Abdominoplasty (Tummy Tuck) & Liposculpture Maryland
Of all the cosmetic procedures performed by Dr. Fontana, an abdominoplasty commonly called a tummy tuck is one of the most gratifying procedures for the patient. It is also one of the most frequently performed. Women and men who undergo this operation fall into two main types.
The first and most common group consists of women who have had multiple pregnancies, some of which were at a relatively early age. The woman delivered a large baby and despite exercise, diet and weight loss is unable to gain proper muscle tone, a flat abdomen or tighten the loose stretched out skin of pregnancy. Frequently the woman’s body shape and muscle withstand the physical trauma of the first pregnancy, but after the second or third, there is little hope of returning to a normal body shape. In fact, strenuous abdominal exercises can in some cases worsen the condition by stretching the loose attachments between the main vertical muscles in the abdomen resulting in a condition called diastasis recti. Large pregnancies may cause other conditions weakening the umbilical area causing an umbilical hernia which is repaired at the time of an abdominoplasty.
The second groups of patients are those who have gained large amounts of weight either due to pregnancy or simply due to genetic predisposition to weight gain. These patients undergo programs of weight loss and exercise which greatly improve their overall health but can not adequately tighten or strengthen either the abdominal wall muscles or loose abdominal skin. After extreme exercise and diet control, these patients have “hit the wall”, that is that despite exercise and diet, there is no change in their weight or body contour.
The “standard “abdominoplasty involves removing the excess abdominal skin, tightening the abdominal muscle wall and liposuction of the abdomen and/or flanks. This is the routine used by the majority of plastic surgeons in the U.S. This standard procedure has been touted by some plastic surgeons with catchy names claiming that the procedure they perform is somehow “special” or “different”, when in reality it is not.
What then makes the phrase Liposculpture of the abdomen different? A plastic surgeon who liposuctions the excess fat from the flanks or abdomen does so inflicting a significant amount of trauma to the tissues. Increase bleeding, bruising and a higher chance of delayed healing results. In addition there is a far greater likelihood of irregularities or “lumpiness” in the abdominal wall. Liposculpture is an entirely different approach whereby a sheet of fatty tissue is sculpted from the abdominal subcutaneous layer. In the hands of an experienced plastic surgeon such as Dr. Fontana, the results are superior, healing is faster and swelling less severe than the routine liposuction. The abdominal skin contours tightly to the underlying musculature, reproducing the desired shape of the waist and truncal area. Conversely, if Liposculpture is not performed correctly or done by an inexperienced surgeon, severe healing problems can result.
Mini-Abdominoplasty -Tummy Tuck
There is a small group of woman who are blessed genetically. These are woman who have had multiple pregnancies and seem to recover as if nothing had happened. Their bodies bounce back to the pre-pregnancy state with little to nothing to show. Their abdominal muscles tighten, and for the most part the stretched abdominal skin contracts to nearly the pre-pregnancy state. These lucky women tend to be more slender and better fit than most.
Despite their genetic and physical advantage, some of this group wishes to have an improved appearance. They do not need a full tummy tuck, and in fact do not have enough excess skin to warrant it. They do exhibit a bulging lower abdomen and loose skin. A mini-abdominoplasty is the ideal procedure for this patient. A measured amount of redundant skin is removed and the abdominal muscles may be tightened.
Within the group of mini-abdominoplasty patients, there are subgroups depending on the degree of muscle tightening, the amount of excess skin and the distance from the umbilicus (belly button) to the pubic hair.
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