Address?* This advanced facial surgery is designed to correct: - Sagging cheeks and volume descent in the midface - Smile lines (nasolabial folds) and marionette lines - Loss of jawline definition and early jowling - Lax skin and redundant skin in the neck area - Soft tissue drooping that contributes to facial asymmetries or imbalance A deep plane facelift can also be tailored to include [eyelid surgery](/face/blepharoplasty/), a [brow lift](/face/brow-lift/), or [fat transfer](/body/fat-transfer/) for a more cohesive, well-rested appearance. #### A More Youthful Look That Truly Lasts *What Are the Benefits of a Deep Plane Facelift?* The deep plane facelift technique offers both aesthetic and emotional rewards. Because it lifts the deeper SMAS layer and repositions the underlying soft tissue, this facelift method avoids skin tension and promotes a more natural appearance. It also offers enhanced durability. Many **deep plane facelift results** last a decade or more. **Fayetteville Deep Plane Facelift** patients often report not only physical improvements but also renewed confidence and a better reflection of how they feel inside. Unlike traditional facelifts, which may create a more surface-level lift, this comprehensive facial rejuvenation method enhances structural support across multiple planes. [Schedule Your Consultation](/contact/) #### Tailored to Your Unique Features *Am I a Candidate for a Deep Plane Facelift?* **Ideal candidates for a deep plane lift** are patients in good overall health who are seeking substantial facial rejuvenation. You may be a good fit if you have moderate to severe facial aging, sagging facial tissue, or want longer-lasting results than other facelift techniques typically offer. Dr. Spann will evaluate your medical history, anatomy, and aesthetic goals to ensure that this surgical procedure aligns with your needs. As a facial plastic surgeon deeply familiar with the deep plane facelift technique, he and his team will walk you through your options clearly and compassionately. [Your Next Step to Radiance](/consultation/) #### Full Support From Consultation to Recovery *Deep Plane Facelift Recovery* Following a **deep plane facelift** Fayetteville patients may experience swelling and bruising that improves significantly in the first 7–14 days. Full recovery may take several weeks, and Dr. Spann provides detailed guidance and support throughout. You’ll be asked to keep your head elevated, avoid heavy lifting, and follow all post operative instructions carefully to reduce the risk of complications. We use proactive comfort measures, including tension free skin closure, long-acting anesthetics, and individualized aftercare, to support your recovery. #### Renewed Confidence in Every Expression *Deep Plane Facelift Results* Early improvements appear within weeks, with full results developing over several months as tissues settle. Unlike more superficial techniques, a deep plane facelift works to reposition the facial tissue structurally, not just cosmetically. You can expect a smoother jawline, lifted cheeks, and a more balanced, youthful appearance that still feels fully your own. Most patients enjoy long-lasting improvement, often for 10 years or more, especially when paired with healthy skin care and sun protection. #### A Boutique Practice Focused on You *Why Choose Michael Spann, MD, for a Deep Plane Facelift?* Dr. Michael Spann is a board-certified plastic surgeon with extensive experience in both reconstructive and aesthetic facial surgery. As one of the few Arkansas surgeons trained in the **deep plane facelift** technique, he combines technical mastery with a strong sense of aesthetic nuance. At our boutique practice locations in Little Rock and Fayetteville, your experience is never rushed. Dr. Spann and his team provide one-on-one guidance, attention to detail, and genuine care throughout your transformation. Whether you're exploring facelift surgery for the first time or seeking a revision, you can trust you're in thoughtful, expert hands. [Refresh. Renew. Reveal. ](/consultation/) #### Deep Plane Facelift *Frequently Asked Questions* --- ## Rhinoplasty **Link:** [Rhinoplasty](https://spannmd.com/face/rhinoplasty/) ([md](https://spannmd.com/face/rhinoplasty/index.html.md)) **Type:** Service **Description:** Discover natural-looking rhinoplasty results with Dr. Michael Spann in Northwest Arkansas. Personalized care, refined technique, and results that fit your features. ### Content #### Bring Your Features Into Harmony *Rhinoplasty at Michael Spann, MD* The shape and structure of the nose can have a significant impact on overall facial harmony. If you feel your nose draws attention away from your other features or causes functional concerns like breathing issues, **rhinoplasty **can help. Dr. Michael Spann offers *highly customized nasal surgery* in Little Rock and Fayetteville, helping patients achieve improved form and function while preserving their unique identity. Schedule a consultation to discuss your goals and explore what this procedure could look like for you. [Discover What’s Right for You](/consultation/) #### Balance is Beautiful *What Is Rhinoplasty?* **Open Rhinoplasty** In *open rhinoplasty*, Dr. Spann makes a small incision across the columella, the tissue between the nostrils, allowing the nasal skin to be lifted and the underlying structures fully exposed. This approach offers greater visibility and precision, which can be especially helpful for complex reshaping or revision procedures. The external incision typically heals well and becomes barely visible over time. **Closed Rhinoplasty ** With *closed rhinoplasty,* all incisions are made inside the nostrils, leaving no external scar. This technique is used for less complex nasal adjustments and typically offers a shorter recovery time. While visibility is more limited with this technique, closed rhinoplasty can still be highly effective for subtler refinements. Rhinoplasty, also called **nose surgery** or a "**nose job**," is a cosmetic and/or functional procedure designed to reshape the nose. This may involve changing the size, width, tip shape, bridge contour, or nostril position, and in some cases correcting a deviated septum or internal valve collapse to improve breathing. Whether you’re looking to **reduce a bump, lift the nasal tip, or create a more refined contour**, Dr. Spann approaches each case with balance and proportion in mind, never sacrificing function for appearance. Depending on the extent of correction needed, rhinoplasty may be performed using an open or closed approach: #### Surgical Skill Meets Thoughtful Design *What Is the Rhinoplasty Procedure Like?* Rhinoplasty is an outpatient procedure performed under general anesthesia. **Fayetteville Rhinoplasty** surgeon, Dr. Spann may use either an open or closed approach. In an open rhinoplasty, a small incision is made across the columella (the strip of skin between the nostrils), while a closed rhinoplasty involves internal incisions only. After carefully accessing the nasal framework, Dr. Spann reshapes bone and cartilage as needed, and may reinforce the structure with grafts when appropriate. The incisions are then closed and a split is placed for support during early healing. The procedure usually takes 1.5–3 hours to perform, and patients return home the same day. #### Cosmetic & Functional Benefits *What Conditions Does Rhinoplasty Address?* Dr. Spann designs each rhinoplasty procedure around the patient’s unique needs and goals. He will work with you to identify the changes you’d like to see and create a surgical plan that yields harmonious results that still look like you. Some of the most common *cosmetic and functional concerns addressed by rhinoplasty* include: - **Dorsal hump** – A noticeable bump on the bridge of the nose - **Wide nasal bridge** – A bridge that appears too broad in proportion to the face - **Bulbous or drooping nasal tip** – A tip that appears too rounded, too heavy, or points downward - **Crooked nose** – A nose that appears asymmetrical or off-center - **Nostril asymmetry** – Uneven or excessively flared nostrils - **Overprojected or underprojected nose** – A nose that sticks out too far or sits too close to the face - **Deviated septum** – Misalignment of the nasal septum that can restrict airflow - **Nasal valve collapse** – Weakness or narrowing in the internal nasal structure that affects breathing Rhinoplasty can also correct concerns related to injury or trauma or congenital differences that impact the nose’s shape or function. #### A Breath of Confidence *What Are the Benefits of Rhinoplasty?* **Rhinoplasty offers both aesthetic and functional benefits**. It can enhance facial symmetry, refine the nose’s shape, and improve profile views, all while supporting or restoring proper airflow. Many patients report increased self-confidence after surgery, especially when the results feel in harmony with the rest of their features. Dr. Spann prioritizes natural-looking outcomes that highlight, not overpower, your natural appearance. #### Explore Your Options *Am I a Candidate for Rhinoplasty?* You may be a **good candidate for rhinoplasty** if you are in generally good health, have realistic expectations, and are bothered by the shape or function of your nose. Candidates should be non-smokers or willing to quit, as smoking can affect healing. It’s important that facial growth is complete, which usually occurs by age 15-16 in girls and 16-17 in boys. Dr. Spann will evaluate your goals, anatomy, and medical history to determine if **rhinoplasty is the best approach for you**. [Begin Your Profile Transformation](/consultation/) #### What to Expect After Surgery *Rhinoplasty Recovery* Following a **rhinoplasty** Fayetteville patients typically wear a nasal splint for about one week. Swelling, bruising, and congestion are expected during the first several days of recovery. Most people return to work and light activity within 7-10 days. Strenuous activity should be avoided for several weeks. While most of the swelling resolves within a month, subtle changes can continue to refine for up to a year. We are recognized for our comprehensive recovery protocols, which include anti-inflammatory and non-narcotic medications to alleviate discomfort and facilitate smooth healing. Our team offers comprehensive aftercare guidance and thoughtful support throughout the entire surgical process, from preoperative to postoperative care. Dr. Spann will check your healing progress at post-operative appointments and remain fully available to answer questions and address any concerns throughout your recovery. #### Lasting Elegance & Refinement *Rhinoplasty Results* As post-surgical swelling gradually subsides, most **Fayetteville Rhinoplasty **patients begin noticing visible improvements within a few weeks, with final results settling in over the course of 6–12 months. The outcome of rhinoplasty is designed to look natural, balanced, and in harmony with your other features, whether the goal is subtle refinement or more significant reshaping. Beyond the physical transformation, rhinoplasty often leads to a meaningful boost in confidence and self-image. Many patients report feeling more comfortable in social settings, in photographs, and in their day-to-day lives. When breathing concerns are addressed alongside cosmetic changes, rhinoplasty can also enhance physical comfort and overall quality of life. #### Precision in Every Detail *Why Choose Michael Spann, MD, for Rhinoplasty?* Dr. Michael Spann is a board-certified plastic surgeon known for his balanced, patient-first approach to aesthetic care. He combines precise surgical technique with a deep understanding of facial proportions to deliver natural-looking results. At our boutique practice locations serving Little Rock, Fayetteville, and Northwest Arkansas, each **rhinoplasty procedure** is approached as an opportunity to enhance, not erase, the unique beauty of your features. [Meet With Dr. Spann](/consultation/) #### Rhinoplasty *Frequently Asked Questions* --- ## Breast Augmentation **Link:** [Breast Augmentation](https://spannmd.com/breast/breast-augmentation/) ([md](https://spannmd.com/breast/breast-augmentation/index.html.md)) **Type:** Service **Description:** Enhance your shape with Breast Augmentation in Fayetteville by Michael Spann, MD. Customized breast implants, natural-looking results, and confident curves tailored to you. ### Content #### Confidence in Every Curve *Breast Augmentation at Michael Spann, MD* If you’ve been considering a more proportionate or fuller breast shape, **breast augmentation** offers a way to align your appearance with how you feel inside. Whether you’ve always wanted more volume or have noticed changes after pregnancy or weight loss, this procedure can restore or enhance your natural contours. At Michael Spann, MD, our approach to breast augmentation is personal, refined, and focused on what’s right for you. Dr. Spann is a board-certified plastic surgeon with many years of experience delivering natural-looking, long-lasting results. From your first consultation, you’ll receive thoughtful guidance and a clear understanding of your options, whether you’re considering breast implants, fat transfer, or a combination approach. If you're ready to explore what feels possible, we welcome you to schedule a consultation with Dr. Spann at our Little Rock or Fayetteville location. [Reserve Your Private Consultation ](/consultation/) #### Understanding Your Options *What Is Breast Augmentation?* **Breast augmentation is designed to increase the size or improve the shape of the breasts** using implants or fat transfer. Many women choose breast augmentation to create better symmetry, restore lost volume after pregnancy or weight loss, or simply to feel more confident in their silhouette. At Michael Spann, MD, breast augmentation is always tailored to your specific body, preferences, and lifestyle. We help you choose the right type of implant, placement, and incision to ensure beautiful, proportionate results that still feel like you. Your **surgical options for breast augmentation** include: **Saline implants** - Saline breast implants are filled with a sterile saltwater solution. They’re inserted empty and then filled once in place, which allows for a slightly smaller incision. They provide a firmer feel and are a good option for those who prefer a structured, rounder look. **Silicone implants** - Silicone breast implants come pre-filled with a cohesive silicone gel that closely mimics the softness and movement of natural breast tissue. They’re often chosen for their more natural feel and appearance, especially in patients with less natural breast volume. **Fat transfer breast augmentation** - For those looking to enhance their breast volume without implants, [fat transfer](/body/fat-transfer/) breast augmentation may be an option. This approach uses your body’s own fat cells, typically harvested through liposuction from areas like the abdomen or thighs, and then carefully injected into the breasts to create a subtle, natural increase in volume. This method can be ideal for patients seeking modest enhancement and refined shaping, with the added benefit of body contouring in the donor area. #### Refined Enhancement by Design *What Is the Breast Augmentation Procedure Like?* The **breast augmentation procedure** is performed under general anesthesia in our AAAASF-accredited surgery center. For augmentation using breast implants, Dr. Spann begins by placing incisions in discreet locations, such as along the breast crease or around the areola, depending on your anatomy and implant type. Implant0s are then placed either above or below the chest muscle based on what will provide the most natural look and feel based on your anatomy. If you're receiving a fat transfer instead of implants, Dr. Spann will first perform liposuction to take fat from an area like the abdomen or flanks. He will then purify the fat and strategically inject it into the breasts to add volume. Most surgeries take about 1–2 hours, and you’ll return home the same day with a supportive bra and clear post-op instructions. From start to finish, our team is focused on your safety, comfort, and results. #### Find Balance *What Can Breast Augmentation Help With?* **Breast augmentation is ideal for improving a range of concerns**, including: - Naturally small breasts that feel out of proportion with the rest of your body - Loss of breast volume due to pregnancy, breastfeeding, or weight loss - Asymmetry between the breasts - Flattened upper pole or deflated contours - Subtle changes in shape or size due to aging Whether you're looking to enhance, restore, or balance your shape, a personalized breast augmentation procedure can help bring your outward appearance in line with how you want to feel. #### Benefits That Go Beyond the Mirror *What Are the Benefits of Breast Augmentation?* The most obvious **benefit of breast augmentation** is *fuller, more proportionate breasts*, but the physical change is only part of it. After achieving a more balanced breast size, many women report feeling more confident in fitted clothing, swimsuits, and during daily activities. For others, it’s about restoring something they feel they’ve lost after life changes. With Dr. Spann’s approach, the goal is never to create an exaggerated look but to highlight what already makes you feel beautiful in a way that’s refined and lasting. #### Deciding If Now Is the Right Time *Am I a Candidate for Breast Augmentation?* **Candidates for breast augmentation surgery** should be non-smokers who are in good general health. Having breast augmentation is a personal choice and should be something you do for yourself, not because of outside pressure. Dr. Spann will take time to understand your goals, review your medical history, and walk you through your options so you can make a confident, informed choice. [Begin Your Transformation](/consultation/) #### How We Support You Through Recovery *Breast Augmentation Recovery* Following their **breast augmentation** Fayetteville patients can return to light activity within 3–5 days. You’ll wear a supportive bra to reduce swelling and assist in healing. You will need to avoid strenuous exercise and lifting anything heavy for approximately 4–6 weeks. We’ll walk you through everything you need to know, from how to care for your incisions to what changes to expect as your swelling subsides. Our thoughtful recovery plans include anti-inflammatory medication and nerve blocks to improve comfort and reduce reliance on narcotics. Lymphatic massage is used to support good healing and reduce inflammation. Dr. Spann will check your healing at post-op visits, and our team is always available for questions so you’re never navigating recovery alone. #### Results That Feel Like You *Breast Augmentation Results* Final **breast augmentation results** typically take shape within a few months, with implants settling naturally and incisions continuing to fade. Your outcome is designed to feel beautifully proportioned and natural to your frame. The **results of breast augmentation** often go beyond physical enhancement. They can positively influence how you feel in your clothes, how you carry yourself, and how comfortably you move through your daily life. Once swelling subsides and your body adjusts to its new shape, most patients notice a renewed sense of confidence and ease in their appearance. #### Aesthetic Vision Meets Surgical Precision *Why Choose Michael Spann, MD, for Breast Augmentation?* **Fayetteville breast augmentation** provider, Dr. Michael Spann is an experienced double board-certified plastic surgeon with an unwavering commitment to personalized care. From your initial consultation to your final results, you’ll experience care that’s tailored, personal, and rooted in long-standing trust. We take time to understand your goals, answer your questions, and design a plan that aligns with your unique shape and vision. Whether you're seeking subtle enhancement or a more noticeable change, the outcome is a balanced, refined silhouette that feels fully your own. Schedule your consultation today to explore your options. [Meet With Dr. Spann](/consultation/) #### Breast Augmentation *Frequently Asked Questions* --- ## Body Lift **Link:** [Body Lift](https://spannmd.com/body/body-lift/) ([md](https://spannmd.com/body/body-lift/index.html.md)) **Type:** Service **Description:** Enhance your contours with a body lift in Fayetteville. Dr. Michael Spann offers personalized body lift surgery to restore confidence and achieve smoother, tighter results. ### Content #### Reclaim Your Most Confident Contours *Body Lift at Michael Spann, MD* After major weight loss or physical changes over time, many patients are left with loose, hanging skin, discomfort, and clothing that simply doesn’t fit right. **Body lift surgery helps remove excess skin and reshape the lower body**, resulting in smoother, more natural body contours. At Michael Spann, MD, we approach each patient and procedure with precision, expertise, and compassion. Dr. Spann is a board-certified plastic surgeon with nearly two decades of experience in body contouring after weight loss surgery, bariatric surgery, and lifestyle-driven transformation. If you’re ready to complete your journey and restore your confidence, let’s explore what makes sense for your goals. [Meet With Dr. Spann](/consultation/) #### Let Your Progress Show *What Is a Body Lift?* A body lift—also called a **lower body lift** or **belt lipectomy**—is a comprehensive surgical procedure that **removes excess skin and fat from the lower body**. Often combined with [**liposuction**](/body/liposuction/), it not only tightens and lifts but also sculpts stubborn fat deposits for more refined results. This procedure is especially beneficial for patients who have experienced** **[**significant weight loss**](/body/massive-weight-loss-surgery/) and are left with loose, sagging skin. Unlike a [**tummy tuck**](/body/liposuction-tummy-tuck/), which focuses solely on the abdominal area, a lower body lift addresses the abdomen, flanks, buttocks, outer thighs, and sometimes the inner thighs in a single surgery. By reducing hanging skin, improving elasticity, and pairing with targeted liposuction, *a body lift creates smoother, more balanced contours across multiple areas of the body*. #### Precision That Honors Your Journey *What Is the Body Lift Procedure Like?* During your initial consultation, **Fayetteville body lift **surgeon, Dr. Spann will evaluate your goals, areas of concern, and medical history. This in-depth discussion helps you understand your options and begin planning the best surgical approach for your needs. Every body lift procedure is tailored to your body and your priorities, whether you'd benefit from a full circumferential lift or more focused contouring. Surgery is performed under general anesthesia in our accredited, office-based surgical suite. Dr. Spann makes strategic incisions to access and tighten the underlying tissue, remove excess skin, and sculpt the surrounding tissue for smooth, natural-looking results. To close the incisions, a combination of layered sutures, tissue glue, or skin adhesives may be used to help reduce tension on the incision and minimize scarring. In some cases, post-surgical drains may be placed to drain excess fluid during healing. You’ll go home the day of your procedure with detailed recovery instructions and post-op appointments scheduled to monitor your healing. #### Comprehensive Lower Body Contouring *What Areas Does a Body Lift Focus On?* A body lift is designed to improve the shape and firmness of the lower body by addressing areas where excess skin, loose tissue, or sagging skin remain after significant weight loss, aging, or pregnancy. Dr. Spann carefully tailors each surgical plan to your body’s unique needs. Most lower body lift procedures focus on the following regions: - **Abdomen** – Removes loose skin and excess tissue from the front and sides of the stomach - **Flanks (Love Handles)** – Tightens and smooths the waistline - **Lower Back** – Lifts and contours the back waist area for a more defined silhouette - **Buttocks** – Lifts and reshapes the buttocks to restore firmness and proportion - **Outer Thighs** – Reduces sagging and creates smoother transitions into the hips - **Inner Thighs** – Often included to remove hanging skin and improve comfort and movement Together, these areas are addressed in one coordinated surgical procedure. #### When Weight Loss Leaves Loose Skin Behind *What Conditions Does a Body Lift Address?* The **lower body lift procedure is ideal** for those dealing with: - Loose skin and sagging skin from massive weight loss or age-related changes - Remaining skin and excess tissue that causes irritation or hygiene concerns - Folds of skin and fat that limit mobility or create emotional discomfort - Excess fat in the flanks, thighs, or lower abdomen that is unresponsive to exercise - Difficulty with clothing fit due to lax contours Body lift surgery with Dr. Spann is not about chasing perfection. It’s about finally feeling like your body matches the effort you’ve put in. #### Feel Good in the Body You Worked For *What Are the Benefits of a Body Lift?* **Fayetteville body lift** patients often describe **body lift results as life-changing**. After months or even years of dedication to improving your health, body lift surgery helps resolve the uncomfortable reality of excess skin that no amount of exercise can fix. **Body Lift Benefits** include: - A smoother, firmer lower body contour - More clothing options and improved fit - Freedom from loose skin that causes discomfort or embarrassment - Better skin hygiene and reduced risk of irritation - A sense of closure after a significant amount of weight has been lost After a body lift, you’ll not only see refined contours, you’ll feel them every time you move. #### Who Benefits Most From This Procedure *Am I a Candidate for a Body Lift?* **Candidates for a body lift **should be in generally good health and should have maintained a stable weight for at least 6 months. It's also important to hold realistic expectations for the results of surgery. You may be an **ideal candidate for a body lift** if you’ve undergone bariatric surgery, lost a significant amount of weight, and now struggle with excess skin and fat in the lower body. Dr. Spann will review your goals, health history, medications, herbal supplements, smoking habits, or history of blood clots to ensure safety. [Connect With Our Team Today](/consultation/) #### Total Recovery Support *Body Lift Recovery* **Recovery following a body lift **is different for everyone, but most patients need at least 10–14 days of downtime. This is followed by a gradual return to various activity levels over the next four to six weeks. Understanding that what happens after surgery is just as important as the procedure itself, we have developed a thoughtful recovery protocol for our surgical patients. We work hard to limit the need for narcotics, and our post-op care includes advanced pain control using anti-inflammatory drugs, long-lasting anesthetics, and lymphatic massage, which helps reduce swelling and promotes quicker healing. You’ll also wear compression garments to reduce swelling, support your newly shaped contours, and reduce the risk of complications like deep vein thrombosis. Rest assured that you will be supported at every stage of your recovery with clear aftercare guidelines, post-op check-ups, and open communication with Dr. Spann and his team for any questions or concerns. #### Your Reflection, Redefined *Body Lift Results* Following a **body lift** Fayetteville patients typically notice an immediate improvement in their body contours, with results becoming more defined as swelling gradually subsides. Over the weeks and months that follow, your lower body will continue to refine into a shape that’s more aligned with your goals. With a healthy diet, active lifestyle, and stable weight, your **body lift results can last for many years**. Many patients tell us they finally feel comfortable wearing fitted clothes, enjoying movement, and seeing the body they’ve worked so hard for. The results of a body lift can provide a sense of closure and renewed confidence following your weight loss journey. #### Expertise You Can Trust *Why Choose Michael Spann, MD, for Body Lift Surgery?* As a plastic surgeon who is board-certified in both general and plastic surgery, Dr. Spann brings deep expertise and personal dedication to every procedure. With nearly 20 years of experience and a boutique approach to patient care, he prioritizes long-term results and patient satisfaction over volume or speed. Whether you're considering a lower body lift or combining your **body lift surgery** with a tummy tuck or thigh lift, you’ll be in skilled, compassionate hands every step of the way. Schedule a consultation today, and let's discuss your goals. [Begin Your Transformation](/consultation/) #### Body Lift *Frequently Asked Questions* --- ## Mommy Makeover **Link:** [Mommy Makeover](https://spannmd.com/body/mommy-makeover/) ([md](https://spannmd.com/body/mommy-makeover/index.html.md)) **Type:** Service **Description:** Reclaim your pre-baby shape with a Mommy Makeover in Fayetteville by Michael Spann, MD. Customized treatment plans to lift, tighten, and restore confidence after pregnancy. ### Content #### The Care That Mothers Deserve *Mommy Makeover at Michael Spann, MD* Ready to rediscover your pre-pregnancy body, or even enhance it? At Michael Spann, MD, we understand that the journey of motherhood brings incredible changes, but it can also leave behind physical effects, such as stretched abdominal muscles, sagging breasts, or excess skin, that don’t always respond to diet and exercise. A Mommy Makeover is a combination of plastic surgery procedures designed to address these concerns with a treatment plan tailored just for you. Whether you’re looking to lift and restore volume to the breasts, tighten your abdomen, or refine your overall silhouette, we invite you to schedule a relaxed consultation in our Little Rock or Northwest Arkansas location to explore what feels right for your body. [Let’s Talk About Your Goals](/consultation/) #### Curate Your Most Confident Motherhood *What Is a Mommy Makeover?* A Mommy Makeover is a fully customizable approach to cosmetic surgery, often combining a [tummy tuck](/body/tummy-tuck/), [breast lift](/breast/breast-lift/), [breast augmentation](/breast/breast-augmentation/), or other procedures aligned with your goals. The goal is to restore the areas most affected by pregnancy, including stretched abdominal muscles, loose skin, and changes in breast size or shape. Many women also choose to include [liposuction](/body/liposuction/) to reduce stubborn fat in areas like the flanks or thighs, or add procedures like [vaginal rejuvenation](/body/labiaplasty/) or [surgical](/face/) or [non-surgical](/face/) facial rejuvenation to complete their transformation. Dr. Spann works closely with each patient to ensure that every part of your treatment plan aligns with your goals, anatomy, and comfort. What Is a Mommy Makeover? A Mommy Makeover is not one-size-fits-all. It’s a customizable approach to cosmetic surgery, often combining tummy tuck, breast lift, breast augmentation, or breast reduction depending on your needs. The goal is to restore areas most affected by pregnancy, including stretched abdominal muscles, loose skin, and changes in breast size or shape. Many women also choose to include liposuction to reduce stubborn fat in areas like the flanks or thighs, or add procedures like vaginal rejuvenation or facial rejuvenation to complete their transformation. Dr. Spann works closely with each patient to ensure that every part of your treatment plan aligns with your goals, anatomy, and comfort. #### Support That Makes You Feel Seen *What Is the Mommy Makeover Procedure Like?* After your **Mommy Makeover ****consultation** appointment, Dr. Spann will walk you through your individualized mommy makeover surgery plan. These procedures are typically performed during one session to minimize downtime and allow for a single recovery period. Your surgery is performed under general anesthesia in our AAAASF-accredited surgical suite in Little Rock, or in a local hospital. Whether your treatment plan includes a tummy tuck, breast augmentation with implants, or multiple procedures, Dr. Spann brings the precision of an experienced surgeon and a compassionate touch to every case. #### Exquisitely Sculpted Contours *What Conditions Does a Mommy Makeover Address?* **Mommy makeover procedures** are designed to improve common post-pregnancy concerns, including: - Separated abdominal muscles (diastasis recti) that can cause a lasting abdominal bulge - Excess skin and sagging skin on the belly that doesn’t respond to exercise - Breast sagging, lost breast volume, or asymmetry due to breastfeeding - Stubborn fatty tissue in the waist, flanks, thighs, or arms - Body changes following weight gain, weight loss, or multiple pregnancies While it’s called a Mommy Makeover, it’s really about helping you feel more at ease in your own skin, whatever your journey has looked like. #### Holistically Designed *What Areas of the Body Can a Mommy Makeover Address?* Most **Fayetteville Mommy Makeover**** **patients choose to focus on the abdomen and breasts, but the procedure can include any of several techniques: - Breast surgery (breast lift or breast augmentation) - Tummy tuck surgery to tighten the abdominal wall and remove excess skin - Vaginal rejuvenation - Liposuction in the abdomen, back, arms, or thighs - Non-surgical procedures like facial injectables Your treatment plan is uniquely yours, built around your comfort, goals, and desired outcome. #### Authentically Confident *What Are the Benefits of a Mommy Makeover?* Choosing **a mommy makeover can help you feel restored**, strong, and genuinely confident again. Benefits may include: - A firmer, smoother abdomen and restored abdominal muscles - Perkier, more youthful breast contour or enhanced breast size - Improved clothing fit and confidence in everyday movement - A more sculpted shape through removal of excess fat - Reduction in discomfort from sagging skin or stretched tissues - Renewed self-confidence and self-esteem in your post-baby body This isn’t about going back. It’s about going forward with intention. #### An Honest Approach to Lasting Results *Am I a Candidate for a Mommy Makeover?* **Ideal mommy makeover candidates** are women who are in good health, at a stable weight, and have finished childbearing and breastfeeding. Whether you’re considering breast implants, a mini tummy tuck, or a full abdominal surgery, Dr. Spann will carefully evaluate your health, goals, and medical history to ensure the procedure is right for you. It’s equally important that candidates are emotionally prepared, have realistic expectations, and can commit to a safe recovery. Because lifting and strenuous activity will be restricted for several weeks, having reliable childcare support in place is essential for mothers with young children. This ensures you can focus on healing while knowing your family is cared for. Our top priority is always patient safety, comfort, and long-term satisfaction with your results. [Begin Your Transformation](/consultation/) #### An Exceptionally Smooth Experience *Mommy Makeover Recovery* Most patients take about 2–3 weeks away from work, exercise, and parenting responsibilities to allow for safe, proper healing. If you have young children, arranging reliable childcare support during **mommy makeover recovery** is essential, as lifting, bending, and performing daily activities will be limited during the initial phase. Having extra help at home allows you to focus entirely on your healing process. Because these procedures are combined into a single surgery, the overall recovery period is shorter than if they were performed individually. To keep recovery as comfortable as possible, Dr. Spann uses a multimodal pain management approach that reduces reliance on narcotics. This includes: - Nerve blocks for long-lasting pain relief after surgery - Anti-inflammatory medications to ease discomfort and swelling - Compression garments to support healing and minimize fluid buildup - Lymphatic massage and early movement to lower the risk of blood clots and encourage a smoother recovery #### Confidence That Carries You Forward *Mommy Makeover Results* Following a **Mommy Makeover** Fayetteville patients may notice improvement right away, with final results revealing themselves as swelling subsides over 6–12 months. With a healthy diet, regular activity, and weight maintenance, your results can last for years. Mommy makeover patients enjoy a more refined silhouette, restored breast size, and smoother contours that reflect their hard work and personal growth. Dr. Spann’s focus is always on enhancing your natural silhouette for results that feel true to you. #### Trustworthy Expertise *Why Choose Michael Spann, MD, for a Mommy Makeover?* Dr. Spann is a board-certified plastic surgeon with years of experience in combining surgical procedures safely and effectively. Known for his honest communication and personalized care, he takes the time to understand what truly matters to you and helps you achieve those goals without pressure or upselling. From our Little Rock office to our Fayetteville location, we offer a boutique, patient-first experience designed around comfort, trust, and results that support your identity and confidence. [Design Your Mommy Makeover Plan](/consultation/) #### Mommy Makeover *Frequently Asked Questions* --- ## Breast Implant Revision **Link:** [Breast Implant Revision](https://spannmd.com/breast/breast-implant-revision/) ([md](https://spannmd.com/breast/breast-implant-revision/index.html.md)) **Type:** Service **Description:** Breast Implant Revision in Fayetteville offers correction for implant concerns, restoring comfort, symmetry, and confidence with customized solutions by a skilled surgeon. ### Content #### A Confident Path Forward *Breast Implant Revision at Michael Spann, MD* If you're experiencing changes in your implants over time or simply want a different look or feel, breast implant revision is an opportunity to refine your results with clarity and confidence. **Fayetteville Breast Implant Revision** provider, Dr. Spann brings decades of surgical experience and a deep focus on natural-looking outcomes to every procedure. At our boutique practice locations in Little Rock and Fayetteville, Arkansas, you’ll receive the guidance and support you need to plan a clear path forward, whether you’d like to exchange your implants for new ones or remove them altogether. [Meet With Dr. Spann](/consultation/) #### Custom Care for Changing Goals *What Is Breast Implant Revision?* ***Breast implant revision is a surgical procedure*** designed to adjust, replace, or remove existing breast implants from a previous breast augmentation procedure. Reasons for seeking revision vary, from addressing complications like implant rupture or capsular contracture to refining implant size, shape, or position for improved symmetry or aesthetics. Some patients choose revision to transition to a different implant material or opt for [fat transfer](/body/fat-transfer/) breast augmentation or a [breast lift](/breast/breast-lift/) instead of implant replacement. **Fayetteville Breast Implant Revision surgeon**, Dr. Spann takes the time to understand why you’re considering revision and what you’d like to achieve moving forward. Together, you’ll design a personalized plan that honors your goals while focusing on natural-looking, balanced results you’ll feel confident about. #### Strength and Support for Lasting Results *GalaFLEX® and Allograft Support in Breast Implant Revision* The best possible outcome. Over time, natural breast tissue and skin can thin, making it harder to maintain implant position and long-term symmetry. To address this, Dr. Spann incorporates advanced support materials such as GalaFLEX® mesh and biologic allografts when appropriate. - GalaFLEX® Mesh – A bioresorbable scaffold that provides internal “supportive bra” structure, helping the breast tissue heal in a lifted, stable position while gradually integrating with your body’s natural collagen. - Allograft Materials – Tissue-derived biologic grafts that reinforce the breast pocket, restore strength, and correct issues like recurrent capsular contracture or implant malposition. These techniques are particularly beneficial in complex revisions, post-weight loss patients, or in cases where the breast pocket needs reinforcement for long-term stability. By utilizing these advanced options, Dr. Spann can enhance implant positioning, minimize the risk of recurrent complications, and achieve **Breast Implant Revision results that look and feel natural, while lasting longer.** At Michael Spann, MD, every revision plan is personalized, and the use of GalaFLEX® or allograft support is only recommended when it will enhance your safety, comfort, and results. #### Trusted Expertise for Delicate Corrections *What Is the Breast Implant Revision Procedure Like?* The** implant revision procedure** is designed around your unique needs. In many cases, the existing implant is removed through the original incision site, followed by placement of a new implant or adjustment of the breast pocket or surrounding tissue. If needed, Dr. Spann may also perform a breast lift to correct sagging or reshape the breast contour. Surgery is performed under general anesthesia, and patients return home the same day. You’ll receive clear, personalized aftercare instructions, and our team will walk closely with you through recovery. #### Improving Shape, Comfort, and Symmetry *What Conditions Can Breast Implant Revision Treat?* **Breast Implant Revision** is commonly performed to address concerns such as: - Capsular Contracture – Hardening of the scar tissue around the implant - Implant Rupture or Leakage – Saline or silicone implant failure - Size or Style Change – Desire for a different size, profile, or material - Asymmetry – Uneven appearance between the breasts - Implant Displacement – Implant shifting or malposition over time - Rippling or Wrinkling – Especially common in patients with thinner natural breast tissue - Breast Aging or Sagging – Natural changes that affect the shape and position of the breast #### Results That Feel Right *What Are the Benefits of Breast Implant Revision?* The **benefits of breast revision surgery** extend beyond correcting complications. Revision can restore softness, symmetry, and more natural-looking breast contours. Many patients feel more comfortable in their clothing, more confident in their bodies, and relieved to finally resolve long-standing concerns. For others, revision is a way to update their look or align their appearance with changes in lifestyle or preferences over time. Dr. Spann’s goal is to help you feel confident, secure, and supported in your decision. #### Knowing When Revision Makes Sense *Am I a Candidate for Breast Implant Revision?* You may be a **candidate for breast implant revision** if you’re experiencing discomfort, visible changes, or dissatisfaction with your current implants. Ideal candidates are in generally good health, have realistic expectations, and are ready to collaborate on a new plan. During your consultation, Dr. Spann will review your medical history, evaluate your current implants, and walk you through your options step by step. [Connect With Our Team Today](/consultation/) #### A Recovery Designed Around You *Breast Implant Revision Recovery* **Recovery from breast implant revision** is often smoother than recovery from the initial augmentation procedure, but this can vary depending on the specifics of your procedure. Following **Breast Implant Revision** Fayetteville patients can usually return to light activities within just a few days and resume non-strenuous routines within 1–2 weeks. You’ll be provided with a surgical bra and personalized aftercare instructions, including how to manage swelling and optimize healing. Dr. Spann uses advanced surgical techniques and a multimodal pain management strategy to keep discomfort minimal and healing on track. Our team stays in close contact throughout your recovery to ensure you feel cared for and confident in your progress. #### Results That Reflect Where You Are Now *Breast Implant Revision Results* **Breast Implant Revision**** results** will become more apparent as swelling subsides, typically within a few weeks to months. The goal is always natural-looking symmetry, softness, and balance, refining your shape while respecting your anatomy. Whether you choose new implants, a breast lift, or removal alone, most patients report feeling more comfortable and confident in their results. With a personalized surgical plan and thoughtful follow-up care, your new look can feel just right for years to come. #### A Practice Built on Precision and Trust *Why Choose Michael Spann, MD, for Breast Implant Revision?* Dr. Spann’s approach is grounded in honesty, experience, and the belief that every patient deserves individualized care. With board certification in plastic surgery and decades of hands-on surgical expertise, he brings a meticulous, artistic eye to revision procedures, especially those requiring advanced planning or correction. At our boutique practice in Little Rock and Northwest Arkansas, we take time to listen, explain, and design solutions that fit your life. We’re here to support your goals with clarity, compassion, and consistently beautiful results. [Meet Dr. Spann](/consultation/) #### Breast Implant Revision *Frequently Asked Questions* --- ## Post Massive Weight Loss Reconstruction **Link:** [Post Massive Weight Loss Reconstruction](https://spannmd.com/body/massive-weight-loss-surgery/) ([md](https://spannmd.com/body/massive-weight-loss-surgery/index.html.md)) **Type:** Service **Description:** Learn about post-weight loss plastic surgery in Fayetteville with Michael Spann, MD, offering personalized procedures to refine contours and restore confidence. ### Content #### The Final Step in a Life-Changing Journey *Post Weight Loss Surgery at Michael Spann, MD* Losing a significant amount of weight, whether through bariatric surgery or lifestyle change, is a major achievement. But after such a transformation, many people are disappointed to be left with sagging skin and uneven contours that no amount of lifestyle changes can fix. Post-massive weight loss reconstruction can help restore a sense of physical and emotional closure to your journey. At Michael Spann, MD, every reconstruction plan is designed with care, patience, and precision. Dr. Spann works closely with each patient to identify the areas that matter most, whether that’s the abdomen, arms, thighs, chest, or elsewhere, and develops a safe, staged plan to help you feel comfortable in your body again. If you're ready to take the next step after weight loss, we invite you to schedule a **Post Weight Loss Surgery consultation** with double-board certified plastic surgeon Michael Spann, MD, at our welcoming Little Rock or Fayetteville location. [Begin Your Transformation](/consultation/) #### Designed for Those Who’ve Done the Work *What Is Post Weight Loss Surgery?* **Body Lift **-** **A lower [body lift](/body/body-lift/) (also called belt lipectomy) removes loose, hanging skin and excess fat the abdomen, flanks, outer thighs, and buttocks. **Tummy Tuck (Abdominoplasty) **- Ideal for addressing excess skin and separated abdominal muscles, a [tummy tuck](/body/tummy-tuck/) tightens the abdominal wall and removes lax skin in the lower abdomen. **Thigh Lift **-This procedure addresses sagging skin and fatty tissue on the inner thighs, and sometimes the outer thighs as well. It’s often paired with a body lift or done separately for contour refinement. **Arm Lift (Brachioplasty) **-** **An arm lift removes loose skin and excess fat from the upper arms, helping create a more toned and proportionate look. **Breast Lift **-** **A [breast lift](/breast/breast-lift/) restores a more youthful, elevated breast position after weight loss. In some cases, breast reduction is also performed to remove excess tissue and improve comfort and symmetry. **Male Chest Reduction **-** **[Male chest reduction](/male-plastic-surgery/gynecomastia-surgery/) surgery removes excess skin, fat, or glandular tissue for a sculpted, masculine chest. **Back or Upper **[**Body Lift**](/body/body-lift/)** **-** **This procedure targets the upper back, bra roll, or chest area to remove skin folds that may not respond to weight loss alone. **Liposuction **- While not a weight-loss treatment, [liposuction](/body/liposuction/) can help sculpt away areas of stubborn fat that persist even with a healthy diet and good exercise routine. Post Weight Loss Surgery procedures are designed to **remove the excess skin and fat commonly left behind after massive weight loss**. These procedures are often performed in stages for a safe approach that provides harmonious results. Dr. Spann works with each patient to create a treatment plan aligned with their goals, anatomy, and tolerance for recovery time. Commonly treated areas include the abdomen, arms, thighs, back, buttocks, breasts, and chest. Post-weight loss surgery is not just about cosmetic improvement. It’s about relieving the physical discomfort and emotional burden of loose hanging skin. Lift surgery helps patients enjoy sleeker contours, enhanced physical comfort, and the ability to wear a wider range of clothing styles. Dr. Spann combines deep surgical experience with a collaborative, judgment-free approach to help patients finish what they started and feel whole in their new shape. Depending on your individual needs, your post-weight loss reconstruction plan may include: [.block] [] #### Compassion Meets Precision Care *What Is the Post Weight Loss Surgery Procedure Like?* Every surgical plan is developed after a thoughtful consultation, including a review of your goals, medical history, and anatomy. Procedures may include a body lift, thigh lift, breast lift, arm lift, chest contouring, or other approaches depending on your needs. Some areas may be treated together in one procedure, but many **Fayetteville Post Weight Loss Surgery** patients undergo surgery in stages to reduce surgical risks and support the best possible outcomes. Procedures are typically performed under general anesthesia in Dr. Spann’s AAAASF-accredited surgery center or a local hospital. You'll be guided through every step, from pre-op planning to detailed aftercare, with an emphasis on safety, comfort, and clear communication. #### Restoring Comfort from Head to Toe *What Areas Can Be Treated with Post Weight Loss Surgery ?* Areas commonly treated following massive weight loss include: - **Abdomen and Waist** – Often using a tummy tuck or lower body lift to remove excess tissue and smooth the contour - **Breasts or Chest** – Breast lift with or without implants, or male chest reduction to remove enlarged male breast tissue - **Upper Arms** – Arm lift to remove hanging skin from shoulder to elbow - **Thighs and Buttocks** – Thigh lift and buttock lift to address sagging in the inner thighs, outer thighs, and gluteal area - **Back and Flanks** – Smoothing skin folds and contouring the back for comfort and improved fit Dr. Spann will work with you to identify treatment areas and sequence procedures in a safe, thoughtful way. #### Confidence That Moves With You *What Are the Benefits of Post Weight Loss Surgery?* Beyond aesthetic refinement, many patients find that post-weight loss surgery improves physical comfort, reduces skin irritation, and enhances self-esteem. **Fayetteville Post Weight Loss Surgery** patients may feel more confident in clothing, better able to move freely, and more at peace with the body you’ve worked so hard to achieve. By removing excess skin, tightening underlying tissue, and improving body contours, this type of reconstruction can also bring closure to a deeply personal journey. The goal is to help you feel not just transformed but complete. #### Candid Conversations. Honest Advice. *Am I a Candidate for Post Weight Loss Surgery ?* **Ideal candidates for Post Weight Loss Surgery** are typically individuals who have lost a significant amount of weight, have maintained a stable weight for at least six months, and are in generally good health. If you’re experiencing loose skin, persistent discomfort, or difficulty with clothing due to excess tissue, surgical reconstruction can offer meaningful relief and restore your silhouette. At Michael Spann, MD, we know that every journey is different. Dr. Spann and his team will carefully evaluate your health history, goals, and anatomy to determine the best options for your needs. We take the time to explain each step, helping you feel confident, informed, and supported in deciding what makes the most sense for your body and your lifestyle. [Let’s Talk About Your Goals](/consultation/) #### Supporting You from Start to Finish *What Is Post Weight Loss Surgery Recovery Like?* **Post Weight Loss Surgery r****ecovery** timelines vary depending on the extent of the surgical procedure. Most patients need 2 to 4 weeks off from work per surgery, with more time needed before resuming strenuous activity. Our comprehensive recovery protocol includes advanced pain management techniques to reduce the need for narcotic medications, as well as lymphatic massage to reduce swelling and support good healing. You’ll be asked to wear compression garments and follow post-op instructions carefully to help drain excess fluid, prevent blood clots, and support tissue healing. Dr. Spann’s approach to recovery is rooted in proactive care, minimizing pain, supporting the healing process, and ensuring you feel prepared and supported throughout your journey. #### Results That Reflect Your Dedication *Post Weight Loss Surgery Results* The** results of Post Weight Loss Surgery** can feel transformative, both physically and emotionally. Once your body has healed, you can expect smoother contours, less chafing or irritation, and the removal of skin that may have limited your mobility, wardrobe choices, or comfort in daily life. Many patients share that these changes make a meaningful difference in how they move through the world, boosting not only their self-image but also their ease and enjoyment in everyday activities. While it takes several months for swelling to fully resolve and scars to mature, the improvement in shape and confidence is often noticeable early in the healing process. Dr. Spann focuses on delivering results that feel natural to your frame, complement your lifestyle, and celebrate the work you've already done. For many, this step marks a powerful sense of closure and a new chapter of feeling more fully at home in their body. #### A Surgeon Who Honors Your Journey *Why Choose Michael Spann, MD for Post-Weight Loss Surgery?* At Michael Spann, MD, we specialize in thoughtful, detail-oriented care for patients who have transformed their lives through weight loss. Dr. Spann brings over two decades of surgical experience and the focused skill of a board-certified plastic surgeon to every procedure. His approach combines surgical precision with a deep understanding of body mechanics, scar placement, and tissue quality, ensuring that your results are not only beautiful but built to last. What sets our practice apart is the level of attention and planning that goes into each transformation. From your first consultation, you’ll experience a calm, collaborative environment where your goals guide every decision. We listen carefully, tailor your plan to fit your unique anatomy, and support you every step of the way, from recovery logistics to long-term results. The outcome? A renewed shape that feels aligned with the progress you’ve worked so hard to achieve, and care that honors your full journey. [Meet Dr. Spann ](/consultation/) #### Post Weight Loss Surgery *Frequently Asked Questions* --- ## Mons pubis lift **Link:** [Mons pubis lift](https://spannmd.com/tummy-tuck/mons-lift-arkansas/) ([md](https://spannmd.com/tummy-tuck/mons-lift-arkansas/index.html.md)) **Type:** Service **Description:** Dr. Michael Spann includes mons pubis lifting in every tummy tuck at no extra charge. Serving Northwest Arkansas with complete body contouring results. --- ## Motiva® Implants **Link:** [Motiva® Implants](https://spannmd.com/breast/breast-augmentation/motiva-implants/) ([md](https://spannmd.com/breast/breast-augmentation/motiva-implants/index.html.md)) **Type:** Service **Description:** Motiva implants represent a breakthrough in breast augmentation technology, offering Fayetteville patients advantages that traditional implants simply can't match. ### Content *Motiva implants represent a breakthrough in breast augmentation technology, offering Northwest Arkansas patients advantages that traditional implants simply can't match.* #### Your Motiva Implants Consultation to Recovery Journey #### Who Is a Good Motiva Implants Candidate? #### NEW: Motiva Preservé™ Technique *Dr. Spann is among the first surgeons in Arkansas certified to perform Preservé — a next-generation technique that preserves your native breast tissue, muscle, and nerve pathways. Smaller incisions. Faster recovery. Zero muscle cutting.* [Learn More about Dr. Spann](/about/meet-dr-spann/) #### Motiva® vs. Traditional Implants #### Why Choose Dr. Spann for Motiva® in NWA? #### Motiva Implants Frequently Asked Questions #### Schedule Your Motiva® Consultation Ready to experience the most advanced breast implant technology available in Northwest Arkansas? Dr. Spann and our team are here to guide you through every step. When searching for the best **Motiva Implants** Fayetteville patients can expect personalized treatments that enhance their natural beauty. [Request a Consultation](/consultation/) --- ## Breast Procedures **Link:** [Breast Procedures](https://spannmd.com/gallery/breast/) ([md](https://spannmd.com/gallery/breast/index.html.md)) **Type:** Gallery --- ## Body Procedures **Link:** [Body Procedures](https://spannmd.com/gallery/body/) ([md](https://spannmd.com/gallery/body/index.html.md)) **Type:** Gallery --- ## Face Procedures **Link:** [Face Procedures](https://spannmd.com/gallery/face/) ([md](https://spannmd.com/gallery/face/index.html.md)) **Type:** Gallery ---