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Frequently
Asked Questions
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Q.
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I'm 36 years old and
have worked hard to lose weight. I'm finally at my goal weight but
I'm not at all happy with the way my body looks -- my stomach kind
of hangs down and my legs are still too big. |
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A.
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It sounds as if a combination of procedures
would work best for you: a tummy tuck to take care of your stomach
stretched by weight gain and loss and liposuction to treat spot areas
of fat on the legs and thighs. Tummy tucks, or abdominoplasties, remove
the excess skin causing that "hanging tummy" look often caused by
pregnancy or weight loss. The procedure also tightens muscles in the
middle and lower abdomen. Liposuction can be performed at the same
time to remove unwanted fat from the waist, hips, stomach, and thighs.
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Q.
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After having three
children I can't get a flat stomach back no matter how much I exercise.
Should I have a tummy tuck? I don't want the scar to cut across my
midriff. Is there any other choice for an incision? |
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A.
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Many women, such as yourself, have excess
fat, loose skin and stretched muscles as a result of childbirth. These
problems make you a good candidate for an abdominoplasty, or tummy
tuck. Less extensive abdominoplasties, where less skin and fat need
to be excised, can be done with a modified incision which does not
cut across the midriff. The use of endoscopic instruments, leaves smaller scars and
incisions. |
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Q.
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I've had
two children and I can't recover that taut stomach no matter how much
I exercise -- my tummy is loose and flaccid with some extra skin.
Should I have a tummy tuck or liposuction? And should I have it done
during the summer? I'm a teacher and I have the summer off from classes.
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A.
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I frequently advise female patients who
have had several children to consider a tummy tuck rather than liposuction
of the abdomen to bring back that "taut look" to the stomach.
With liposuction I can effectively remove fat from the abdomen; only
with an abdominoplasty can I tighten those separated muscles resulting
from childbirth and excise the loose skin. During the abdominoplasty
procedure, I frequently use liposuction as well to remove any unwanted
fat. Summer would be an excellent time for you to have either liposuction
or an abdominoplasty because you have time off from a very active
job. Recovery time for liposuction can be as little as one week, depending
upon how much you have done. Many abdominoplasty patients don't return
to work for two weeks and don't return to their normal exercise regimen
for two months. Teaching a class is physically demanding, as you are
on your feet much of the day. You should try to have either of these
surgeries in June or July, so that you have the maximum recovery time
possible. To determine which procedure is most appropriate in your
situation and to allow time for summer scheduling, you should begin
the evaluation process as soon as it is convenient. |
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Q.
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How do
you minimize scarring from an abdominoplasty? Does an endoscopic approach
limit it? |
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A.
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An endoscopic abdominoplasty
is accomplished with the use of a mini-camera, called an endoscope,
attached to the surgical instrument. This type of abdominoplasty is
ideal for the patient with good skin tone and moderate abdominal muscle
weakness. Incisions are very small compared to a full abdominoplasty
where the incision can run from hip bone to hip bone. Not all women
are candidates for an endoscopic abdominoplasty. An excess of loose
skin requires a larger incision, while skin that is tighter permits
the smaller incisions of an endoscopic abdominoplasty. |
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©
1999-2007 Joel Singer - All rights reserved.
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