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Body Contouring
Abdominoplasty
INDICATIONS
Changes in the abdominal wall occur as a result of pregnancy,
weight loss, and aging. The amount of skin and fat and the weakness
and separation of the abdominal muscles, directs the extent of
surgery necessary. Most often a full abdominoplasty is needed,
however we do tailor the operative procedure to the specific needs
of our patients to achieve a flat abdomen.
SURGERY
Repair requires removal of excess skin through a lower abdominal
wall
incision, possible liposuction to selected areas,
and tightening of rectus muscles. Time 2-4 hrs.
LOCATION
Hospital, general anesthesia, 1-2 day hospital stay.
TRADE OFFS
Moderate surgical discomfort, bruising, swelling, numbness of
the abdominal wall skin, and a permanent lower abdominal and periumbilical
scar is expected.
RISKS
Although uncommon, infection, bleeding, delayed healing, skin
loss, poor scarring, phlebitis and blood clots are complications
that can prolong recovery or necessitate a return to surgery.
RECOVERY
Our patients wear a supporting garment or girdle for 3-4 weeks
to encourage good wound healing and minimize complications. Patients
return to work and light physical activity at 2- 4 weeks and a
normal exercise routine at 6 weeks. Most patients are tired for
3- 4 weeks after surgery. Scar maturation occurs in 18-24 months.
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Liposuction
INDICATIONS
Patients who are close to their normal body weight and
desire improved body shape are optimal candidates for liposuction.
Areas that can be treated include hips, thighs, buttocks, knees,
calves, ankles, trunk including flanks and love handles, upper
arms, face and neck.
SURGERY
The operative correction involves suction removal of the selected
areas of fat. We utilize a tumescent technique injecting the area
to be treated with saline and local anesthetic to minimize bruising.
Power assisted liposuction (PAL) and/ or ultrasonic assisted liposuction
(UAL) are utilized to remove the unwanted fat.
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Before Liposuction
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After Liposuction
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LOCATION
Outpatient, hospital, general anesthesia. Small areas can be treated
in the office with local anesthesia and sedation. Large volume
removal requires a one day hospital stay.
TRADE OFFS
There is mild surgical discomfort, bruising, swelling,
and numbness for about 3-4 weeks after surgery. Permanent scars
are present but are generally very small.
RISKS
Although uncommon, complications can occur and include bleeding,
infection, fluid collections, delayed healing with skin loss,
asymmetry, rippling, widened scars and the occasional need for
additional surgery. In very large volume liposuction the risk
of excess fluid loss with shock is possible.
RECOVERY
Our patients wear a compression dressing for 3-4 weeks to encourage
good wound healing and minimize complications. Most patients return
to work 1-3 weeks following surgery, light physical activity at
2- 4 weeks and their normal exercise routine at 4-6 weeks. Scar
maturation occurs in 18-24 months.
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FAQ
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