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You are here: Home1 / Tummy Tuck

Archive for category: Tummy Tuck

March 19, 2023/in Brazilian Butt Lift, Breast Augmentation, Liposuction, Plastic Surgery, Tummy Tuck /by Dr. Matthew Schulman

If you’re on TikTok account a social media platforms, you know that trends change fast — sometimes, by the day. 

Still, one trending topic has stood the test of TikTok time (say that 5 times fast). 

What is it? Plastic surgery.

While for decades, confessing that you’d had plastic surgery was a no-no, today, it’s totally acceptable to shout it from the rooftops — er, post it to a TikTok account anyway.

And it’s actually pretty cool for your self esteem. 

Turns out people want to know what it’s like to get a BBL or have your breasts enlarged. As always, a peek behind the scenes is intriguing and fun. Plus, before and afters never get old.

Up ahead, we’ll take a look at the top 5 plastic surgery procedures Tik Tokers and their most plastic surgeons are posting about these days. These are some of the most popular procedures both in NYC and around the globe.

 

1. Brazilian Butt Lifts

Brazilian butt lift Tiktok

Brazilian butt lift trends on TikTok seem to focus on BBL recovery and before and after BBL pictures and video. Some patients show themselves heading into their procedure and then later after they’ve recovered or while they’re still healing.

Various trends have come and gone of patients showing themselves in BBL before and afters, wearing jeans or tight skirts, walking down the street, shopping at the grocery story, getting ready to go out, etc. Brazilian butt lift reveals can be amazing, and the results look tremendously natural, so #BBL and #Brazilianbuttlift are really fun hashtags to follow. 

The Brazilian Butt Lift Procedure

The New York City Brazilian butt lift procedure is performed in two parts. First, liposuction is used to remove excess fat from the abdomen and other locations on the body. Next, that fat is processed outside the body and then transferred to the hips and buttocks.

Here are some of the options a patient may consider for their BBLs.

Liposuction 360 (Lipo 360)

When Dr. Schulman removes fat from your body in preparation to transfer it to the hips and buttocks, you have a choice about where you want that fat to come from. Some slim patients won’t have much excess volume to work with, so it may be more of a challenge to find a good target location for harvesting. Other patient needs may want major liposuction performed — for example, with a lipo 360. 

Read more about liposuction 360 in New York City.

2. Breast Augmentation

Tiktok plastic surgeon#breastaugmentation videos on TikTok run the gamut from experience posts in which patients show breast implant before and after clips, to educational posts from plastic surgeons. 

A recent trend, for example, has plastic surgeons on social media platforms showing followers how durable breast implants are — specifically, silicone implants. Doctors post cuts of themselves and their staffs dropping implants from tall buildings, stepping on them with stiletto heels, shutting them into doors, and running over them with cars. And of course, the implants never pop.

The Breast Augmentation Procedure

Breast augmentation in New York City involves increasing the fullness and size of the breasts. There are three main ways to perform this surgery: with implants, with a fat transfer process, or with the assistance of Botox.

All options increase the breast size and can also alter the projection and perkiness of the breasts. In some cases, a New York City breast lift is combined with augmentation to both lift and add volume. A breast lift alone is good for patients who have enough volume but want their breasts to sit higher up on the chest.

Let’s take a look at each option.

Silicone or Saline Implants

Implants are the most typical option for increasing the breast size. There are saline and silicone implants. These days, silicone tends to create the most natural-looking results.

However, some patients are reticent about getting silicone implants because every few years, patients will need to get a sonogram or MRI to ensure no leaks have occurred. If a leak has occurred, for medical reasons, the implant will mostly likely need to be removed and replaced. Conversely, with saline implants, you’d know right away if a leak occurred, and the body would simply absorb the leaked saline.

Fat Transfer Breast Augmentation

Your own body fat can also be transferred to the breasts to increase the breast size. Keep in mind, however, that the fat transfer process will not create a “structure” for the breasts, so this may not give you the shape you ultimately want from your augmentation.

Botox-Assisted Breast Augmentation

Botox is usually used to relax the muscles of the face temporarily. This reduces the appearance of lines and wrinkles. 

Botox-assisted breast augmentation uses implants as the primary filler. But Botox is also used in conjunction in order to achieve more immediate results and a speedier recovery process. Instead of months after surgery, the patient can see their results just a few weeks after surgery.

3. Rhinoplasty

With a nose job or rhinoplasty, it’s all about the before and afters. Rhinoplasty or nose job in New York City is one of the most popular face procedures in general, and young people love seeing patients’ big reveals on TikTok. 

Most rhinoplasty patients on the platform get the surgery to improve the aesthetics of their nose — crookedness, nasal tip asymmetry, excessive tip projection, excessive width, nasal bump, excessive size, etc. But there are also patients who go in for septoplasty, which is a procedure that repairs the nasal septum.

Rhinoplasty before and afters are super-fun to see — just watch out! As with all plastic surgery videos that show the procedure in process, the videos can get graphic.

The Rhinoplasty Procedure

There are two main reasons to get rhinoplasty — first, to correct an aesthetic problem, and second, to fix a breathing issue. 

As stated above, aesthetic concerns may involve things like crookedness, a bump on the bridge, excessive size or width, asymmetry, excessive tip projection, or another similar issue. When rhinoplasty is performed for breathing issues, it’s called septoplasty. 

Finally, some patients may be interested in improving their nasal breathing and will also opt for some form of aesthetic improvement while they’re at it. Rhinoplasty may be performed open or closed. 

Open Rhinoplasty

In open rhinoplasty, the nasal skin is folded up, and the bone and cartilage beneath is exposed. This gives the doctor and the surgeon easier access to the underlying structure of the nose. This technique is generally used when bigger changes need to be made.

Closed Rhinoplasty

Closed rhinoplasty is performed through the nostrils without lifting the nasal skin. As a result, this technique is generally employed for only minor reshaping issues. 

4. Liposuction

Tik tok plastic surgeryAnother one of the most popular plastic surgeries on TikTok is New York City liposuction. The fun thing about lipo is that it can be performed almost anywhere on the body, so the results that pop up are pretty eclectic. 

Along with liposuction before and after videos, many TikToking surgeons will post educational videos about what to expect with the procedure. The videos may be clips of actual surgeries, computer-generated graphics that show how lipo is performed, or clips of surgeons speaking directly to the camera about cosmetic procedures, liposuction recovery tips, preparation advice, and more.

The Liposuction Procedure

The liposuction procedure involves the removal of fat cells from areas on the body that have been difficult for the patient to reduce on their own. The most common places to have liposuction performed include the abdomen, flanks, upper and lower back, thighs, and arms and shoulders. There’s also New York City neck and chin liposuction, which primarily targets double chins.

Some of the additional options patients have for liposuction include the following.

High-Definition Liposuction (HD Lipo or Hi-Def Lipo)

High-definition liposuction offers some of the latest technology available in liposuction. The big factor that sets it apart from traditional lipo is that it leaves a bit of padding around the muscles. In addition, the muscles are actually contoured by the surgeon. 

This creates natural shadows that surround the muscles and ultimately results in a fit, lean look. High-definition liposuction only works for a unique subset of overall fit patients. These patients may have small pockets of super-stubborn, diet-resistant fat, but they are generally in good shape.

Liposuction Technologies

When patients opt for classic, non hi-def liposuction, there are four main technologies to choose from: 

– Traditional: The traditional liposuction method has mostly been replaced by new technologies. In general, this method utilizes a cannula, which is a long, thin metal tube. The tube is inserted into small incisions near the target areas, and the fat is then removed through it. 

– Tumescent: As an easier and safer option that reduces blood loss and speeds up recovery, tumescent lipo uses an injection of liquid before the fat is removed. The liquid is called tumescent fluid and is made up of numbing medicine, epinephrine, and salt water.

– Power-Assisted Tumescent: Like the tumescent method, power-assisted tumescent liposuction uses a tumescent fluid, but it also uses a suction device that vibrates. The vibrations assist in breaking up the fat, and this improves the removal process.

– Energy-Assisted: Finally, this form of liposuction stimulates the retraction of the skin and the breakup of fat by using some form of sound wave energy, heat energy, or laser energy.

5. Tummy Tucks

Also called abdominoplasty, New York City tummy tuck TikTok posts are most popular with individuals who’ve had significant weight loss — and moms. This is because both groups have experienced extensive stretching of the abdomen, and in many cases, this stretching can become permanent, which will result in sagging skin that won’t retract. 

Search for #tummytuck on TikTok, and you’ll see plenty of tummy tuck before and after clips as well as before and during posts.

The Tummy Tuck Procedure

Loose excess skin can be cumbersome and uncomfortable. Not only does it make some young people self-conscious, but it can interfere with exercise and other physical activities as well. 

The tummy tuck procedure gets rid of excess skin by literally cutting it off. In addition, the procedure can knit together separated abdominal muscles and incorporate some liposuction to get rid of any remaining stubborn fat pockets.

Here are two tummy tuck options to consider:

Extended Tummy Tuck

Most extended tummy tuck patients have lost a large amount of weight. Therefore, a more-than-average amount of skin needs to be removed. 

This may result in a lateral scar that is larger than usual and which may extend past the hips on either side. In some cases, a fleur-de-lis tummy tuck is used in which a vertical incision is made up the center of the abdomen and around the lower back as well. 

Tiktok cosmetic surgeonSchedule a Consultation With Dr. Schulman

Dr. Matthew Schulman is a board certified plastic surgeons serving patients in New York City. From Brazilian butt lifts and tummy tucks, to lipo and more, Dr. Schulman uses his expertise and experience to help you achieve the aesthetic goals you’re looking for. 

Interested in one of the procedures we mentioned above? Give our NYC office a call today, and schedule your consultation with Dr. Schulman!  

https://www.tiktok.com/tag/plasticsurgery?lang=en

https://www.plasticsurgery.org/news/articles/body-contourings-latest-frontier-high-definition-liposuction

https://www.mayoclinic.org/tests-procedures/tummy-tuck/about/pac-20384892

https://www.webmd.com/beauty/cosmetic-procedures-nose-job-rhinoplasty

https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation

 

 

 

March 16, 2023/in Tummy Tuck /by Dr. Matthew Schulman

The goal of a tummy tuck is to get rid of excess skin on the abdomen and restore a weakened core by tightening the abdominal muscles. Tummy Tuck surgery a great surgery for women after they’re done having children and for men and women who’ve lost a significant amount of weight. 

One of the most common questions we receive from our patients concerns stages of tummy tuck recovery time. Patients want to know how long they’ll be in recovery from this procedure and when they’ll be able to return to their normal activities. Below, we’ve distilled tummy tuck recovery time down into five main stages. Let’s take a look at what you can expect at every stage.

Tummy Tuck Recovery Video

Not all patients experience the same tummy tuck recovery time line. Those undergoing other procedures in addition to a tummy tuck, for example, will naturally require a longer recuperation period. 

Overall, however, there are five main Stages of Tummy Tuck Recovery timeline

1. Immediately after surgery

The tummy tuck procedure itself usually takes around two to three hours, but it can take up to three to four hours if the patient has a larger stomach or will be having thigh and hip contouring. The procedure is almost always outpatient, however, so patients can go home on the same day.

Right after your tummy tuck, you will be taken to a recovery room. There, you will be cared for by our highly experienced staff. You’ll spend just a few hours in this room before being able to leave. 

You will be discharged with thorough instructions on how to care for yourself at home. You will also be given a list of signs and symptoms of potential post-surgery complications to look out for. Make sure you fully understand your recovery process instructions before going home.

Of course, it’s important to have someone at the facility who can help you get home as well. This person or someone else should also be nearby to help you get around during your recovery. 

2. Your first 48 hours at home

Tummy tuck recovery timeYou’ll need some prescriptions filled directly after your surgery, including antibiotics and pain medication. You can fill these on your way home or have someone else pick them up. Or, you can also get them filled before your surgery to save you time. 

During the first 48 hours after surgery, you can expect some soreness, swelling, and bruising. Your abdomen will be covered with dressings, and you’ll also have a compression garment over the bandages to reduce swelling and help avoid blood clots. Wearing your compression garment is extremely important as it also helps your abdomen heal smoothly and evenly, optimizing your results. Drains may be left in your incisions as well, which will help remove excess fluid or blood. 

You’ll need to take it especially easy during this time as too much activity can potentially damage internal sutures. This may not only affect your cosmetic results, but it can also cause serious medical complications.

Avoid moving around too much at home, and do not do any lifting, including lifting children. Again, enlist the help of a family member or friend. You’ll need help getting to the bathroom, emptying your drains, making food, and doing other tasks. If you do have children at home, it’s important to have someone there to watch over them. You won’t be able to care for others during these first few days and will instead need someone to care for you.

Most patients can shower 24 to 48 hours after their procedure if they do not have drains. Our staff will provide showering instructions, including how to remove your dressings properly. Patients with drains need to wait until they are removed before showering. This may take up to a week or more, so during this time, you’ll want to take sponge baths to stay clean. 

3. One to two weeks after your tummy tuck procedures

As the days go by, you will notice a progressive reduction in swelling, bruising, and soreness. 

Somewhere during this period, you’ll be able to discard your bandages. If you had drains, they will also be removed during this time. This will be at the discretion of Dr. Schulman. You should continue taking your medications as directed by Dr. Schulman and according to your pain levels. 

For the first two weeks at least, you should not submerge your abdominal area in water, so no baths, hot tubs, pools, or lake or ocean swimming. During this time, continue to avoid strenuous activities. Dr. Schulman may simply want you to take some gentle walks around the house.

Most patients can go back to work around 10 to 20 days after surgery.

4. Four to six weeks post-surgery

By this point in your tummy tuck recovery time line, you should be standing fully upright, and the internal healing process will be complete. Much of the swelling will have gone down so that you’ll be able to see a firmer, slimmer abdomen. Still, you’ll need to continue to wear your abdominal compression garment until around the six to eight-week mark. 

At this time, Dr. Schulman may also okay you to return to vigorous exercise. You may need to modify your usual routine, however, so discuss the activities you’d like to do with Dr. Schulman to be sure they’re safe. 

5. Approaching full results at six months

You will be very close to seeing the full results of your tummy tuck approximately six months after the procedure. In many cases, however, your incision site may not fade completely for a year or more. 

This does not mean it will disappear entirely, but it will fade significantly by the one year-mark and will be lighter in color compared to the pink color it was during the first few stages of swelling after tummy tuck months.

Dr. Schulman will provide scar-care instructions during this time to ensure your scar is not stressed and fades as smoothly as possible. 

Questions and Answers

Tummy tuck recovery timeline

How long does it take to recover from tummy tuck?

The recovery time after a tummy tuck, also known as abdominoplasty, can vary depending on the extent of the surgery and individual factors such as age, overall health, and the body’s natural healing process.

In general, the initial recovery period lasts about 2-4 weeks. During this time, it is important to rest and avoid any strenuous exercise, heavy lifting, or exercise.

Most people can return to light activities and work within 2-3 weeks after surgery.

The full recovery period for a tummy tuck results can take up to 6-12 months, during which time the body will continue to heal and the scars will fade.

How long is bed rest after tummy tuck?

The amount of bed rest required after a tummy tuck, also known as abdominoplasty, will depend on the extent of the surgery and the individual’s healing process.

Generally, patients are advised to rest in bed for the first few days after the procedure, and avoid any strenuous activities for several weeks.

Stages of Tummy Tuck Recovery: Book Your Consultation

Are you ready to schedule a tummy tuck consultation? Board-certified plastic surgeon Dr. Matthew Schulman utilizes the latest techniques and technologies to perform tummy tucks for patients in New York City.

Contact our office today to book your appointment to learn about the stages of Tummy Tuck Recovery.

References 

https://my.clevelandclinic.org/health/treatments/11017-abdominoplasty-tummy-tuck

 

January 30, 2023/in Tummy Tuck /by Dr. Matthew Schulman

While tummy tuck surgery can be absolutely life-changing for many men, some are unfortunate in that they end up with poorly-healed scars. These men are often looking for options to improve the appearance of their scars and make them less noticeable. 

Before we discuss these options, it’s important to point out that after tummy tuck surgery, scars are unavoidable. There is no way to undergo an invasive surgery like abdominoplasty (tummy tuck surgery) without getting scars. We wish there was! However, this advancement in surgery has unfortunately not been developed yet.

Therefore, the best scar you can hope for after a tummy tuck will be apparent — but as flat and unpigmented as possible. When we say “unpigmented”, what we mean is: as close to your natural skin color as possible so that it blends in nicely. You want your scar to be flat as well, so that it also blends in naturally with the contours of your skin and isn’t lumpy, bumpy, or noticeable.

For some men, if these goals are achieved, there’s little we can do to further improve the appearance of your scar. Again, you’re going to have some sort of scar after any kind of invasive surgery that requires incisions.

On the other hand, if your tummy tuck scar has lumps or bumps, or if it’s highly pigmented, raised, or hard, there may be some things we can do to help you improve its appearance. Of course, ideally, you will implement some of our tips right after surgery and as your scar is healing so that you can avoid problems with your scar down the line.

What Should a Tummy Tuck Scar Look Like?

The best-healed tummy tuck scar will be flat, smooth, pliable, and the same color as the skin around it. While it will still be slightly noticeable, it will be hard to see and won’t cause any comfort problems for the patient.

Where exactly your tummy tuck scar is located (and how many scars you have) will depend on what type of abdominoplasty you underwent.

Types of Tummy Tucks

male tummy tuck before and afterThere are several different types of tummy tucks and resulting scar patterns.

The most common abdominoplasty procedure is called the full tummy tuck. This procedure requires an incision along the bikini line (from hip to hip) and another incision within the belly button. The abdominal muscles are tightened, unwanted excess skin is removed, and the incisions are closed up. Belly button incisions are not noticeable after surgery. Your lower abdominal scar may be noticeable to an extent, but it will almost always be covered by your underwear, pants, or bathing suit.

Some patients may require an extended tummy tuck for more significant loose skin. The lower abdominal scar will be longer for this surgery — often extending beyond the hips and around toward the back of the abdomen.

Fleur-de-lis tummy tucks require a naval incision, a lower abdominal incision, and another incision that extends from the belly button down to the abdominal incision.

How to Get Rid of a Tummy Tuck Scar

Here are some tips for treating tummy tuck scars during your recovery period as well as after healing has taken place — if the results of your scar are unideal. 

Use massage: After a few weeks, once your scar is healed, you can utilize massage to help your scar lay flatter and to reduce adhesions in the scar tissue, which may cause lumps and bumps. Massage can also be used in the months and years following surgery.

Try silicone: Silicone-based scar treatments have been proven to be the most effective at reducing the appearance of scars. Silicone sheets and gels are available.

Don’t expose your scars to the sun: A surefire way to get a more noticeable scar is to expose your incision sites to the sun or tanning beds. UV rays make scars more pigmented.

Avoid tension during recovery: Exercising too soon or stretching your abdominal area too much (especially in the weeks directly after surgery) can strain your incision sites and make your scars more noticeable.

Consider steroid injections: When scars have healed badly — no matter the reason — steroid injections may help to smooth the skin and get rid of lumps and bumps. Speak to a board-certified plastic surgeon if you would like to pursue this option.

Is Tummy Tuck Worth the Scar?

For most male patients, yes, tummy tuck surgery is worth the scar. If you weigh the pros and cons, getting tummy tuck surgery means no more loose skin around your abdomen, tightened abdominal muscles, more comfort in your clothes, more comfort when exercising and moving about in your daily life, and a long list of other benefits.

FAQs: Male Tummy Tuck Recovery and Scars

Is tummy tuck good for men with loose skin?

Yes, tummy tuck surgery can remove loose skin on the stomach and fix separated abdominal muscles.

Where can I see male tummy tuck before and after photos?

Navigate to our before and after male tummy tuck photos section on our main tummy tuck page. There, you’ll find results from past male and female patients.

What is the recovery time for a male tummy tuck?

After a tummy tuck, the recovery period is usually around four to six weeks. Most patients take between 10 to 20 days off work or school. Full results will be visible after six to twelve months.

What does a male tummy tuck cost?

The baseline cost of male tummy tuck surgery is generally upwards of $9,500.

Is a male tummy tuck worth it?

If you have loose skin on your abdomen, a tummy tuck is the only way to get rid of that skin. Even with the most vigorous workout routine and strict diet, surgery is necessary for reducing loose, stretched out skin.

Schedule Your Consultation With Dr. Schulman

Do you have a male tummy tuck scar that’s been bothering you? While there’s no way to completely eradicate the appearance of a scar after abdominoplasty, there are steps we can take to help reduce your scar’s appearance and ideally, flatten it out and remove lumps and bumps.

Call today to schedule your consultation appointment with board-certified NYC plastic surgeon Dr. Matthew Schulman. 

References

https://www.plasticsurgery.org/news/blog/what-kind-of-scar-can-you-expect-after-a-tummy-tuck

December 16, 2022/in Breast Lift, Tummy Tuck /by Dr. Matthew Schulman

Can you have a tummy tuck and a breast lift at the same time? 

This is a common question we get from patients at our practice. Fortunately, it has a relatively easy answer.

In brief, yes, you can undergo a surgery that includes both a breast lift and a tummy tuck. Most of the time, these two procedures will occur together in a procedure we call a “mommy makeover”. Of course, this isn’t always the case.

Below, we’ll outline everything you need to know about getting a tummy tuck with breast lift.

Tummy Tuck and Breast Lift Surgery

Let’s briefly go over a few of the basics first. For starters, what do each of these procedures actually entail?

What Is a Tummy Tuck?

Tummy tuck surgery is a cosmetic procedure that aims to restore the midsection. 

Loose skin is removed, and the remaining skin is smoothed with natural contours. The abdominal muscles are tightened. In some cases, the navel will need to be relocated as well. Tummy tuck surgery is common after patients have lost large amounts of weight or had children.

What Is a Breast Lift?

Breast lift surgery does exactly what you think it does: lifts the breasts. 

Unlike breast augmentation, which adds volume to the breasts with implants, a breast lift uses the tissue the patient already has and repositions it so that the nipples are higher and the breasts themselves look higher and perkier. No extra volume is added with a simple lift.

What to Expect From Breast Lift and Tummy Tuck Surgery

If you choose to undergo a surgery that includes both a breast lift and a tummy tuck, keep in mind that these are two surgeries that are commonly included in a mommy makeover.

The term “mommy makeover” refers to a combination surgery involving more than one procedure. They are often recommended for moms who’ve had children and experienced some of the negative effects of pregnancy and breastfeeding. For example, sagging breasts, loose abdominal skin, separated abdominal muscles, and pockets of excess fat are just a few of the issues treated by mommy makeovers. 

Of course, a mommy makeover can include many different combinations of surgeries. Additionally, it should go without saying that you don’t have to be a mom to get a mommy makeover. If you’re someone who’s never had children but you still desire a breast lift and tummy tuck surgery, this is certainly an option.

Undergoing two major surgeries at once like this can be done. Just remember that the recovery time will be longer and more intense than it would be after one procedure alone. More of your body will be sore and tight, and your mobility will be even more limited, meaning you’ll definitely require in-home help for at least a week after surgery. 

If any of these factors are a problem for you, you may also consider getting one surgery at a time.

Breast Lift With Tummy Tuck FAQs

How painful is a tummy tuck and breast lift?

You will certainly experience some discomfort after a tummy tuck and breast lift. Most of your soreness will be experienced over the first few days post-surgery. 

From there, you should experience improvements day by day. Pain medication and other at-home techniques can help mitigate discomfort after breast lift with tummy tuck surgery.

Where can I get a tummy tuck and breast lift near me?

If you Live in the New York City area or are willing to travel to NYC, Dr. Matthew Schulman performs tummy tuck and breast lift surgery.

What is the tummy tuck breast lift recovery time?

Most patients will be able to return to work after one to two weeks, but it will generally take four to six weeks before you can return to exercise and other daily activities.

What is the estimated mommy makeover cost 2022?

It is usually too difficult to estimate the cost of a mommy makeover because there are so many different iterations of the surgery. It’s best to book a consultation appointment to learn more about the cost of money makeover surgery.

Does a breast lift lift your stomach?

No, a breast lift will not lift your stomach. However, you may achieve a slimmer overall appearance throughout your midsection because your breasts will be lifted away from your waist, creating the look of a slimmer abdomen.

Should I get a breast lift or tummy tuck first?

If you plan to undergo breast lift surgery and tummy tuck surgery on two separate occasions, we advise making your first surgery the one that targets the area you are most uncomfortable with.

Schedule a Consultation Today

Want to learn more about breast lift with tummy tuck surgery? Whether you’re interested in a breast lift with tummy tuck, a mini tummy tuck, a breast augmentation with tummy tuck, or any other combination of procedures, NYC plastic surgeon Dr. Matthew Schulman would be happy to speak with you about your options. 

Contact our office today to book your consultation appointment with Dr. Schulman.

References

https://www.plasticsurgery.org/news/blog/what-is-included-in-a-mommy-makeover

July 13, 2022/in Tummy Tuck /by Dr. Matthew Schulman

Are you interested in a tummy tuck after having a baby or losing a significant amount of body fat?

If so, you may be asking: Do I need a tummy tuck?

While anyone may qualify for a tummy tuck, after both of these life events — pregnancy and significant weight loss — individuals often need a tummy tuck to take care of unwanted excess abdominal skin. 

Some people confuse the need for a tummy tuck with the need for liposuction, however. Or, they think they need a tummy tuck when really, no intervention is necessary, and simple lifestyle changes could improve their abdominal contours.

Below, we’ll go over what a tummy tuck is, how safe is a tummy tuck and who it is best for. We’ll offer up the top five signs that this procedure may be for you. Finally, we’ll list a few questions to ask yourself before committing to this surgery.

 

“Do I Need a Tummy Tuck” Video

Do I Need a Tummy Tuck?

Have you found yourself asking the question: Do I need a tummy tuck? 

Below are five signs that a tummy tuck could be right for you.

Top 5 Signs You Need a Tummy Tuck

  1. You have loose, excess skin and stretch marks on your abdomen. 

Loose abdominal skin and stretch marks on the tummy are two telltale signs that a tummy tuck could be right for you. Remember that liposuction only addresses stubborn fat, but a tummy tuck can take care of loose skin.

  1. You recently lost a significant amount of weight or had a baby.

The majority of tummy tuck patients have recently lost a lot of body fat or are moms who are done having children. Both of these life experiences (weight loss and pregnancy) can stretch the abdominal skin significantly, and in many cases, the skin will not bounce back. This is where a tummy tuck can help.

  1. You have poor skin elasticity.

Good skin elasticity is essential for certain surgical procedures. However, it is not essential for a tummy tuck. 

In other words, if you do have good skin elasticity, this may actually be a sign that liposuction could benefit you. 

You can check your skin elasticity by doing what’s called the “pinch test”: Using your pointer finger and thumb, pinch a bit of your abdominal skin (in the area where you’d like to see improvement). Hold the skin and then let it go. If the skin readily bounces back to its original state, you have good skin elasticity. If it droops down and does not bounce back, you have skin laxity, or a loss of elasticity and firmness. 

  1. You are physically uncomfortable because of excess abdominal skin.

Is loose skin on your abdomen causing you discomfort while exercising or at any time during the day? Do you have to drastically modify your wardrobe to find clothes that won’t chafe or cause rashes against your skin? These are signs that a tummy tuck could be beneficial.

  1. The current state of your abdomen is making you avoid certain parts of your life.

Whether you’re a man or woman, do you avoid dating, going to the beach, wearing certain clothes, or being intimate with your partner because of the excess skin on your abdomen? If so, this is a clear sign that an improvement in this area could provide massive benefits for your quality of life.

Do I Need a Tummy Tuck or Lipo?

Let’s first briefly define what liposuction is. 

What Is Liposuction?

Liposuction is the removal of stubborn pockets of excess fat. It does not address loose skin or the abdominal muscles. To learn more, take a look at some liposuction vs tummy tuck pictures.

Now, do I need a tummy tuck or should I get lipo?

For most patients, deciding between a tummy tuck and liposuction is as easy as deciding whether excess abdominal skin or excess abdominal fat is your worst point of concern. For excess skin, you need a tummy tuck. For excess fat, you need liposuction. 

Do keep in mind that you can get a tummy tuck and liposuction at the same time too — as long as both loose skin and deposits of excess fat are issues for you.

Should I Get a Tummy Tuck Quiz: Questions to Ask Before Committing to Surgery

If you’re still on the fence about getting a tummy tuck, ask yourself these questions before scheduling your surgery date.

Do you want to improve the appearance of your abdomen?

Many people are self-conscious about their midsections. After all, this is the center of your body — your core. You want to feel strong there and not have to worry about sagging skin when you’re wearing a bikini or your favorite pair of jeans.

If you want to improve the appearance of your abdomen and it’s only a matter of diet and exercise or some light liposuction, these methods are better for you than a tummy tuck in that they will be less invasive. However, if you have loose skin, a tummy tuck may be your only option.

The only way to get rid of excess abdominal skin is with a tummy tuck. No cream, serum, exercise, or alternative procedure or product can amend this problem.

Are you able to take off the necessary time for tummy tuck recovery?

Lastly, don’t forget about your recovery from tummy tuck surgery. Whether it’s a full tummy tuck or a mini tummy tuck, all patients will be required to take time off from work or school for this major procedure. 

Full recovery requires at least six weeks of total downtime; though, you will be able to begin incorporating your daily activities back into your life after a few weeks of recovery.

Do I Need a Tummy Tuck?  Schedule a Consultation to Find Out!

Do I Need a Tummy Tuck?So, how do you know if you need a tummy tuck for sure?

The best way to find out if you could benefit from tummy tuck surgery is to book a consultation appointment with Dr. Matthew Schulman. As one of the nation’s top board-certified plastic surgeons, Dr. Schulman is highly regarded in his field and has extensive experience performing tummy tuck procedures for his NYC patients.

Call today to schedule your appointment!

References

https://www.mayoclinic.org/tests-procedures/tummy-tuck/about/pac-20384892

June 30, 2022/in Tummy Tuck /by Dr. Matthew Schulman

Is a Tummy Tuck Safe: A tummy tuck — also known as abdominoplasty — improves the appearance of your entire midsection. Excess skin is removed, the underlying abdominal muscles are tightened, and the procedure even gets rid of hard-to-lose fat. 

But how safe is this surgery really? Is a tummy tuck dangerous?

Here’s where it’s important to look at the facts. And we’ll do that in just a moment. But first — let’s quickly get our bearings and go over what you can expect during and after tummy tuck surgery.

What Is a Tummy Tuck?

Is a tummy tuck safeA tummy tuck is a major surgical procedure that slims and smooths the abdomen, removing excess skin and tightening the abdominal muscles in the process. The procedure involves general anesthesia (being put under for surgery by an anesthesiologist), incisions made in the abdomen, and a substantial recovery period.

The surgery itself varies from patient to patient. Generally speaking, however, most tummy tucks are performed as follows:

 

 

First, you will be put under general anesthesia via an IV. Next, your plastic surgeon will make two incisions:

  • One on the lower abdomen, beneath the bikini line, from one hip to the other
  • One around the belly button

The abdominal skin will then be lifted, and the abdominal muscles will be manipulated and tightened for an ultimately smoother and sleeker tummy. Liposuction will be performed if necessary. The abdominal skin will then be gently pulled down, and the excess will be cut off. The belly button will be repositioned, and the incisions will be carefully closed.

You will then be taken to a recovery room where you will stay for a few hours, and after that you will be allowed to go home. At home, you’ll have several weeks of intense recovery during which time you will not be able to exercise, lift anything heavy, or really do any activity other than rest and take care of yourself. 

Even after this initial recovery period, you will have several more months where you’ll need to take it easy. With guidance from your surgeon, you will slowly be able to reintegrate your normal activities back into your daily life.

Is a Tummy Tuck Safe?

When headlines and news stories stir up concern about the safety of plastic surgery procedures like tummy tucks, patients get worried. They may have been all-in for the procedure at one point, but suddenly, they have misgivings. They want to know: “Is a tummy tuck dangerous? Is a tummy tuck safe?”

Generally speaking, yes, tummy tuck surgery is safe. With that said, there are inherent risks whenever any type of surgery is performed, and this includes tummy tucks. 

Again, we must turn to the facts.

First, there’s always a risk when incisions are made during surgery. It is extremely rare, but in some cases, an incision may end up opening up during the recovery period or not healing well in general. Ongoing bleeding is another risk. Though, again, it is extremely rare.

Fluid collection (seroma) is another risk. However, this is also a rare complication because drains will be placed below the patient’s incisions to allow excess fluid to drain out during recovery. There is also the risk of infection (as with any surgery), but antibiotics administered both during and after surgery are reliably good at preventing this.

Finally, blood clots (or deep vein thrombosis/DVT) are another serious risk, but again, this is the case with any abdominal surgery including C-sections, hysterectomies, and abdominoplasty. Surgeons also have preventive strategies in place to avoid DVT, including the use of SCDs (sequential compression devices to promote circulation), anticoagulants, compression garments, and more. 

It is always recommended that patients ambulate (get up and moving) as soon as possible after their tummy tucks, which can also help prevent clots from forming. This does not mean you’ll be running sprints! Rather, you should stand up frequently and take a few slow walks around your house as soon as you are able.

Tummy Tucks Aren’t for Everyone

Part of determining the safety of tummy tuck surgery for a given patient is looking at their general health. Not every patient is a good candidate for a tummy tuck. Is a tummy tuck safe for someone with a chronic illness like diabetes or high blood pressure, for instance? Most likely, no. Patients with chronic illnesses are often at higher risk for complications when it comes to a surgery. 

Likewise, certain lifestyle choices may preclude you from surgery for your own safety. Patients who smoke and cannot stop for a duration before and after the procedure, for example, will not be cleared for surgery.

In the end, if you’re still not sure if a tummy tuck is right for you, that’s okay! This is where going to a quality plastic surgeon is important. Before committing to this procedure or any other, it is your prerogative — and, certainly, it is in your best interest — to do your research, ask questions, and take some time to weigh your options.

Ultimately, if you do decide to move forward with tummy tuck surgery, the best way to ensure your safety during this procedure is to choose a plastic surgeon who’s board-certified and has extensive experience. 

Dr. Matthew Schulman is board-certified and has been performing successful tummy tucks in New York City for over twenty years. His experience, combined with his expertise and professionalism in the field of plastic surgery make him the ideal surgeon for your upcoming tummy tuck. 

Dr. Schulman is also one of the most sought-after plastic surgeons in New York City because of the care and attention he gives to each and every patient. Even if you’re still on the fence about tummy tuck surgery, Dr. Schulman is a great resource. He would be happy to speak with you about your options and answer all of your questions at a consultation appointment. 

It’s good to be curious about the safety concerns surrounding tummy tuck surgery before deciding to move forward with this procedure. Being curious and using your resources to find the answers to your questions is a great way to get the facts straight and make the right decision for you.

To find out if you are a candidate for surgery and to learn more about the tummy tuck procedure itself, give our NYC office a call and book your consultation appointment today.

References

https://www.plasticsurgery.org/cosmetic-procedures/tummy-tuck/safety

June 17, 2022/in Liposuction, Tummy Tuck /by Dr. Matthew Schulman

Let’s talk Lipo & tummy tuck.

Specifically, should I get the liposuction tummy tuck procedure?

This is an extremely common question at Schulman Plastic Surgery. Patients who know they want to get a tummy tuck are unsure whether to tack on liposuction as well.

The first thing to know here is that, in nearly all of the tummy tuck procedures we perform, at least a little bit of liposuction is also performed. So, it’s very normal to opt for this combination of liposuction tummy tuck.

At the same time, most patients naturally want to minimize the amount of surgery they have. Some might also be on a budget. So, a lot of patients aren’t sure whether they want to add liposuction to the already invasive tummy tuck procedure.

Of course, the absolute best way to know if this combination of procedures is right for you is to schedule a consultation with us. Dr. Schulman will perform a physical exam, ask about your specific goals, talk about the 5 stages of  tummy tuck recovery, and give you his recommendations.

For now, though, we can provide the following pros and cons to help you decide between just a tummy tuck or a liposuction tummy tuck combination procedure.

Pros and Cons of a Liposuction Tummy Tuck Combination Procedure

Pro: You’re getting surgery anyway, so why not get rid of some excess stubborn fat at the same time?

The truth is, most patients who are interested in tummy tuck surgery — which aims to get rid of excess skin — also have a little bit of excess fat they could afford to get rid of too. This is completely normal — even if you’re super fit and in shape. The bottom line is, if you have excess skin, you probably have a little bit of underlying excess fat as well.

Therefore, if you reason that you’re going to get even better results if you add liposuction to your tummy tuck procedure, it might be a good idea for you. As stated previously, in many of the tummy tuck procedures we perform, liposuction is a common addition. The combination of tummy tuck & lipo can give you that smooth, trim look that most patients are after.

Con: Combination surgery is more expensive …

If you know for sure that you want to get a tummy tuck, but you’re on a budget, you may want to just opt for the tummy tuck and not add the liposuction. This is because, naturally, adding any additional work to your surgery is going to increase the price.

In terms of overall benefit, if we start with the presumption that you do have excess skin and some excess fat on your abdomen, you’re going to get far greater results from a tummy tuck alone than you would otherwise.

Pro: … But it’s almost never as expensive as getting the two different surgeries at separate times.

Liposuction Tummy Tuck Getting a combination liposuction tummy tuck procedure will, indeed, be more expensive than just getting a tummy tuck. However, getting the two procedures together at the same time will also be less expensive than if you were to get the two procedures separately at two different times.

In other words, if you only need to make one surgical appointment, only have to have anesthesia administered once, only need to pay certain surgeon’s fees once … you’re going to have reduced costs overall, even if you have two surgeries performed.

In fact, many of the fees and charges that make up the cost of tummy tuck are related to the event itself. Therefore, having more work done at the same time won’t be like doubling everything. It will simply be the addition of the select necessary fees.

In the end, if you think you may end up deciding to get liposuction in the future, you might as well consider adding it to your tummy tuck now to reduce costs.

Con: Recovery may be longer with more discomfort …

The recovery period after a tummy tuck will naturally mean some discomfort, swelling, bruising, and downtime. Patients will need to take time off from work or school. They’ll have to stop exercising or doing anything physically active for at least three or four weeks — maybe longer. This can be difficult for patients, especially when they’re used to being active and enjoy going out with friends and doing a lot of activities in their lives.

So, if you have a Liposuction Tummy Tuck surgery, all of these recovery side effects are going to be slightly more intense because you’ve had more work done. More incisions are generally necessary, and your body may need to recover more overall as opposed to when you’ve only had a tummy tuck.

Pro: … But you’ll also only have to go through it once.

While the single recovery period that will accompany combination surgery may be more difficult than just a single tummy tuck, it may be better to “get it over with” all at once. If you do plan on ultimately getting both procedures, for some patients, it’s actually better this way.

Now, recovery from liposuction is different and less intense than recovery from tummy tuck surgery. So, your discomfort and other symptoms will probably increase only slightly. Still, it really depends on your preferences, how well you tolerate pain, and what your schedule looks like as well. A lot of patients aren’t able to take time off from work or school on two separate occasions, so they may prefer to do everything at once for this reason.

Want to Learn More? Schedule a Consultation!

Have you scheduled your tummy tuck consultation appointment with Dr. Schulman yet? If not, do so today to get more information on this matter. At your consultation, you’ll not only be able to discuss liposuction tummy tuck cost, but you’ll also get a chance to ask whether adding liposuction is a good idea for you.

Make your appointment today, and we look forward to meeting with you!

References

https://www.plasticsurgery.org/cosmetic-procedures/liposuction

https://www.plasticsurgery.org/cosmetic-procedures/tummy-tuck

September 7, 2021/in Tummy Tuck /by Dr. Matthew Schulman

A tummy tuck or abdominoplasty, is one of the most common plastic surgery procedures performed. It is a procedure designed to restore the appearance of the abdominal region by removing excess skin, tightening underlying muscle separation, and removing extra fat. The American Society of Plastic Surgery (ASPS) reports over 100,000 Tummy tucks, or abdominoplasties, are performed each year.

However, there are still many common misconceptions about tummy tucks like have a  Tummy Tuck to Lose Weight. Let’s take a closer look at some of the most common myths surrounding the tummy tuck procedure. 

5 Tummy Tuck Myths Video

Tummy tucks are for women only – MYTH

Because women more commonly experience changes in their abdominal region due to aging, weight fluctuations and pregnancy, a tummy tuck is most commonly performed on women. However, anyone with excess skin and loose abdominal muscles can be a tummy tuck. This means that even men can successfully undergo a male tummy tuck procedure.

The most common reasons for men to desire a tummy tuck is weight loss. Weight loss can result in excess skin that hangs below the belt line, as well as laxity of the abdominal wall. So even though 90% of tummy tuck patients are women, that still means that men can successfully undergo this operation if indicated.

Have a Tummy Tuck to Lose Weight– MYTH

Much like most plastic surgery procedures, a tummy tuck is not a weight loss operation – it is a shaping procedure, specifically designed to shape the abdominal area. This means that the best candidates for tummy tucks are men or women who are not overweight, and complain of excess skin usually from previous weight loss. The procedure itself will remove the excess skin and fat. The number of pounds removed is minimal.

In fact, even patients who have a large amount of skin removed during their tummy tuck operation, should only expect to lose a few pounds on the scale. Excess skin just doesn’t weigh as much as you would think. Only in extreme cases of massive weight loss ,in which the patient is left with massive amounts of hanging skin, should you expect any significant reduction in the number on the scale. Now it is true that after a tummy tuck procedure most patients will lose weight on their own.

This is because they are more likely to continue with a healthy lifestyle, given that they just spent money and subjected themselves to themselves to the pain of a major operation. Also, people find it harder to eat large amounts of food after a tummy tuck because the skin of their abdomen is tighter and they naturally feel fuller faster.

Exercises can repair abdominal muscle separation – MYTH

One of the main things that a tummy tuck addresses is the separation of the abdominal muscles. The separation generally occurs during pregnancy as the baby grows. There are some people who believe that there are some abdominal exercises that can reverse this separation. While there are some exercises specifically designed to do this, the truth is that the improvement will be limited. You can strengthen muscles through exercise, but you can’t “move” them.

It may be possible to close small gaps in the abdominal muscle, such as 1 to 3 cm, with targeted exercises. However, it is common for abdominal muscle separation to exceed 5or 6 cm. No amount of exercise can reverse this. During a tummy tuck, those muscles are sewn together using sutures. This is a key part of the tummy tuck procedure and is also the part that causes the most discomfort and restrictions after the surgery.

The Tummy Tuck Scar Is too Big – MYTH

Many people are hesitant to have a tummy tuck procedure because of the scar. The scar length will depend on the amount of excess skin that needs to be removed. This means that if you have a lot of skin laxity, your tummy tuck scar may extend from hip to hip. While you may think this is “huge”, it is what is required to perform the surgery appropriately. Shorter scars will remove less skin and have less internal tightening. The key to the scar is not the length, but the location.

Plastic surgeons take great effort in placing the scar low so that it is hidden beneath underwear and bikini bottoms. This means that even if your scar is hip to hip, it should be low and completely hidden with minimal clothes. Only you can decide if this scar is too large for you and not worth the operation. In my experience, most people find that the improvement in the shape and contour of their abdomen is well worth any scar that is necessary.

Liposuction vs Tummy Tuck – MYTH

A tummy tuck and liposuction are two different procedures with two different purposes. Liposuction will remove excess fat. This is a great procedure for people who have excess fat but no excess skin. If you have excess skin, then liposuction will not help you. In fact, it can make things worse. A tummy tuck is designed to remove the excess skin. Often times liposuction is combined together with a tummy tuck to improve your results.

So, if your issue is excess skin, muscle separation, and some extra fat, then a tummy tuck is the appropriate operation for you. Liposuction will only make the excess skin worse and will do nothing to improve the underlying muscle separation.

There Is Tummy Tuck Age Limit – MYTH

Much like all elective cosmetic procedures, age itself is not a reason not to do it. The main concern is whether or not you are healthy and can undergo a surgical procedure without elevated risk of complications. The main concern is your overall health. Therefore, to have a tummy tuck, you will need to be in good health without medical issues such as uncontrolled high blood pressure, cardiac disease, diabetes, anemia, or lung issues.

All patient will undergo a full medical evaluation prior to having a tummy tuck. There certainly will be people who are now not candidates for tummy tuck based on their medical history, but this has nothing to do with age. Most plastic surgeons have performed tummy tucks on patients in their 60s and 70s. We have all seen tummy tuck at age 55 and 60 year old who are in better physical health than some 25 year old.

 

Tummy Tuck to Lose Weight

Any Plastic Surgeon Can Perform My tummy tuck – MYTH

 As I said earlier, tummy tucks are one of the most common plastic surgery procedures. This means that every plastic surgeon has had some training in performing a tummy tuck operation. But, this does not mean that every plastic surgeon is good at tummy tucks. As plastic surgeons we all specialize in specific aspects of plastic surgery. Some specialize in face procedures and some specialize in body procedures.

Some perform reconstructive surgery while other focus on cosmetic surgeries. When choosing your plastic surgeon for your tummy tuck, make sure that they are experienced with this specific procedure. You want to make sure that this is an operation that they perform regularly and you should look at their before and after results. This is the same advice you would be given for any surgical procedure ,since not every plastic surgeon is good at every plastic surgery procedure.

To find out more about tummy tucks and whether or not this is the right operation for you, contact Dr. Matthew Schulman, a New York City board-certified plastic surgeon.

Contact Us Today to Learn About Having a Tummy Tuck to Lose Weight Myth.

References

  • https://www.plasticsurgery.org/photo-gallery/procedure/tummy-tuck
January 15, 2021/in Tummy Tuck /by Dr. Matthew Schulman

Two of the most common procedures performed by plastic surgeons are Tummy Tucks and Liposuction. In fact, according to the American Society of Plastic Surgeons, these two procedures account for almost half a million procedures per year. These are two very different procedures, but are commonly confused. Each one addresses different things and may not be the right procedure for everyone.  To get the best possible results from your plastic surgery, it is important to make sure you get the right operation. To understand if a tummy tuck or liposuction is best for you, you must understand the difference between these two procedures. To understand the difference, we need to take a closer look at what each procedure is, what each procedure does, and who is a candidate for these procedures.

  • See Also Why a Tummy Tuck may be what you need

Tummy Tuck:

  • What is a Tummy Tuck?

A tummy tuck is a procedure that addresses the abdominal skin, fat, and muscles in a one operation.  This is why it is such a powerful procedure. The result is a firmer, flatter, and smoother abdomen. Specifically, a tummy tuck includes:

  • Removal of excess abdominal skin
  • Tightening of loose or separated abdominal muscles
  • Removal of excess fat with liposuction
  • Rejuvenation of the belly button
  • Who is a Good Candidate for a Tummy Tuck?

A tummy tuck is so popular because it offers advantages for so many different people, all in different situations.  A tummy tuck may be indicated for people who have lost weight, have skin changes associated with aging, or have abdominal changes from pregnancy.  A tummy tuck will specifically address the excess or loose skin, the belly button, and the separated abdominal muscles. Because of the removed skin, the scar will be a longer scar hidden beneath the underwear line.

  • What type of anesthesia is used?

A tummy tuck is performed under general anesthesia. This allows you to be completely relaxed so that the maximum amount of skin can be removed and your abdominal muscles can be tightened as much as possible.

  • What is the Recovery from a Tummy Tuck?

After a few hours in the recovery room, you will be allowed to go home with your escort. You will have pain medication and antibiotics. The first few days is usually the worst, since you will be “hunched over” and in pain, but it will be manageable.  After about a week, most people feel better, but not great. You should plan on having help at home for a few weeks. You are encouraged to walk throughout this process to promote good circulation. While everyone is different, most patients will require about 3 weeks off from work and 6 weeks off from heavy exercise.

Liposuction:

  • What is Liposuction?

Liposuction is a procedure to specifically remove excess fat. It can be performed on virtually any part of the body. Obviously, liposuction is most commonly directed towards the abdomen, back and flanks. However, it is commonly performed on areas such as the neck, arms, and thighs.  This is specifically done using a small suction tube and inserted into tiny incisions.

  • Who is a Good Candidate for Liposuction?

Liposuction is a good procedure for anyone who has excess fat and good skin quality. Even though it is a fat removal procedure, it Is not intended to be a weight loss procedure. Instead, it is a body shaping procedure. This means that the best candidates for liposuction are those who are in good shape but have “problem areas” that are resistant to diet and exercise. Additionally, those with loose skin may be poor candidates for liposuction, since skin laxity may increase afterwards, causing more hanging skin.

  • What type of anesthesia is used?

The type of anesthesia required for your liposuction will vary depending on exactly what you need done. For small areas, it may be possible to have liposuction done under only local anesthesia. For larger areas, or more areas, it is best to have your procedure performed under general anesthesia, allowing your surgeon to more completely remove fat.  

  • What is the Recovery from Liposuction?

Liposuction is a less invasive procedure than a tummy tuck, since no skin is removed. After the procedure, you will be monitored in our recovery room for about an hour. You will experience soreness, bruising, and swelling in the area that you had fat removed. The severity of the recovery will depend on the areas you had liposuction and how much fat you had removed. Most people can return to regular activities in about a week.

How do I know which procedure I need?

Many people are confused whether they need a tummy tuck or liposuction. However, determining which is best for you, should not be difficult. The most important thing to figure out is whether you have excess fat or excess skin.

If you have loose, hanging skin on your abdomen, then a tummy tuck is best. This is because the tummy tuck operation will directly cut off the excess skin. Usually, women who have lost significant weight or have had multiple pregnancies, have excess skin and would do best with a tummy tuck.

If you don’t have excess skin, and only have excess fat, then liposuction may be a better option. Liposuction will remove the fat, but not the skin.  Liposuction tends to be best for people with good skin quality but no skin laxity.

Can the two procedures be combined?

Yes, it is very common to combine a tummy tuck with liposuction. In these cases, the tummy tuck removes the excess skin, rejuvenates the belly button, and tightens the underlying abdominal muscles. Liposuction will then be performed on the sides and flanks, removing excess fat and further improving the waistline.  It is also common for people to want a tummy tuck and liposuction of a separate area such as the thighs, neck, arms, etc.  So, it is also possible to have a tummy tuck and liposuction of separate areas at the same time.

What Happens if I need a Tummy Tuck but only get Liposuction?

It is important to get the right procedure, because if you don’t, your results will not be ideal. So, what if you have excess skin and need a tummy tuck, but for some reason, you get liposuction instead. The result will be increased laxity of the skin. This is because the liposuction will remove the fat, but not the skin. The skin will then appear more loose, since there is less underlying fat. Also, if your abdominal muscles are separated, as is common after pregnancies, your abdomen will skin protrude and appear round after liposuction. In a situation like this, you will likely need a secondary procedure (a tummy tuck) to remove the skin and improve the outcome.

  • See Also Clearing up the confusion versus Liposuction and Tummy Tucks

Discuss with your Board Certified Plastic Surgeon

To truly learn which procedure is best for you, you should meet with a board certified plastic surgeon. You should select a surgeon who is experienced in both procedures, so that he or she can give you the best advice.  During your consultation, your surgeon will examine you to figure out how much excess fat you have and how much excess skin you have.  This will determine whether you will get a better. Result with a tummy tuck or with liposuction. Perhaps you would do best with a combination of the two.

If you would like to learn more about whether a tummy tuck or liposuction is right for you, contact New York City, Board Certified Plastic Surgeon, Dr. Matthew Schulman.

Reference

  • https://www.plasticsurgery.org/news/blog/tummy-tuck-or-liposuction
  • https://www.plasticsurgery.org/news/blog/should-you-add-liposuction-to-your-tummy-tuck
November 24, 2020/in Tummy Tuck /by Dr. Matthew Schulman

Tummy Tuck Candidates: One of the most popular procedures performed by Board Certified Plastic Surgeons is a Tummy Tuck, or abdominoplasty. This is a procedure that almost every plastic surgeon has performed. In fact, recent statistics from the American Society of Plastic Surgeons indicate that over 93% of plastic surgeons report that this is a procedure they routinely perform. This explains why about 200,000 tummy tucks performed each year in the United States. It is a very powerful procedure designed to transform the abdomen and torso.

What is a Tummy Tuck?

A tummy tuck is a procedure that addresses the abdominal skin, fat, and muscles in a one operation. This is why it is such a powerful procedure. The result is a firmer, flatter, and smoother abdomen.

Specifically, a tummy tuck includes:

  • Removal of excess abdominal skin
  • Tightening of loose or separated abdominal muscles
  • Removal of excess fat with liposuction
  • Rejuvenation of the belly button

Who is a Good Tummy Tuck Candidates?

A tummy tuck is so popular because it offers advantages for so many different people, all in different situations. A tummy tuck may be indicated for people who have lost weight, have skin changes associated with aging, or have abdominal changes from pregnancy

  • Weight Changes

Commonly, weight changes results in laxity of the skin. Weight gain will stretch out the skin as the amount of underlying fat increases. Subsequent weight loss that reduces the underlying volume of fat can lead to loose skin, since the skin may remain stretched. It is true that skin can adjust to weight loss and tighten over time. However, the more significant the weight loss or the more rapid the weight loss, the less your skin will be able to tighten.

Also, constant up-and-down in weight that constantly occurs with people will likely lead to more loose skin as the elasticity is decreased. After loss, it is common to have a section of hanging skin along the waistline. Think of this like a rubber band. Continuous stretching of the rubber band will eventually lead to its loss of elasticity. The skin acts in a similar way. During a tummy tuck after weight loss, the excess skin is removed. This is not always accompanied by internal muscle repair or liposuction, since these may not be needed.

  • Aging

Aging causes many changes within the skin of the entire body. Advancing age often causes loss of collagen and disruption of elasticity. This is why people get saggy skin as they age. The skin of the face begins to be wrinkled and sags, as does the skin of the body. So, aging will cause the abdominal skin to become loose, and wrinkled which is removed during a tummy tuck. Also, aging affects how your body stores excess fat. As you get older, your body is more likely to store fat in places such as your abdomen and flanks. This is the result of hormonal changes, decreasing metabolism, and decreased activity associated with the normal aging process. This excess fat can be addressed by performing liposuction during your tummy tuck.

  • Pregnancy

Pregnancy is the most common reason why people desire a tummy tuck. There are so many changes that occur within the body during pregnancy. These changes are basically a combination of those described above. The stretching of the skin that happens with a growing baby, plus the rapid loss of volume when the baby is born, results is skin laxity similar to that seen with a rapid weight loss. There are hormonal changes that make the skin thinner and more loose, as well as making stretch marks appear. Also, the weight gain associated with pregnancy can result in storage of excess fat in the abdomen and flanks.

One major change that is unique to pregnancy is abdominal muscle separation, or rectus muscle diasthasis. This is the separation of the abdominal muscles that occurs in the midline from the expansion of the growing baby. When the muscles separate in the middle, the abdominal wall does not work as well at holding in the contents of the abdomen (like the organs). This results in a round belly, oftentimes giving the appearance of still being pregnant. During a tummy tuck after pregnancy, these abdominal muscles are put back together with internal sutures. This muscle repair is one of the most powerful improvements a tummy tuck offers. If the muscles are separated, but a muscle repair is not performed, the abdomen will never be completely flat.

Determining what specific type of Tummy Tuck you need:

The first step to determine if you are  Tummy Tuck Candidates is an evaluation by a Board Certified Plastic Surgeon. During your evaluation, your surgeon will take your medical history and perform a physical examination. The reason for the changes in your abdomen is important in coming up with an appropriate surgical plan.

He or she will specifically examine your abdomen, looking carefully at the amount of excess skin, the quality of that skin, underlying muscle separation, and the presence of excess fat. This will help your surgeon determine what specific type of tummy tuck you will require.

Where is the Procedure Performed?

A tummy tuck is a surgical procedure that needs to be performed in an accredited ambulatory surgery center or hospital. These are regulated facilities with the appropriate safety standards and appropriately trained staff. The procedure is usually performed on an out-patient basis, meaning, you are able to go home the same day.

In situations where other procedures are being done at the same time, you may be required to stay overnight for monitoring.

The Surgery

  • The Anesthesia

The procedure is performed under intravenous sedation or general anesthesia. This anesthesia is administered by a Board Certified Anesthesiologist and you will be monitored the entire time. You breathing and heart rate will be monitored, as well as your oxygen level.

  • The Incision

A tummy tuck is performed using a low incision the curves beneath your underwear of bikini line. This incision is used to lift up the skin and expose the muscles of the abdominal wall. The incision also allows removal of the excess skin. A lot of effort is made to keep this incision well hidden beneath clothes, since the incision is what creates the scar. During your pre-operative visit, your Plastic Surgeon may ask you to bring in underwear and bikini bottoms. This helps to determine the best placement of the incision, since modifications of the incision can be made depending the type of clothes you prefer to wear.

The length of the incision, and ultimate scar, will depend on the amount and distribution of excess skin. If your excess skin is mostly in the front of your abdomen, you may require a shorter incision than if you had extra skin more on the sides by your flanks. Of course, everyone prefers a short scar, but the shorter the incision, the less skin that can be removed. There is a balance. Your surgeon will draw the planned incision on you so you can visualize where the scar will be located and how long it will be.

  • Repairing the Muscles

After the incision is made, the skin of the abdominal wall is lifted. This exposes the underlying muscles. If there is separation of the abdominal muscles as described earlier, the muscles will be repaired using internal sutures. Carefully placed sutures are placed in the abdominal muscles, bring the muscles back to the midline. This serves as an internal corset, flattening the belly and narrowing the waistline. This muscle tightening, or plication, is done all the way form the breast bone to the pubic bone.

  • Removing the Skin

After the muscles are tightening, the skin of the abdominal wall will be pulled downward. The excess skin will be marked and then cut off. Usually all the skin between the initial incision and the top of the belly is removed. Any stretch marks on this skin is also removed. Multiple layers of sutures will be placed connecting the remaining skin back together, resulting in a low, smooth scar.

  • The Belly Button

Up to this point, the belly button was left attached to the abdominal wall. The next step is to bring your old belly button out through a new opening. The location of your belly button is marked and a small opening is made. The belly button is then brought through this opening and secured in place with meticulous sutures. The creation of the belly button is a critical step in your tummy tuck, since it is essentially the only scar anyone will see. Overly large or overly round belly buttons tend to appear “surgical” and are a tell-tale sign of a tummy tuck. The ideal belly button tends to be a vertically-oriented oval belly button that is not too large.

  • Liposuction

If you are storing excess fat in the abdomen and sides, liposuction is often performed. It may be true that you don’t have any excess fat and your issue is 100% excess skin. If this is the case, then liposuction would be an unnecessary part of your tummy tuck.

Recovery

After a few hours in the recovery room, you will be allowed to go home with your escort. You will have pain medication and antibiotics. The first few days is usually the worst, since you will be “hunched over” and in pain, but it will be manageable. After about a week, most people feel better, but not great. You should plan on having help at home for a few weeks.

You are encouraged to walk throughout this process to promote good circulation. While everyone is different, most patients will require about 3 weeks off from work and 6 weeks off from heavy exercise.

 Tummy Tuck Candidates Combining with Other Procedures

Schulman Plastic Surgery: Tummy Tuck CandidatesIt is very common to combine a tummy tuck with other procedures. Most commonly, tummy tucks are combined with breast implants, breast lifts, or breast reductions. This is because breasts, like the abdomen, are very susceptible to changes associated with aging, weight fluctuations and pregnancies.

Breast and tummy procedures combine well together and can be performed in a single operation, assuming you are healthy. Combining multiple procedures together is commonly called a Mommy Makeover. Other procedures commonly combined with a tummy tuck include a Brazilian Butt Lift, where your own fat is used to increase the size and improve the shape of your butt and hips.

If you would like to know if you are a Tummy Tuck Candidates, contact Board Certified Plastic Surgeon, Dr. Matthew Schulman.

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