Monthly Archives: September 2013

Abdominoplasty , Tummy Tuck

affordable cosmetic surgery philippines

Tummy tuck is a body contouring procedure that can be performed on an inpatient or outpatient basis using general or regional anesthesia.

Man has always been amused by the way our Creator had conceived the human body. This could be appreciated in the works of eminent artist and sculptures, particularly during the renaissance time. The human body with its curves and contours as we portray it in our mind should be complete and flawless. However, nothing in this world is created with inestimable beauty. As we witness the changes that our body would undergo through time. In particularl our abdomen, this would be skin laxity, fat deposits at the middle and lower abdomen and protrusion of the abdominal musculature. This is brought about by multiple interrelated causes; such as ageing, pregnancy and massive weight loss.

The abdominal transformation that we incurred through time could be address by abdominoplasty or commonly term as tummy tuck. Abdominoplasty can enhance your appearance and your self-confidence, but it would not necessarily change your looks to match your standard, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. Prospective patient that are good candidate for this procedure are men and women with large fat deposits and / or loose abdominal skin that would not respond to diet and exercise. This procedure will particularly benefit women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can not return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved. Tummy tuck can dramatically reduce the appearance of a protruding abdomen and also tighten lax and / or excess skin.

Tummy tuck is a body contouring procedure that can be performed on an inpatient or outpatient basis using general or regional anesthesia. The procedure does produce a permanent scar that usual extends from hip to hip. A horizontal incision is made at the lower abdominal area, from hip bone to hip bone along the “bikini” line, just above the pubic area were the resulting scar could be concealed by clothing. A second incision is made to free the navel from surrounding tissue. Initially, the surgeon gently separates the skin and subcutaneous fat from the abdominal wall, and the abdominal muscle and fascia are tightened with plication sutures to lessen the protrusion. The excess skin and fat are removed then flap is closed by layers of sutures. A tube drain may be left in place for several days.  A mini or partial tummy tuck is used to remove fat deposits near the navel, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched. This procedure is sometimes conducted endoscopically. In which a small incision is made near the belly button and excess fat is removed through it. A complete tummy tuck generally takes about 2 to 5 hours.

An elastic bandage is applied following the surgery to help prevent swelling and give comfort to the patient. In some cases, drainage tubes are inserted for the first 2 to 3 days to help remove excess fluid. There is the possibility of infection following any surgery. However, when done by a qualified plastic surgeon that is trained in body contouring, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure. Your surgeon will likely prescribe you with antibiotics to avoid infection in addition to any pain medication. Swelling, bruising and numbness are normal after the surgery and will subside in a few weeks to months. Patients are encouraged to begin walking right away even it they can not stand upright. Stitches are removed in 5 to 10 days, after which a support garment is used in place of the dressing. Healing from a tummy tuck is slow since this is major surgery. Most patients return to normal activity within 4 weeks. Exercise is encouraged after the initial recovery period to help tone the muscle. The scar is permanent but will fade in 6 to 9 months.

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A Brief Overview on Otoplasty

Otoplasty is a surgical procedure done to those with ear deformities and to reduce the appearance of ears that are larger than the average.  Surgery like cartilage removal and reshaping through an incision on the back of the ear can be carried out in order to establish normal ear shape.  
 
The need for Otoplasty is dependent on the requirements of the patient. Common ear deformities that can be fixed by this procedure consist of the following:

Cup Ear – Parts of the external ear develop unevenly which causes it to stick out hence having a cup-shaped ear.

Lop Ear or Bat Ear –  The inner part of the ear known as the concha grows perpendicular or at a right angle instead of parallel to it.

Cauliflower Ear –  This is caused by injury and inflammation.

Those who are having stretched ear lobes and the ones with large creases and wrinkles ear lobes are also candidates for this procedure.  Artificial ears for those who are having none either congenitally or through an injury or trauma can also be created by expert surgeons. Those who are having these deformities can really benefit from Otoplasty.

Results of Otoplasty

Undergoing Otoplasty surgeryotoplasty surgery manila usually results to better and natural-looking ears.  People who have undergone with this procedure were extremely pleased with the results.  However, it is important to remember that what is achieved here is improvement and not perfection.  It very is important that those who would like to undergo with the procedure should discuss with their surgeon first about the procedure and their expectations before undergoing the surgery.

Candidates for Otoplasty

Children between age 4 to 14 and adults who are in good health and have no medical restrictions to surgery are good candidates for this procedure.  It is also important that patients are aware of the limitations and possibilities of the surgery, as well as to be realistic in their expectations before undergoing surgery.  A reasonable expectation is to have a more balanced and attractive appearance that will improve one’s self confidence and self-esteem.

The Procedure  

Specific instructions are given to the patient before the surgery for preparations. It is advice to the parents who are having a child that will undergo the procedure that they must be watchful to their child’s feelings in undergoing the surgery.  Those children who feel awkward about the current form of their ears are the ones who are usually more accommodating and are most willing to have a surgery and end up pleased with the result.
                                
Generally, it takes about three to four hours for the procedure to finish depending on how intricate it is.  Varying amount of anesthesia is used among patients. A general anesthesia is mostly used among children below 12 years old.  Adults on the other hand, receive only a local anesthesia most of the time. The technique used by the surgeon will depend on the condition or problem of the patient.

During the Recovery

On the first night after the procedure, patients are advised to sleep with their heads elevated.  The stitches can be removed about two weeks after the surgery.  Some stitches are also dissolved in about one week.  In about one month duration after the surgery, it is very important that the patient should refrain from any activity that can result to the bending of the ear.  

Usually, adults can resume work 5 days after the surgery.  Children, on the other hand, may go back to school after a week or so but caution should be done during their playground activities.  It is also advice that someone should watch over the child, say his teacher, for some few weeks to ensure a fast recovery.

Some Possible Risks
                                                              
Just like other operations and surgeries, there are also some complications that are associated with Otoplasty. These complications are usually minor, uncommon and rare when surgery is done by an experienced and competent surgeon.

Common side effects of Otoplasty are temporary throbbing, some aching and swelling, and erythema (redness) and minor numbness.  In some rare cases, patients who have undergone this procedure can also develop a blood clot in the ear but this kind of complication could be drawn out or can dissolve spontaneously.

Infection in the cartilage may also occur in patients after undergoing the procedure which can result in scar tissue formation.  Use of antibiotics is the most common way of treating this.

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