While many think that liposuction is the answer to creating the ideal feminine silhouette, that’s not always the case. When it comes to the lower body and getting the curves you want, there are some considerations that go along with a liposuction procedure. Here are just a few.

The role of fat

It’s important to realize that the fat below the surface of your skin plays an important role in the contours of your body. While liposuction at the hips can help to make the flanks smoother, it must be done in a way that forms a natural transition to the buttocks. Dr. Ehrmantraut prefers to remove the love handles, also commonly referred to as the muffin top. When these fat rolls are removed, it allows for the buttock region to appear more curvaceous than ever before.

Avoiding liposuction on the buttocks

It’s easy to think that liposuction is performed on the buttocks themselves to achieve your results. The truth is that the buttocks very rarely have liposuction performed on them. When a cosmetic surgeon decides to perform liposuction on the buttocks themselves, it can actually increase the look of sagging and skin asymmetries of the body. When too much fat is removed from the buttocks and the hips, it can actually create more contour irregularities. These can be somewhat difficult to correct and sometimes may require fat to be reinjected into the area to enhance the volume.

Dr. Ehrmantraut is more focused on performing liposuction on the outer thighs, flanks, and upper buttocks. By removing the excess fat in these areas, it can allow the buttocks to look fuller. For example, when you have excess fat in the upper buttocks region, it can make the overall butt profile appear flat and wide. When the upper buttocks region is contoured with liposuction, it will provide dramatic results in the improvement of the overall region. In most cases, there will be no need for silicone implants or fat transfer procedures.

When is buttock liposuction appropriate?

Direct buttocks liposuction tends to be reserved for a small number of patients who are concerned about an overly large buttock profile to begin with. This form of direct liposuction can be attempted to help reduce the fullness of the buttocks region. However, your cosmetic surgeon must take special care to avoid sagging, dimpling, and other unwanted side effects that may happen as a result of fat loss.

During a direct buttocks liposuction procedure, the amount of fat removed is of high topic. Cosmetic surgeons will tend to err on the side of having too much left over than leaving too little behind. It’s always possible to go back and remove excess fat, but it’s more difficult to have to go back and inject fat into the area. Realize that liposuction on the buttocks is only going to partially help to improve the overall appearance of the body.

Schedule a Consultation

In most cases, liposuction around the surrounding areas is the answer to getting the buttocks shape that you want. If you would like to understand more about this type of liposuction procedure, we encourage you to contact Plastic Surgery of Southern Maryland today and let our helpful staff schedule a consultation that works best with your schedule.

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When it comes to tummy tuck surgery, patients should know exactly what can be achieved and what can’t. Whereas liposuction focuses only on the removal of unwanted fat cells from the body, tummy tuck surgery is meant to form contours by dealing with any range of conditions that keep the abdomen from appearing toned.

Excess Fat

Stubborn fat pockets are obvious culprits of a larger waistline. Whereas liposuction is often conducted as a single procedure, it may also be used as a part of a tummy tuck surgery to flatten the waist and stomach. Liposuction requires the use of tiny incisions and a cannula to break up and remove fat cells. These techniques can be used at the same time as a tummy tuck for optimal body contouring.

Excess Skin

While excess fat causes bulges, excess skin creates a droopy pouch that may hide even well-formed muscles in the abdomen that sit below. The amount of excess tissue will vary from just a touch to larger pockets. For a tummy tuck, Dr. Ehrmantrout re-drapes the skin around the abdomen so that it appears tight and flat, then trims off any excess. The incisions for this process are well-concealed within the bikini area.

Lax Muscles

Over time, muscles in the belly and the fascia that covers them will become loose. Unlike firm fascia, which holds everything in place, lax fascia permit bulging outward. Abdominal muscles will separate, giving the complete midriff a soft look. Throughout a tummy tuck, Dr. Ehrmantraut will, if necessary, sew this fascia and the muscles back to make everything toned and tight.

Placement of the Belly Button

Depending on the details of the tummy tuck, the doctor may have to relocate the belly button. This involves making a hole within the freshly taut abdominal skin, therefore the navel stays proportional with the remainder of the body. This process is often known as “umbilical translocation.”

When all steps have been completed, the incision is going to be closed off using either absorbed sutures or a special glue in such a manner that the patient may take a shower the subsequent day without the need to remove the sutures.

Since each patient contains a distinctive body size and form, as well as particular goals for a final look, every tummy tuck is its own procedure. Whereas there are common elements in all such surgeries, no two are going to be specifically alike. To start developing your custom tummy tuck procedure, contact Dr. Ehrmantraut for a consultation.

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What are Gummy Bear Implants?

Cohesive gel implants, which are also known as gummy bear implants, are form-stable breast implants that are shaped like a teardrop. Gummy bear implants offer a variety of sizes, and they tend to look more natural than traditional silicone and saline implants. This is because gummy bear implants have more projection at the bottom with tapering toward the top.

Gummy bear implants are made with a layered silicone outer shell that is thicker than the silicone filling inside the implant. The firm consistency gives the implant the capability to maintain its shape if the shell ruptures.

The three biggest manufacturers of cohesive gel implants are Mentor, Allergan, and Sientra. Mentor’s MemoryShape implants offer six shapes, and twelve shapes are available with the Allergan’s Natrelle Style 410 breast implants. Sientra breast implants are offered in five shapes.

Breast Implants and Cohesive Gel Questions

As with any type of cosmetic surgery, it is important to have an understanding of the procedure that you have in mind, such as what advantages and disadvantages it has to offer.

What are the Pros of Gummy Bear Implants?

There are many advantages of cohesive gel implants. The major benefits of gummy bear implants are their durability and natural-looking shape, but there are several other advantages, which include:

Leaking is Less Likely

Gummy bear implants are less likely to leak than traditional silicone and saline implants. With cohesive gel implants, leaking is rare because they typically do not cause fold lines to develop that put strain on the implants. These implants are made with a semi-solid interior, so if there is a rupture, the gel wouldn’t migrate very far.

Prevents Folding and Rippling

The cohesive silicone gel material creates a specific shape, so it won’t move when placed under the breast tissue or muscle. The high-strength cohesive gel has tight molecular bonds that keep the shell from collapsing, which will prevent folding or rippling.

They Maintain Their Shape Longer

Gummy bear implants are made with a cohesive gel that is more likely to hold the shape of the implant longer than other types of implants. This is because the cohesive gel is thicker than the material that is used in traditional silicone implants.

They Offer Natural-Looking Results

Cohesive gel implants look and feel more like breast tissue than saline or traditional silicone implants. The round base and teardrop shape of gummy bear implants provide women with a natural look, which is why it is popular with many patients.

There is a Lower Risk of Capsular Contracture

Capsular contracture occurs when internal scar tissue forms around the implant and is common among breast augmentation patients, but it is less likely to occur with cohesive gel implants because of its unique makeup.

What are the Cons of Gummy Bear Implants?

While cohesive gel implants offer a number of advantages, there aren’t many cosmetic surgeries that are free of drawbacks. Some cons of gummy bear implants include:

They’re the New Kid on the Block

Traditional silicone implants with a round shape have been the standard implants used for breast augmentation for years, so these implants have been subjected to more studies than gummy bear implants. There are only a few long-term studies regarding cohesive gel implants.

They are More Expensive

One of the biggest disadvantages of cohesive silicone gel implants is that they are more costly than saline or traditional silicone implants. The price of gummy bear implants will primarily depend on the technique that is used to carry out the procedure.

Would you like to know more about gummy bear implants? If you have any breast implants and cohesive gel questions, contact us for a consultation to see if the procedure is right for you! We welcome the opportunity to help you achieve your aesthetic goals.

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October is Sudden Cardiac Awareness Month, and Dr. Ehrmantraut is featured in CalvertHealth Magazine’s Fall issue for his advocacy for immediate action when it comes to SCA or sudden cardiac arrest. This life-threatening condition affects nearly 350,000 people in the United States each year but can be aided by immediate action by those around them.

A key to this call-to-action is a readily-available AED, or automated external defibrillator, which are now installed at Calvert County parks in the event of SCA, thanks to an initiative by Dr. Ehrmantraut. These small-but-important units can analyze the unusual heart rhythm that is indicative of SCA and administers a shock to restore a regular rhythm. In addition to an available AED, park staff is now certified in life-saving CPR techniques to be administered immediately while emergency services are on the way. These two components are pivotal in greatly increasing the chance of survival from SCA when in an isolated location.

Dr. Ehrmantraut knows this danger well, as a regular participant of local adult soccer leagues who frequent the county parks. Dr. Ehrmantraut is also the chief of medical staff at CalvertHealth Medical Center and was able to advocate for an initiative towards greater SCA preparedness with the district. CalvertHealth Medical Center offers community classes in infant and adult CPR, AED use, and first aid techniques, and Dr. Ehrmantraut recommends these classes to anyone who works with or knows at-risk individuals since seven in ten SCAs occur at home.

In addition to training yourself in CPR and first aid techniques, Dr. Ehrmantraut recommends recognizing the secure, clearly marked location of these AED devices at your next county park visit. To learn more about Dr. Ehrmantraut’s initiative during Sudden Cardiac Awareness Month, check out Calvert Health Magazine’s latest issue here.

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If you’re looking for an all-natural, versatile procedure, fat grafting may be the procedure for you. Fat grafting can be used to rejuvenate the face or enhance the body using your own fat. Fat transfer is an incredibly versatile procedure with a very low possibility of complication. However, before you make your decision it’s important to know who is a candidate, the possible applications, and the surgical process.

How Does It Work?

For a fat grafting procedure, the process can be summed up in three steps:

Your fat is harvested – To begin the procedure, a donor site previously decided by you and your doctor will have an incision made for fat removal by liposuction. Once the fat is carefully extracted, it will be stored until it is time to process it further.

Preparation & filtration – After your fat has been harvested, the fat will be prepared by removing any impurities and then transferred into small syringes for fat injection. The fat is often spun in a centrifuge in order to remove any impurities by filtering the fat, making it ready for placement.

Placement/Injection – Once enough fat is harvested and filtered, the fat is then ready to be injected into the treatment area. The most common way for a fat graft to be placed in the use of syringes, much like a dermal filler would be injected. This can be done immediately or at another time.

Who is a Candidate?

The ideal candidate for fat grafting is a patient who is in good general health and has a donor site with sufficient excess fat. In addition to good health and sufficient fat supply, it is important that you do not have any circulation issues. Circulation issues can stem from medical conditions or smoking.

Where can I have it Done?

Fat grafting can be used to enhance many areas of the body including the face, breasts, buttocks and even hands. Some of the most popular areas to be enhanced by fat grafting are:

  • Facial wrinkles and folds – Just like a dermal filler, your own purified fat can be used to fill in wrinkles and folds by adding lost volume to these areas.
  • Breast augmentation – Instead of using implants, you can use fat grafting for a subtler enhancement that increases your bust size by one half to one full cup size.
  • Natural butt lift – While there are injectables available for buttock augmentations, fat grafting is by far the best choice because it is long lasting and natural.
  • Hand rejuvenation – As we age, our hands tend to show it too and the bones and tendons look more visible. Fat injections can help add volume and smooth out the look of the hands for a more youthful look.

If you are interested in learning more about fat grafting, contact our office today to schedule a consultation.


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One procedure that we feel doesn’t get talked about enough is the eyelid lift or blepharoplasty. This procedure is relatively simple in comparison to a breast or body procedure but makes a world of a difference to one’s appearance. The facial enhancement procedure gives patients the flexibility to have the top, bottom or both lids done for a more refreshed look.

Minimal Scarring

One of the most appealing characteristics of this procedure is the easily hidden incisions. Even though any incisions will likely fade well with proper care, these incisions are made carefully in the natural crease of the eye. This could be the upper eyelid crease that cannot be seen with the eye open or the crease at the lower lid.  With these carefully hidden sutures, you can enjoy a seamless recovery.

Simple Procedure

A blepharoplasty is typical, an outpatient procedure performed under local anesthesia and sedation. The procedure itself is not incredibly invasive and mainly consists of the removal of small areas of excess skin or tiny fat deposits. After the procedure, you will be moved to a recovery area before you are released to a friend or family member to go home.

Inconspicuous Results

Once you are home and healing, you will find that the incision sites are barely noticeable. Once your skin has healed, you will be left with a more youthful appearance that doesn’t look overdone or change the structure of your face. Most often, we hear that patients’ friends and families ask what they’re doing differently because they look more rested and healthy with a more open-eyed look.

If you are in the Southern Maryland or Capitol area, call our office today to schedule your consultation with Dr. Ehrmantraut. We offer a wide variety of cosmetic and reconstructive procedures and look forward to helping you achieve your personal goals.

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Are you unhappy with your small or asymmetrical breasts? Maybe you avoid wearing certain clothing items, or feel uncomfortable wearing a bathing suit. If so, you may be able to benefit from a breast augmentation. This popular procedure option can augment your breasts for an improved breast contour. However, there are some things that you should consider before undergoing this procedure.

Breast Implant Type

There are a few implant types to choose from, including saline, silicone, and gummy bear. Saline implants are filled with a saltwater solution, while silicone implants are filled with a silicone gel. Gummy breast implants are also filled with silicone, but their gel interior is thicker and has a gummy bear-like consistency, so they hold their shape very well.

Breast Implant Placement

Breast implants can also be placed underneath or over the chest muscle. Implants that are placed under the implant provide a more natural look and feel, but do take longer to heal. Implants that are placed over the muscle heal quicker, but are at a higher risk for capsular contracture and rippling.

Breast Implant Size

Choosing the right implant size is important to achieve your aesthetic goals. For those who want a more natural augmentation, choosing small implant may be the answer. However, a discussion with your plastic surgeon during your consultation can help to make this process easier.

If you are interested in a breast augmentation, contact our office today to schedule your initial consultation!

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Are you starting to notice lines and wrinkles creeping up around your eyes or mouth? If so, you may want to start thinking about noninvasive treatment options. Today, both neuromodulators and fillers can be used to correct these signs of aging. However, how do you know which one is right for you? Read on for a breakdown of these different treatments.


Botox and Dysport are classified as neuromodulators, and are made up of botulinum toxin type A. Throughout our lives, we make many facial expressions, that cause our muscles to contract. After repeated use, these muscles can cause lines and wrinkles in the upper face. Neuromodulators work by temporarily relaxing these muscles so that they do not contract, smoothing facial lines. These treatments are most commonly used to lines on the forehead, between the brows, and at the corners of the eyes, and can last from 3-6 months.


Fillers differ from neuromodulators in that they add volume under the skin to smooth out smile lines and restore lost volume. At our office, we offer an array of fillers including Juvederm Ultra and Ultra Plus, Restylane and Perlane, and Sculptra. Most fillers are made with hyaluronic acid, which is a naturally occurring molecule that attracts and binds water under the skin to create volume. Fillers are commonly used to treat smile lines, and add volume to the cheeks and augment the lips. Results can last anywhere from six months to two years, depending on the formula used.

If you are interested in learning more about neuromodulators and fillers, contact Plastic Surgery of Southern Maryland today to schedule a consultation.


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The holiday season is here, and the invites to holiday parties are beginning to pour in. If you are feeling confident in your appearance, you are good to go. However, if those pesky lines and wrinkles, scars, or uneven skin tone are holding you back, you may want to consider non-invasive skin treatments. Read on to learn more about these treatments at our office, and what each one can treat.


Fillers are injectable treatments done to help smooth out lines and wrinkles, restore lost facial volume, and plump the lips by adding volume under the skin. At our office, we offer Juvederm and Restylane, both which are made with hyaluronic acid for natural-looking results.


Neuromodulators such as Botox and Dysport are made up of Botulinum toxin type A. Unlike fillers, neuromodulators do not work by adding volume under the skin, rather, they temporarily relax facial muscles that cause wrinkles to form. These treatments are great for addressing lines on the forehead and crow’s feet.

Chemical Peels

Chemical peels are used to rejuvenate and refresh the complexion. At our office, we use the VI Peel, which is a medical-grade chemical peel used to address sun damage, fine lines and wrinkles, hyperpigmentation, scars, and acne.

As you can see, there are an array of treatment options available to address signs of aging, without undergoing surgery. If you are ready to look and feel your best this holiday season, contact our office today to learn more about your treatment options!

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Are you tired of avoiding photographs and trying to hide behind high-collared shirts due to your double chin? If so, it may be time to consider Kybella. Kybella is a breakthrough treatment that eliminates fat beneath the chin (submental fullness) without surgery! Read on to learn more about Kybella and what it can do for you.

What is it?

Kybella is an injectable treatment made up of deoxycholic acid, a naturally occurring molecule that breaks down dietary fat. During treatment, your injector will map out the treatment area using a surgical marker. Then, a number of injections will be placed into the double chin. The number of injections will vary depending on the amount of submental fullness that needs to be eliminated. Most patients will require a series of injections to achieve best results.

After Treatment

After a Kybella treatment, there is no downtime needed. Swelling, tenderness, and bruising at the injection sites may occur, but should reduce over the course of a week. Elimination of your double chin, with no downtime? What could be better?

Who Can Benefit?

Both men and women 18 years and older who are unhappy with their double chins can benefit from Kybella. The best way to determine if Kybella is right for you is through a consultation with Dr. Ehrmantraut.

If you are interested in learning more about Kybella, contact our office today! We would be happy to schedule your consultation.

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