APPLICANTS INFO
NAME:
EMAIL: shadiniperera@yahoo.com
DATE OF REPORT GENERATED: 2015-08-16 15:30:25
Montgomery
Maryland
United States


Surgical Procedures Chosen

Tummy Tuck (Abdominoplasty)

  • AVG.COST: $5,391
  • RECOVERY TIME: 2-3 Weeks
  • INVASIVENESS: 100
  • PERMANENCE: 90

About Tummy Tuck

Tummy tuck surgery, also known as an abdominoplasty. A tummy tuck is a cosmetic procedure that is used to make the abdomen both thinner and firmer. Tummy tuck surgery or an abdominoplasty involves the removal of loose excess fat and skin and tightening muscles in the abdominal wall. It can also remove some, if not all, of the stretch marks in your lower abdomen. It is a popular procedure following pregnancy, massive weight loss or whenever a flabby abdomen with weak muscles impairs body contour.

How is it performed?

In this surgical procedure your surgeon will remove your loose abdominal skin and tighten up your abdominal muscles with sutures. The primary tummy tuck incision will be above the pubic mound from one hipbone to the other. In a full abdominoplasty another incision is made around your navel. In a mini-tummy tuck your surgeon will use a shorter incision. The surgeon will loosen the skin from your abdominal wall to your ribcage and then place sutures in the fascia of your abdominal muscles to pull them into a tighter position. This is the muscle repair portion of the surgery. After your abdominal muscles have been sutured your surgeon will remove excess fat by liposuction or other methods. Your abdominal skin is then stretched down over your incision line and the excess skin is removed. Next your surgeon will mark the placement of your navel. Although the skin around your navel has been moved the navel almost always stays in the same place. Your surgeon cuts a hole through the re-draped skin and sutures it around your navel. In a full abdominoplasty, the surgeon will often insert one or more drains to prevent fluid build-up which can cause pressure on the incision. The drain is a clear plastic tube placed through a very short incision below the main incision which leads out of the body to a small oval-shaped bulb. Each time you empty a bulb and before you close it again you will be asked to squeeze it to help drain the wound. What are my options?  A personal consultation with your board-certified aesthetic plastic surgeon will determine the best option for you. Here are some different approaches:
  • Full Abdominoplasty
In addition to the incision across the lower abdomen, a traditional tummy tuck involves an incision around the navel. Excess skin is removed, muscles are tightened and liposuction may be used to contour the abdomen. This surgery removes skin from above the navel down to the pubic area that has been compromised by pregnancies genetic laxity or obesity.
  • Mini Abdominoplasty  A single incision is made in the pubic area which will be placed as low as possible and can range from a few inches to the entire span of your abdomen. Through this incision your surgeon will remove excess skin, tighten slack muscles and possibly use liposuction to further refine the area. The ideal candidate for a mini-tummy tuck has laxity and protrusion below the navel. A mini-tummy tuck is usually recommended for those who have always been in fairly good shape but cannot achieve their aesthetic goals with diet and exercise.
  • Extended or High Lateral Tension Abdominoplasty If you have excess skin in the love handles or hips your incision can be made longer to address this problem. The high lateral tension tummy tuck was one of the first procedures developed to address skin excess after significant weight loss or pregnancy. The technique uses a layer in the deeper tissue to support and maintain the repair. This procedure includes a tummy tuck in the front of the abdomen and transfers the lift over the hip to the side of the thigh to improve contour in this area, suspending and improving the hip and thigh. You can simulate the effect by grabbing the skin on the sides of your waist and pulling up.


Is it right for me?

If you have a significant amount of intra-abdominal fat surrounding your internal organs you may need to slim down before considering a tummy tuck. You are physically healthy. You must be in relatively good physical shape to tolerate this procedure. Internal or external scars from any previous abdominal surgery may also affect your candidacy. If you are in good general health have a positive attitude and realistic expectations you are most likely a good candidate for this procedure. Tummy tuck treats stretched out abdominal skin. After surgery you will have a firmer flatter abdomen.

What results can I expect?

Barring another pregnancy or significant weight gain, your results should be permanent although plastic surgery will not prevent the effects of normal aging. Once the skin is tightened it will get a little looser as you age, but not much. However if you gain and then lose a large amount of weight after a tummy tuck, the abdominal skin could stretch out again negatively impacting the overall contour. Likewise, if you become pregnant your abdomen will loosen again. For this reason it is best to wait until after you finish having children to undergo a tummy tuck.

Pros

  • Tummy-tuck surgery will restore a flat tummy.
  • Repair effects of pregnancy

Cons

  • You will have a scar (located in the bikini area).
  • Another pregnancy may influence surgery results, so it is best to wait until you’ve finished having children before undergoing this procedure.
  • Weight gain following abdominoplasty may negatively affect your surgery results.


Aftercare

As the anesthesia wears off you may feel dizzy disoriented and nauseated. These sensations should pass within a few hours although some types of oral pain medications may cause these symptoms to recur. If you return home the same day you will need someone to drive you. Depending on the extent of the procedure, you may be required to spend a night or two in the hospital recovering from surgery. Immediately following an abdominoplasty expect your abdomen to feel very sore or tender. Any pain you feel can be controlled with pain medications. Most tummy tuck patients require several days of bed rest even if they return home the same day as their surgery. Your incision site will be covered with a dressing to keep the area clean and protected. You will also be wearing a wide elastic compression garment to reduce swelling and provide support to the skin as it tightens. You will wear this garment for several weeks. Depending on the extent of your abdominoplasty you may have tubes in your incision to drain away fluid. You will be asked to empty the drains a few times a day and keep track of how much fluid comes out. Drains are usually removed from three to fourteen days after your surgery depending on how much fluid is coming out. If you have traditional sutures these will typically be removed within the first week or two (absorbable sutures will not have to be removed). Your surgeon should provide you with detailed instructions for managing your drains changing your bandages and showering during recovery. You will also be told whether you can put any ointment on your incisions to reduce discomfort. Common side effects experienced by abdominoplasty patients include redness bruising and swelling. These effects usually subside in one to three weeks as your body adjusts to the new contours and the incisions heal. Recovery Time  Recovery from a tummy tuck procedure occurs over a period of six months or more. In the first couple of days managing pain and avoiding complications is your top priority. The first week will be the worst and you will still feel like you are recovering for about two to three weeks. After a few weeks regaining mobility and fitness becomes important. After several months, you can start evaluating the aesthetic outcome of your surgery. Discomfort typically drops down to a “nagging” level by five to seven days. You will likely go back for follow-up with your surgeon within five days. During this visit your doctor can remove the drains. Swelling should subside within five weeks. Call your surgeon immediately if you notice an increase in swelling, pain, redness, drainage or bleeding in the surgical area or if you develop fever, dizziness, nausea or vomiting. Other red flags include shortness of breath, chest pains and an unusual heartbeat. You should be up and walking the day after surgery, although slowly. It is important to walk to discourage swelling and to prevent blood clots in the legs. However, avoid strenuous exercise for four to six weeks because it can trigger unnecessary fluid retention in the treated areas. Plan to take about two weeks off from work depending on the physical demands of your job.

Limits & Risks

Fortunately, significant complications associated with tummy tucks are infrequent and the satisfaction rate is high. The overall complication rate is small if the operation is done by an experienced plastic surgeon operating in an accredited facility. All surgical procedures have some degree of risk. You can minimize the risk to you by carefully following the instructions and advice of your plastic surgeon before and after your cosmetic surgery procedure. Some potential complications of all surgeries are:
  • Adverse reaction to anaesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection and bleeding
  • Changes in sensation
  • Scarring
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures.
  • Blood clots in your legs or lungs


Related Procedures

Many people who consider a tummy tuck also consider liposuction and a lower body lift.

Liposuction (Lipoplasty and Body Contouring Surgery)

  • AVG.COST: $2,815
  • RECOVERY TIME: 3-10 Days
  • INVASIVENESS: 80
  • PERMANENCE: 70

About Liposuction

Liposuction, also known as lipoplasty or body contouring. Liposuction, is a procedure that eliminates areas of unwanted fat from the buttocks, hips, saddlebags, love handles, thighs, calves, ankles, breasts, arms, neck and back. During the operation, stubborn pockets of fat are removed from the body using a variety of suction tools. Liposuction is commonly combined with other surgical procedures, to help sculpt the body into the desired shape. The amount of fat that can be safely removed will be determined by a number of factors. You will be able to make the final decision with your surgeon during your consultation. If your surgeon removes too much fat from an area, it can leave it looking uneven or unbalanced. This is most commonly seen as unusual lumps or indentations in the skin. Generally speaking, the more fat is removed, the higher the surgical risk. The cost of liposuction varies, depending on the surgeon you opt for. Sometimes, the geographic location the patient is in will impact the cost of the treatment.  

How is it performed?

During the operation, your surgeon will make small incisions in the treatment area, through which some small thin tubes (known as cannulas) will be inserted. These tubes are then moved around beneath the skin, sucking out the fatty deposits located beneath them. There are a great deal of  methods on the market today for those considering  liposuction. Below we will briefly explain each. You and your surgeon should decide on a treatment that is best for you.
  • Tumescent liposuction – If your surgeon opts for tumescent liposuction, a local anesthetic will be injected into the area, which causes the local blood vessels to shrink. This allows your surgeon to perform the procedure with the patient under a local anesthesia, which reduces the risk to the patient and leads to a faster recovery.
  • Suction-assisted liposuction (SAL) – Suction-assisted liposuction is considered the ‘traditional’ liposuction technique, which uses a vacuum to suck fat out of the body.
  • Power-assisted liposuction (PAL) – Power-assisted liposuction is very similar to the traditional suction-assisted liposuction, except with the addition of a special tool that speeds up the removal of fat, by increasing the movement of the cannula.
  • Ultrasound-assisted liposuction (UAL) – Ultrasound-assisted liposuction uses ultrasound energy transmitted to help melt and loosen fat so that more can be removed at one time. Your surgeon will probably opt for this method if there is a large area to target, if the fat is particularly dense or the patient is male.
  • VASER – This is almost exactly the same technology used in ultrasound-assisted liposuction. VASER has a special grooved ultrasonic cannula designed disperse energy more evenly, improving the overall removal of fat.
  • Laser-assisted liposuction (LAL) – This ismore commonly known under brand names such as Smartlipo or Slimlipo and is the newest technology to enter the arena. In a similar fashion to UAL, laser-assisted devices use varying wavelengths of laser light to break down fat cells, instead of ultrasound waves, which helps make fat removal more efficient and less damaging.
  • SAFELipo – SAFELipo is a technique developed by a member of the AmericanSociety for Aesthetic Plastic Surgery, which involves a 3-step process of separation, aspiration and fat equalization:
    • Separation – this phase emulsifies, loosens and separates unwanted fat cells from other tissues without heat, meaning that considerably less blood vessels, skin and tissue is harmed.
    • Aspiration – during this stage, gentle suction is used to remove the fat cells without damaging the underlying skin and nerve structures.
    • Fat Equalization – This stage smoothes out any remaining fat layers, so that a uniform layer of fat remains, preventing the forming of future deformities.
SafeLipo was originally developed to help surgeons negate the challenges of revision liposuction. It removes a significant amount of fatty cells, without increasing the chances of undesirable skin damage or deformities. Make sure that you continue to maintain a healthy and active lifestyle, with a balanced diet and regular exercise, in order to prolong your liposuction results. What will my liposuction incisions and scars look like? The scars from liposuction are usually very small, as the incisions your surgeon makes are tiny. The amount of scarring you have will also depend on the skill of the surgeon. Due to their size, liposuction scars will fade over time until they are practically invisible. If large cannulas are used to perform the liposuction, or if the patient has darkly pigmented skin, then there is a greater chance the scars will be visible. Liposuction can cause two types of marking on the skin.

Is it right for me?

It is important to remember that liposuction alone is not capable of tightening or removing loose skin or cellulite. You can discuss other procedures to tackle these problems with your cosmetic surgeon. As long as you are a healthy individual, with realistic expectations about the surgical outcomes, then you will be a good candidate for liposuction. An ideal patient has maintained a steady, healthy weight for several months, has some pockets of stubborn fat, but good skin elasticity.

What results can I expect?

Liposuction removes the fat cells completely and these do not grow back, so it is considered a permanent treatment. However, your body will still be affected by things like weight gain, aging, pregnancy or other lifestyle choices. This can cause the results of your liposuction to fade. Maintain healthy eating habits and an active lifestyle if you want to maintain your results. If you continue to eat unhealthily after your liposuction surgery, then your body will simply store that fat that cannot be kept in the removed cells in other places. When this happens, there is no telling where or how your body will choose to deposit this fat. Your surgeon will never remove all the fatty cells in an area, so the remaining cells can also grow bigger to store more fat. Make sure you return to your cosmetic surgeon’s office for regular check-ups, or if you notice any change to the treatment area. Contact your surgeon immediately if you have any questions or concerns.

Pros

  • Will make your clothes fit better and your body appear slimmer.
  • Uses small incisions which result in smaller scars than open body contouring procedures.
  • Can be done under sedation with less risks and shorter operating times than similar open body contouring procedures.

Cons

  • Results may be affected by weight gain, aging and pregnancy.
  • Liposuction is not meant to improve the look of cellulite or loose skin.
  • You may need to lose weight to be a better candidate for liposuction.
  • You may require surgery to remove excess skin created during the procedure


Aftercare

You may find you drain fluid from the wounds where cannulas were inserted, and your doctor may have inserted a drain to help control this. You will likely be told to wear a specific type of compression garment for up to several weeks after the procedure. You may need to purchase this, although some surgeons will provide this. You will probably experience some bruising, swelling, redness and pain once your anaesthesia wears off. If you are unsure if this is normal, contact your surgeon immediately to check they are not signs of a complication. Recovery Time It is vital that you follow all patient care instructions given to you by your aesthetic physician. Your surgeon will also provide detailed instructions about the symptoms of a normal recovery, and what to look out for any signs of complications. Remember that everyone’s body is different and individuals will find their recovery process unique to them. The first two weeks  Make sure you get lots of quiet rest in the first days after your liposuction, elevating the operated area when possible. You will experience some bruising, redness and swelling after your liposuction treatment, but remember you should not take anti-inflammatory medications or aspirinThis will get worse over the first few hours, before gradually dissipating over the following weeks. Any sutures or stitches your surgeon has placed will be removed about a week after surgery. To prevent your wounds re-opening and bleeding, you should refrain from smoking or drinking alcohol for the first week, or while you are taking medications for pain. Avoid any exercise that could put a strain on your body, such as bending, straining, or lifting, especially during the early stages of recovery. Most people find they can return to their normal level of activity within the first two weeks and return to work a matter of days after surgery. Any discomfort you experience after liposuction is likely to be more soreness and stiffness than acute pain. Weeks two to six  To prevent your legs swelling and blood clots forming, you should try to walk as soon as possible after the procedure, as long as this is done carefully. You will not be able to undertake strenuous exercise for a couple of months after your liposuction. To reduce the chances of swelling, you should wait at least six weeks before exposing the treated area to direct heat or sunlight. Your surgeon will advise you to wear your compression garment up to six weeks after your operation, so that any swelling can be controlled and to guide the skin into its new shape. Long term recovery  You should allow for several months before you can get an accurate picture of the results, as recovery from liposuction can be fairly slow, you will need this time for your wound to completely heal. The scars from the cuts your surgeon made will gradually fade over several months until they are nearly invisible. Some patients may find that for up to 9 months after surgery, they experience the return of minor swelling after performing heavy activities. It is essential that you keep your check up appointments with your doctor. These will continue for several months at prescribed intervals.

Limits & Risks

Fortunately, significant complications from liposuction surgery are infrequent. Your specific risks will be discussed during your consultation. All surgical procedures have some degree of risk. Some potential complications of all surgeries are:
  • Adverse reaction to anaesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection and bleeding
  • Changes in sensation
  • Scarring
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures
  • Blood clots in your legs or lungs
Other risks specific to liposuction are outlined below: Indentations contour irregularities. You can minimize the risk to you by carefully following the instructions and advice of your plastic surgeon before and after your cosmetic surgery procedure.

Related Procedures

Cool Lipo                                              Lipolite Laser Liposculpture          Lipotherme                                         ProLipo                 PureLipo                                              Slim Lipo              Smart Lipo                                          Smartlipo MPX  SmoothLipo        Zerona Laser Liposuction


Doctors in Montgomery

James Clark MD
  • James Clark MD
  • 334 284 2800
  • j.clark@cosmediclist.com
  • 6727 Taylor Court
  • Montgomery
  • Alabama, United States
Michael Bentley MD
  • Michael Bentley MD
  • 334-284-2800
  • m.bentley@cosmediclist.com
  • 6727 Taylor Court
  • Montgomery
  • Alabama, United States
Patrick Budny MD
  • Patrick Budny MD
  • 334-284-2800
  • p.budny@cosmediclist.com
  • 6727 Taylor Court
  • Montgomery
  • Alabama, United States