What is Abdominoplasty?

Many people have problems keeping their tummy area in shape. Some have tried dieting and exercise yet still do not get the results they want to have. Abdominoplasty might just be the solution for such concerns.

Commonly known as a Tummy Tuck, Abdominoplasty involves the surgery of the abdomen in which excess fatty tissue and skin are removed, resulting to a firm and smooth abdomen. The procedure entails the removal of excess abdominal skin, reduction of fat below the skin, and if necessary, tightening of the muscles of the abdominal wall.

Most people who undergo this treatment are those who have gone through pregnancies. Sometimes the old unsightly scars from a C-section, appendectomy, and stretch marks can be removed as well. A Tummy Tuck results to a more youthful, firmer, and flatter abdominal contour.

However, do take note that Abdominoplasty is not a substitute for weight loss. We highly recommend weight management programs for patients to maintain their weight and keep the body in its new shape.

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IGAP Flap – Inferior Gluteal Artery Perforator Flap

The IGAP flap, or the Inferior Gluteal Artery Perforator Flap is a variation of the SGAP flap. The procedure is virtually identical aside from the use of the inferior gluteal artery versus the superior gluteal artery. The physical difference to the patient is a donor scar lower on the buttock versus higher on the buttock. Which of these two procedures is most appropriate usually is determined by each patients individual anatomy.

Restoration of the nipple and areola follow. Scars fade substantially with time.

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SGAP Flap - Superior Gluteal Artery Perforator Flap

The SGAP Flap, or the Superior Gluteal Artery Perforator flap (buttocks), is ideal for those who do not have an adequate amount of excess abdominal tissue. The breast may be reconstructed with the skin, fat and the tiny blood vessels taken from the gluteal area.

Most women have enough excess tissue in this area to achieve a B or C cup breast size. The SGAP flap procedure is performed by using the tissue from the top part of the buttock without injury to the underlying gluteal muscles. A slight buttock lift results in the donor area with a fine line incision easily hidden within the panty line. The tissue is then transplanted to the breast and a microscope is used to connect the blood vessels supplying this tissue to those at the mastectomy site. The tissue is then sculpted into the new breast mound.

Restoration of the nipple and areola follow. Scars fade substantially with time.

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Endoscopic Latissimus Dorsi Flap

The Endoscopic Latissimus Dorsi Flap is similar to the traditional Latissimus Dorsi flap with several exceptions. The Endoscopice Latissimus Dorsi flap technique allows for the harvests the muscle without overlying skin or fat, and can be performed through a small incision in the underarm area. This procedure is suitably for patients who may have had radiation therapy and adequate skin, but are not candidates for tissues expansions or permanent implants alone.

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Breastlift (Mastopexy)

Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts--at least, for a time. (No surgery can permanently delay the effects of gravity.) Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume--for example, after pregnancy--breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. If you're considering a breast lift, this brochure will give you a basic understanding of the procedure--when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don't understand.

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Breast Reconstruction

Tissue expansion is a procedure that enables the body to “grow” extra skin by stretching adjacent tissue. A balloon-like device called an expander is inserted under the skin where the breast was moved, and then gradually filled with salt water over time, causing the skin to stretch and grow. The time involved in tissue expansion depends on the individual case and the size of the area to be repaired. The advantages of tissue expansion are many-it offers a near-perfect match of skin color, sensation, and texture; the risk of tissue loss is decreased because the skin remains connected to its original blood and nerve supply; and scars are often less apparent than those in flaps or grafts. The expander temporarily creates what can be an unsightly bulge, making this option undesirable for some patients. Previous or future radiation therapy to the site of disease is a relative contraindication to tissue expansion and permanent implant placement. The majority of patients who undergo this type of breast reconstruction who also receive radiation therapy have an undesirable outcome, frequently resulting in removal of the implant. Restoration of the nipple and areola follow. Scars fade substantially with time. The reconstructed breast will likely differ in contour and feel to the natural breast.

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