Tag Archives: arm lift

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.

Bariatric surgery in children

Bariatric surgery in children- is it right?

 

There has been a huge explosion of bariatric surgery as a weight loss technique in the US. I have operated on many such patients as a board certified plastic surgeon. Cosmetic surgery for patients who have lost large amounts of weight include removal of excess skin from the abdomen (abdominoplasty), thigh (thigh lift)  and arms (arm lift). Weight loss patients also need to have breast lifts with or without breast enlargement with implants.

chubby kids

Here is a previous blog about this topic. https://www.tavmd.com/2010/11/02/after-weight-loss-comes-the-surgery-arm-lift/

Whereas bariatric surgery for adults has proven safe and effective now there is a growing movement to perform weight loss surgery on children. In the US children as young as 14 are routinely patients for this type of surgery. In Saudi Arabia one bariatric surgeon has performed weight loss surgery on over 1500 children, the youngest being 3 years old!

Reasons for weight loss surgery

Being overweight causes significant medical problems for patients including,

  • Diabetes – over 50 %  of obese patients have Type 2 diabetes
  • Hypertension – and resulting heart disease
  • Sleep apnea – inability to sleep lying down causing breathing to stop
  • Joint pain – from carrying extra weight
  • inability to exercise
  • Cosmetic appearance suffering

These same medical problems occur for children in addition to social alienation specially due to lack of participation in sports and other activities.

Reasons not to have bariatric surgery

There are a number of possible complications to consider for patients who want to have weight loss surgery.

  • Infection- 2% rate
  • Leakage from intestines – 2% but with grave consequences
  • Bleeding – 10% rate
  • Malnutrition from mal-absorption of nutrients

amongst many other risks of surgery.

In children though the severe weight loss that occurs may cause problems with brain development and sexual maturation. Both these activities require sufficient energy and good nutrition.

 

The surgeons who perform weight loss surgery in children, argue that they must use all techniques available to improve the health of these children. it is true that many of these obese children are sick and will have remarkably shorter lives. Some may even gain notoriety in one of the many TV shows about the morbidly obese.

Plastic surgeons will also need to be on board with this idea. Sooner or later a parent of a child who has lost a large amount of weight and now has that weight hanging down will come forward and ask for a tummy tuck on a 10 year old or a thigh lift. Is that to be accepted medical practice?

Obesity in children occurs in 14% in developed countries and 9% in underdeveloped countries. Places like Saudi Arabia , Qatar and the gulf countries have rates of obesity much higher probably due to genetic factors also. The whole world is actually getting fat and our children are getting fat faster than is healthy for them.

Changes in nutrition, eating cultures, activity and parental ability to say NO to chubby youngsters will all be more important in years to come.

 

 

After Weight Loss Comes the Surgery; Arm Lifts

After Weight Loss Comes the Surgery; Arm Lifts

 

Patients who have undergone gastric bypass or gastric stapling, or who have managed to lose weight by other means (diet?), are often left with a body contour that needs significant amounts of surgery for correction. The weight gain will have stretched the skin and caused loss of elasticity. After the weight loss, the skin just hangs; it hangs in the belly area, usually needing a tummy tuck to correct; it hangs in the breasts, needing a breast lift with or without a breast augmentation with breast implants; it hangs in the thighs, where you need a thigh lift; and it hangs in the arms, where you need an arm lift to correct the resultant deformity.

Old arm lift surgery

Traditional arm lifts have included a vertical scar that goes from the elbow directly to the armpit. This unsightly scar makes the arm smaller and removes the “bat wings” of extra skin hanging down, but the cost is, in my opinion, too great. All too often, plastic surgeons perform cosmetic surgery without really thinking about what the patient wants. In the case of arm lifts, the cosmetic patient wants a plastic surgery that will allow him or her to wear a short-sleeved shirt. They do not necessarily want smaller arms; OK, they do, but only to be able to wear the shirt they want. As such, an arm lift surgery that leaves a long scar behind the arm will lead to the patient NOT baring their arms—the whole point of the surgery is lost. It’s the same for vertical scars in a tummy tuck or in a thigh lift: skin is removed in these cosmetic procedures, but the plastic surgeon is not really doing the patient a favor.

My arm lift surgery

The technique I use for an arm lift is a liposuction of the arm to remove any extra fat that is remaining after the weight loss followed by a skin excision in the armpit. The horizontal scar under the arm is well hidden and allows the patient to bare their arms. Look at the junction of your shirt’s body and sleeve; the scar goes in the same position on your body. It is true that maybe a little less skin can be removed in this technique, but the result is well worth it. I sometimes combine a lipo of the skin of the sides and pull that skin up also. The surgery takes about two hours and is performed on an outpatient basis. The patient has to be a little careful in lifting their arms for a few days, but they are up and at it in a couple of days. Full healing can take a month or so. This is the way an arm lift should be done. The vertical scar technique should be banned.

 

Morad Tavallali, M.D., FACS

Cosmetic Plastic Surgeon


Health


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