Archive for the ‘Mommy Makeover’ Category

Do I Need Liposuction or Abdominoplasty?

Monday, January 10th, 2011

This is a question I encounter quite frequently. Women and men often come to my office in Scottsdale for liposuction thinking that it will help to correct their protruding belly. Liposuction is a far more common procedure than abdominoplasty, so it makes sense that people are more familiar with this option. And, frankly, liposuction has a much shorter surgical and recovery time than abdominoplasty, so naturally it can be a very appealing choice.

If the patient has excess, stretched skin, liposuction may actually make the midsection look worse. Instead, a tummy tuck removes the skin and in some cases stretch marks. Often when a person has a bulging tummy, the underlying muscles have separated – either from pregnancy or excess weight – and this diastasis needs to be surgically repaired. Liposuction is simply not the right treatment for a person with abdominal wall muscle laxity and excess skin. It can, however, improve the results of a tummy tuck by contouring the waist, abdomen and flanks.

Liposuction alone may be a good option for people who have good skin and muscle tone, but have a protruding belly caused by stubborn, isolated fat alone. In patients such as these, liposuction can reduce love handles, flatten a bulging abdomen, and sculpt the waist for a more pleasing body shape.

How Much Cosmetic Surgery is Too Much?

Wednesday, April 28th, 2010

I was recently interviewed for an article on plastic surgery, and one of the “hot topics” had to do with combining multiple surgical procedures, and the safety and ethics of this approach. Due to the recent media attention to a reality television star who admitted to ten simultaneous surgeries, people are wondering what is safe and where surgeons need to draw the line on combined surgeries.

Combining surgical procedures, such as “Mommy Makeover” surgery, has always been a part of my surgical practice. Combined surgery allows patients to address multiple problem areas with only one trip to the operating room, and one general recovery period from surgery so that there is less time off of work.

In fact, I have contributed to the publication of 5 papers on this topic demonstrating that combined surgery is safe if done properly. Specifically: 1) patients need to be healthy and have proper preoperative medical screening, 2) the total operating time should be kept within a reasonable time-frame, 3) a board-certified MD anesthesiologist should be providing the anesthesia, and 4) multiple precautions should be taken against the formation of blood clots (DVT) during surgery.

This being said, there are a few lines that I am careful not to cross. For example, if a patient legitimately needs many areas of surgery to achieve an ideal appearance (for example, having loose skin all over the face and body after significant weight loss), I explain that I cannot combine all of these surgeries into one giant procedure. In these cases I always group procedures into safe, manageable stages with an appropriate period of healing between each stage. This approach is designed to protect a patient’s physical well-being.

Sometimes, I have to worry more about a patient’s mental well-being. For example, if a patient comes to my Phoenix area medical office asking for many procedures that seem out of proportion to issues with their actual appearance, I would usually be very concerned about body dysmorphic disorder (a negative distortion of self image). For these patients, their well-being would be better served by a therapist who could help them understand and correct the root cause of their distorted view of their appearance.

The bottom line is that performing multiple procedures simultaneously can be a great thing for patients when done safely and for the right reasons. However, careful judgment and moderation must be used to ensure the best surgical outcomes.