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Hybrid Tummy Tuck Details Beverly Hills

Body Changes After Childbirth
Pregnancy and motherhood are wonderful, life-changing events to be celebrated. Many women feel that once they give birth however, they have to say goodbye to their flat stomachs forever. It is a fact that after your baby is born, sometimes it can be hard to regain your pre-pregnancy body. Some of the unwelcome, lasting effects of pregnancy can include weight gain, fat accumulation, a stretched and/or bulging abdomen, loose and excess skin, and the loss of breast firmness. Another problem that can occur when women have children is when the lining of the abdominal muscles, called the fascia, rips causing the abdomen to develop a bulge. This is a type of hernia and other types of hernias may develop as well. Because of this, the patient can often feel a layer of fat on their lower abdomen and the layer below that is called the fascia. Many moms are disgruntled with the anatomic changes that follow their pregnancy. The first option is to work off the extra pounds through exercise and a sensible diet but sometimes these measures can only go so far to restore form when the skin and supportive structures of the body have been permanently altered. Despite your best efforts, your breasts, belly, and waistline may not completely recover after you have had a baby.

Millions of women undergo extensive cosmetic and plastic surgery to reshape their bodies after pregnancy. Dr. Brent Moelleken, MD, FACS is a double board certified Plastic and Reconstructive surgeon that has introduced a new technique allowing mothers to regain their “pre-baby” tummies. With offices in Beverly Hills and Santa Barbara, California, he received his training at Harvard University, Yale University, UCSF, and UCLA. Dr. Moelleken is one of three specialty-trained surgeons in the world to complete the year-long Aesthetic Surgery Fellowship at UCLA and he has innovated various procedures including the Hybrid Tummy Tuck®. He is pleased to provide a procedure specifically designed to help moms regain their pre-pregnancy figure.

Types of Abdominoplasty
Women and men who have loose abdominal skin and fat that is concentrated in the abdomen can benefit from abdominoplasty: a cosmetic surgery of the abdomen to remove wrinkles and tighten the skin over the stomach. Sometimes this condition is inherited while in other circumstances; pregnancy or substantial weight loss may cause abdominal skin to become flaccid.

As mentioned before, there are several types of abdominoplasty procedures, which include:

Full Abdominoplasty: This procedure is also called the Tummy Tuck. The full abdominoplasty involves two scars: one incision from hip-to-hip and one around the belly button. The muscles are tightened and usually all of the skin between the pubic area and belly button is removed. This can be combined with other procedures like liposuction of the flanks but it cannot be combined with liposuction of the belly itself. This surgery removes large amounts of extra skin and fat with full tightening of the deep layer. This abdominoplasty makes a new umbilicus and the entire abdomen is tightened. The differences, especially with full tummy tucks, can be profound as a typical weight loss is approximately seven pounds with an immediate reduction in the waist size of several inches. If you have hanging skin, volumes of loose skin, or loose skin above your belly button, this may be surgery you need.

Mini Abdominoplasty: This procedure is also called the “Mini Tuck.” The incision for a mini tuck can be placed as low as you want to go. The scar length can vary from a short C-section type scar to a longer hip-to-hip. The longer the scar, the more skin is removed. This procedure removes fat and tightens the lower abdomen only with minimal to no tightening of the skin above the belly button. This procedure can be combined with liposuction and the surgery takes approximately one hour.

Muscle tightening only: This procedure is for women who have good skin tone, no fat, but have loosened muscles after having a baby. The skin incision can be short and the more skin tightening you need, the longer the scar.

The Hybrid Tummy Tuck®: This procedure is also called the Hybrid Abdominoplasty™. The Hybrid Tummy Tuck® is a tummy tuck that is performed through a C-Section type incision. It removes little skin, but tightens the fascia up to the level of the chest bone or in other words, the entire fascia. The umbilicus is not touched (unless a hernia is present or there is loose skin around the umbilicus) and there are no additional endoscopic incisions placed anywhere on the abdomen. If a C-section incision is present, this is usually revised. This short incision procedure results in a full tightening of the deep layer. It is suitable for patients in great shape who have the “mommy gap” between the stomach muscles (rectus muscles), especially noticeable when they do a sit-up. This surgery lasts approximately three hours and requires bariatric retractors and endoscopic equipment to perform. This procedure is designed for fit moms who do not have a great deal of extra skin but do have a loose fascia “pregnancy pooch”.

Endoscopic abdominoplasty is another technique for minimizing scars and may be useful when patients have only a mild degree of excess fat and muscle laxity. Liposuction removes excess fat but the procedure alone cannot tighten the fascia or remove hanging skin. To correct this problem, tightening the fascia via an abdominoplasty is necessary. Dr. Moelleken explains that he does not want to use liposuction during a tummy tuck because it can be risky. A lot of liposuction in the abdomen at the same time as a full tummy tuck is dangerous to the patient because it will damage the skin being pulled down. During a full tummy tuck, a huge piece of skin and fat between the pubic area and the belly button is taken out. It is a huge operation and the scar in a full tummy tuck is literally from hip to hip because that is how much skin and fat have to come out. The results are permanent but this is, of course, not an excuse to overeat. The fascial looseness and hernias, particularly from pregnancy, cannot be fixed by any other method than tightening the fascia.

The Hybrid Tummy Tuck® Recovery and Risks
The Hybrid Tummy Tuck® procedure is unique and effective with a much faster healing rate. Patients of Dr. Moelleken have much better recovery periods after the hybrid tummy tuck procedure and the recovery is much easier due in large part due to the size of the incision. Since the incision is smaller, this leads to a smaller area of discomfort and pain. Swelling is common right around the incision after surgery and this can limit mobility at times due to sensitivity. Minor pain and fluid collections may also occur but these problems usually subside within two weeks. There is less swelling in this procedure than a traditional tummy tuck.

The Hybrid Tummy Tuck® will allow patients to become more mobile after surgery which helps in the healing process. The recovery time for the Hybrid Tummy Tuck® is approximately 7 to 10 days as opposed to a traditional abdominoplasty which can take up to two weeks. Numbness lasts typically for many months but significant soreness and bruising usually subside within two weeks. Many good postsurgical garments and abdominal binders exist but Dr. Moelleken says that the best one is the Body Shaper because it is inexpensive and offers great support. You may wear this garment one week after your surgery and it is important to understand that the amount of time it takes for recovery varies among individuals. The risks for the Hybrid Tummy Tuck® are the same as for the traditional tummy tuck, although the scope of the surgery and the effect on the body is less. Drains and a pain pump are used for the surgery and all patients go to Aftercare for a night after their surgery for safety.

Some men also desire this sought after plastic surgery procedure. Men, especially over 40, tend to develop a bulge in their stomach. As people get older, the stomach area is very difficult to lose weight and tone. The Hybrid Tummy Tuck® procedure performed by Dr. Moelleken helps men in this situation which is why many seek out the surgery as well as women.

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