Body Contouring

Historically the answer to that question was “yes”; however, new techniques have eliminated the need for drains in many cases. We now can use special stitches – known as progressive tension sutures – to seal the tissue together so that there is no need for a drain. The progressive tension technique has another advantage as well; it often allows us to remove a bit more skin than we could otherwise. Although I currently can’t prove it, I also suspect that the sutures help make the scar from the tummy tuck better because they reduce the tension on the skin during healing. Patients love it when they don’t have to have drains.

Historically tummy tucks were one of the more painful operations that plastic surgeons performed, especially when repair of the muscles was required. Over the past several years, the development of some new ways of controlling pain has helped this situation a lot. First came the development of pain pumps – these are devices that push a local anesthetic through a small tube and into the area of surgery. These were very helpful and many surgeons still use them, but it requires a tube coming out of the skin. More recently there has been the development of a long lasting local anesthetic which can give significant pain control for up to 3 days, and it doesn’t require a tube. Good pain control clearly makes the recovery more pleasant. It also means that less narcotic pain medicine is required; therefore, there is less chance of a reaction to the medication. In addition, it may make the surgery even safer by allowing patients to move around more easily and to be more active.

Well, the answer depends on several factors and to what level of recovery you are thinking about. If you don’t need the muscles repaired, it is likely that your recovery is going to be easier and quicker. Most patients having a full tummy tuck (with muscle repair) find that they are generally able to drive a car within a week, depending on their pain level (remember you don’t want to drive when on narcotic pain medicine). Many patients can work remotely from home, and find that they are able to log on to their computers, answer emails, or even have a conference call after only a few days, although they won’t feel like going in to work for maybe 2-3 weeks post surgery. Light exercise (e.g. walking or gently peddling on a stationary bike) can start by this time as well. By 6-8 weeks, most patients would consider themselves fully or nearly fully recovered, although it is worth remembering that the nerves will continue to heal, the scar will continue to fade, and the swelling will continue to go down for several months.

Yes! As long as your weight remains stable over time, abdominoplasties are typically a ‘once and done’ procedure, never needing to be repeated. Of course your skin will age a bit over the decades, but it usually never gets back to the looseness that you may have experienced before surgery.

The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body’s contour by removing excess fat deposits located between the skin and muscle

Tumescent liposuction designates a form of liposuction that uses tumescent local anesthesia. The tumescent technique for liposuction totally by local anesthesia has eliminated the greatest dangers associated with the older forms of liposuction.

The fee for liposuction usually depends on how many areas are treated by liposuction. When only one area is treated by liposuction the fee is less than when multiple areas are treated.

The most frequently treated areas for women are the abdomen, breasts, hips, outer thighs, anterior thighs, inner thighs, knees, arms, buttocks, cheeks and neck. In men, who comprise about 15% to 25% of liposuction patients, the most commonly treated areas include the chin and neck area, abdomen, flanks (“love-handles”), and breasts.

Men who have a chest that is disproportionately large from some combination of fat or glandular tissue. This process can be normal in adolescents and subside by the late teens. But surgery can be done on mid-teens if the deformity is so severe that in consultation with the patient’s pediatrician it is agreed that the patient would benefit from male breast reduction surgery.

The key issue is whether it bothers a patient enough to be worth undergoing surgery. Usually men will talk about being embarrassed to take their shirt off at the beach, their shirt clinging too tightly to their chest and looking odd when working out, and puffiness developing in the nipples, particularly when their nipples are warm.

True gynecomastia is caused from hormones causing a growth of breast tissue in the male chest. This can be from normal hormones made within the body or from steroids such as those taken by body builders. Being overweight can sometimes lead to a disproportionate amount of chest growth, and even after weight loss this can remain in some men.

Losing weight can help overweight men, though it doesn’t necessarily cure gynecomastia. But for men that are thin, surgery is the only option for reducing gynecomastia.

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Sometimes called the “mommy makeover,” postpartum body contouring combines a “tummy tuck”(abdominoplasty) with breast lift surgery (mastopexy) and other procedures to address the “multiple body areas affected by pregnancy that may enhance the patient’s overall appearance”.

On average, laser lipo sessions take about one hour per area. They may last a little longer depending on the area receiving the procedure.

You may see results within about a week after your session, but results will gradually appear over two to six months. You should only need one treatment to experience full results.

During an ultrasonic cavitation procedure, noninvasive machines target specific body areas with low-frequency sound waves (they’re what put the “ultrasonic” in “ultrasonic cavitation”) and, in some cases, light suction. This process heats and vibrates the layer of fat cells below the skin’s surface. The pressure eventually causes the fat cells to liquefy and release their contents into the bloodstream.

Proponents of the procedure believe that the body is then able to process these fatty acids through its proverbial waste-disposal plant: the lymphatic system.

Laser lipo offers a noninvasive treatment for fat, targeting fat cells while sparing other tissues in the body. The Zerona works by aiming lasers specifically designed to puncture holes in your fat cells at your lower body. The company says their lasers slowly perforate the cells so that they deflate. (Don’t worry, it’s completely painless.) Your body keeps all the fat cells-a good thing since removing fat cells can have unintended consequences like the fat reappearing in other places, as seen in recent studies on liposuction-but they’re just much smaller. The fat is then released into your interstitial fluid and flushed out by your lymphatic system. Because we store our toxins in our fat, this also has a cleansing effect on the body.

Body Sculpting

While freezing the fat away might seem more like science fiction than science fact, body sculpting through cryolipolysis (fat freezing) by CoolSculpting or RF Focused Hyperthermia (fat heating) by truSculpt does exactly that. These non-surgical procedures to eliminate fat and reduce circumference are cleared by the Food and Drug Administration (FDA). truSculpt is comfortable, has no downtime, and allows you to immediately return to your normal daily activities. It is a safe, effective method for body contouring that consistently results in high patient satisfaction.

While UAL is a more precise form of liposuction, there are a few downsides to this cosmetic procedure. First, there’s a greater risk of scarring compared to SAL. Skin loss, abdominal holes, and nerve damage are also possible. There’s also a risk of infection — just as with any type of surgery.

Another possibility is the development of seromas. These are fluid-filled pockets that can develop where liposuction takes place. They’re a result of a combination of old blood plasma and dead cells exiting the body from the lipoplasty.

One review of 660 UALs found other side effects, too. The following effects were reported:

• three cases of seromas
• two reports of hypotension (low blood pressure)
• three cases of contact dermatitis (eczema rashes)
• one report of hemorrhage

Doesn’t recommend liposuction for people with the following:

• a weakened immune system
• coronary artery disease
• diabetes
• reduced blood flow