A well-toned body with smooth contours often is a sign of fitness achieved by healthy diet and exercise. But exercise cannot always achieve desired results for people who have loose, sagging skin and uneven contours. Aging, sun damage, pregnancy and significant fluctuations in weight as well as genetic factors may contribute to poor tissue elasticity and can result in sagging of the abdomen, buttocks and thighs. Dr. Sylwka approaches each patient with a unique evaluation, and will discuss the treatments to find the right option for you.
TUMMY TUCK (Abdominoplasty)
A procedure usually performed in post partum patients or with a significant weight loss; where exercise can tighten the abdominal muscles but not the overlying skin or a lax underlying muscle fascia. Depending on the degree of laxity, a full Abdominoplasty (with lifting and tightening) from pubic area to rib cage, or a modified mini Abdominoplasty from pubic to umbilicus is selected. A regional liposuction usually accompanies this surgery.
Depending again, on the type of surgery, there is a low transverse suprapubic incision and one encircling the umbilicus with the larger procedure and no umbilical incision with the modified surgery.
An even more modified abdominal surgery is performed for correction of an adherent cesarean scar to the underlying fascia.
I perform tumescent liposuction which requires a pre-injection saline solution into the area to be treated; this is followed by fat removal with a cannula connected to a surgical vacuum machine or to a hand-held suction syringe.
Liposuction is best performed when there are localized areas of fat in a healthy patient with good skin elasticity; areas of fat accumulation that do not decrease with diet and exercise. Localization of the excess fat in the body also can affect the final contouring. This is not a surgery for obesity.
This method is the standard for excess fat accumulation; modest contouring may be obtained with external devices which cool or heat the fat cells with injections into the fat.