Monthly Archives: January 2016

Abdominoplasty – Tummy Tuck Procedure

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 particular 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.  

tummy tuck photo

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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Tummy Tuck, With or Without Liposuction for Body Contouring

A flat and well-toned abdomen is an appealing body profile or contour which a lot of people aspire to have. We often strive to have this feature through diet and exercise, though they sometimes fail to achieve the goal. Abdominoplasty, or commonly known as tummy tuck, is a surgical procedure that removes the excess skin and fat of the abdomen, and restores or repairs weakened abdominal muscles, to create an abdominal profile that is smoother and firmer. However, patients must be informed that this procedure is not a substitute for diet, weight loss, or an appropriate exercise program.

There are a lot of individuals, particularly women of child-bearing age, who have an abdomen that is protruding and with loose and sagging skin despite having a normal body weight and proportional body profile. These changes in the quality of the skin and abdominal muscles are commonly caused by multiple factors that weaken the structure of the abdominal area. They include pregnancy, aging, massive weight loss, hereditary disorders, and previous abdominal surgery or trauma which may affect or change the strength of the abdominal muscles and lead to laxity of the abdominal wall.

Liposuction towards the abdominal area is much more appropriate in cases of younger patients with firm, taut abdominal skin whose main problem is additional fat. In these cases, skin reliably shrinks more than the liposuction part along with a great cosmetic result can be obtained. Remember that this really is only a guideline. The ultimate
choice as to which process is greatest for you personally ought to be produced throughout a private consultation with a qualified surgeon.

Following a tummy tuck procedure, patients describe a significant feeling of tightness around the abdomen. The inconvenience is described as an extreme muscle ache comparable to the feeling after an aggressive abdominal workout. Surgeons feel that the best tummy tucks will trigger a certain amount of post operative discomfort. This is connected towards the extent of tightening that the surgeon has achieved. If a tummy tuck doesn’t hurt at all, the abdomen was most likely not tightened effectively. Swelling and bruising is usually observed after a tummy tuck or liposuction. Surgeons usually provide supplemental liposuction to the upper abdominal region and love handles and bruising will be seen in these locations.

Any cosmetic procedure, like tummy tuck surgery involves many choices. The first and most important is selecting a surgeon. Your surgeon should have at least completed 5 to 7 years of surgical training. He or she is trained and experienced in all plastic surgery procedure, including breast, body, face and reconstruction. Your surgeon should be able to operate in accredited medical facilities. And most importantly he or she, should be board certified in his or her surgical specialty.

Watch on Youtube:Tummy Tuck Surgery Manila Philipines By The Renewed You Aesthetic Clinic

Doctor Rino Lorenzo specializes in Tummy Tuck in Manila, Philippines. Please note these photos are taken 2 -4 weeks post surgery and all patients are still experiencing swelling.

 

 

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Breast Augmentation – Breast Implant Procedure

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure that enhances the size and shape of a woman’s breast with the use of breast implant (silicon or saline). The procedure also enhances breast contour and volume after pregnancy. Breast implant is composed of silicon gel or saline within a silicon shell. Breast implant is different from silicon oil. Most Cosmetic Plastic Surgeon all over the world doesn’t do silicon oil injection of breast to enhance breast size and volume. This technique is condemned both locally and internationally by most surgeon, since the result are unpredictable and compounded by numerous complications such as extrusion, skin necrosis and infection. Patients should not allow them self to be subjected to this procedure, because the risk for unwanted complication is very high and result are deforming or unpredictable. Most surgeon uses Breast Implant which is composed of material that is non toxic, non allergenic, non teratogenic and biocompatible to human tissues and thus have less risk for any unwanted results and with more predictable outcome.

This is one of the most common cosmetic procedures done world wide specially in the United State. It is a straight forward procedure with a very instantaneous and pleasing result. Because of this, the public’s attention and interest focused on the search of a very safe breast implant material. Breast Augmentation is the only procedure in Cosmetic Plastic Surgery specialty that is the surrounded by controversy and scrutiny. In the past, specially during the late 70’s and early 80’s a lot of medical condition such as breast cancer and autoimmune disease, was wrongfully associated with the use of silicon implant. Because of this the US Food and Drug Administration had regulated the use of silicon breast implant for cosmetic breast procedures until recently in mid 2007. After extensive clinical research study that included more than a thousand breast augmented women, it was found out that silicon breast implant does not cause any malignant disease or breast cancer or any autoimmune disorder. Because of this the US – FDA had approve the use of silicon implant in cosmetic breast procedure.

There are 2 basic types of breast implants, saline or silicon implants. The implant is compose of an outer membrane compose of silicon shell. This shell contains either saline (fluid) or silicon (cohesive gel) material. It is prudent for every patient to discus extensively the advantage and disadvantage of each implant type with their surgeon before they finalize their decision.

I perform my Breast Augmentation procedure under deep sedation with local anesthesia or general anesthesia. The procedure can be done either as an outpatient surgery or patient can be admitted or confine for a day or two in a hospital, depending on the surgeon and patient’s preference. Weather the procedure will be performed as an Out-Patient or as a Hospital procedure, preoperative laboratory and medical clearance is required. The surgery usually takes one to two hours to complete. The breast implant can be inserted through an incision at armpit or breast folds or at the areolar border. Each choice of incision site has its own advantage and disadvantage in terms of scar cosmesis and nipple sensation. And among the three incisions the transaxillary approach has the best scar cosmesis since it is concealed and nipple sensation is well preserve. But it is advisable to the patient to further discus this issue if ever scaring will be a significant concern. After the procedure there will be some swelling and mild bruising that last for several days to few weeks and this is only a transient changes. Patient is required to wear breast binder for 3 to 6 weeks. This will hold the breast implant in place during the healing process and also help control the swelling. Sutures are removed after 7 to 10 days.

Any patient planning to have this procedure will require 10 to 14 days for the initial consultation, laboratory, medical clearance, surgery; follow up, suture removal and early recuperation. After this patient is safe to travel since wounds are dry and healed.

 

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