Tummy Tuck Gives You a Waist You’ve Been Longing For!

Flabby bellies are notoriously difficult to control through diet and exercise.  Liposuction may be beneficial for someone who has extra fat around the abdomen, but anyone who also has lost muscle tone and developed extra sagging skin will require a tummy tuck, otherwise known as an abdominoplasty, to achieve a flatter waistline.

A tummy tuck addresses all three major problem areas at once. In one operation we remove:

1)  excess fat,

2)  saggy skin, and

3)  tighten abdominal muscles that may have become distended with pregnancy or age.

Men and women can develop abdominal wall weaknesses as they age that can be repaired during a tummy tuck.

During pregnancy, women lose their waistline as a result of the spreading of the surrounding tummy muscles. This spreading is referred to as ‘diastasis recti’ and is not an actual hernia but does cause a bulge from the pubic area to just above the belly button. Men may also experience this spreading following weight gain or in the presence of abdominal hernias.

The modern tummy tuck is not only a removal of skin but also an operation on fat, and muscle. Incisions for a tummy tuck are made below the bathing suit line from hipbone to hipbone and are generally tailored to the patient’s wishes. Some female patients prefer to wear french cut bathing suits. In that case, the incision comes up a little higher on the side extension. For those patients who prefer a traditional cut swimsuit, the incision is made right at the hip line. In all cases, the incision and resulting scar are fashioned to meet the patient’s wishes and afford them complete camouflage in a bikini or other bathing suit.

Next, an incision is made around the belly button. While the belly button is left intact on the underlying muscle, the tissues beneath are elevated from the lower tummy to the rib cage area and redundant skin and fat are removed, exposing the abdominal wall. At that point, the abdominal wall is lightened by suturing together (or “lacing-up”) the abdominal muscles and repairing any damage that occurred during pregnancy or weight gain. At no time are these muscles actually cut.  It is the lightening of the muscles that really reduces the waistline (and is the main reason for the post-operative pain in tummy tucks). We then perform liposuction on the abdominal wall, waist, hips and “love handles” in an effort to create a smooth, pleasing contour across the entire waistline.

Finally, the tummy skin above the belly button is stretched down to the meet the incision at the pubic hairline. A small incision is made for the belly button, which will reach back through the abdominal wall as usual. The shape and nature of the belly button don’t change unless a patient specifically requests it. Any hernias of the belly button can be corrected. For example, ‘outies’ can be made ‘innies’ or it can be made a bit smaller if the patient so desires. Patients are usually instructed to wear a ”girdle” or medical compression garment over the entire tummy area to provide support and comfort while healing. It takes generally two to three weeks to make a complete recovery, and most of our tummy tuck patients are back to work within three to four weeks.

Question: What steps do you take to try and get rid of that bothersome flabby tummy? You can leave a comment below.

Supplements and Cosmetic Surgery

Herbal supplements and vitamins are known to have a significant and measurable effect on promoting wound healing, reducing bruising,  enhancing immunity, and reducing oxidation caused by both surgery and anaesthetic drugs. However, these supplements are still drugs that could cause dangerous side effects during cosmetic surgery. About 50% of cosmetic surgery patients take supplements (usually more than one), but often do not tell their surgeons because they assume they are safe.  Some  of  the  most  popular  herbal  supplements  taken  are  chondroitin,  echinacea, and  glucosamine:

  • Chondroitin is often used to treat osteoarthritis.  People using chondroitin may suffer from bleeding complications during surgery, particularly when used in combination with doctor-prescribed blood-thinning medications (like warfarin).
  • Echinacea is often used for the prevention and treatment of viral, bacterial and fungal infections, as well as chronic wounds, ulcers, and arthritis.  However, it can trigger immunosuppression, causing poor wound healing and infection.
  • Glucosamine, often offered in conjunction with chondroitin, contains chemical elements that mimic human insulin, and may artificially cause low blood sugars during surgery.

Other common supplements taken by patients that may cause thinning of the blood are the “4  Gs”  (gingko biloba, garlicginseng, and ginger), fish oils and Vitamin E.

Cosmetic surgery should be viewed with the same care and concern as heart or brain surgery. Everything we do is important for our patients, so every precaution and safety should be taken to minimise complications from surgery and anaesthesia. Remember, we need your help and cooperation at all times.  Advise us of every drug you take, prescribed and non-prescribed and cease taking any blood thinning agents 2 weeks prior to surgery unless otherwise directed by your doctor.

Thanks for reading!

Dr. Tim  –  Sydney  Cosmetic  Plastic  Surgeon

www.cosmeticculture.com.au
www.drtim.com.au

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Following a tummy tuck, patients should take at least 3-4 weeks to recover before returning to work. Normal exercise routines may typically be resumed approximately 6 weeks following surgery.

To learn more about abdominoplasty (tummy tuck), request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

Brazilian butt lift surgery task force set up after alarming death rate

A DANGEROUS butt procedure has a higher death rate than any other and Aussie women are being warned to think carefully before committing to it.

A NOTORIOUS surgical procedure, known as the Brazilian Butt Lift, is now considered so dangerous that a specialist Aussie task force has been set up to warn women of its risks.

Inspired by “bootylicious” celebrities and social media stars such as the Kardashians, Jennifer Lopez and Beyonce, the risky operation has raised alarms after a number of complications and number of deaths.

BBL is the colloquial term for buttock fat grafting, an elective cosmetic procedure which can cost up to $14,000 and involves removing fat from one part of the body via liposuction and transplanting it via injection into the butt for a fuller, perkier effect.

According to the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the mortality rate for BBLs is estimated to be one in every 3000 operations — meaning it has a higher rate of death than any other cosmetic procedure.

THE BOOTYLICIOUS EFFECT

The BBL’s popularity has increased over the last few years, with the American Society for Aesthetic Plastic Surgery tracking a 26 percent jump from 2016 to 2017, making it the surgical procedure that saw the second most significant increase performed year over year.

However, its complications have thrust it into the medical spotlight and plastic surgeons across the world have expressed deep concerns over its increasing popularity.

ASAPS has now backed a new “patient safety task force” to investigate the risks and improve patient safety of the increasingly popular procedure in Australia.

“In short, the butt is becoming the new breast,” Dr Tim Papadopoulos, specialist plastic surgeon and past president of ASAPS said.

Kim Kardashian has always denied having a BBL procedure. Picture: Mega Agency
Kim Kardashian has always denied having a BBL procedure. Picture: Mega Agency Source: Mega
‘Bootylicious’ singer Beyonce is an inspiration for many young women. Picture: Mega Agency
‘Bootylicious’ singer Beyonce is an inspiration for many young women. Picture: Mega Agency Source: Mega

Five of the world’s leading plastic and cosmetic surgery-related organisations have banded together to form an “Inter-Society Buttock Fat Grafting Task Force” to research complications and deaths associated with BBL.

“Action must be taken now in order to prevent further tragedies from occurring,” Dr Papadopoulos said.

“The task force is concerned with the high mortality rate of this operation and is aggressively investigating ways to make this procedure safer.

“This new warning emphasises the continued risk that is being encountered with this procedure. Patient safety is the highest priority for plastic surgeons and this multi-society task force is an important and unprecedented collaboration.”

He said the procedure had resulted in an “alarming rate of mortality”.

“This rate of death is far greater than any other cosmetic surgery,” he said. “Having said that, there has been no reported case of a death from BBL in Australasia.”

He this may be due to the cultural and ethnic differences and perceptions of beauty regarding bums.

“Although social media has had a huge influence in promoting BBL, especially with celebrities like Kim Kardashian and Jennifer Lopez, the volumes of buttock fat transfer overseas don’t necessarily translate to what’s going on here in Australia,” Dr Papadopoulos said.

The surgery can cost up to $14,000. Picture: Supplied/ Cosmos Clinic website
The surgery can cost up to $14,000. Picture: Supplied/ Cosmos Clinic website Source: Supplied

“In the USA, the large African-American and Hispanic populations have generally dictated their beauty norms which promote larger backsides and smaller breasts.

“This is not the case in Australia where women generally prefer larger breasts and smaller backsides.”

WHAT THE TASK FORCE WILL DO

The task force will examine the causes behind complications and deaths to try to prevent them from occurring through a variety of doctor and patient safety education measures, including unprecedented research.

Once those results are finalised, a comprehensive set of guidelines for the procedure will be submitted for publication in major clinical journals.

“Interestingly, while this procedure has been done for decades, it wasn’t recognised as risky until recently,” Dr Papadopoulos said.

The alarm bells started to ring for some surgeons after a 2015 study which looked at 19 BBL-related deaths in Colombia and Mexico over a 15-year period.

A 2017 report also noted at least 25 fatalities in the United States in the preceding five years.

WHY IS THE BBL SO DANGEROUS?

Dr Papadopoulos says every BBL-related death is caused by bits of fat (or “emboli-globules”) which enter the blood stream and clog up the patient’s heart.

“The cause of death is emboli-globules of fat that inadvertently enter the gluteal veins and swiftly make their way up to the heart and lungs, causing patients to arrest and die usually in the operating room during the procedure or in the recovery room shortly after,” Dr Papadopoulos said.

Tim Papadopoulos said women should research the procedure carefully.
Tim Papadopoulos said women should research the procedure carefully. Source: News Corp Australia

“These emboli are unique to the buttock area, as fat injections in the breast, face and thighs don’t produce this same phenomenon.

“The gluteal veins’ distinctive anatomy makes them especially vulnerable because they’re very big and thin, and only one tributary away from the inferior vena cava, which is the major vein in the body running from the pelvis to the heart.

“If a surgeon nicks one of these gluteal veins or they tear because of traction from pooling of fat beneath the muscle, it’ll act like a siphon, sucking in fat around it, and ultimately sending fat up into the heart.”

WHAT TO DO IF YOU WANT A BBL

Dr Papadopoulos said any patients interested in the procedure should research and trust only FRACS-qualified Specialist Plastic Surgeons at accredited and licensed facilities or hospitals. “You should ask to see before-and-after photos and ask for patient references,” he said.

“You, too, should stay informed on the issue, and when consulting with doctors, don’t hesitate to question their approach.”

To find a suitable surgeon search through the Australasian Society of Aesthetic Plastic Surgeons Member Database.

– Ben Graham 

Article Source: news.com.au

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An abdominoplasty (tummy tuck) procedure involves the following steps:

  1. Removing a large amount of lower abdominal skin (and stretch marks)
  2. Removing a large amount of lower abdominal fat
  3. Tightening the rectus abdominis muscles of the abdomen
  4. Redistributing the upper abdominal skin over the entire abdomen
  5. Creating a new belly button within the tightened abdominal skin
  6. Tightening the pubic area

To learn more about abdominoplasty (tummy tuck), request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

 

Breast Lift and Augmentation: The facts you need to know!

The goals of breast lift with or without breast augmentation are to restore shape, volume, and nipple-areola position. However, simultaneous breast lift and augmentation present multiple problems, specifically because it becomes harder to control all of the variables affecting the outcome when combining the two procedures. No single method is best to treat all types of sagging (ptosis), and maintaining a good blood supply to the nipple-areola complex is of paramount importance, so a staged procedure may be necessary at times.

Why is combining a breast lift and breast augmentation the most difficult of all cosmetic breast surgery procedures? The surgery involves manoeuvres that can be counterproductive to each other since the skin is being removed and when closed back up again, pushes the breast in and upwards, whilst an implant stretches the skin in an out and in a downwards direction. These conflicting tensions can adversely affect the blood supply to the breast and skin which may affect wound healing, scar quality etc. Positioning of both the nipple and breast fold also becomes more challenging during simultaneous lift and augmentation. Secondly, no two breasts are the same, and each patient is seeking a different endpoint, sometimes with unrealistic expectations.

The first thing that I do when evaluating a patient for a breast lift is to ask them if they are happy with their present breast volume. You can simply do this by pinching the skin below the breast and pushing it up where it belongs. Most women are amazed at how little of breast volume they actually have. If that is the case, then volume enhancement, usually with an implant, is necessary along with a lift. If the volume is satisfactory, then a breast lift will suffice.

The second thing to do is grade the amount of breast sagging. This is done by using Regnault’s classification which looks at the position of the nipple as follows:

1)  Grade 1 (minor): nipple at breast fold
2)  Grade 2 (moderate): nipple is below the fold but above the lower breast contour
3)  Grade 3 (major): nipple is below the fold and below breast contour
4)  Pseudoptosis (“false sagging”): nipple lies above the fold, there is little breast volume, some of which lies below the fold

Other characteristics that one looks out for are:

1) Skin: elasticity and excess;
2)  Breast tissue:  firm and fibrous or soft and fatty; and
3)  Skin-breast tissue relationship: firm and adherent or loosely adherent and is the breast full or empty. Skin quality and the skin-breast tissue relationship are the key factors in determining the breast lift procedure and the quality and longevity of the final result.

As a general rule, if the skin elasticity is normal, the breast envelope is full, and the skin is adherent to the underlying breast tissue, then the scars would be limited, and vice versa. In other words, one progresses from limited scars such as periareolar scars (scars around the nipple-areola complex) to periareolar-vertical scars (scars that run down the front of the breast below the nipple-areola complex) to more extensive, full-length inverted-T or anchor scars.

For the patient with “pseudoptosis,” inserting a breast implant alone, usually tear-dropped shaped, is typically all that is needed. For Grade I sagging, an implant alone or a lift plus an implant may be required.

Depending on a number of factors, the lift may be performed via a crescent, periareolar, or vertical approach. A vertical approach is preferred if there is significant looseness below the nipple. However, the periareolar incision is generally used in just a few specific situations. Since this skin-only incision is unable to lift much weight, it is an option in women with small breasts who need only a small amount of nipple repositioning, usually < 2 cm.

In addition, it is considered advantageous in women with pointed, conical or tubular breasts, because it causes areolar flattening and eliminates the tubular nature. The main issue I have with performing a periareolar breast lift is its tendency to cause areolar flattening and leave the areola more prone to stretching.

In Grade 2 sagging, especially where the breasts are large and heavy, a vertical breast lift is often required because it will effectively lift the breast tissue to achieve increased projection. However, a periareolar incision may still be considered for women with light breasts. When performing a vertical breast lift, the procedure may be converted into a short inverted-T lift if a difficulty is encountered controlling the nipple-to-breast fold distance.

With Grade 3 sagging, the lift technique depends on the nipple-to-breast fold distance. If it is > 10 cm, most surgeons perform an inverted-T breast lift. Otherwise, vertical breast lift remains an option that will enable control of the nipple-to-breast fold distance, as the vertical scar tends to shorten in the post-operative period with scar contraction.

Thanks for reading!

Dr. Tim – Sydney Cosmetic Plastic Surgeon

www.cosmeticculture.com.au
www.drtim.com.au

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Loose skin, stretch marks and fat on the abdomen are among the most common reasons patients seek an abdominoplasty from a plastic surgeon. In some cases, patients have excess skin and fat on the abdomen from weight loss. In other cases, age or pregnancy has changed the contour of the abdomen. Many are frustrated that diet and exercise don’t tighten their lower abdominal skin. Some even lose the motivation to exercise because they can’t see their muscles underneath their loose skin. For many of these patients, abdominoplasty (tummy tuck) is their best opportunity to reclaim a youthful figure.

To learn more about abdominoplasty (tummy tuck), request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

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Candidates for body lifts typically have lost large amounts of weight. They should be healthy and well nourished without vitamin or mineral deficiencies. They should not smoke, as smoking increases the risk of complications.

To learn more about body lifts, request a consultation by contacting us at 13000DRTIM or emailing us at info@drtim.com.au 

3 Tips to Consider Before Body Lift Surgery

Body lift surgery is a complex operation that requires a lot of information to be processed and considered. There are 3 main points that people interested in this procedure should keep in mind especially that this involved both a major physical and psychological recovery period.

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1. Make Sure You Have Appropriate Motivation & Realistic Expectations

Make sure you are doing the body lift surgery for yourself and for the right reasons and that you have realistic expectations.  Be aware that an improvement in the problem area may not necessarily translate to an overall improvement in your life or home situation.  You are bound to be disappointed with results of body lift surgery if your motivation is not intrinsic.
 Timing of your body lift surgery is crucial. Generally, it is not a good idea to have body lift surgery done during or immediately after a stressful period in your life e.g. divorce or death of a loved one. The additional stress of body lift surgery will undoubtedly be  more challenging to deal with if your emotional reserves are already exhausted. Take note that an improvement in your physical appearance will not necessarily translate to an improvement in your life situation.
 Lastly, keep in mind the end results as you go through the sometimes tough, emotional times after your body lift surgery.

Laser Hair Removal Mythconceptions

There is no such thing as a single “best” laser for hair removal on all patients.  The best laser for laser hair removal for each person really depends on his or her skin colour. Thus, multiple lasers exist for hair removal. Different laser types, which emit distinct wavelengths of light, are better for treating different skin types. There are a number of manufacturers that make these laser types:

  • Alexandrite lasers. These emit laser light at 755 nm. These lasers work best on lighter skin. In my opinion,  it has been the most impressive laser for hair removal for light to olive skin types.
  • Diode Lasers.  These emit light at a wavelength of 810  nm.  Lighter skin types do well with this type of laser, as do some darker skin types.
  • Nd: YAG lasers.  These emit a 1064 nm wavelength.  This laser is best for darker skin types, as the higher wavelength reaches deeper into the skin.  This helps to avoid superficial skin melanin,  which pigments our skin.
  • IPL or  Intense  Pulsed  Light. It has been used for hair removal.  Lasers emit light at one wavelength (like laser pointers in PowerPoint presentations).  IPL machines produce a range of wavelengths  (like the cone of light from a torch one sees in cartoons) and are not lasers.  So,  there  is  no  such  thing  as  an  “IPL  laser”  or  “IPL laser  hair  removal”-  it’s  a  marketing  ploy  for  businesses  that  have  IPL  machines  and  not  hair  removal  lasers (the  only  exception  to  the  rule  are  the  few  machines  out  there  that  have  both  lasers  and  IPL  machines  in them).  Several studies have shown that  IPL is not as effective as dedicated hair removal lasers, and carry a higher risk of burns, blisters, and changes in pigment.

In my experience,  the Alexandrite laser is the most effective laser for removing hair on the lighter skin, whereas the Nd: YAG is the safest and best laser for more darkly pigmented skin.  Remember,  every laser  has  a  “target.”  For hair removal lasers, the goal is to selectively target the pigment (in other words colour) which in this case is called melanin found in hair follicles.  Melanin is the reason why we have black or brown hair or shades in between.  The hair follicles are living cells which make hair below the surface of the skin.  When the melanin is selectively heated, this destroys the hair follicle cells.  The lighter the hair, the less melanin the hair follicles will have in them.  As a result, hair that is blonde, white or grey does not improve with laser hair removal.  In my practice,  I have actually seen some patients notice a decrease in lighter hairs,  but it ’s the exception and not the rule.

Melanin is also present in skin and is the cause for dark skin and suntans.  It is the same target that the hair removal laser is trying to reach in hair follicles.  Hair removal lasers may target the melanin in the skin as well as in the hair follicles which sometimes results in burns,  blisters, and change in skin pigmentation.  As a result,  lower settings and longer laser pulse times must be used for darker skin to avoid damage.  As a consequence, more overall treatment sessions will usually be necessary.

Remember, laser hair removal is a medical procedure and you should always consult with a doctor who has extensive experience in lasers and laser hair removal.  This will maximize your chances of a great result.

Thanks for reading!

Dr.  Tim  –  Sydney  Cosmetic  Plastic  Surgeon

www.cosmeticculture.com.au
www.drtim.com.au