Archive for the ‘Adbominoplasty’ Category

Pain after Tummy Tuck

The pain after a tummy tuck is greatly reduced simply by using a Marcaine pain pump for the first 48 hours. This ends the otherwise significant pain. The pain never returns because the brain has set a posture of minimal pain recognition. An interesting phenomena. Often patients only need 3 to 5 Vicodan for the whole experience. The pain pump makes all the difference in the world. Be sure you surgeon uses one.

Posted in Adbominoplasty, Plastic Surgery on April 17th, 2012

Abdominoplasty 2012 by Dr George Commons/California

http://www.pacfps.com/palo-alto-photo-gallery/3515-abdominoplasty

Abdominoplasty tightens the muscles, removes excess fat and skin, and reconstructs the belly button.

Posted in Adbominoplasty, Plastic Surgery, Tummy Tuck on March 21st, 2012

Dr. George Commons: A Video Presentation

Posted in Adbominoplasty, Ankle Liposuction, arm fat correction, Arm Liposuction, Awake Surgery, Axillary Hyperhydrosis, Backrolls, Bad Doctors, Belly Button Repair, Blepharoplasty, Body Procedures, Botox, Breast Implants, Breast Procedures, Breast Reduction, Calf Liposuction, Cheap cornes cutrting facilities, Commons in Print, Dermabrasion, Dorsal Back Hump, Ears, Face Procedures, Fat Transplantation, Hip Liposuction, Insurance, Insurance Coverage for Plastic Surgery, Juvederm, Knee Liposuction, Liposculpture, Liposuction, Local Twilight Anesthesia, Male Liposuction, Natrelle Implants for Breast, neck liposuction, Nose, Palo Alto Area Patient Profiles, Patient Safety, Pubic Liposuction, Septoplasty, stem cell transplantation = fat, Thigh Liposuction, Tummy Tuck, Umbilicus Reconstruction, Weight Control on March 13th, 2012

Plastic Surgery of the Abdomen

The abdomen is strong and flat in an ideal young adult. Age, weight gain, and pregnancy can change all of that. The fat layer may thicken if we gain weight of if we increase our body fat percent. The  rectus muscles (6 pack muscles) separate and stretch and the belly hangs out. Excess skin occurs because of stretch from weight increase or pregnancy. 

The result is a round belly, or a hanging belly, or a wrinkled belly, and a bikini is not very attractive unfortunately. Males tend to wear shirts all the time and females wear a full covering one piece bathing suit. Fortunately all of this can be reversed by a tummy tuck.

The tummy tuck repairs the muscles in the mid line and across the waist with the sign of the cross repair. In addition the excess skin and fat is removed. Liposuction can be safely done at the same time. A standard perfectly done abdominoplasty is the best choice. The mini tummy tuck sounds cute but 90% of the time the accomplishment is too mini to see.

There is no shortcut to a great result. Do not be fooled by silly promises of quick achievement in an hour or two. It never works. Do it right and you will do it once.

See the American Society of Plastic Surgery or the American  Society for Aesthetic Plastic Surgery web sites for references of qualified surgeons and for information.  Always choose a surgeon certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons.

If a hernia exists insurance may cover a portion of an abdominoplasty.

Posted in Adbominoplasty, Plastic Surgery, Tummy Tuck, Weight Control on February 10th, 2012

Ear Doctors Performing Face-Lifts? From the New York Times.

When 59-year-old Joan decided to undergo surgery from a board-certified doctor, she thought she was doing the right thing. She didn’t realize that his certification was in otolaryngology — ear, nose and throat — not plastic surgery.

Her mistake resulted in thick scars on her temples and a wavy abdomen. She was forced to spend her savings to get a real plastic surgeon for correctional surgery.

We’re living in an age where gynecologists offer breast augmentation, ophthalmologists do liposuction, and family practice physicians give Botox injections. The result is a rise in disfigured patients.

“For a certain group to wage a turf battle and say for financial reasons that they are the only ones who can safely perform cosmetic procedures is hypocritical and grossly untrue,” said Dr. Angelo Cuzalina, the president of the rival American Academy of Cosmetic Surgery, composed primarily of doctors who are not board-certified plastic surgeons. Note to prospective patients: do not undergo surgery with a doctor who claims to belong to this organization.

Only Texas, California, Louisiana and Florida mandate that doctors be specific in their advertising about which specialty board certifications they have. Elsewhere they may say just that they are “board-certified.”

Read the rest of the article here.

Posted in Adbominoplasty, Bad Doctors, Local Twilight Anesthesia on January 31st, 2012

Dr. Commons’ Tummy Tuck Safety Checklist

Safety should always be your #1 concern when it comes to surgery in any form. Plastic surgery falls under this cautionary umbrella, though safety does not come cheap. However, cheap means there are deficiencies, including:

  • Uncertified operating facilities. Seek Quad AAAA Certification or Stanford approval (if you love in the area, of course). The Plastic Surgery Center of Palo Alto meets both of these standards.
  • Seek a surgeon who has surgical training. Surgeons who have no Surgical Boards, no membership in the American College of Surgeons.  A week or two of fellowship or some obscure surgical training is inadequate. Real surgeons spend 7 to 10 years training to do facelifts, eyelids, abdomens, breasts, liposuction, and noses. They have surgical Boards in ENT or Plastic Surgery, or Opthalmology. They are Fellows of the American College of Surgeons. These are real surgeons and they will keep you safe. They understand how to keep you safe, alive, and with a great result.
  • Safe doctors hire licensed Registered Nurses (RNs) and Surgical Technicians to run their facilities. These professionals are expensive ($40 to 80) per hour and they are excellent. Good doctors do not allow their operating rooms to runs unless RNs and STs are present. Check carefully. If there are no professionals, go elsewhere.
  • Good doctors have professional cleaning services clean their operating facilities daily and completely. This is expensive. Even ceilings are cleaned. Good doctors let no stone go unturned. Dirty facilities are cheap to run and produce infections. Beware!
  • Good doctors run operating facilities with triple electric power backup in case of power loss for whatever reasons. Good doctor facilities can deal with even earth quakes during surgery.
  • Good doctors have service agencies come weekly to test all their life saving equipment and surgical equipment in the Operating Room.
  • Good doctors have MD anesthesiologists at every case to keep patients safe and alive and comfortable.
  • Make sure there will be an anesthesiologist present during surgery. Good doctors keep patients comfortable during surgery by having an anesthesiologist present 100% of the time. They do not inflict pain on their patients in the interest of all being cheap.
Safety in Plastic Surgery

Tummy Tuck

Posted in Adbominoplasty, Patient Safety, Plastic Surgery on January 14th, 2012