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Max Gouverne Cosmetic Surgery

Dr. Gouverne’s Top Five© Ways To Rejuvenate The Trunk and Tummy


Over the last 5 years there has been an explosion of innovative approaches to solve your specific tummy-trunk issues. Innovators from Brazil (Drs.Pitanguy and Góes), Germany (Dr. Richter), Sweden (Dr.Héden), and the US (Drs. Mendieta and Wall) have revolutionized surgery of the tummy-trunk. Unfortunately many surgeons still use older but time-tested surgeries that may still produce acceptable results, but now newer techniques can deliver superior contours to the entire tummy-trunk-buttocks complex. Now tummy-tucks are combined with a number of innovative operations. We no longer consider the tummy in isolation, now the tummy-tuck is part of a complete restoration that includes modifications to the waist, the A-point, under-breast area, and the buttocks. The breakthrough discovered was that these new techniques can be offered in conjunction with the tummy-tuck and that it could be done safely. Below is a list of some of the new techniques developed.

  • AILS : A new A.I. Lipo-Sculpture that allowed for adding, removing and smoothening of fatty tissue
  • EFR: Replacing traditional muscle stitching allowing constant anesthetic infusion with fascia repair.
  • BBL: incorporating waist and buttocks shaping in conjunction with the tummy-tuck
  • FUP: a no scar belly button technique.
  • OnQ: indwelling pain management where local anesthetics are preferred over narcotics

Here is my top five list ranked from most to least common:

  1. Tummy tuck with A.I. Lipo-Sculpture (AILS): Best for patient needing fat reduction, waist shaping, endo-fascial (EFR) repair and tummy skin reduction. Price can range from $8,500-$10,000.
  2. I Lipo-Sculpture (AILS): Best for patients with contour issues with fat deposits without muscle weakness or skin redundancy. Agitation-Infusion Lipo-Sculpture (AILS) is sufficient. Price can range from $3,000-$6,000.
  3. Tummy tuck with A.I. lipo-sculpture and Brazilian Butt Lift (BBL). Best for patients needing fat reduction, waist shaping, endo-fascial repair, tummy skin reduction, and buttocks augmentation. Price can range from $12,000-$14,000.
  4. Classic Tummy tuck: best for fit patients without need for waist modification or excess fat in the abdomen or trunk. Price can range from $7,600-$8,600.
  5. Tummy tuck with floating umbilico-plasty: Best for fit patients with long trunk and weakened endo-fascial (EF) envelope and a minimal amount of skin excess. Price can range from $7,600-$8,600.

What is the best way for your specific anatomy? Ask the following questions:

  • Is the skin stretched-out? You need a resection.
  • Do I want fuller buttocks? BBL is needed.
  • Is my trunk straight or do I want a more defined shape? You need AILS.
  • Did my muscles stretch out with a pregnancy? You need an EF repair.

Key to the abbreviations used:

  • AILS: (A.I. Lipo-Sculpture) —Agitation Infusion Lipo Sculpture: Fat management allowing for removal, grafting and smoothening of the fat layers by combining the Wells Johnson High Volume Precision Auto-Graft System (HVP) with the reciprocating motion of the MicroAire Aesthetics PAL LipoSculptor
  • EFR: Endo Fascial Repair—- stitching allowing constant anesthetic infusion with fascia repair of stretched-out bellies
  • BBL: Brazilian Butt Lift. Is an AILS technique to dramatically thin the waist and fat-graft the buttocks.
  • FUP: Floating Umbilico-Plasty a no scar belly button technique







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Dr. Max Gouverne

Dr. Max Gouverne is a board-certified plastic surgeon in Corpus Christi with more than 20 years of practical experience. Paired with his approachable personality, his advanced knowledge and employment of leading-edge techniques ensure your utmost safety, comfort, and satisfaction.

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Dr. Max Gouverne, MD
Cosmetic Surgery

5642 Esplanade Drive
Corpus Christi, TX 78414

Phone (361) 993-2222 Monday–Thursday:
8 a.m.–5 p.m.
Friday: 8 a.m.–12 p.m.