Honolulu Plastic Surgery Video – What Tummy Tuck Surgery is Like by Dr. Schlesinger

Honolulu Plastic Surgery Video – What Tummy Tuck Surgery is Like by Dr. Schlesinger



Plastic Surgery Video – What Tummy Tuck Surgery is Like (New Belly Button) by Dr. Schlesinger. Visit us online at http://goo.gl/BR8Lx7 or call 808-201-0540.

Dr. S. Larry Schlesinger, a board-certified plastic surgeon in Honolulu, Hawaii invites us into his operating room where he is performing the final procedure of a mommy makeover, the tummy tuck. A tummy tuck is often a life-changing procedure after significant weight loss and/or after a woman is done having children.

Tummy tucks include liposuction. This was done in an earlier video: https://youtu.be/KwO2w2dwXDc. Dr. Schlesinger does not do liposuction as aggressively as other doctors in the first surgery because of safety reasons and because he can remove more fat 90 days after this first surgery.

After liposuction, an incision is made to the abdomen and around the belly button. The belly button has two sources of blood – the skin and the liver. So although the belly button is detached from the skin, it is safe.

Pregnancy moves abdominal muscles apart to make room for the baby. It is common for these muscles to stay separated after pregnancy. Along with a saggy abdomen, it can cause lower back pain. So, part of the tummy tuck is to repair the muscles.

After the muscles are repaired, extra skin is removed, the belly button is secured, and the incision is closed. Dr. Schlesinger always uses drains. This keeps patients safe and risks low.

Transcript:
The belly button comes up next. It has two blood supplies. One from the skin and one from the liver. We’re cutting away the skin but we’re not interrupting the blood supply from the liver.

We’re going to drop it (the belly button) inside, take out the extra skin from the abdomen that we’re going to throw away. Repair the muscles, take out the extra skin, and then that’s it.

So what we want to do is go down to the muscle but not touch the muscle and leave extra fat and tissue on the muscle because there is a bunch of lymphatics that are right on top of the fascia of the rectus abdominis and if those are left intact, they help keep you from getting seromas and things of that nature.

Now, we have to repair the muscles that have been separated by pregnancy. And we do it in a figure-eight pattern because if you try and do it in an over and over baseball sort of stitch, unfortunately, it will unravel. And if you do it in a figure-of-eight pattern, you have a much greater chance of survival.

So the deep suture goes in the SFS and the superficial suture goes into the dermis. And that is how we start our tummy tuck repair.

Now that is a thing of beauty and a joy forever.

OK, drop ’em. OK. Drop ’em. Ya, OK, thank you.

So we’re going to make a little verticial cut. This is going to be the center and we’re going to make it a total of 16mm high.

OK, you have to de-fat around the belly button so that the skin here can come down to the anchored skin of the belly button because if you don’t, you bring the belly button up to the skin and that’s not normal. It’s normal to have the skin come down to the belly button.

So we add an anchor to the six-o’clock point because we want no tension between this point here (incision line) on the top of the pubic area and the bottom of the belly button. So, the whole thing has no extra tension.

We have three drains. One to the left, one to the right, one straight up the middle. So this one will go on upside the belly button, all the way up to the xiphisternum.

Plastic Surgery Video – What Tummy Tuck Surgery is Like (New Belly Button) by Dr. Schlesinger. Visit us online at http://goo.gl/BR8Lx7 or call 808-201-0540.

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By | 2018-05-16T08:35:51+00:00 May 16th, 2018|Categories: Videos|Tags: , , |0 Comments

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