Plastic Surgery,Skin Care,Cosmetic Surgery

Posts Tagged ‘Edwin Paul’

By: Edwin Paul Magallona, MD

Abdominoplasty, commonly known as Tummytuck, is a cosmetic and aesthetic procedure to remove excess lower abdominal skin and its attached layer of fat, with simultaneous tightening of the abdominal wall. This creates a flatter abdomen with elimination of loose skin, stretch marks and post surgical scars below the umbilicus (commonly vertical caesarian section scars). The protruberant appearance is likewise addressed by way of tightening of the muscle and fascial layers. Most patients who undergo this procedure are those who have had multiple pregnancies or those coming off major weight loss.

The first step a potential patient would have to do is a an informative and meaningful consultation and visit with a certified cosmetic plastic surgeon. The patient is expected to discuss all expectations with regards to looking and feeling better after the abdominoplasty or tummytuck. She should keep in mind however though that the aceeptable outcome is basically reasonable improvement and enhancement and never impossible and unachievable “perfection”. Emotional stability in a potential patient is a minimum requirement while reasonable expectation is a must. Having a “new” look from an abdominoplasty will never guarantee a financially rewarding and successful career or even a happy and problem free marriage. It solely improves appearance and possibly helps boosts self confidence. This is realistically what a tummytuck may just accomplish for you. How you handle the positive physical effects and gains of an abdominoplasty is actually up to you. It should be kept in mind that the objective of a tummytuck is a flatter abdomen devoid of most of the unsightly stretch marks and previous operative scar.

A straightforward abdominoplasty takes approximately 3-4 hours to complete however it may take longer if combined with other cosmetic plastic surgery procedures as liposuction or some other facial or body surgeries. The procedure may be safely done in an outpatient setting or on a hospital basis under general anesthesia. Once under general anesthesia one will be sleeping soundly all throughout surgery. At times it may be done under spinal or epidural anesthesia especially in hospital settings.

The incision is done from hip to hip just above the pubic area. Another incision is made around the belly button to free it from the abdominal skin. The abdominal skin and underlying fat is then elevated from the abdominal wall revealing the muscle and fascial layer to be tightened. After tightening, the excess skin is removed and the wounds are closed. The preserved belly button stalk is then brought out through a new hole in the abdominal skin. Liposuction is commonly performed in safe areas to give a better definition and form.

Closure of the incisions are always carefully and meticulously done by your cosmetic plastic surgeon. All patients should keep in mind though that scars are realistically inevitable and are natural consequences of any incision or surgery, your cosmetic plastic surgeon will try his best to keep them inconspicuous and well concealed as possible. Following surgery, dressings and bandage will be applied over the wounds and abdomen while closed suction drains will have to be maintained for a few days to facilitate drainage of any expected fluid.

Operative risks and side effects in cosmetic plastic surgeries are always possible. Bleeding, infection, fluid accumulations, vascular compromise, paresthesias, and healing problems may occur though not that common. Patients are therefore properly cleared and screened by the surgical team while the patient wholeheartedly understands all the possibilities. Any pain or discomfort may be effectively controlled more often than not by the right oral medications. It is prudent however to inform your plastic surgeon or any staff member of any unusual and persistent problems. Swelling and bruising are common and expected and usually resolve in a few weeks. A sense of numbness and tightness may be present which eventually improves and subsides. Post abdominoplasty patients are instructed rest for at least a day and ordered to avoid any exertions. Sutures and drains will usually be out after a week while an abdominal binder shall have to maintained for weeks. Most patients do return to work after approximately 2-3 weeks. Optimal results are seen after about 3 months.

For the potential plastic surgery patient in general, it is strongly advised to consult with a certified plastic surgeon . Patients are strongly encouraged to ask around and be properly and thoroughly informed regarding the procedures they seek. Your certified cosmetic plastic surgeon will display adequate knowledge, skill and care prior, during and after surgery.

By: Edwin Paul Magallona, MD

1. Don’t be a victim of deception, false advertisement and publicity regarding the specialty of Plastic Surgery. While the internet is a very powerful tool for advertisement and promotion, keep in mind though that not everything in the net is likewise necessarily true.

2. Do check and make sure that you are consulting and putting your trust in a certified plastic surgeon; one who has completed training according to the standards set by the official Board of Plastic Surgery in your country. Nowadays cosmetic surgery is so lucrative that some doctors, medical personnel and even non doctors attempt to learn and practice the specialty without the proper and formal training. Remember that there are no shortcuts to establishing a good foundation for plastic surgery. A strong foundation, whether we like it or not, does have a significant effect on preoperative planning, course of surgery and final surgical outcome.

3. Feel free to further inquire about your plastic surgeon’s background and training. This is one way of establishing trust, confidence, rapport and making yourself comfortable as well. A formally trained surgeon would not be expected to hide his hard earned credentials.

4. Do not hesitate to ask anything and everything about your problem and/or desired operation. This is clearly not a good time to be shy. A good surgeon would be reasonably patient in hearing all his patients’ concerns. It may take several visits if necessary to fully understand what you are getting into but it would definitely be worth your time when you get the bigger and better picture of things.

5. Understand that you cannot just pick out from any magazine a physical feature that you like and have it copied. It is just not possible. Cosmetic plastic surgery is supposed to enhance and improve on existing physical features. Remember that you can never “shop” for a nose.

6. Make sure you completely and wholeheartedly understand not only the benefits of your contemplated surgery but also the risks involved in each procedure. This is the reality that each patient must face and the surgeon will expertly address if necessary. Remember that just like as we go about in our daily lives, there are risks involved in everything we do whether it be big or small, minor or major. It is indeed something universal. The certified plastic surgeon however is trained to handle all possible complications. This comes with adequate surgical exposure and long years of training.

7. Be aware that during your surgery, your plastic surgeon will provide the highest level of skill, judgment and care. He has undergone extensive training as to equip him with such. Likewise always remember that no physician in his right mind would want to deliberately or accidentally inflict any harm on his patients. Surgeons are forever guided by this doctrine of “First, do no harm”.

8. Understand that despite long briefing and discussions prior to surgery, a good plastic surgeon knows that post operatively, a patient may still have anxieties and newfound concerns. Don’t hesitate to call up or get in touch. A compassionate surgeon will most often provide that comforting response. Remember that the commitment and care of your surgeon doesn’t end with the last stitch.

9. Make sure all instructions post operatively are fully understood and followed religiously. Cooperate with your plastic surgeon to minimize problems and complications.

10. No two sides of the human body are perfectly symmetrical and equal. It follows that surgical outcome will never have perfectly equal measurements. Remember that literally nobody is perfect.

11. A perfect result is never guaranteed. Patient and surgeon are but human, however in the hands of a certified plastic surgeon, one is better off and in the best position of having very good, satisfying and realistic results.

12. The patient has every right to inquire regarding details of the fees and other charges. Discounts may be reasonably given at the discretion of your surgeon. However the patient must always keep in mind that he/she is not shopping for the cheapest pork around. It could be a disastrous decision if one would be solely guided by just searching for the cheapest surgical package. Remember to always treat your plastic surgeon and his specialty professionally and in turn you will surely get great value for your money.