I'm looking for a doctor. I have had two doctors tell me they do oblique tightening as well to make more of an hourglass shape. I want a full tummy tuck. 8 full term pregnancies 2 preg. were twins (10 babies) I'm 47, 5'8", 130lbs. Two doctors tell me they do oblique tightening as well to make more of an hourglass shape. Is this legitimate if so why don't all plastic surgeons do that. I would have a hard time finding a great Doctor Who is also willing to videotape the procedure? Fat transfer - in the long run will it look terrible? Willing to travel, but Miami terrifies me with the alluring cheap prices. Thank you.
Answer: If oblique tightening is legitimate why don't all plastic surgeons do this? (Photos) An abdominoplasty with oblique sutures to narrow the waist should be standard with every board-certified plastic surgeon. These would be in addition to suturing the rectus (the six pack) muscles together, which gives an internal corset. I highly recommend the no-drain tummy tuck to take advantage of the much shorter recovery time, less pain, less risk of complications, tighter abdomen, and you would not be burdened with drains for 5 to 10 days which patients despise. Obviously, one cannot just elect to eliminate drains, so a specialized suturing technique called progressive tension sutures is necessary. Fortunately, this technique is now a common practice with abdominoplasties. Thank you for your question and photographs, and congratulations on maintaining an ideal weight after so many pregnancies. Best of luck to you.
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Answer: If oblique tightening is legitimate why don't all plastic surgeons do this? (Photos) An abdominoplasty with oblique sutures to narrow the waist should be standard with every board-certified plastic surgeon. These would be in addition to suturing the rectus (the six pack) muscles together, which gives an internal corset. I highly recommend the no-drain tummy tuck to take advantage of the much shorter recovery time, less pain, less risk of complications, tighter abdomen, and you would not be burdened with drains for 5 to 10 days which patients despise. Obviously, one cannot just elect to eliminate drains, so a specialized suturing technique called progressive tension sutures is necessary. Fortunately, this technique is now a common practice with abdominoplasties. Thank you for your question and photographs, and congratulations on maintaining an ideal weight after so many pregnancies. Best of luck to you.
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May 16, 2019
Answer: Wants an Hourglass Shape I have a procedure that I call "waist enhancement," which is tightening of the external oblique fascia that trims and sculpts the waist. Not all patients are candidates nor do all patients want it so I offer it as an add on procedure. It is a fabulous procedure I consider to be the icing on the cake for the right patient. You look amazing for having 10 babies! You appear to be a great candidate for a tummy tuck with waist enhancement. Be sure to consult with a board certified plastic surgeon. Good luck.
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May 16, 2019
Answer: Wants an Hourglass Shape I have a procedure that I call "waist enhancement," which is tightening of the external oblique fascia that trims and sculpts the waist. Not all patients are candidates nor do all patients want it so I offer it as an add on procedure. It is a fabulous procedure I consider to be the icing on the cake for the right patient. You look amazing for having 10 babies! You appear to be a great candidate for a tummy tuck with waist enhancement. Be sure to consult with a board certified plastic surgeon. Good luck.
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May 14, 2019
Answer: If oblique tightening is legitimate why don't all plastic surgeons do this? Plication of the oblique muscles is certainly "legitimate" and helpful in some cases; in most cases, plication of the midline rectus abdominal muscles is all that is necessary when it comes to reconstruction of the abdominal wall musculature. In other words, best to individualize every patient's tummy tuck procedure depending on exactly what is necessary to achieve the desired aestheitc outcome. Similarly, most patients benefit from some liposuction (when it comes to achieving optimal aesthetic outcome), although there are small subset who do not. My best advice: select your plastic surgeon carefully based on demonstrable experience achieving types of outcomes you would be pleased with. Do not get hung up on technical details of the procedure which may vary significantly ( and can be misleading if used as a marketing tool). Best wishes.
Helpful 1 person found this helpful
May 14, 2019
Answer: If oblique tightening is legitimate why don't all plastic surgeons do this? Plication of the oblique muscles is certainly "legitimate" and helpful in some cases; in most cases, plication of the midline rectus abdominal muscles is all that is necessary when it comes to reconstruction of the abdominal wall musculature. In other words, best to individualize every patient's tummy tuck procedure depending on exactly what is necessary to achieve the desired aestheitc outcome. Similarly, most patients benefit from some liposuction (when it comes to achieving optimal aesthetic outcome), although there are small subset who do not. My best advice: select your plastic surgeon carefully based on demonstrable experience achieving types of outcomes you would be pleased with. Do not get hung up on technical details of the procedure which may vary significantly ( and can be misleading if used as a marketing tool). Best wishes.
Helpful 1 person found this helpful
May 14, 2019
Answer: If oblique tightening is legitimate why don't all plastic surgeons do this? (Photos) The abdominal wall can be tightened during the TT through a process called plication (rectus muscle plication as well as oblique muscle plication). I would not focus on what is proclaimed as better. The considerations in creating the best result are manifold and do not lend themselves to easy interpretation. If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. All the procedures I perform are videotaped. Find a board certified plastic surgeon who performs this surgery hundreds or thousands of times and has demonstrated prowess. Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
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May 14, 2019
Answer: If oblique tightening is legitimate why don't all plastic surgeons do this? (Photos) The abdominal wall can be tightened during the TT through a process called plication (rectus muscle plication as well as oblique muscle plication). I would not focus on what is proclaimed as better. The considerations in creating the best result are manifold and do not lend themselves to easy interpretation. If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. All the procedures I perform are videotaped. Find a board certified plastic surgeon who performs this surgery hundreds or thousands of times and has demonstrated prowess. Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
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May 14, 2019
Answer: 'Hourglass Figure' Hello,Oblique muscle tightening or mesh will not give you more of an hour glass figure than standard rectus muscle plication and subcutaneous liposuction of the waist area. The degree of cinching is limited by the deeper structures of your torso: rib cage above, intra-abdominal girth in the middle, and the pelvis below. Muscle plication with or without mesh (which is never recommended in non-reconstruction cases) cannot compress the deep structures of your mid-section into a smaller circumference. That's fantasy.
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May 14, 2019
Answer: 'Hourglass Figure' Hello,Oblique muscle tightening or mesh will not give you more of an hour glass figure than standard rectus muscle plication and subcutaneous liposuction of the waist area. The degree of cinching is limited by the deeper structures of your torso: rib cage above, intra-abdominal girth in the middle, and the pelvis below. Muscle plication with or without mesh (which is never recommended in non-reconstruction cases) cannot compress the deep structures of your mid-section into a smaller circumference. That's fantasy.
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