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Palm Beach Cosmetic surgery Expert Dana M Goldberg MD discusses Tummy Tuck surgery, and loose skin removal options. As a Female Board Certified Palm Beach Plastic Surgeon Dr. Goldberg has completed too many tummy tuck surgeries to count. This presentation is intended for Tummy tuck West Palm Beach patients. http://www.drdanamd.com
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Body Contouring Body Contouring After Massive Weight LossAfter Massive Weight Loss
Palm Beach Plastic Surgery Center www.DrDanaMD.com
This presentation is only for education purposes only. Any medical advice can only be given during a consultation.
• Congratulations on losing all of that weight
• You are so much healthier
• Now, how can you enjoy the weight loss?
Let’s get Started…
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When are you ready for surgery
• Greater than 50 pound weight loss
– Difficult for body to reabsorb extra skin
– Cannot fully enjoyweight loss
• Feel like you haven’t lost the weight
• Feel like things look worsewww.DrDanaMD.com
Exercise and Skin
• Will exercise help get rid of my loose skin ?
• Sadly, not all your skin will shrink
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When should you start
• When weight loss is less than 1 - 2 pounds a month
• Insurance process takes a long time
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Are you a good candidate ?
• Nonsmoker
• Optimal health
• Nutrition
• Expectations
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Insurance
• Insurance will only pay for medically necessary surgery
– Sometimes no matter how bad things look, insurance companies may not pay
– Even when it is medically necessary, they may not pay
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Medically Necessary
• Rash, yeast infections, boils
– Must be documented by photos or your family doctor
– Prescriptions
• Need for other abdominal operations
• Improving mobility
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Types of Body Contouring
Common Procedures
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Types of Surgery for Abdomen
• Panniculectomy
• Abdominoplasty
• Belt Lipectomy
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Panniculectomy
• Removes the skin that hangs over the groin area only
• Will not make the belly look better
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Abdominoplasty
• Tighten muscles
• Removes ALL extra skin
• Removes extra skin from side to side and top to bottom
• Tightens the groin areaO
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Belt Lipectomy
• Does Everything that the abdominoplasty does
• Will also take care of hips
• Lift the buttocks
• Narrow the waist as much as possible often 6 – 8 dress sizes
• Incision is where the black line is
• Smooth the back
Optional
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What should I expect after surgery
• Garment
• Activity
• Pain
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Arm Lift
Area where skin is removedWhat the incision will look like after healing
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Arm lift
• Outpatient
• No Drains
• Ace wraps – 4 to 6 weeks
• Pain medication for 5 -7 days then occasionally
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Breast Incisions
Amount of skin removed in light tan
The incision will be around the areola, down to the breast crease, and then side to side in the breast crease.
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Breast
• Must decide if you want implants
– Implants• Fullness at the top• Great cleavage• Projection of the breast
– No implants• Nipple will be in right place but no fullness, cleavage, or
projection
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Breast
• Outpatient
• Bra for 4 – 6 weeks
• Pain medication for 3 – 5 days then occasionally for two weeks
• Risks
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Thigh Incision
Where the incision will lay.
Where the skin is removed
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Thighs
• T – incision• Outpatient• Ace wraps or Compression garment– 4 – 6 weeks
• Pain medication for 7 – 10 days then occasionally
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Complications
• Any Surgery– Infection– Bleeding– Blood Clots
• Specific to Skin Reduction Surgery– Fluid Collection– Wound Separation– Skin loss
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Complications
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Scars
• Usually heals well
• If not then can revise in the office
• Takes 6 – 12 months to mature and color to fade
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Recovery
• Outpatient – may have to spend one night for multiple procedures
• Drains
• 10 – 14 days before returning to work
• Will take a month before feeling 100%www.DrDanaMD.com
Combining surgery
• Can usually perform two regions, sometimes three
– Surgery will be longer– Will need to spend at least one
night in the hospital– Can increase some risks
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The Pictures . . .
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Belt Lipectomy
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Breast
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* No Implants
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Thighs
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Arms
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Other Procedures
• Facelift to address extra skin along the jowls and neck
• Upper back lift with incisions hidden in the bra line
• Fillers – Weight loss mimics aging, fillers can reverse it
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What’s the next step
Arrange initial consultationCall 561-833-4022 today
Start your journey today!
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