Selarom Plastic Surgery & Medical Spa

Selarom Plastic Surgery & Medical Spa Dr. Schmelzer, board certified, craniofacial fellowship trained, plastic surgeon who loves natural r

09/09/2026

Losing fat and losing skin are not the same thing. ⚕️

After major weight loss, you can reach a healthy weight and still have excess skin that diet and exercise cannot fix.

In this case, significant weight loss left excess abdominal skin behind, so a tummy tuck was used to remove it and restore the shape of her abdomen.

⚠️ Every patient responds differently to weight loss and surgery. The right approach depends on your anatomy, skin quality, and goals.

09/09/2026

Over the muscle or under it. Both are real options. ✳️

An implant can sit in front of your chest muscle or behind it, and that choice changes how you look, how you heal, and how your mammograms read for the rest of your life.

Behind the muscle, the implant has a layer of your own tissue over the top of it.

The upper edge is softer and less visible, and there is more coverage if you are thin.

The trade is a tighter early recovery and, in some women, movement in the breast when the muscle flexes. ⚠️

In front of the muscle, the implant follows the shape of the breast more directly and recovery tends to be easier.

The trade is less coverage, so if there is not much tissue to begin with, the edges of the implant can become visible over time. ⭐

There is also a middle approach where the muscle covers the lower portion only. ➡️

None of these is the correct answer for everyone.

It comes down to how much tissue you have, how much sag, and what you do with your body.

If a surgeon only ever does 1 of them, ask why.

⚠️ Implant placement affects healing, appearance, and long-term mammogram screening differently for each patient. Discuss which option is right for you with your surgeon.

09/09/2026

Financing a mommy makeover, the actual breakdown 💵

The full price of a mommy makeover stops a lot of patients before they even book a consult. It doesn't have to.

Procedures can be unbundled and staged, tummy tuck first, breast work later, instead of 1 large bill all at once.

Financing options get reviewed with you directly, before you commit to anything, so you know what you're working with.

You should walk away from your consult with a written cost breakdown, not a vague estimate you find out was wrong later.

No hidden facility fees, no hidden anesthesia charges added after the fact. Just a plan that fits your actual timeline.

⚠️ Pricing and financing options vary by individual case and are confirmed during your consult.

09/08/2026

When should you have surgery while losing weight? 😮
Half of our patients are on a weight loss medication before surgery.

Timing surgery around your weight loss goal really matters for your results.

Losing a lot more weight after surgery can cause your results to shift.

⚠️ Ideal surgery timing during a weight loss journey varies by patient and should be personalized with your surgeon.

09/08/2026

You see the before, you see the after.
What you don't always see is everything that happens in between.

A good result isn't just about making a dramatic before-and-after. It's about making the right decisions before surgery, executing them precisely during surgery, and understanding what the healing process will actually look like afterward.

That is the difference between selling a procedure and practicing surgery.

09/06/2026

The order a mommy makeover follows ⚕️

A mommy makeover is usually more than 1 procedure done in a single operation. The sequence is not random.

1. Breast work often comes first, while the anesthesia team and I are freshest and precision matters most

2. The tummy tuck and muscle repair typically follow. That portion takes the longest and asks the most of the body ⏱️

3. Liposuction to the surrounding areas is usually last, refining the overall shape once the major work is done

4. Positioning changes happen between steps. You are physically repositioned on the table, and that is part of why total operating room time adds up 🔄

The plan is built around safety and precision, not around getting you off the table faster.

It is also why 2 surgeons quoting the same procedures can quote very different operating times.

⚠️ Longer time under anesthesia carries real risk, which is exactly why some patients are staged into 2 operations instead of 1. Sequence and total operative time are decided case by case. This is general education, not medical advice.


09/05/2026

The breast lift scar took 100 years to shorten ⚕️

The first breast lifts on record were performed in France in the late 1890s. Surgeons could restore the shape almost immediately 🔬

2 problems took the next century. Keeping the ni**le alive while moving it, and closing the skin without leaving a mark no patient would accept 🧵

The 1960s solved the first. Strömbeck in 1960, Skoog in 1963 and McKissock in 1972 developed the pedicle techniques that keep the ni**le attached to its own blood supply while it is repositioned. That principle has not changed since 🩺

The second problem took longer and is still a trade rather than a solution. Wise standardized the anchor incision in 1956, reliable and long. Lassus began shortening it through the 1960s, and Lejour popularized the lollipop pattern in the 1990s ✂️

Every one of those patterns buys shorter scar at the cost of how much lift it can deliver, which is why none of them replaced the others 📐

What changed most recently is the selection. Since Regnault published his sag grading in 1976, the pattern gets matched to the patient's actual grade rather than to whatever the surgeon does by default 🕰️

⚠️ Every breast lift leaves permanent scars, and scar appearance varies significantly between patients. No technique eliminates scarring. Only an in person exam with a board certified plastic surgeon can determine which pattern is appropriate for you.

I am Dr. Schmelzer, founder of Selarom Plastic Surgery. I bring 20+ years of surgical experience to my practice. I have dedicated my career to executing complex, multi-stage body contouring for massive weight loss patients, as well as performing precision-based Mommy Makeovers, abdominal contouring, breast augmentations, and breast lifts.

Your safety and your results are worth more than a discount. If you are ready for a personalized approach guided by a veteran surgeon, comment “CONSULT” below and let's discuss your custom surgical plan.

09/05/2026

Insurance and excess skin removal, explained 💵

Most patients assume skin removal after major weight loss is 100 percent cosmetic. Sometimes it is.

But when the excess skin is causing real medical problems, like rashes, infections, or skin breakdown that won't heal, insurance can sometimes step in.

The process usually starts with documentation. Photos, notes from your doctor, and a letter of medical necessity that explains what the skin is actually doing to your health.

Every insurance plan is different, and there's no universal rule that guarantees coverage.

The only way to know where your case stands is to bring your history and your policy into a consult and go through it together.

⚠️ Coverage depends on your individual insurance plan and documented medical history. Not every case will qualify.

I am Dr. Schmelzer, founder of Selarom Plastic Surgery. I bring 20+ years of surgical experience to my practice. I have dedicated my career to executing complex, multi-stage body contouring for massive weight loss patients, as well as performing precision-based Mommy Makeovers, abdominal contouring, breast augmentations, and breast lifts.

Your safety and your results are worth more than a discount. If you are ready for a personalized approach guided by a veteran surgeon, comment “CONSULT” below and let's discuss your custom surgical plan.

09/04/2026

Before you blame your surgeon for your scars, watch this.

If you are seeking a significant body transformation, and value safety and medical pedigree over viral trends, you are in the right place.

I am Dr. Schmelzer, founder of Selarom Plastic Surgery. I bring 20+ years of surgical experience to my practice. I have dedicated my career to executing complex, multi-stage body contouring for massive weight loss patients, as well as performing precision-based Mommy Makeovers, abdominal contouring, breast augmentations, and breast lifts.

Here, we do expertise, not trends. My focus is entirely on providing elite body transformations without the gimmicks, "Groupon" pricing, or influencer stunts.

By following along, you will learn how to safely navigate your own medical decisions with absolute peace of mind. Here, we focus on:
✅Customized Artistry: Achieving natural-looking, lasting results tailored exactly to your unique anatomy and goals.
✅Uncompromising Safety: Understanding the importance of surgical quality and seasoned experience over fleeting social media trends.
✅Lifelong Confidence: How to restore your self-worth and experience the joy of recognizing your true self in the mirror again.

Your safety and your results are worth more than a discount. If you are ready for a personalized approach guided by a veteran surgeon, comment “CONSULT” below and let's discuss your custom surgical plan.

09/04/2026

Which of the 3 are you? ⚡

Loose skin on the abdomen is 1 complaint with3 different answers, and picking the wrong one is how patients end up disappointed by a technically well done surgery.

If your skin is tight and it is only fat, liposuction alone may do it. ⭐

If the loose skin sits below the belly button only, a shorter incision and a smaller lift can work. ✅

If the looseness runs above and below the belly button, and especially if the muscle wall has separated, that is the full operation with the longer scar and the muscle repair. ⚠️

And if you have lost a large amount of weight and have excess skin running side to side and up and down, sometimes the incision has to go vertically as well as horizontally. ❗

Nobody wants to hear that last one.

A vertical scar is a real trade, and I say so plainly.

But there are bodies where the horizontal incision alone cannot remove enough, and pretending otherwise leaves the patient with a result she paid for and does not want.

Ask your surgeon which of the 3 you are, and ask them to explain why not the smaller one.

⚠️ The right procedure depends on skin quality, muscle separation, and prior weight loss. Only an in-person exam determines which option applies.

I am Dr. Schmelzer, founder of Selarom Plastic Surgery. I bring 20+ years of surgical experience to my practice. I have dedicated my career to executing complex, multi-stage body contouring for massive weight loss patients, as well as performing precision-based Mommy Makeovers, abdominal contouring, breast augmentations, and breast lifts.

Your safety and your results are worth more than a discount. If you are ready for a personalized approach guided by a veteran surgeon, comment “CONSULT” below and let's discuss your custom surgical plan.

Address

5089 S 900 E, Ste 100
Salt Lake City, UT
84117

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+18017430700

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