A mother of 1 in her middle 40’s has always been bothered by the fullness of her stomach but finds that after her pregnancy this is bothering her even more. She Is bothered by bulging and rolls of her abdomen in fitted clothing and would like to be able to wear a 2 piece bathing suit.
She is shown before and again, 10 months after lipo-abdominoplasty. In her case, we were able to perform liposuction of the abdomen at the same time as the abdominoplasty to thin the area even more. Scars will typically continue to fade and improve over the next 1-2 years and it is placed where is hidden by a thong, which allows her to wear most clothing and bathing suit styles.
A mother of 2 in her early 50’s who is bothered by her abdomen following her 2 pregnancies. She describes it as “ a lump of blob” and does not like the roll of skin and bulging above the waistline of her pants and in fitted clothing. She is 5’5” and 145 lbs. She is shown before and again, 6 ½ months after abdominoplasty.
Discussion: Scars typically get redder for 6 weeks and then begin to soften and fade over the next 2 years or more. Sharp eyes will notice a small vertical scar in the lower abdomen- this was the original aperture or opening around her umbilicus ( belly button) that is pulled down like a window shade after the muscles are tightened. It is better to have the longer scar low and in a thong position with a small vertical slit if needed, instead of having the entire scar higher on the abdomen. She is thrilled with her new shape and size. Exparel was used to limit her reduce pain and limit need for narcotics after surgery.
A woman of color and mother of 3 in her late 50’s who is bothered by the size and appearance of her breasts as well as the bulging of her abdomen. Her BMI was 32 and I had her reduce her weight to a BMI of 28 or less. There is typically fat around the intestines (“omental fat” ) that fills the space created from the pregnancies and prevents tightening the stomach wall if a patient is overweight. I tell patients that you “can’t put 40 lbs of potatoes in a 20 lb bag” and if we operate at the higher weight there is not only a greater risk of a blood clot because of pressure on the large veins in the abdomen, but more pain and a greater likelihood of the muscle wall stretching back out again. So I prefer my abdominoplasty patients to have a BMI of 28 or less. ( the exception being a bariatric patient who has lost 100 lbs or more and can sometimes be accommodated up to a BMI of 35)
She is shown 5 months after breast reduction, and 2 months after lipo-abdominoplasty. This is an early result and swelling will typically diminish and improve over the next 4 months, and the scars will continue to soften and fade. She is already thrilled with her early result!
A woman in her early 30’s with Steatopygia , a lipodystrophy of excess fat in the buttock area. Sometimes called a “duck tail”. She is over her ideal body weight for someone 5’ 5 ½” at 202 lbs. Liposuction is not a treatment for being overweight but can selectively remove excess fat. In her case I performed power assisted liposuction using the S.A.F.E. technique
( Separation/Aspiration/Fat Equalization) and was able to obtain a good improvement with the removal of 5200 cc of lipo-aspirate from the lower back/ upper buttocks, flanks and inner thighs. She is shown at 6 weeks after her procedure and is thrilled with her early improvement. Swelling after liposuction typically takes 6 months to completely resolve, so we can expect further small improvement with time. She is thrilled with the new shape and projection of her buttocks in and out of clothing and the improvement in her waist and inner thighs.
A woman in her mid 40’s who is bothered by back rolls and looseness of the skin. She is shown before and again, 15 months after a bra line back lift combined with liposuction of the posterior shoulders. The bra line back lift trades a permanent scar that is hidden under the bra for better contour of the back. She is able to hold her arms at her side after the surgery.
A mother of 1 in her mid 40’s who has always been bothered by fullness of her abdomen, even when younger, but now this is worse since her pregnancy.
She is bothered by bulging in fitted clothing and would also like to be able to wear a 2 piece bathing suit. She had an external laser treatment to reduce fat in her stomach somewhere else but said this was painful and didn’t work. Sh has also had cool sculpting to her inner thighs, again, without improvement.
She is shown before and again, 7 months after a lipo-abdominoplasty along with liposuction of her medial thighs. Her weight is up 10 lbs since surgery ( now 5’4” and 150 lbs) but she maintains an excellent contour of the stomach.
Discussion. Her abdominal skin has excess fat with a caliper pinch of 4.5 cm I find 3 cm or less to be more idea. Liposuction can be done separately as another procedure but in some cases can be cautiously added at the time of the abdominoplasty to thin the layer more and give a better result, as we did here. Despite a significant weight gain she has maintained her contour in the abdomen.
A nurse and mother of 2 in ther later 30’s who had polyhydramnios with her second pregnancy and became quite large. She has an umbilical hernia, a ventral hernia and a large diastasis of the rectus muscles. She is frequently asked if she is still pregnant. She is shown before and again, 6 months after abdominoplasty combined with umbilical hernia repair.
A mother of 3 in her mid 30’s who is bothered by the appearance of her stomach and the shape of her hips after her pregnancies. She is shown before and again, 4 ½ months after abdominoplasty combined with liposuction of her hips and flanks using power assisted liposuction and the S.A.F.E. technique.. (Separation/Aspiration/Fat Equalization)
Exparel was used to limit postoperatibe pain. Tattoos are blurred for her privacy
A mother of 1 in her mid 40’s who was bothered by fullness of her abdomen before pregnancy but even more since her pregnancy. She has tried a laser fat reducing procedure in a spa elsewhere but described it as painful and stated that it didn’t work.
She has also had cool sculpting elsewhere to her inner thighs but did not notice an improvement.
She is shown before and again 4 ½ months after lipo-abdominoplasty combined with liposuction of the inner thighs. She can expect continued improvement in swelling over the next 2 months but is already thrilled with her improvement and just got back from a beach vacation where she felt happy to be comfortable wearing a bathing suit.
A nurse mother of 2 in her later 40’s who had polyhdramnios with her second child and became quite large. She was frequently asked if she was still pregnant and became tearful in the office just talking about it. She is shown before and again, 6 months after an extended abdominoplasty as an outpatient. Exparel was used intraoperatively to decrease her need for narcotics after surgery.