An abdominoplasty or tummy tuck is an operation to cut away loose skin and fat in your abdominal area and tighten up the muscles. Additionally, abdominal muscles that are stretched and weakened are tightened, giving the appearance of a firmer and flatter tummy. This procedure can dramatically reduce the appearance of a protruding abdomen.

With age, previous pregnancy, genetics or weight loss, especially after Bariatric Surgery, the skin around your abdomen becomes lax and may develop stretch marks. This lax skin will not respond to diet and exercise, although the underlying fat may reduce.

The aim of the tummy tuck is to flatten the profile of the abdomen (tummy). Ideally, patients have already lost weight but are left with loose folds of skin in their abdomen that need corrective surgery.

The best candidates for plastic surgery tummy tuck are people who are in good physical shape but still have a paunch or loose abdominal skin that just won't disappear despite dieting and exercise. Women with multiple pregnancies whose skin is stretched as well as patients who have lost a lot of weight and are suffering from a loss of elasticity in the abdomen area are good candidates for tummy tucks. Patients who have plateaued in their weight loss after bariatric surgery will have especially good results.

This procedure does not remove stretch marks above the level of the umbilicus. A tummy tuck operation does not prevent or hamper a future pregnancy, but the cosmetic result may reduce somewhat after a pregnancy or excess weight gain. It is possible to have another tummy tuck if this happens and the benefits as well as the risks and precautions are exactly the same as the first time.

Full Tummy Tuck

A full tummy tuck involves excision of the loose skin and fat below the level of the umbilicus, and repair of the abdominal muscles. Some amount of Vaser lipo may be done as well to enhance the contours of the waist, love handles and upper abdomen. Surgery is done under general anesthesia and may take between two to four hours. If your tummy muscles are in good condition and do not need to be repaired, then recovery is short, and you can resume full activities much sooner.

Mini Tummy Tuck

A mini tummy tuck, or partial abdominoplasty is much less invasive than a full abdominoplasty and can be done as a day care surgery. A mini tummy tuck requires a smaller incision, and leaves the belly button intact. In some cases the mini tummy tuck is performed along with Vaser Lipo.

This is a more extensive procedure, done after massive weight loss, and involves a circumferential incison around the abdomen. It tightens the tummy skin, as well as that of the sides and lifts the buttocks as well.

It is one of the latest technological developments in fat reduction surgery. The strategic removal of fat from different areas of the body using the Ultrasonic Vaser system is known as Liposelection. The Vaser is a medical device which liquefies fat in selected, targeted areas of the body through multiple tiny incisions strategically placed so as to be concealed by the undergarments. Vaser Liposelection uses state-of-the-art ultrasound technology designed to gently reshape your body. Innovative Vaser technology breaks up fat selectively, while preserving other structures like blood vessels, nerves and connective tissue, therefore reducing the pain, bleeding and irregular contouring that may occur with traditional liposuction. Vaser Lipo is significantly safer than traditional Liposuction, and can be used to target small areas of localized fat or for large areas as well.

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If you have experienced a loss of weight on the thigh, hip, or buttock areas and your skin is sagging and has a flabby and dimpled appearance, you may be a candidate for a thigh or buttock lift, especially if you are self-conscious about your lower body appearance.

A thigh lift or thighplasty can give you tighter, more attractive thighs and buttocks, with improved contours and decreased cellulite.

The thigh and buttock lift is performed under general anesthesia and you can usually go home the next day. Vaser Lipo of selected areas is also done at the same time, in order to give the optimal result.

Individual areas of the thighs can be addressed at a time, depending on your requirements and desires, such as the inner thighs, outer thighs or buttocks.

Thigh lift has become much more common after bariatric procedures and massive weight loss.

The Classic Thigh lift has a longitudinal incision , extending from groin almost to the knee, but there are modifications which allow more hidden placement of the scars, which is important in our skin, which is pigmented.

The lateral thigh lift is often done at the same time as a tummy tuck, and addresses the outer thigh.

When it comes to the lower body, dieting and exercise may not improve them much because certain fatty areas are resistant due to genetic tendencies. And in people who wish to increase the contours of their buttocks or calves, it is next to impossible to do so by mere exercise.

The objective of a buttock augmentation is to enhance the shape and volume of the buttocks to achieve a natural curve with a smooth transition to the waist and the hips. The reasons for desiring buttock augmentation are ageing and weight loss, with loss of the rounded contour of the buttocks.

There are two basic methods of buttock augmentation, with silicone implants or fat injection. Fat injection or Grafting is quite common and can be combined with Stem cells ( Cell-Assisted Lipotransfer, or CAL) to give a better result.

The decision for the shape and size of the implants is made depending on your desire and general body build.

In general, anyone in average physical condition or good health can be a candidate for buttock augmentation.

In the calf area, the goal of surgery is to obtain a curvature and volume resembling that obtained with physical exercise. It is indicated in patients who have deformities of the leg, due to diseases such as neurological diseases, poliomyelitis or injuries, and is also done for people who in spite of, proper training do not obtain desired muscular shape and volume. Both calf implants as well as Fat Grafting can be done to improve the shape of the calves.

Nowadays, after bariatric surgery and massive loss, there is often a collapse and flattening of the buttocks. This is treated by the belt lipectomy, which incorporates a buttock lift as well. Further volume can be increased by fat grafting as mentioned before.

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All procedures performed by Dr. Rustom F. Ginwalla, M.B.B.S., M.S. (Gen Sx), F.R.C.S. (Ed.), D.N.B. (Plastic Sx), a Board-Certified Plastic Surgeon in practice since 2007

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