This procedure is perfect for moms who want to get their pre-baby body back. This procedure includes a combination of breast augmentation, tummy tuck and liposuction.
1) Breast Augmentation
Breast Augmentation enhances the breast volume to achieve greater size, better shape, and increased fullness of the breast, or better proportions of the figure. A saline or silicone implant is placed behind the breast or the underlying chest wall muscle, enlarging the appearance of your natural breasts.
Breast Augmentation is done on an outpatient basis in an ambulatory surgery center, usually under general anesthesia. There is a variety of options for the location of the incision. The incision can be made in the fold under the breast (infra-mammary), around the nipple (peri-areolar), or under the arm (trans-axillary, with endoscopic assist), and is kept as short and as inconspicuous as possible. The implant can be inserted either under the breast tissue ("sub-glandular"), or partially under the pectoral muscle ("sub-pectoral" or "sub-muscular"). When the implant is placed in a sub-muscular position (under the breast tissue and the pectoral muscle), there is a lower chance of capsular contracture (shrinkage of the tissue capsule surrounding the implant, causing the implant and breast to feel unnaturally firm), and mammography may be more reliable. There is also less risk of visible or palpable implant edges. Once the desired pocket has been created, a temporary "sizer" implant is placed, in order to determine the proper shape and volume (size) of the final implant. Then, the final implant is chosen, inserted, and properly positioned within the pocket, and carefully checked to insure that your breasts have the shape and size you anticipated pre-operatively. The incisions are then carefully closed with multiple layers of hidden sutures and surgical tape. A supportive wrap will be placed around the chest area after surgery. No surgical drains are placed.
After the procedure, the majority of patients are up and around in 24 to 48 hours, and return to work within 4 days. The full recovery period is specific to each individual as well as to the level of activity required with her daily functions. Within your one-week post operation visit, your gauge dressings will be removed and you will then wear a surgical bra (jog bra). The sutures are dissolvable, so no suture removal is required. Vigorous exercise such as jogging or aerobics may be resumed at in 4 weeks.
Liposuction is a surgical procedure that removes bothersome, localized, disproportionate deposits of excess fat from specific areas of the body, face and neck. Liposuction can be used to slim the hips and thighs, flatten the abdomen, shape the calves and ankles, or eliminate a double chin. Liposuction is the most popular cosmetic surgical procedure performed today. Liposuction may not be the appropriate procedure choice in all cases, and there are limitations as to the amount of fat that can safely be removed in a single operation. Liposuction is not a substitute for weight control.
Liposuction is usually done under light general anesthesia on an outpatient basis. Small, discreet incisions, hidden in natural skin folds or placed as inconspicuously as possible, are placed adjacent to the areas to be treated. A cannula (small metal suction tube) of variable size (2.5 – 5 millimeter) is attached to a surgical vacuum machine or syringe, inserted through the small incisions, and directed below the skin into the fatty deposits requiring treatment. The procedure may take an hour or more, depending on how many areas will be treated.
The recovery from Liposuction surgery is relatively easy. Initially, you may feel somewhat stiff and sore. The day after surgery, you should be up and walking around to promote normal circulation. You should expect a fair amount of swelling and bruising in the two weeks following your procedure. You will wear special elastic compression garments provided to apply pressure, minimize swelling and provide support while healing. These garments also assist in retraction of the skin, and although they may be somewhat hot and uncomfortable, they must be worn continuously for the first few weeks after surgery, except when showering, in order to maximize your cosmetic outcome. Stitches will be removed in approximately one week.
You can return to office work in 3-5 days, and more strenuous activities at 10-14 days. You may increase your activity daily until full activity is resumed at 2-4 weeks.
3) Abdominoplasty (Tummy Tuck)
Abdominoplasty is a surgical procedure that addresses the 3 components of abdominal wall deformity to create a smoother and firmer abdomen. The 3 components of abdominal wall deformity are: (1) loose or wrinkly skin and stretch marks, usually a result of aging, pregnancy, or significant weight loss; (2) fat tissue, commonly accumulated in the lower abdomen; and (3) muscle weakness and/or separation, which can occur as a result of pregnancy. A tummy tuck procedure will remove excess fat and skin, tighten abdominal wall muscles, and eliminate stretch marks between the belly button and pubis area. At the same time, if needed, liposuction can also be performed on the flanks, hips, or thighs to maximize results of the procedure.
During an abdominoplasty, an incision is made from hip to hip along the lower pubic area (easily hidden by a bikini bottom).The loose skin is lifted off of the abdominal wall, exposing the vertical abdominal muscles which are stitched into a new position, tightening the muscles, and thus flattening the stomach and reducing the waistline. Next, excess skin is stretched and removed. The remaining skin is re-draped over the abdominal area and sutured in place. The umbilicus (belly button), which is released from the abdominal skin flap, is finally re-attached proportionally to the new, flatter stomach area.
A tummy tuck in an outpatient procedure performed under general anesthesia. The procedure itself takes about 2-4 hours depending on the work involved.
After surgery, dressings will be applied to your incision sites, and you will be wrapped with compression garments. Small, thin tubes will also be temporarily placed to drain any excess blood or fluids that may accumulate. You will experience some swelling, bruising and minor discomfort. Most patients require one to two weeks before returning to work and their normal activities. Although you should be able to appreciate your new slimmer profile in just a couple weeks, it may take up to 6 months to see the optimal results.
A mini tummy tuck is a less invasive approach with a smaller incision, best suited for those who have only a limited amount of loose skin or stretch marks in the lower abdomen, or above the pubic bone. This approach does not typically involve tightening of the abdominal muscles, and can also be combined with liposuction for a more defined result. A mini tummy tuck is performed in the outpatient office facility under local anesthesia and takes approximately 2 hours.
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