Abdominoplasty, known more commonly as a “tummy tuck,” removes excess skin and fat from the middle and lower abdominal wall and tightens the abdominal wall.
The procedure can dramatically reduce the appearance of a protruding abdomen, an unsightly navel, and can provide waistline definition. The best candidates for
abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit in the lower abdomen or loose abdominal skin that won’t
respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond
the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.
Patients that have minimal excess skin or only lower abdominal wall tone that is decreased may be candidates for a mini-tuck. Most patients are able to return
to work with limited activities within two weeks after surgery.
Suction assisted lipectomy usually takes an hour to four hours, depending on the area and amount being suctioned. Tumescent fluid that contains lidocaine for pain
relief and epinephrine to restrict blood loss and subsequent bruising is introduced through a small incision. A cannula is attached to a machine that creates a strong
vacuum and Dr. Doolabh manipulates the cannula deep within the fat layers under the skin, breaking up the fat and suctioning it out.
Depending on the areas to be shaped, the innovative ultrasound technology of VASER LipoSelectionTM may be recommended to emulsify fat for easier, less traumatic removal.
Because nerves, blood vessels and connective tissue remain relatively intact, patients have reported minimal pain and bruising.
A snug elastic dressing, girdle, or body stocking must be worn over the treated area to control swelling and bleeding, and to help your skin shrink to fit your new contour.
You will need to wear this garment for at least six weeks.
You’ll even be heavier for a while, because the extra fluids you’ve been given. The suctioned areas will be swollen and bruised and you may temporarily lose all feeling
in the suctioned area. You should be back at work within 5 days, and swelling is minimized by six months.
Upper arm contouring has evolved with the marked progress in the surgical treatment of obesity and liposuction techniques. Excisional arm lift techniques, also known as
Brachioplasty, emphasize the additional correction of the middle and lower third of the arm. Ideal candidates have poor elastic skin and significant upper arm sagging as measured
with the shoulder extended to 90 degrees. This is frequently the case for individuals that have undergone large weight loss of 50 pounds or greater. But even minor sagging can
make you self conscious and keep you from wearing short sleeves. Small degrees of sagging can be improved with a small incision hidden in the arm pit. As more advanced sagging
occurs, the incision lengthens and can even extend into the arm pit and down the side of the chest for additional upper body contouring.