There’s no doubt about it.  A tummy tuck is an amazing and rewarding investment – but it is a serious decision worthy of careful consideration.  Learn all you can about the procedure, surgeons you’re considering and what you can expect for recovery. While not for everyone, getting rid of your extra belly skin can dramatically change your life.  That alone is worth a little research and consideration even if you never decide to do it!
The modern definition of plastic surgery is rooted in ancient medicine. The Sanskrit text Sushruta-samhita, written about 600 bce by ancient Indian medical practitioner Sushruta, describes, with surprising modernity, a quintessential plastic surgical procedure: the reconstruction of mutilated noses using tissue bridged from the cheek. During the Renaissance, Italian surgeon Gaspare Tagliacozzi and French surgeon Ambroise Paré adopted these early procedures and kindled a modern fascination with the use of local and distant tissue to reconstruct complex wounds. In the 19th century German surgeon Karl Ferdinand von Gräfe first invoked the term plastic when describing creative reconstructions of the nose in his text Rhinoplastik (1818). In the United States the organizing bodies of plastic surgery were founded between the world wars, with the American Society of Plastic Surgeons established in 1931 and the American Board of Plastic Surgery established in 1937. In the 1960s and ’70s the pioneering work of Canadian-born American surgeon Harry J. Buncke, Japanese surgeon Susumu Tamai, and Austrian surgeon Hanno Millesi resulted in the integration of procedures and techniques that defined microsurgery (surgery on very small structures requiring the use of a microscope).
In 1793, François Chopart performed operative procedure on a lip using a flap from the neck. In 1814, Joseph Carpue successfully performed operative procedure on a British military officer who had lost his nose to the toxic effects of mercury treatments. In 1818, German surgeon Carl Ferdinand von Graefe published his major work entitled Rhinoplastik. Von Graefe modified the Italian method using a free skin graft from the arm instead of the original delayed pedicle flap.
Also referred to as a mastopexy, breast augmentation in conjunction with the lift. An augmentation can increase the total cost of the surgery because of additional surgical expertise required. Most augmentation surgeries also require the use of implants, which can add additional costs as well, especially depending on the type and style of implant chosen. Dr. Van Wyck can discuss the differences between your options during your consultation.
Incisions: Because each patient is unique, incisions will be placed in areas that will maximize the final result. Typically, a traditional abdominoplasty requires an incision along the abdomen, from one hip to the other. Excess skin is removed in the lower abdomen near the fold of skin at the hairline. If you have requests about the specific locations of your incisions—due to your lifestyle or body type—speak to your doctor about it. Incisions are strategically planned out before the day of surgery so they can be easily hidden by underwear or swimwear.
Bringing a partner or trusted friend or family member to this appointment can often be a good idea.  They can ask questions they have and having another person to recall the answers can be invaluable, especially when you are under anesthetics and drugs the day of.  It can also be helpful to have the support person who will be helping care for you post-surgery come with you, so everyone knows what to expect.  At this appointment, you’ll get instructions about the schedule of your procedure, medications you should and shouldn’t take, and your eating and drinking restrictions just before surgery.  Be sure to talk to your doctor about anxiety you might have about the procedure for suggestions about how to manage your fears.
All surgery has risks. Common complications of cosmetic surgery includes hematoma, nerve damage, infection, scarring, implant failure and organ damage.[33][34][35] Breast implants can have many complications, including rupture. In 2011 FDA stated that one in five patients who received implants for breast augmentation will need them removed within 10 years of implantation.[36]

The woman wanting a lift is usually slightly different. She had breasts she was happy with before, she had loving kids who she may or may not have breastfed, exercised and had a good life. They come wanting to restore the youthful breast they once they had(or better), they hate that it is slightly more deflated than before and it's slightly more south then they'd like. The formal name of this operation is "Mastopexy" and that's why you hear terms like "Mastopexy augmentation" because often in order to restore the youthfulness of the breast you not only need to reposition the nipple/areolar complex "up" with a mastopexy, you also need to provide some additional volume with an implant, hence augmentation as well. The discussion with implant also is entirely different discussion all together, but this highlights the primary difference in the reduction and a lift.


A tummy tuck procedure is appropriate for most healthy men and women who want to improve their abdominal contours through surgery at our practice. Unlike liposuction, a tummy tuck can address loose folds of skin, fat deposits, stretch marks, and even abdominal muscles that have been stretched or weakened, leading to a protruding abdomen. Abdominoplasty is popular in combination with body contouring procedures after weight loss as well as in conjunction with breast lift surgery.
Hello and thanks for your post and questions. It seems that you would potentially be a fantastic candidate to have a breast reduction and lift using the Bellesoma technique with NO vertical scar! With this technique you should be able to reach a smaller,  but perky and proportional breast size that fits your frame along with achieving upper pole fullness. You've provided great information - the only thing that would be more helpful in order to give you the best advice about your options would be an in-person exam.
It was actually support by my spouse that helped me take the final step and set an appt.  After talking about it for the past 5 years, he said “Just go in , you don’t HAVE to get it done but then you will know.” And so I went! My doctor office had a $75 consultation fee and I largely suspect this is because many people have questions but a lot less percentage are serious about the commitment. Because I was serious about this, I did not mind paying a fee but I mention this so you are prepared.
Plastic surgery, the functional, structural, and aesthetic restoration of all manner of defects and deformities of the human body. The term plastic surgery stems from the Greek word plastikos, meaning “to mold” or “to form.” Modern plastic surgery has evolved along two broad themes: reconstruction of anatomic defects and aesthetic enhancement of normal form. The surgical principles of plastic surgery remain focused on preserving vascularity, replacing like tissue with like tissue, respecting anatomic zones, and fostering wound healing by minimizing tissue trauma. As a diverse surgical specialty, the discipline of plastic surgery not only interacts with other disciplines of medicine but also merges medical science with the art of physical restoration. It couples careful evaluation of defects with sophisticated arrangements of tissue to improve the uniformity and natural resemblance of repair. Innovative techniques used in plastic surgery are largely the result of the successful clinical application of advances in tissue engineering, nanotechnology, and gene therapy.
By virtue of its unique anatomy and functional importance, restoration of hand deformities is a shared focus of both plastic surgeons and orthopedic surgeons. Congenital defects involving the hand range from absent or incomplete development (agenesis) to anomalies of limb structures. Traumatic insult may give rise to complex wounds, fractured bones, severed nerves and tendons, or amputations. In the appropriate context, severed digits and limbs may be replanted with microsurgical connections of vessels and nerves. Rehabilitation of the hand is a critical aspect of surgical care, since loss of strength and motion may occur following injury and reconstruction.

The Romans also performed plastic cosmetic surgery. The Romans were able to perform simple techniques, such as repairing damaged ears, from around the 1st century BC. For religious reasons, they did not dissect either human beings or animals, thus their knowledge was based in its entirety on the texts of their Greek predecessors. Notwithstanding, Aulus Cornelius Celsus left some surprisingly accurate anatomical descriptions,[15] some of which — for instance, his studies on the genitalia and the skeleton — are of special interest to plastic surgery.[16]
Once you’ve committed to the procedure and decided on a surgeon, you’ll need to schedule a pre-op appointment.  Your surgeon will also likely review your procedure again and answer any questions you might have.  Some physicians ask you to bring an example of clothes you typically wear or a swimsuit to discuss the placement of your scars so you can finally have that bikini body you’ve dreamed of! I brought a swimsuit to my surgery day so he could see exactly where I would prefer the scar lines to fall. 
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