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Category Archives: tummy tuck

What is a reverse abdominoplasty, and who needs it?

Reshaping the contour of the abdomen is frequently requested in my office consultations. The most common techniques are various forms of liposuction with or without an abdominoplasty. Another tool in our repertoire which can yield effective results is the “Reverse Abdominoplasty.” The classic indications for a regular abdominoplasty is a torso which has loose excess inelastic skin of the lower abdomen, abdominal wall rectus muscle separation (diastasis), and varying degrees of excess fatty tissue. The technique eliminates the excess skin and fatty tissue in the lower abdomen, reconnects the rectus muscle together to tighten the abdominal wall, and excess abdominal fatty tissue can be reshaped with liposuction to provide a pleasing shape. A Reverse Abdominoplasty is chosen for the individual who has loose excess skin in the upper abdomen, who generally does not have a full diastasis which is affecting the lower abdominal contour, and may have excess fatty tissue in the lower abdomen without skin excess. The technique is to start with incisions that follow the lower breast fold then cross the lower sternum to connect both sides of the abdomen. These scars generally hide very well even in two piece bathing suites. The full thickness skin is elevated down the abdomen preserving the vital blood supply on either side of the belly button. If upper rectus muscles need to be tightened this can proceed. Any abdominal fatty excess can also be corrected with liposuction at this time. The elevated released excess abdominal skin can be addressed in several ways depending on the needs of the patient:

1. If a women who has the upper abdominal skin excess and also desires rejuvenation of the breast the excess elevated skin of the abdomen can be utilized as a self-augmentation under the breast to provide added fullness and shape. This is often done in conjunction with a breast lift (Mastopexy) and can avoid the need and expense of an implant. I have even performed this procedure with a woman who many years ago had bilateral mastectomies for breast cancer and we reconstructed her with implants. She had experienced some weight fluctuation and was becoming very active and requested the elimination of her breast implants but still desired a smaller breast to remain. We utilized a reverse abdominoplasty skin excess, removed the outer skin, and placed it in her implant space to fill the void and added tissue volume and shape provided with fat grafting harvested from her back, thighs, and lower abdomen giving her a smaller but still reasonable breast shape.

2. The Reverse Abdominoplasty could be incorporated as part of a treatment plan to tighten the upper abdominal contour. After the incision and elevation of the abdominal excess loose skin, the surgeon can remove the undesirable portion and fixate the remaining tissue to the rib fascia of the lower breast fold to avoid the scars from migrating inferiorly thus preventing the exposure of the scars on the upper abdomen. I have used this as a primary surgical procedure for women with loose skin of the upper abdomen that would not respond favorably to liposuction alone. I have also used this as a secondary procedure on women who have previously had an abdominoplasty with good results but over time the lower abdomen has maintained its results yet the upper abdomen has become loose and has excess as a result of weight changes, sun exposure, and of course gravity. The excess skin can be removed providing a nice tight appearance to the whole abdomen.

3. Another situation for the reverse abdominoplasty is for a women with loose upper abdominal skin combined with previous augmentation mammoplasty in which the implants have become mal-posed and have drifted inferior and lateral to the correct position. In this case the excess elevated tissue can be utilized as a autologous (meaning from your own body) soft tissue sling to help reposition and stabilize the implant similar to an Acellular Dermal Matrix (ADM) graft without the significant added cost of the product to provide long lasting results.

One of the aspects in my profession of plastic surgery I am most proud of is the innovative nature of the field. We take problem sets that patients present to our office and we create unique methods that achieve a sound result with the least amount of surgery and the lowest costs to ensure successful and happy patients. The Reverse abdominoplasty is an example of one of these off shoot procedures which fills a vital niche in my practice.

Jay H. Lucas, MD
Board Certified Plastic Surgery, MOC 2012
The Lucas Center, Plastic Surgery
Knoxville, Tn.
thelucascenter.com

Plan your abdominal rejuvenation before swimsuit season starts

After a very difficult wintery month of February, we’ve finally arrived in March with the anticipation of spring and nice weather to follow. During this time in East Tennessee, people are thinking of getting their boats and pools ready for enjoyment. Are you dreading the idea of putting on your bathing suit or, even worse, shopping for a new one, because you hate the way your stomach looks? Boost your self-confidence by calling The Lucas Center Plastic Surgery for a private consultation to improve or rejuvenate your abdomen.

Giving birth to children, weight loss or weight gain, or even previous surgeries on the belly can be a significant detriment to your appearance. Don’t fret. Take control of the situation. Come see me for a thorough evaluation of your problem areas. I’ll provide you with a detailed plan to address your particular situation.

If your problem is loose skin with poor elasticity then a tummy tuck (abdominoplasty) may just be the right approach. The goal of this surgery is to remove the loose skin, tighten the abdominal wall to provide a tighter, sleeker appearance and remove excess fat at the same time. The initial recovery takes around two weeks, but you’ll need four to six weeks to be at your best again.

I’ve handpicked a dream team of warm, caring staff that will welcome you and walk you through the consultation without causing you to feel judged or intimidated. We understand how frightening it can be to come to a place and discuss what makes you feel uncomfortable and even get undressed and show a complete stranger your most-hated body parts. Trust us, nobody is perfect. Our goal is to ease your mind and provide you with a plan that will improve your look and your self-esteem in a proven fashion that is safe and effective.

So what are you waiting for? Call 865.218.6210 today or contact us online to get ready for summer!

A Lift That Gives You a Lift

At The Lucas Center, we think of cosmetic surgery as more than just a procedure. It’s a lift that gives you a lift! Boosting your confidence is our goal, from the first phone call to your outpatient care. Dr. Lucas is known for his precision and will prioritize your wants and needs each step of the journey.

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Get your confidence back! If you feel good, you are going to shine in every aspect of your life. Plastic surgery will give you a lift in multiple ways. A study revealed that 87% of patients were satisfied with their surgical improvements, including an overall boost in confidence and positive experience with the specific procedure. To learn more about how Dr. Lucas can help you feel and look your best, watch this abdominalplasty testimonial:

[Source:  http://www.surgery.org/consumers/plastic-surgery-news-briefs/plastic-surgery–lift-give-lift-infographic-1051301

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