Abdominoplasty

Patients often request abdominoplasty procedures after they have delivered several children. After childbirth, the muscles of the abdominal wall are stretched out. Patients often state, that no matter how many sit-ups they do, they can just never improve the contour of their lower abdomen.

After an abdominoplasty, the lower abdomen gains a better level of overall tension. The lower muscles are now able to hold in the contents of the abdominal domain and the overall contour of the abdomen is improved.

Patient satisfaction is very high following abdominoplasty.

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Abdominoplasty

Abdominoplasty is one of the more commonly performed cosmetic operations in our practice. There is a high satisfaction rate in patients who have undergone this procedure.


The abdominoplasty procedure lasts approximately 3 hours. The procedure is performed under a general anesthetic, so the patient does not see, hear, or feel anything during the procedure.  A long acting local anesthetic is administered during the procedure, so there is minimal pain along the incision site. Patients mostly describe a "tightness" along their midline from the plication sutures that bring the rectus muscles back toward the midline.


Drains are placed beneath the skin and exit from the pubic region. Drains are typically left in place for one to two weeks. An abdominal binder is to be worn at all times for 4-6 weeks.

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Abdominoplasty & Hernia Repair

Abdominoplasty procedures are common operations. Patients who present for abdominoplasty procedures often have laxity of their abdominal wall from childbirth as well as lax abdominal wall skin.

During an abdominoplasty operation, the lower abdominal skin is excised, the rectus muscles are repaired in the midline of the abdomen, and the umbilicus is then delivered through a new location in the abdominal wall skin.

When the rectus muscles are tightened, the abdominal contour improves. When the rectus muscles are brought back into their location, the entire function of the abdominal wall tends to improve.

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Abdominoplasty

Abdominoplasty procedures are commonly performed to tighten up the abdominal wall. Typically after multiple pregnancies, women have developed a laxity of the abdominal wall that can not be improved with diet and exercise.

Any underlying hernias are repaired at the same time that the abdominal wall is repaired. Repair of the abdominal wall is accomplished with plication sutures that bring the rectus muscles together in the midline.

Typically after 4 weeks, patients are able to visualize the improvement in their abdominal contour. Patients who undergo abdominoplasty procedures have a high satisfaction rate.

 

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Abdominoplasty: The Umbilical Contour

Abdominoplasty procedures are commonly performed to improve the abdominal contour. It is important when contouring the abdomen, to pay attention to the belly button. Not only is belly button position important, but so is the overall shape and how it heals. Healing can be unpredictable with several factors such as genetic make-up, diet, etc. having significant factors..

I prefer to use interrupted half-buried Nylon sutures to place the belly button. I find the Nylon sutures to be the least reactive and when placing them in a half-buried fashion, it tends to prevent the formation of track marks on the skin.

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Abdominoplasty to Restore the Lower Abdomen

Abdominoplasty is a commonly performed procedure. Typically patients come to our offices who have been exercising for quite some time, but who have difficulty tightening their lower abdomen. After childbirth, the lower abdomen can become significantly loose and distended. Often times, the lower abdomen will not "tighten-up" despite sit-ups or crunches.

Abdominoplasty procedures can be helpful to tighten the lower abdomen. During an abdominoplasty, a muscle plication is performed where the lower abdominal muscles are brought back into their normal position.

Patients are often very happy following an abdominoplasty as their lower abdomen is often returned to their "pre-baby" appearance.

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Abdominoplasty Surgery

Abdominoplasty procedures are commonly performed operations. It is common for patients to present in our office who are physically fit, spend significant time in the gym, but have difficulty losing a specific are of fat or skin above their belt-line. Despite strict diet and exercise, the skin and fat seem to never dissipate.

Abdominoplasty can be a good way for these patients to lose the extra skin and fat above their belt line. Often after a tummy tuck operation, patients continue to lose weight because they are more motivated to go to the gym, feel more comfortable in exercise clothing, and often the muscle placation from the tummy tuck causes patients to feel full after eating. It is important that patients continue to consume a diet rich in protein following aesthetic surgical procedures.


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