Category Archives: TUMMY TUCK SURGERY

Tummy tuck scars

Abdominoplasty tummy tuck scars in wrong location

Often a picture is worth a thousand words.

Look here;

High abdominoplasty scar

 

This young patient came to see me after having had an abdominoplasty – tummy tuck surgery by another plastic surgeon. It’s not the first time I see this type of scar after a tummy tuck on a patient. Unfortunately it is far too common and worst of all, in many situations little can be done to fix it by any cosmetic plastic surgeon. The scar is just too high and the plastic surgery patient cannot cover it up even with larger style of panties.

 

Abdominoplasty scar too high

 

 

Reasons why tummy tuck scars are too high

  1. Easier surgery for surgeon

The sad fact is that some board certified plastic surgeons are lazy and do not wish to have any headaches with their surgical procedures even at the cost of a shoddy surgical result.

Placement of the tummy tuck scar high on the abdomen means that the surgeon has

  • less work to do,
  • the work he does perform is easier,
  • the risk of any wound opening or scar disruption is less
  • the patient will have less pain as there is less tension in the abdomen.

It also means that the patient will have

  • a lesser result
  • an unsightly scar forever.

       2.  Easier for the plastic surgery patient

The high scar means there is less tension on the wound and  also a better blood supply. Unfortunately trying to get away with an easy surgery, less pain, and less risk, though something we all want, is not going to give you the result you want. In fact it will give you a result you will hate and regret. Not what we want plastic surgery to do for you!

Many plastic surgery patients who have been to doctors in other countries to have surgery will return with these types of tummy tuck scars. I cannot blame them. They have a medical tourist who is going to be around for a short period of time and who wants a quick fix.  The plastic surgeon will not be there to give post-operative care and does not want any headaches- so, a high scar solves his problem. By the time the plastic surgery patient realizes where the scar is and that it cannot be hidden by normal panties, it is too late and the patient has long left the country.

In summary, for the best surgical results after a tummy tuck the scar should be as low as possible just above the pubic area. Though this may mean that scars may have some small disruption in the early post operative period, they can always be fixed later. The high abdominal scar can rarely be fixed if ever.

 

Mommy makeover-Breast-Abdomen plastic surgery

Mommy makeover

Mommy surgery before

                                                                                    Mommy surgery after

Cosmetic Plastic surgery of breast and abdomen after childbirth or massive weight loss is often called a Mommy makeover. Recently a patient asked me if in fact it was not a ‘Mummy makeover” since patients are often bandaged up like mummies after this cosmetic surgery duo!

 

Changes  to body after pregnancy or weight loss

Several distinct but common changes occur to the body after pregnancy or weight gain and loss.

  • Fat Deposits – occur in the flanks, love handles, back and abdomen
  • Loose skin – as a result of stretching of the skin leads to loss of elasticity of skin and its hanging down
  • Breasts become smaller and may also become droopy due to loss of volume and elasticity- in women and men!
  • Arm skin becomes droopy but fat accumulation in the arms may increase
  • Facial  and neck skin may droop giving an older look

 

Surgery of the abdomen and breasts

Mommy makeovers typically include

Other procedures may include

Mommy makeovers will take between 3.5 to 4.5 hours depending on the type of surgery that needs to be performed. Though some surgeons like to continue to operate on other body areas at the same time, I find that 8 hour cosmetic surgeries are just too much for me. They are also way too much for the patient! I prefer to divide up the surgeries into more reasonable segments, sometimes just by a few days, to allow easier healing for patients.

Recovery from Mommy makeover

After a mommy makeover the recovery will depend on the number and type of procedures performed as well as all the usual reasons for differences in individual healing. Although patients are up and walking the same day as surgery, typically it will take about 10-14 days before patients are back at work. I have had patients return as soon as 3 days after surgery and as long as 14 days.

Here is a link to a patient returning to the office after only 12  hours following mommy surgery;  http://www.youtube.com/watch?v=HCqqri8Yt5M&list=UUGHAP0wTkrkJuRo1yN1CFjg

Full healing though will take about 4 months though their healing is gradual and progressive.

Mommy makeover surgery gives women a new look . A new look for their bodies and a new look on life.

Decreased swelling after tummy tuck

How to decrease swelling after Tummy tuck

Tummy tuck or abdominoplasty is a common cosmetic surgery procedure. The cosmetic plastic surgeon tightens muscles of the abdomen, remove extra tummy skin,  and liposuction of the flank for fat removal.

Here are a few previous blogs on the topic.

 https://www.tavmd.com/2013/02/17/full-or-mini-abdominoplasty/

https://www.tavmd.com/2011/03/13/abdominoplasty-after-care-part-1/

https://www.tavmd.com/2011/03/17/abdominoplasty-after-care-2/

Healing after an abdominoplasty or tummy tuck is dependent on a number of factors

1. Amount of fat and thickness of skin

2. Patient genetics and lymphatic tree

3. Movement of the body

 

Skin and fat

The more skin and fat a patient has the greater the amount of “water” (swelling)  that is trapped within the abdomen . This will prolong the time for the swelling to decrease. Thinner patients will have a faster recovery from swelling after a tummy tuck. There is not much a patient can do about that after the surgery, but it’s important  for you to know.

 Lymphatic vessels

The lymphatic vessels are responsible for removal of the swelling from the tissues and taking it back to the blood circulation. The lymphatics mirror the blood vessels throughout the body. Any damage to the lymphatics,( surgery can be considered an injury), will decrease lymphatic flow.  Decreased lymphatic flow causes more swelling. With time lymphatic vessels reform and start their function again. Until this time, massage of skin by lymphatic massage, will help to decrease swelling in skin.

https://www.tavmd.com/2013/03/17/lymphatic-drainage-after-cosmetic-surgery/

 Movement

Another way to decrease swelling after a tummy tuck is for the cosmetic plastic surgery patient to move. Walking or even standing are better than sitting. Sitting will increase swelling in the lower abdomen which needs even more time for healing.  Even movement of the limbs will help decrease swelling in the abdomen also as the lymphatic system is a closed system.

 https://www.tavmd.com/2010/10/22/blood-clots-and-tummy-tucks/

Morad Tavallali, M.D., FACS

Tummy Tucks for Men

 Abdominoplasty in male cosmetic plastic surgery patients

 

Abdominoplasty, or tummy tucks for men, is a procedure that is often performed on women, and most of my blogs have talked about female cosmetic plastic surgery patients having these procedures.

https://tavmd.com/2013/02/17/full-or-mini-abdominoplasty/

https://tavmd.com/2011/07/02/new-technique-for-tummy-tuck/

Tummy tucks can also be performed on males, and though the number of male cosmetic plastic surgery patients who need an abdominoplasty is significantly less than female patients, there is no substitution for this surgical procedure when it’s necessary.

 david chubby photo    tavmdphoto1_ezg_1

Tummy tucks for men

Reasons for a male to have an abdominoplasty differ from abdominoplasty in female cosmetic patients.

Typically females will have abdominoplasty for:

  • Excess loose skin
  • Excess fat
  • Separation and weakness of abdominal muscles

 

Males obviously do not have the sequelae of pregnancy to deal with and so do not have the separation of abdominal muscles that is a major reason for female abdominoplasty. They can, however, have extra fat and skin looseness.

Significant weight loss is the main reason for male tummy tucks.

 

Surgery techniques for abdominoplasty in men

Techniques for abdominoplasty in general include:

  • Excision of extra skin in the abdomen
  • Liposuction of fat from the abdomen, flanks and love handles
  • Suturing of abdominal rectus muscles

 

In male tummy tucks, liposuction and the excision of skin between the umbilicus, belly button, and pubic areas is performed in the same way as in female abdominoplasty.

The main difference is in the type of abdominal rectus muscle plication performed.

For female patients, I tighten the abdominal muscles in a diamond shape to bring the waist line in to a pre-pregnancy form and emphasize a small waist.

When men have tummy tucks, the idea is to tighten the muscles, if necessary, into a V shape, not to give them a small waist. This tightening of muscles is performed in a vertical manner.

The recovery from an abdominoplasty/tummy tuck  for men tends to be less difficult than for women because less tightening of the abdominal muscles is required. Men are typically able to resume work after 7-10 days.

 Still, the great majority of men looking for improvement in their abdominal contour and tummy shape will benefit from just a liposuction, without any removal of extra skin or a tummy tuck.  Many male tummy tuck patients also benefit from liposuction of the chest to reduce gynecomastia.

 

 

 

Morad Tavallali, M.D., FACS