The abdominoplasty or tummy tuck operation, is designed to remove excess skin from the abdomen and at the same time if required from clients, with surgery doctors can tighten the abdominal muscles. This operation is indicated in cases where there is laxity of the abdomen resulting in bulging due to abnormal stretching of the abdominal muscles and skin. High frequently weight change or multiple pregnancies are the most common reasons for client to request this kind of surgeries.

How is abdominoplasty different than liposuction?

Liposuction surgery, is based on only remove fat, abdominoplasty involves removal of fat and skin to give a better look, with tightening of the abdominal muscles. This is why abdominoplasty is more extensive than classic liposuction. Extent of surgery will depend on the amount of excess skin form body and the laxity of the abdominal muscles is important. But in many cases liposuction are performed in connection with abdominoplasty.

Before the abdominoplasty surgery, the amount of removal skin are will carefully marked. An incision on the lower abdomen, the excess skin is pulled down and is removed with underlying fatty tissue. The muscles will be tightened as required and the skin is then carefully re-draped.

If the client has a marked weight loss, large skin folds may make the surgery very difficult. In this case, a new procedure called a panniculectomy may be more useful. Body contouring procedures are not designed to correct obesity and a stable weight must be achieved before undertaking either of these procedures.

An abdominoplasty is usually performed under general anaesthesia in a surgery, and requires at least one overnight stay.

Is there any reason not to proceed with an abdominoplasty?

Abdominal scars above the umbilicus (restricts blood supply to distal flap)

1. Obesity

2. Likely or planned future pregnancy

3. Medical conditions prohibiting elective surgery

4. Unrealistic expectations

What happens before the Surgery?

The following list of a important guidelines for patients need to follow before their abdominoplasty surgery. The Abdominoplasty clients should:

1. Centers the weight for 9-12 months before the day of surgery.

2. Keep distance from alcohol before 7 days before the surgery.

3. Stop smoking 2-3 months before surgery.

4. Do not take anti inflammatory medicines for last 14 days before the surgery due to increased the risk blood loss during the surgery.

5. You need to inform the doctor of all medicines you are using and for what kind of condition(s) you have been using this medicine.

If you decide to proceed with the surgery, you will need to confirm your understanding by signing a Patient Consent Form.

What happens during the Operation Procedure?

Medications are available , to give you comfort under the surgical procedure. Surgery procedure always requires general anaesthesia. Your safety is important, it uses various monitors to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

The surgery starts with a horizontal incision to above the pubic area. The length of the incision, which extends laterally toward the pelvic bones, depends basically on the amount of skin will be removed. The contour of this incision will vary according to the structure of your abdomen and the style of bathing suit or undergarments that you prefer. Your doctor will try to keep the incision within your bathing suit lines, but please note that this may not always be possible.

Some patients have loose skin over the navel. In this type cases, the doctor may make a second incision around the navel, so that the excess skin over, can be pulled down. The excess abdominal skin is then removed. The position of the navel remains unchanged. To tighten the abdominal wall, the doctor brings loose underlying tissue and muscle together with sutures.

The skin of lower abdomen that contains stretch stretch marks may also be removed. Remaining stretch marks can be flattened and improved, but you need not to expect a dramatic change in their look.

Abdominal skin will be pulled downward then the excess skin is removed. A small opening is made to bring the navel through. The procedure may include tightening of the underlying abdominal muscles using stitch.

The abdominoplasty procedure removes large amounts of abdominal fat and skin below the belly button thereby reshaping the stomach and chest area. Unlike liposuction, the excess skin will still remain on this area. The removal of the remained damaged skin results with tightening of the remaining skin and give an improved form.

In some cases it may require liposuction in it is necessary with the abdominoplasty surgery. Liposuction will help remove excess flank or hip fat with the objective of providing a flatter and more ‘hour glass’ better shape.

What happens after the Surgery Process?

A patient who has been done abdominoplasty operation, as usually feel uncomfortable for 7-10 days after the surgery, until the surgical site is heald. It is critical that patients use an abdominal support, that is recommended and specified by the surgeon. Similarly patients should have to temporarily live with a closed suction drain, which is used to reduce the risk of hematoma (a collection of blood under the skin) this is one of the most common post-operative complications of an abdominoplasty.

Patients will get a numb feeling for few months after the surgery. As normal patients can go to work estimate 2-3 weeks after the surgery, but should wait 2 months before using the stomach muscle. It is very important that you follow the post-operative advice of your surgeon.

For most the patients they can not see the results of abdominoplasty apparent for up to 12 months after the procedure.

Breast implantation has become the most popular cosmetic surgery operation.

• A more better look.

• A better figure.

• Increase confidence and improve self esteem.

What are the main reasons breast transplant?

1. Increasing the size or give better shape of the breasts,

2. Reconstruction of the breast following mastectomy,

3. Replacement of existing implants,

4. Correction of a congenital deformity.

What is the Anatomy and Physiology of Breasts?

The breast contains fat tissue, that gives the breast its shape and feeling: the elasticity of the skin is giving the shape of the breast. Milk ducts, glandular tissue, blood vessels, nerves and lymph ducts are also present in the breast.

There are a many different type of breast implant options are available, if you are considering breast transplant. You need to discuss your explantation in detail with your surgeon to find the most suitable implant type for determination.

How safe is silicone in breast implants?

Silicone is a made by silicon, who is a natural chemical element. Silicones have been used in moisturising creams,lotions, lipsticks, medical medicines and many others everyday used products for over 50 years.

Your personal preferences and expectations must be discussed by you and your surgeon and determine your expectations of shape and size.

What kind size options do I have in breast augmentation?

Breast implant offers you opportunity to determine the shape of your breasts instead than just change your breast size. Generally, if you want larger your breast size, the surgeon must consider larger the breast implant. Normally to get most natural body look, your choose probably want your new breasts size to be in balance with your body. The width of your chest determines the space between the breasts. That also determines the outer curve of your breast look, are essential to give a balance between your breasts and hips.

What kind of shape options do I have?

Round shape is the most traditional shape for breast implantation. If it is enough breast tissue for sufficient coverage, the flattering, natural-looking results are possible. Normally, round breast implants provide to get a full, rounded shape on the upper part of the breast and increase flattering. It is important to remark in the course of time, as a result of gravity and the ageing of the skin, with time droop more than anatomical breast implants.

‘Teardrop’ or anatomical implants are a recent development, which are more popular and the reason is this method are designed to give a more natural look effect that compliance with the rest of your body. If you look at an anatomical implant from the front, it have a oval shape. It is recommended that you make your decision by a surgeon with the surgical techniques necessary for anatomical implants.

What happens before the Surgery?

When you get ready for a breast implantation, you should be well informed and have realistic expectations. Your surgeon will evaluate your current physical condition. Before you continue, your surgeon will tell you about the benefits and risks. If you decide to take this operation, you will be required to confirm conditions of all aspects of the surgery and agreement to proceed with the operation by signing a consent form. Photographs are usually taken preoperatively as a record and to help plan your surgery.

What happens during the Surgery?

On the same day of your surgery the surgeon will start with draw marks on your breast and chest skin to show where the particular incisions will be, reason for this is to mark the entry point for insertion of the implant.The surgery are performed under general anaesthesia. All anaesthetics carry a risk and you should discuss these risks with the anaesthetist.

The surgery usually take between one to two hours and breast implant surgeries requires an overnight hospital stay. Depending on surgeon’s technique, client may have a drainage tube, for a day to escape any blood or fluid that may collect in the wound and around the implant. This also allows the surgeon to monitor that procedure easily.

What happens after the Surgery?

As usual after the operation you will need someone to take you care of you and take you home, when you are checked out by the surgeon. Client should have a dressings around the breasts as well, as a surgical bra or elasticised bandage. Your breast will feel firm, it can be swollen and implant will be sitting high on your chest. As the swelling goes down, they will be on a more natural shape.

For a few days after the operation, you can feel a little tired and sore. Your breast can be swollen an sensitive for about a month when it get physical contact. It is normal to feel tightness of the breast area until your skin adjusts to new breast size. Women who had childbirth, may know the same feeling as tightness to the changes of their breast. The full results of your enhancement , will not be visible until your breast tissue and muscles adjust.

Post-operative care

Post operative care is very important. The surgeon always be available for follow-up consultations or to answer any thing who concerns you. Your surgeon has conducted the operation and is therefore best suited and qualified to provide post-operative care for you.

Usual for most patients post-operative care involves the use of a bra with extra support while your breast heals. If any unusual symptoms occur after surgery, like fever, swelling or redness in one of your breast, you should contact doctor whenever you want.

You can resume to your exercise gently within a couple of weeks and there after increase your exercise with a comfortable pace with your surgeon’s approval. We recommend, you should avoid a intense physical activity after your surgery for 6 weeks.

How long do breast implants last?

Breast implants are usually expected to last for 10 years or more. In different cases, in some cases it has been seen that they last for 20 years. Breast implants can be removed at any time patient wants, after 10 year or more, some clients replace older implants with new implants.

The characteristics shape of our faces change as we get older and these changes usually start as after we get 30 years old. As we get older the skin start to be loosen on the face and neck. The wrinkles known as Crow’s feet on the around of our eyes begin to appear. Your jaw lines may soften, and vertical folds appear under our chin. The aging process and the resultant changes in our facial appearances by genetic critics, sun and smoking.

What is a facelift?

A facelift process is about the tightening of facial and neck skin, may be re-orientation of muscles, and repositioning of fat, with re-draping of the skin. A facelift procedure is sometimes performed in solidarity with other facial aesthetic procedures, just like as a brow lift, forehead lift, or eyelid surgery. Facelift process is a basis for non-surgical treatments such as dermal fillers. The purpose of facelift is to recreate the beauty and harmony of young facial shapes.

With a discreet facelift incisions, your plastic surgeon is able to free your skin from underlying tissues, if the extent necessary for the particular surgical process. After the skin has been pulled up and back, the excess skin will be removed. In many cases, the deeper tissues may also be necessary to repositioned, in order to restore a more youthful contour of your face. Sometimes, a small incision under your chin permits the removal of fatty tissue in that area and smoothing of the cord-like structures of the underlying muscle in the neck.

Is facelift something for you?

A facelift is not a anti aging, or do not turn back the clock. What it can help you with is give your face look its best and give you a more youthful look. One of the benefit is that many patients experience increased self-confidence. A facelift process is usually, an option for people who are 40 – 60 years old, but the facelift procedure also be performed successfully by people in their 70s and 80s. Plastic surgery on the face, it gives an opportunity to correct many facial flaws and signs of premature aging that can undermine self-confidence. By changing how you look, cosmetic surgery can help change your self confidence.

To understand the limits of a facelift is crucial and psychological stability is vital. There is no ideal in a facelift. But it improves the overall facial look. Skin type and thickness, degree of skin elasticity, individual healing, basic bone structure, ethnic background, as well as a realistic attitude are factors that should be evaluated by patient with surgeon prior to surgery. If you’re considering a facelift, it is necessary to discuss your medical history with our Surgeon Consultant.

To get a successful plastic surgery is a result of good conversation between patient and surgeon. Trust, based on realistic expectations and expertise, develops in the consulting stages before surgery is performed. The plastic surgeon can have answer for your questions.

What happens before the Plastic Surgery?

During the first inspection, your plastic surgeon will evaluate your health and medical background, discussing your expectations about the procedure. Your surgeon will also inspect the structure of your face, skin texture, skin elasticity, soft tissue structure and underlying bone skeletal framework. Specific individual risks will also be considered, such as high blood pressure, a tendency to scar, smoking, medications and any deficiency in blood clotting. As well as consider your general health situation and facial shape, the surgeon will must consider your mental condition and emotional attitudes for the surgery. A realistic attitude is important to get a successful surgery, the surgical procedure and realistic expectations will be explained.

If several correction is needed, it can be necessary with more than one procedure to get best overall result. The other procedures, who includes several surgery to get best result is; eyelids, forehead, neck and chin as well as non-surgical treatments such as wrinkle treatments, dermal fillers and laser treatments.

Your surgeon will take photographs before and after photographs for your surgery, to monitor the procedure and to help you to see differences.

If you decide to complete the operation, you are required to confirm your understanding of all aspects of the surgery and agreement to proceed with the operation by signing a Consent Form.

What are the Surgical Technique Options?

The surgeon starts the surgery with incision in the area of the temple hair, just above and in front of the ear, and then continues around the lobe, circling the ear before returning to the point of origin in the scalp. The skin is raised outward before the surgeon repositions and tightens the underlying muscle and tighten the tissue. The excess fat and skin may be removed. After the surgery, incisions can be easily hidden by your hair or with makeup. There may also be a small incision hidden underneath your chin.

Some other kind of facelifts process can be used, especially for younger patients with less skin laxity but with sagging soft tissues such as cheek jowls and fat pad descent on the cheeks. Different terms are used for these kind of facelift procedures including “MACS” (Minimal Access Cranial Suspension), “Quick Lift”, S-lift and “mini lifts. With these “small access” facelift procedures, with smaller incisions can be considering, with incisions behind the ear and lower scalp.

For men, the incision will be done on the natural beard lines. In this kind of cases, the incision is placed where it looks natural to make the scar not remarkable. After removing of the excess skin, the surgeon closes the incisions with fine stitches and/or surgical metal clips, that allows to incision with out removing the hair.

What happens during the Operation Process?

Medications are administered by the hospital for your best comfort for the surgical procedure. For your safety under the operation, different monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

Your plastic surgeon decides about to use a general or local anaesthetic on the surgery process: basically the patient will feel little discomfort. Depends on the difficulty of the surgery, the process can take from two to four hours. Following the surgery, the surgeon will apply a dressing to protect the entire area where the incisions have been done.

What happens after the Operation Process?

Although most patients feel little pain after surgery, but the surgeon will still prescribe medication. Some degree of swelling and bruising is inevitable, and your surgeon will instruct you about to use cold compresses to get swelling to a minimum level. When a dressing has been applied, it will be removed within one to two days. The surgeon will also instruct you about how to keep your head elevated when lying down, you must avoid as much activity as possible, and to report any undue discomfort. Though there are few risks in facelift surgery and thousands are performed every year, there is some risk exists in any surgery.

After the facelift surgery is completed, surgeon will close the incision and apply bandages for a day or two to the site of the surgery. The patient need to stay in hospital overnight.

In some different cases, a drainage tube must been inserted during surgery. This will not be removed one to days after the surgery. All stitches and staples will usually be removed between 4 to 14 days the surgery, depending of the stitches and staples. Surgeons usually recommend that patients not perform vigorous activity. Patients should organise support from family and friends, to home transport.

How will the restution period be like?

Few days after a facelift process, it is normal to feel some pain, discomfort, swelling, and bruising. The surgeon will prescribe pain relief medicine to get over this process easily. You can wash your hair few days after and all dressings will be removed. Most burishings will be gone by within two weeks, but to it takes longer time for swellings sinking. Numbness is also normal to feel. If you notice infection or any bleeding or sudden increase in paini, contact your doctor immediately.

Recovery process takes couple weeks, patients can go back to work in couple of weeks. The scars are not noticeable after enough time. In case, you can hide your scar easily in natural skin creases, by the hair or in longer healing process, you can hide by makeup until total healing has occurred. Please note the aging process will continue after the surgery.

Your surgeon will remove sutures and stitches in 4 to 14 days after surgery. After this process, most people can resume to their normal daily activities (working, food shopping, going out to dinner, limited exercise) without any difficulty.

What should you do after a Facelift Surgery?

After a facelift surgery, it is important to follow your surgeon’s instructions carefully. Instructions for facelift is the following recommendations:

• You need to have som one who take you home and stay with you for at least 24 hours after the facelift.

• Keep your head propped up to minimize swelling; sitting up against pillows are the most comfortable position.

• Arrange your medicine prescription in advance, and use as directed.

• Try to avoid irritating your stitches; your surgeon will suggest that you use a gentle baby shampoo or antiseptic shampoo and that you avoid styling products that may cause irritation.

• You need to have a follow-up visit to remove your stitches.

• Avoid strenuous exercise for at least two weeks following surgery.

• Don’t have facials and other skin treatments for six weeks.

• Use a high-factor sunscreen (minimum 30+ SPF).

Blepharoplasty is a consist of various operations for reshaping the eyelids for both reasons as a cosmetic and functional problems (like as to improve vision problems). This process to remove of excess skin, fat and muscle from around the eyes to correct droopy upper eyelids, protruding eyebags of the lower eyelids, or to bend the upper eyelid (to westernize slit eyes). It can be performed on the upper lids and lower lids, at the same time or separately. This process is usually done on an polyclinic basis and each eyelid surgery takes around 30 to 45 with just a local anesthesia, with or without sedation.

Eyelid surgery can treat area:

  • Loose or sagging skin who creates folds or disturbs the natural look of the upper eyelid, sometimes impairing the vision client.
  • Excess fatty upper eyelid that appear as swelling on the eyelids.
  • Bags under the eyelid.
  • Sagging lower eyelids that make visible white iris.
  • Excess skin and wrinkles of the lower eyelid.