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Dr. Alejandro Lopez Gaxiola
 

Abdominoplasty is a surgical procedure that removes excess skin and fat from the abdomen and tightens the muscles of the abdominal wall.This procedure is commonly done in conjunction with liposuction of the waist and back for better results.

The abdominoplasty or tummy tuck is a low risk procedure due to the muscles, entrails, nerves or vessel are not involved only fat and wall abdominal skin. The only inconvenient is the scar in the pubis level, however it can be hide with the underwear. The scar size depends of how damaged and flaccid the skin is.

TYPES OF ABDOMINOPLASTY

CLASSIC: This is recommended when the entire abdomen is surrounded of loose and excess of skin, fat and flaccid muscles. The belly bottom has to be replaced.

MINI TUMMYTUCK: This is recommended when the fat and flaccid skin are localized in the navel area. The incision is short and the belly bottom doesn’t have to be replaced.

EXTENDED ABDOMINOPLASTY: In this procedure the incision extends to the back to remove the excess of fat and skin from the hips and from the lower back.

CIRCULAR ABDOMINOPLASTY: This procedure removes the excess of skin and fat from front, lateral and posterior side of the waist. Also, allow lifting up the buttocks, tight the lower back and tense the abdominal muscles. It’s recommended in patients that had severe obesity and underwent surgical intervention of lap band or gastric bypass and have lost from 30 to 60 kg of weight.

MIDI ABDOMINOPLASTY: it's a variant of the mini tummy tuck, with a small incision and replacement of the belly button.

VERTICAL ABDOMINOPLASTY: Is for patients that have multiple scars in the central area of the abdomen.

SUBMAMMARY ABDOMINOPLASTY: This procedure is for patients with localized flaccidity in the epigastric area of the abdomen (from the belly button and up).

SECONDARY ABDOMINOPASTY: This procedure is for patients that already underwent an abdominoplasty, but through the time they have develop loose skin in the abdominal wall.

ABDOMINOPLASTY ASSISTED WITH ENDOSCOPY: Generally it’s made to repair small defects of the abdominal wall.

LIPO ABDOMINOPLASTY: Is a procedure in which a liposuction is perform in the anterior, lateral and posterior areas of the abdomen with resection of the excess skin, a new belly button and the muscles are sutured.

Liposuction is a procedure that sculpts the body through the removal of unwanted fat deposits from specific areas (abdomen, hips, buttocks, thighs, knees, arms, double chin).

There are several types of anesthesia that can be used to perform a liposuction, yet the most common practice is to use local anesthesia and a sedative only. The length of procedure varies from patient to patient and is dependent on the areas to be treated and the quantity of fat to be removed. There are times when the same body fat is used to fill other areas of the body, such as the buttocks.

WHAT IS SMART LIPO?
It is the most recent laser fat removal method. This technique was first discovered in Europe and is presently available in the US. This method has been extensively used throughout South America, Europe and Asia during the last 10 years. The process involves a laser, which dissolves fat quickly and tones the skin in virtually any body part. The procedure can be done in an office and does not require the use of general anesthesia.

WHO IS A CANDIDATE FOR SMART LIPO?
Smart lipo is an excellent technique for fat removal and problem areas of the body. It is most efficient when removing fat buildups that remain after conventional liposuction or exercise. The ideal patient is healthy, not obese, has an active lifestyle and has fat buildups the he or she wishes to get rid of.

IN WHAT AREAS IS SMART LIPO APPLIED?
Smart lipo has been designed to treat fat buildups in the following areas:

  • Waist
  • Chin
  • Thighs and groin
  • Hips
  • Arms
  • Face (except around the eyes)
  • Chest or breast area (in men)
  • Back of the neck
  • Pubic area

HOW MUCH FAT CAN BE REMOVED WITH EACH SMART LIPO PROCEDURE?
The procedure is excellent in removing up to 3500 cc of fat in one session.

WHO ARE NOT CANDIDATES FOR SMART LIPO?
Smart lipo is not for people with:

Diabetes
Liver problems
Kidney problems
Blood diseases
Heart conditions
Skin disorders

ARE THE RESULTS PERMANENT?
The results are semi-permanent. If the patient gains weight, the fat returns to treated and non treated areas. Even though the makers of this procedure and some doctors may assure the patient, there is no treatment that can remove fat cells permanently. The best way to get rid of fat is exercising continuously and keeping a healthy diet.

HOW IS THE PROCEDURE CARRIED OUT?
The procedure is done in an office or clinic. Beforehand, the areas with fat buildups are marked and a local anesthetic is used to numb the area. The laser is a machine that is used like a pen and is applied close to the skin.
As soon as the laser is applied, the fat cells break. The fluid that comes out from the fat cells is drained by the body’s natural system (lymphatic system). The laser also causes tiny blood clots to form on contact, in the blood vessels, resulting in less bleeding and swelling. The laser also affects the skin’s collagen which causes the skin’s tone to increase. Every session takes approximately 30-45 minutes.

WHAT IS THE RECUPERATION LIKE?
Most people tend to have a few bruises and pain. Wearing tight clothes or a girdle may help reduce inflammation, depending on the area that was treated. The bruising disappears in 2 to 3 days, and all patients may resume their activities within 24 hours.

WHEN ARE RESULTS VISIBLE?
Soon after the laser procedure the treated area will look toned, compact and smaller. During the next 6-8 weeks, the skin and the area surrounding it will reshape and adjust to the outline of the body. The reshaping is a gradual process and the best results are seen after 2 months.

HOW MANY SESSIONS CAN I HAVE?
It all depends on the area and where it is located. Generally, 1-3 sessions are more than necessary for most people. Follow up sessions are only done after a 3-6 month period.

AFTER SMART LIPO, WHEN CAN I GO BACK TO WORK?
You may return to your job within 24 hours.

CAN SMART LIPO AND LIPOSUCTION BE USED TOGETHER?
Yes, Smart Lipo is designed to treat small, hard to reach fat areas. After a conventional liposuction, when small areas need reshaping, Smart Lipo is an excellent option.

WHAT ARE THE ADVATAGES THAT SMART LIPO OFFERS OVER OTHER PROCEDURES?

Smart lipo offers minimal discomforts during the procedure.
There is very little pain and it only lasts 24-48 hrs.
Most people can go back to work within 24 hrs.
There is minimal bleeding and bruising.
There is no loose or hanging skin after the procedure.
There are no side effects from general anesthesia.
No incisions or stitches necessary.

This procedure has been performed for about 14 years in Europe and South America, and less time in North America.

It aims primarily to assist the retraction and accommodation of sagging skin after liposuction, improving the contour, especially areas difficult to treat with conventional techniques, for example ¨Hump back¨, secondary liposuction and those with skin irregularities and contour fat, which have excessive scarring or fibrosis that retract the skin, helpful in areas like sagging skin on arms to prevent longitudinal scar tends regularly to be broad and hypertrophic, being anti-aesthetic.

This procedure helps to get rid of the fat end reduces the arms thickness to have an aesthetic appearance the recovery time is one week.

This surgical procedure removes loose skin and excess fat deposits in the upper arms, recovery time is two weeks.

This procedure helps to get rid of the fat end reduces the thighs thickness to have an aesthetic appearance the recovery time is one week.

This surgery removes the excess of skin and fat deposits to reshape the thighs creating a slimmer more defined lower body the recovery time is about two to three weeks

The calf implants is a surgical procedure that is requested to increase the volume and reshape that specific area of the legs. Consists in making an incision in the back of the knee, create a gap to place the desirable implant. This procedure can be performed with regional or general anesthesia.

The estimated duration of the surgery is about an hour and the times for recovery is one week, is recommended relative rest and wear compression garments like stockings or elastic bandages.

Calf augmentation using fat grafting helps balance and give better proportion to the legs with permanent results without scars. Recovery time is about four days.