The Tummy Tuck tightens loose abdominal muscles, removes excess abdominal skin and reduces abdominal fat.
Abdominoplasty is an elective plastic surgery procedure created to restore the appearance of the belly after weight loss and childbirth. Commonly known as a Tummy Tuck, the procedure is extremely effective because it uses a three-step approach to abdominal rejuvenation.
Why Won’t My Belly Flatten?
A common question my patients ask after childbirth or weight loss is, “Why won’t my belly flatten?” Unfortunately, the abdominal skin and muscles can permanently stretch during pregnancy or weight gain.
The abdomen does not always flatten after weight loss. Diet and exercise can increase abdominal muscle tone and reduce abdominal fat; however, they do not remove excess skin and cannot tighten the abdominal muscle sheath.
How Does Abdominoplasty Work?
As mentioned above, the Tummy Tuck is a three-step procedure. It optimally flattens the abdomen by:
Tightening the muscle fascia
Removing excess abdominal skin
Reducing excess abdominal wall fat
Here are the details.
Tightening The Abdominal Muscles
The patient above has very little excess skin and fat; however, her muscles are stretched out of shape. A Tummy Tuck was performed to tighten her abdominal wall, like an internal corset. Also, the available fat she had was used to reshape her buttocks with a Brazilian Butt Lift.
The muscles of the abdominal wall lie beneath the abdominal skin and subcutaneous fat, and superficial to the abdominal organs. With weight gain and pregnancy, the abdominal muscles get stretched out. The muscle fibers still contract and they are strengthened with exercise; however, the case around the muscles (the muscle fascia) remains distended.
As part of the Tummy Tuck, the lax fascia is tightened. It is like applying an internal corset. Since the muscle is the foundation of the abdominal wall, failure to tighten this leaves the abdomen round and poochy. Abdominoplasty is very effective for candidates who are near their ideal body weight. Unfortunately, fat around the organs cannot be removed during a Tummy Tuck, and this internal fat can interfere with the results. For some patients, weight loss is recommended before Abdominoplasty in order to obtain the optimal result.
Removing Excess Abdominal Skin
Tightening the skin removes any skin that folds over. The above Abdominoplasty Before and After Pictures show a small amount of excess skin, but as the muscle is tightened it increases. The pictures in the next section show a large amount of skin excess.
Abdominoplasty means abdomen changing, and one of the biggest changes is the removal of redundant skin. When skin is folding over, weight loss and exercise rarely fix it. Moreover, as additional fat is lost, the support for the skin is reduced, and the skin folds over even more.
Tummy Tucks remove excess skin directly via an incision below the belt line. The low placement of the scar helps keep it well hidden. The wider the skin redundancy, the wider the required incision. In cases of extreme weight loss, the redundancy may extend all the way around the body and a lower body lift is performed.
Reducing Excess Abdominal Wall Fat
My patient above has lost a lot of weight. You can see that her muscle laxity is causing the bulge in her upper abdomen, and that excess skin and fat on the lower abdomen are hiding the results of her work-outs. Her Abdominoplasty tightened skin and muscle and removed excess fat which drastically improved the appearance of her belly and her confidence.
The subcutaneous fat of the abdominal wall tends to be located on the lower half of the belly. This is convenient because when the skin is removed from the lower abdomen, the fat beneath it is also removed.
Fat that extends around the sides and back can also be removed in the same operation with Liposuction. Liposuction of the central abdomen, however, is often delayed a few months to protect the skin’s circulation and to maximize the fat removal.
Tummy Tuck Consultations
For the safest and most predictable Tummy Tuck results you will want an experienced, Board Certified Plastic Surgeon. In the San Francisco Bay Area call (925) 943-6353. My Walnut Creek Plastic Surgery office will schedule a convenient, private and personalized consultation appointment to review all the details of the Abdominoplasty procedure.
As seen in the photo above, disproportionate fat of the sides causes the muffin top, which flows over the top of jeans. Liposuction removes disproportionate fat and flattens the treated area creating a more svelte figure.
Liposuction is used to remove disproportionate fat. It is best for removing bulges caused by fat beneath otherwise firm skin. Popular areas for liposuction include the:
Muffin top (waist)
The following Liposuction Video Presentation shows examples of Liposuction of many of the areas mentioned above. A general review of Liposuction, its indications and recovery is also provided along with several before and after pictures.
Liposuction Video Presentation
Liposuction can improve body proportions from head to almost the toes. In this video from KRON 4’s Body Beautiful, San Francisco Bay Area, Board Certified Plastic Surgeon, Dr. Joseph Mele explains and shows examples of his work. Liposuction of the abdomen, thighs, arms and back are narrated with Liposuction Before and After Pictures.
More About Liposuction
While the trunk and thighs are the most common regions for Liposuction, for properly selected patients, liposuction of the arms can provide an aesthetic benefit. When the upper arm is full, and the skin tone is good, Liposuction is used to reduce the girth of the arm, and reveal muscle definition.
Before and after pictures of arm liposuction reveal smaller arms with better muscle definition after liposculpture.
Liposuction will not significantly shrink the skin, even when a laser or ultrasound is used. If the skin is already loose and hangs off the arm, Brachioplasty (Arm Lift Surgery) should be discussed with your Board Certified Plastic Surgeon.
Next week’s video is about Gynecomastia Reduction (male breast reduction surgery). Not simple Gynecomastia, because there are plenty of “normal” Gynecomastia Reduction Videos on my site already. Next week, I discuss massive gynecomastia, like that seen after massive weight loss. Here is a preview of a more usual case where Liposuction alone, or liposuction with direct excision of the gland, is appropriate.
Liposuction can be used for gynecomastia reduction in selected cases. If the fullness beneath the nipple is fat, liposuction alone may help. If it is glandular tissue, direct excision of the gland is needed.
When the fullness of the male chest is due to fat (pseudogynecomastia), Liposuction alone can often provide adequate reduction. When a collection of firm glandular tissue adds bulk beneath the nipple/areola complex, direct excision of the gland may be necessary. In the above case, the skin is tight, so it will shrink on its own. When the skin is loose, additional surgery is needed, and this is what I will discuss next week, so stay tuned.
For more information about Liposuction, be sure to visit our Liposuction Page. For personalized information, call (925) 943-6353 for a private consultation appointment. The details of the procedure, treatment options, expected recovery and your goals will be reviewed in detail.
The Tummy Tuck is half of a Mommy Makeover. The patient shown above wanted her pre-baby belly and breasts back. The combination of Abdominoplasty and Breast Augmentation with a Breast Lift restored what nature had given and taken away.
The Tummy Tuck remains one of the most sought after cosmetic plastic surgery procedures. Also termed, Abdominoplasty, it literally means belly changing, and that is exactly what it does.
Tummy Tuck and Mommy Makeover Video
Today’s episode of Body Beautiful reviews the Tummy Tuck procedure, and beautifully illustrates what Abdominoplasty can do to restore abdominal contours often lost after pregnancy or changes in weight. This video segment is from the Bay Area’s News Station, KRON 4’s, Body Beautiful. The show features the latest in Cosmetic Plastic Surgery, and uses before and after pictures liberally to demonstrate what is possible.
Tummy Tuck After Pregnancy or Weight Loss
After pregnancy or weight loss, the abdomen is often left flaccid. The muscles, even when strong, are stretched out and cannot support the abdominal contents the way they used to. The skin itself is stretched out, often leaving stretch marks and rolls. The result: clothes don’t fit the way they used to.
What is a Mommy Makeover?
The breasts often suffer a similar fate, so restoring breast volume and perkiness is often performed at the same time as the Tummy Tuck via Breast Augmentation, Breast Lift or the combination Breast Augmentation Lift.
More Mommy Makeover before and afters: Again, Abdominoplasty is combined with Breast Enhancement. In this case, a Breast Lift was combined with a Tummy Tuck for a uplifted, aesthetic result.
Because this is commonly a problem after pregnancy, the combination of Breast Enhancement and Tummy Tuck goes by the name Mommy Makeover. In the Mommy Makeover Before and After Pictures above, a Breast Lift (Mastopexy) was combined with a Tummy Tuck for maximum aesthetic results.
Tummy Tuck or Mommy Makeover Consultations
There is no substitute for proper training and experience. When considering a Tummy Tuck, Mommy Makeover or any Cosmetic Plastic Surgery, consult with an experienced and Board Certified Plastic Surgeon. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a private and personalized consultation appointment, today.
Massive weight loss will shrink our volume, but does not reliably shrink our skin. In the before and after pictures above, breast volume is restored with breast implants. Sagging breast skin is tightened with a breast lift. Excess abdominal skin is removed, and the belly bulge caused by stretched out abdominal muscles, is flattened by tightening the muscle sheath.
Post-Bariatric Plastic Surgery is Plastic Surgery after Massive Weight Loss. Whether this is after a lifestyle change or after Bariatric Surgery, the amount of skin that persists after weight loss is often large and frustrating. This Post-Weight Loss Plastic Surgery Video reviews several of the most common treatments including: Lower Body Lifts, Tummy Tucks, Breast Augmentation, Breast Lifts and Arm Lifts. The results of Post-Bariatric Plastic Surgery are illustrated and narrated in this video with before and after pictures, which describe and demonstrate what Board Certified Plastic Surgeons can do for the skin excess that often occurs after weight loss.
Post-Bariatric Plastic Surgery Video
Extremity Tightening Procedures
The majority of skin tightening procedures performed after weight loss are for the trunk; however, the face, arms and legs can also develop excess skin. Face Lifts (Rhytidectomy), Arm Lifts (Brachioplasty) and Thigh Lifts can help with excess skin on the face/neck, upper arm and thighs. Below is an example of an arm lift.
Brachioplasty literally means arm changing. An arm lift can change the way an arm looks, feels and fits into sleeves.
Brachioplasty changes the arm by removing the excess skin that often hangs off the upper arm after weight loss. The skin is removed from the lower border of the upper arm, leaving a scar along the bottom of the arm. This is the only procedure that can remove large amounts of excess skin.
Post Bariatric Plastic Surgery Consultations
As an active member of the American Society of Bariatric Plastic Surgeons, post bariatric plastic surgery is an area in which I specialize.
The American Society of Bariatric Plastic Surgeons was formed by Board Certified Plastic Surgeons specializing in skin tightening after massive weight loss.
When searching for an experienced post-weight loss plastic surgeon, be certain to look for a Board Certified Plastic Surgeon who is a Member of the American Society of Plastic Surgeons. Additionally, members of the American Society for Aesthetic Plastic Surgery specialize in the cosmetic side of plastic surgery, and members of the American Society of Bariatric Plastic Surgeons demonstrate additional dedication to the cosmetic side of post-bariatric plastic surgery.
If you are in the San Francisco Bay Area and want to learn more about your skin reduction options after weight loss, call (925) 943-6353, to schedule your private consultation appointment.
Male Breast Reduction is one of the most requested cosmetic plastic surgery procedures, year after year.
Male Breast Reduction Video (Gynecomastia Reduction)
Gynecomastia is the medical term for Male Breast Enlargement. The enlargement can be isolated to the nipple areolar complex (puffy nipples), or may involve the entire chest. This Gynecomastia Reduction Video reviews the most common treatments and illustrates the results of Male Breast Reduction with multiple, narrated male breast reduction before and after pictures.
How Is Gynecomastia Reduction Performed?
Gynecomastia Reduction is often a combination of procedures. The most common combination is Liposuction plus direct excision of any firm glandular tissue which remains attached to the back of the nipple.
In situations where the skin is loose or the gland is saggy, skin reduction may also be necessary. The key it to pick the procedure, or combination, that gets the job done.
With good skin tone, even large breast reductions can be performed through small, minimally invasive incisions.
Which Male Reduction Procedure is the Right One for You?
For more information about Male Breast Reduction, visit the links in this post. For specific information, there is no substitute for an in-person consultation. Call (925) 943-6353 today, and schedule a private and informative consultation appointment. A proper evaluation and plan are the keys to excellent results.
Liposuction is great for removing disproportionate, localized areas of fat accumulation. On today’s video I discuss Liposculpture and share numerous Liposuction before and after pictures from my latest segment from KRON 4’s Body Beautiful.
What Are The Best Areas For Liposuction?
Liposuction removes disproportionate fat. In the above before and after pictures, Liposculpture is used to further enhance a Tummy Tuck.
As a San Francisco Bay Area Board Certified Plastic Surgeon, I perform Liposuction on many areas of the body. The best areas are localized accumulations of fat which stick out from the surrounding areas. The convexities can be contoured with Liposculpture to bring them back into proportion and enhance your appearance. Sometimes the fat can be repurposed like with the Brazilian Buttocks Lift.
The following video segment reviews Liposuction and reveals the secrets of Liposculpture with numerous Before and After Pictures.
The video’s preview screen above shows the results of Liposuction alone. Fine Liposuction cannulas were used to contour the belly, flanks, back and thighs, and enhance this patient’s feminine curves.
Liposuction Frequently Asked Questions
Love handles handled with Liposuction. By carefully sculpting the lower back fat, Liposculpture reduces the muffin top. Unsightly bulges are transformed into more attractive curves.
Many of the frequently asked questions about Liposuction are reviewed in the Liposuction Video above. If you have more questions, be certain to select Liposuction in the sidebar under Search By Category. More information is also available on my main website’s Liposuction Page.
Personalized Answers to Your Questions
I use Liposuction almost every week to reduce gynecomastia. The combination of Liposculpture of excess chest fat and the direct excision of the firm, stubborn glandular tissue can flatten and masculinize a man’s chest.
There is a lot of Liposuction information available on the San Francisco Plastic Surgery Blog. It’s a good start; however, the only way to get specific answers to your Liposuction Questions is during an in-person consultation with an experienced qualified professional. Call (925) 943-6353 today, to schedule an appointment at our San Francisco Bay Area Plastic Surgery Clinic in Walnut Creek, CA.
The Tummy Tuck is one of the most requested cosmetic plastic surgery procedures I perform. Whether after childbirth, or weight loss, the procedure removes excess fat and loose skin and tightens the abdominal muscles. On the most recent Body Beautiful on the San Francisco Bay Area’ News Station, KRON 4, I had the opportunity to discuss the latest in Cosmetic Plastic Surgery including Abdominoplasty.
Tummy Tuck Video (Abdominoplasty)
Abdominoplasty Video Presentation
The above Abdominoplasty Video discusses the procedure, its recovery, and I narrate the results for multiple Tummy Tuck Before and After Pictures. Examples of combining Abdominoplasty with Mommy Makeovers and Brazilian Butt Lifts are included, too. More on these next.
Tummy Tuck With Brazilian Butt Lift
Abdominoplasty can be combined with other procedures. The most common add-on is Liposuction. It is used to contour the lateral hip and lower back and reduce the undesirable the muffin top. In some cases, the fat removed with Liposuction is repurposed to augment the buttocks. Also known as the Brazilian Buttocks Lift, the procedure can create, or restore, the fullness to the buttocks and hips. An example is depicted below.
The Above Tummy Tuck before and after pictures show an example of what the combination of Tummy Tuck, Liposuction and Brazilian Buttock Lift can do. In the post operative picture on the right, the abdomen is flatter, the muffin top is missing and the buttocks are fuller and rounder.
Abdominoplasty With Breast Augmentation Lift
Tummy Tucks can be combined with Breast Enhancement also. This class of combination cosmetic plastic surgery is termed the Mommy Makeover. The most common combination is Abdominoplasty with Breast Augmentation using Breast Implants. The Mommy Makeover Before and After Pictures shown below illustrate the combination of Breast Augmentation Lift (Periareolar) with a Tummy Tuck.
Mommy Makeovers are a class of cosmetic plastic surgery procedures that enhance both the breasts and the belly. The Mommy Makeover before and after pictures above are an example of what can be accomplished with the combination of Breast Augmentation Lift and Tummy Tuck. As with all plastic surgery, careful patient selection is very important.
Tummy Tuck Consultations
If you are considering a Tummy Tuck, Brazilian Buttocks Lift or Breast Augmentation, be certain to consult a Board Certified Plastic Surgeon in your area. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a convenient, personalized consultation appointment. My office specializes in Cosmetic Plastic Surgery and discretion. Come in and learn more.
The Mommy Makeover combines the most common body shaping procedures, breast augmentation and tummy tuck, into one, maximum result, breast and belly shaper.
The Mommy Makeover is one of my favorite combos. The ability to reshape the damage done to a woman’s body after childbirth or weight loss, in a single operation, makes it one of the most satisfying Cosmetic Plastic Surgery procedures.
What Is A Mommy Makeover?
The Mommy Makeover is not a specific procedure, but rather the combination of breast and belly enhancement performed in a single operation. Breast Enhancement may include Breast Augmentation, Breast Lift, Breast Augmentation with a Lift or Breast Reduction. It all depends on what needs fixing. Belly Enhancement is usually a Tummy Tuck; however, for the patient who needs less, Mini Tummy Tucks or Liposuction may be the procedure of choice.
Mommy Makeover Video Presentation
Recently, I had the opportunity to discuss Mommy Makeovers with the San Francisco Bay Area television audience. Body Beautiful airs on KRON 4, the San Francisco Bay Area’s News Station. The Mommy Makeover features the best and the latest in Cosmetic Plastic Surgery. This week, the spotlight is on Mommy Makeovers.
Mommy Makeover Video
More About Mommy Makeovers
The Mommy Makeover Video segment featured above reviews many of the available options and outcomes of the procedure for several of my patients. Additional Mommy Makeover Videos are available here, on the San Francisco Plastic Surgery Blog, and on my main site’s Mommy Makeover Video Page.
Mommy Makeover Consultations
When you are considering a Mommy Makeover, be certain to consult with a Board Certified Plastic Surgeon. Call (925) 943-6353 today, to schedule a private, personalized Mommy Makeover consultation in our San Francisco Bay Area Plastic Surgery Clinic.
The Mommy Makeover is the most popular, and one of the most satisfying, combination cosmetic plastic surgery procedures. With the ability to reshape the breast and flatten the belly, the Mommy Makeover is the procedure of choice to rejuvenate the female form after pregnancy or weight loss.
This Wednesday, June 7, 2017, I will be on the San Francisco Bay Area’s News Station, KRON 4’s Body Beautiful. The show airs live at noon. As usual, the discussion is focussed on the latest Cosmetic Plastic Surgery News for the San Francisco Bay Area.
Body Beautiful Plastic Surgery Topics
This week’s half-hour television show discusses Cosmetic Plastic Surgery of the Body. Planned topics include:
The Mommy Makeover Before and After Pictures that leads this post demonstrate the most popular combination cosmetic plastic surgery. By combining Breast Augmentation and Tummy Tucks, the two areas the often sag after pregnancy, the breasts and the belly, are both addressed. Of course, the procedures can be performed without having had children. The term Mommy Makeover was coined because of the frequent request from mommies to repair the damages of pregnancy on their breast and bellies. Another common situation in which Mommy Makeovers are performed is significant weight loss.
EDIT – The first Plastic Surgery Video segment on Mommy Makeovers is up and live right here: Mommy Makeover Video.
Breast Augmentation Mastopexy (Breast Implants with Breast Lifts)
Breast Augmentation remains the most popular single plastic surgery procedure. Breast implants can provide volume, and as many as 40% of patients also benefit from a breast lift. Breast lifts can improve breast shape in ways the Breast Augmentation alone cannot.
Breast Augmentation is still one of the most frequently performed cosmetic plastic surgery procedures, but what happens if the breasts are saggy, or the nipple is very low on the breasts? Breast Augmentation in these situations may provide larger breasts, but not necessarily perky ones. As many as 40% of Breast Augmentations combine some sort of Breast Lift. The most common reasons for this are low set nipples or saggy breasts due to excess skin.
Additional procedures can also be added to correct other breast problems, Fine details of the breasts that are often targeted for improvement are: Areola Reduction, the improvement of Breast Asymmetry, Breast Implant Revision for women who had Breast Implants before pregnancy and Inverted Nipple Repair. Breast Reduction, perhaps paradoxically, can also be combined with Breast Augmentation Mastopexy when heavy lower breast tissue is distorting the shape of the breasts.
Brazilian Buttocks Lift
The fastest growing procedure is the Brazilian Butt Lift. The procedure takes fat from areas where it is not desired and repurposes it, to enhance the shape of the buttocks.
A newer body procedure is allowing Board Certified Plastic Surgeons to shape an area that traditionally has been difficult. The Brazilian Buttock Lift (BBL), allows us to remove fat with Liposuction and reuse it to enhance the buttock contours. Pioneered by Brazilian Plastic Surgeon, Ivo Pitanguy, the procedure allows for customized augmentation of the buttocks, and shape that is more pleasing to the eye than Buttocks Implants can provide.
Thigh Lifts in the SF Bay Area
The Thigh Lift is used most often after weight loss. Excess skin and fat from the inner thigh is removed to reduce the size of the thighs and tighten the skin.
Thigh Lifts are one of the less frequently performed cosmetic plastic surgery procedures. The numbers have risen in response to Bariatric Surgery and the massive weight loss associated with it. As weight is lost, the thigh skin that is stretched during weight gain becomes loose. As the volume of the thigh decreases, so does the support that the extra fat provides the thigh skin. As a result, the skin can hang like drapery. The Thigh Lift removes this excess skin, and helps to tighten the thigh, especially the upper, inner thigh.
Watch Body Beautiful June 7, 2017, on KRON at Noon Wednesday
If you are interested in learning more about any of the above procedures, I have provided links in this post, and I encourage you to watch me live on KRON 4, this Wednesday at noon. Segments from the show will be posted here, on the San Francisco Plastic Surgery Blog, in the coming days. So if you miss the live show, you can still catch up here or on my local San Francisco Plastic Surgery Web Sites.
Internet education can be very helpful, and it is the goal of the San Francisco Plastic Surgery Blog; however, because information on the Internet is designed to apply to the general population, it is generic in nature. Medical advice cannot be giving without the personal contact that an in-person consultation appointment provides. To get “brand name” plastic surgery information, tailored to your specific needs, call my San Francisco Bay Area Plastic Surgery Clinic today, at (925) 943-6353, and schedule an appointment to get your personal, Board Certified Plastic Surgery information.
The most common Mommy Makeover combination is the one depicted above: Breast Augmentation and a Tummy Tuck. Breast Implants restore the lost breast volume, while the Tummy Tuck flattens and tightens the abdominal wall.
Mommy Makeovers remain one of the most popular body shaping combinations for women. The combination of Breast Enhancement and Belly Embellishment is often performed after childbirth and/or weight loss, with the goal of reestablishing more shapely and youthful proportions. While Breast Augmentation with a Tummy Tuck is the most common combination, it is important to pick the procedures most appropriate to your needs. Below, I discuss the options for rejuvenation of the breasts and the belly.
Breasts often change with pregnancy and breast feeding. Variations are common, but typically breasts increase with pregnancy and then end up smaller after lactation ceases. The problems come when the postpartum breasts are too small, too saggy or remain too large (less common but, can be just as annoying).
Breast atrophy after pregnancy is very common. Breast Implants can restore lost volume and restore the proportions that enhance the breasts’ shape both in and out of clothing.
It is best to wait at least three months after lactation ceases before having any breast procedure. This allows the breasts to settle down to a consistent shape, providing more predictable and safer surgery. Depending on your experience and goals, options for Breast Enhancement include:
Bellies, too, get stretched out during pregnancy. Subsequent pregnancies tend to increase injury, especially if close together. Working out and abdominal exercises help, especially if you are in good shape before pregnancy and maintain a healthy weight during pregnancy. Even under the best circumstances, a big healthy baby can trump a flat healthy belly. The options for tummy rejuvenation include:
After pregnancy or weight loss, the abdominal muscles, skin and fat can all be compromised. Fortunately, a Tummy Tuck repairs all three areas. An experienced Board Certified Plastic Surgeon is the best choice for your Mommy Makeover.
Liposuction can also be used in combination with either of the Tummy Tucks, and the fat removed with Liposuction can be repurposed to enhance other curves, like the buttocks when combined with a Brazilian Butt Lift. If you are wondering which procedure is best for you, an in-person consultation is the best way to find out. I have a page on my main website that explains some of the decision points when trying to decide: Liposuction or Tummy Tuck?
Mommy Makeover Consultations
To explore all your body rebuilding options, call (925) 943-6353, and schedule a personal consultation appointment in our San Francisco Bay Area plastic surgery clinic. A Board Certified Plastic Surgeon is your best guide for explaining what Cosmetic Plastic Surgery can offer. Since we offer a wide variety of procedures, we can offer you the best choices for your Mommy Makeover.