Category Archives: Abdominoplasty

New Jersey Tummy Tuck | Parker Center for Plastic Surgery

The goal of cosmetic surgery of the abdomen is to create a flatter, more youthful abdomen. The extent of the procedure will vary depending on the severity of the problem and desires of the patient. In addition to the removal of excess fat, there is frequently the need to remove excess skin, stretch marks and tighten loose abdominal muscles (known as the rectus abdominis or abs).

We personalize every tummy tuck surgery to meet your unique needs. Our goal is to provide the improvements that most completely meet your expectations with the least involved surgery possible. Which procedure is best for you will depend on the amount of excess skin & fat you have to address, your personal goals, and what type of recovery you are okay with. At your personal consultation, Dr. Parker will go over the following options:

Liposuction alone is used in patients with excess fat but good skin and muscle tone. Two tiny incisions in the pubic hair area and one inside the naval are used. Recovery is usually uncomplicated and quick. If you just have a modest amount of fat to address, non-surgical fat reduction with CoolSculpting may be a good option.

beforeafter liposuction only

Patients with limited excess skin and muscle laxity in their lower abdomen are candidates for mini abdominoplasty. A low horizontal incision, similar to that used in a C-section, provides excess for skin removal and muscle tightening.

beforeafter mini-tummy tuck

Classic abdominoplasty allows maximal removal of excess skin, fat and tightening of the lax abs along their entire length. The incision is similar to that for a mini abdominoplasty but is longer in that the outer ends curve up to the hipbones. The incision may be designed so that it is hidden by high cut swimwear. A second small incision encircles the naval. Though the scars are permanent, they usually fade within the first year of surgery.

beforeafter classic tummy tuck

The Parker Tummy Tuck, or modified lipoabdominoplasty, is a relatively new procedure that combines aggressive liposuction of the abdomen with many of the principles of a classic or traditional abdominoplasty. Dr. Parker first learned this technique from international colleagues several years ago. He has since modified and improved the procedure to provide even better results with a quicker recovery.

beforeafter lipoabdominoplastyThis patient was frustrated by her hanging abdominal panniculus and frustrated that weight loss efforts had plateaued. Dr. Parker performed a lipoabdominoplasty along with SAFE liposuction of the hips and lateral thighs. Click here to see more New Jersey Tummy Tuck Before & After photos.

The procedure begins with liposuction of the entire abdomen. The skin below the umbilicus is excised similar to a classic abdominoplasty, although lymphatic vessels are preserved to minimize postoperative swelling and promotes a more rapid recovery from surgery. Next, limited undermining of the upper abdominal skin flap is performed, preserving many blood vessels and nerves to the abdominal wall. The rectus abdominus muscles are then plicated to improve their shape. The upper abdominal flap is advanced and closed with multiple layers of dissolvable sutures that minimize scar tension and postoperative scar spreading. Many absorbable sutures are inserted in the soft tissues of the upper and lower abdomen as well as the umbilicus to help create greater definition of the abdomen and umbilical area.

The Parker Tummy Tuck may be combined with other procedures such as liposuction of hips, back and extremities, body lifts, aesthetic breast and/or facial surgery. Lipoabdominoplasty should be delayed if future pregnancies are planned. Although pregnancy can proceed normally after surgery, the benefits of the procedure may be lost.

The treatment I received was top notch. Dr. Parker listened to my concerns and gave me exactly what I was looking for. I am so happy with my results.Tummy Tuck Patient

Patients undergoing liposuction and mini abdominoplasty can be treated with local anesthesia and intravenous sedation. Surgery time ranges from 1 to 2 hours. Patients are discharged within one hour after surgery wearing an abdominal binder. All sutures are dissolving.

Classic abdominoplasty and the Parker Tummy Tuck are performed under general anesthesia and take 2 to 3 hours, depending on the size of the patient. These patients are monitored overnight in our facility by a registered nurse. An abdominal binder is applied shortly after surgery and worn for approximately one week. Tummy Tuck procedures are commonly combined with liposuction of hips, back and extremities, body lifts, and/or breast augmentation.

Most of our patients are anxious to return to their active lives as soon as possible after surgery. With that in mind, we have developed our uniqueRapid Recoveryprogram. This involves surgical techniques, anesthesia, and pain medications as well as post-operative massages and skincare that are specially tailored to enhance your recovery.

Liposuction patients recover quickly. The abdomen is somewhat sore for the first three to four days. Ambulation is begun on the day of surgery and return to full activities within one week. Exercise may begin in two weeks.

Mini abdominoplasty, Classic abdominoplasty, and Parker Tummy Tuck patients are more uncomfortable due to the muscle-tightening component of the operation. Our Rapid Recovery pain management protocol is quite helpful in minimizing pain. Patients begin walking the evening of surgery and continue this after going home the next day. They can resume normal activities within seven to ten days. Light exercise can often begin at two weeks and return to full exercise at six weeks.

During yourconsultationwith Dr. Parker and in yourpre-op education visit with our Nurse Educator, we will discuss your anticipated recovery in detail.

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New Jersey Tummy Tuck | Parker Center for Plastic Surgery

Recent Studies Show Tummy Tucks Are Advantageous in the Workplace, Says Plastic Surgeon – Digital Journal

New York, New York – People see their cosmetic surgeon for a tummy tuck in Manhattan for a variety of reasons. A tummy tuck can help patients regain a youthful look and energy or to put the finishing touches on a diet and exercise regimen. Studies are starting to show that these results have also been shown to lead to greater success in the workplace, says Dr. Daniel Kaufman.

According to recent studies, attractive people earn an average of 3 to 4% more than less attractive peers. This is true across the board, not only in fields like sales and hospitality where good looks can draw in clients. The results of a tummy tuck or liposuction in Manhattan do not guarantee similar success but the confidence gained from looking better and feeling better about oneself is helpful at work.

People who are more confident and more attractive have the additional advantage of making a good first impression. Another recent study showed that people considered more attractive are considered more successful by 27% of people involved in an experiment where they based their opinions solely on appearances.

Dr. Kaufman says the newfound energy and self-confidence many people experience after a simple cosmetic procedure like at tummy tuck can go a long way in contributing to success in all facets of life, from the workplace to social situations.

Those considering breast augmentation or an abdominoplasty in Manhattan, can schedule an appointment with Dr. Daniel Kaufman to get you set up with a tailored treatment plan.

About Discreet Plastic Surgery

Dr. Daniel Kaufman is the board certified plastic surgeon who is also the founder and medical director of Discreet Plastic Surgery. He graduated Cum Laude from Binghamton University before earning his M.D. at the State University of New York Downstate Medical Center. He also holds a Master of Science degree in Biomedical Engineering from the Polytechnic Institute of New York and his patients benefit from his knowledge of cutting edge technology that allows him to provide them with excellent care while delivering the results they need.

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Contact Discreet Plastic Surgery:

Dr. Daniel Kaufman(718) 705-4251info@discreetplasticsurgery.comDiscreet Plastic Surgery2120 Ocean AveBrooklyn, NY 11229

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Recent Studies Show Tummy Tucks Are Advantageous in the Workplace, Says Plastic Surgeon – Digital Journal

Dr. Russell Stokes – Southern Pines Pilot

Plastic & Reconstructive Surgery Center in Pinehurst, NC: Cosmetic Surgery, Skin Care Services

More About Dr. Russell Stokes

Dr. Stokes was born and educated in California, graduating from UCLA Medical School, earning many awards and honors. He did a General Surgery and Plastic Surgery residency at UC Davis and has kept current on trends and techniques in the many aspects of aesthetic Surgery by attending conferences and extracurricular courses over the years. Dr. Stokes maintained a purely aesthetic private plastic surgery practice in Santa Barbara for 13 years before relocating to North Carolina where he currently practices in the Plastic Surgery Center at the Pinehurst Surgical Clinic.

Dr. Stokes has been married to his high school classmate and sweetheart since 1988. They live in Pinehurst, North Carolina with

their two sons.

Education:

California Polytechnic State University, San Luis ObispoBachelor of Science in Biology,Summa Cum Laude

UCLA School of Medicine, Class of 1991,Alpha Omega Alpha

University of California, DavisResidency in Surgery and Plastic Surgery

Certification:

American Board of Medical Examiners, 1992

American Board of Plastic Surgery, 1999

Professional Activities:

American College of Surgeons (FACS)

American Society of Plastic Surgeons (ASPS)

American Society of Aesthetic Plastic Surgeons (ASAPS)

California Society of Plastic Surgeons (CSPS)

North Carolina Society of Plastic Surgeons

Dr. Stokes has authored over a dozen national and internationally published articles and abstracts. His areas of special interest include body contouring (liposculpture, abdominoplasty, arm contouring), and breast surgery, but his practice includes all facets of aesthetic plastic surgery.

He has also recently written an article onAn Insiders Guide to Choosing a Plastic Surgeon. We highly recommend that anyone researching a Plastic Surgeon read this!

Areas of special interest include: body contouring (liposculpture, abdominoplasty, arm contouring), and breast surgery, but Dr. Stokespractice includes all facets of aesthetic plastic surgery.

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Dr. Russell Stokes – Southern Pines Pilot

Bonti Announces Start of LANTERN-1 Phase 2 Clinical Study Evaluating EB-001 in Reducing Musculoskeletal Pain – Business Wire (press release)

NEWPORT BEACH, Calif.–(BUSINESS WIRE)–Bonti, a privately-held, clinical-stage biotechnology company, today announced the initiation of its LANTERN clinical program aimed at relieving musculoskeletal pain and reducing use of opioids using its neurotoxin platform. The first clinical study, LANTERN-1, one of two Phase 2 clinical studies, is a placebo-controlled, double-blind ascending dose cohort trial to evaluate the safety and efficacy of EB-001 intramuscular (IM) injections in subjects undergoing elective augmentation mammoplasty (breast augmentation). EB-001 is a novel serotype E botulinum neurotoxin (BoNT/E) with a unique product profile, characterized by fast onset of action (about 24 hours) and short duration of effect (about 4 weeks). Leveraging the benefits of this profile, Bonti is developing products to pursue areas of unmet medical need with significant addressable market opportunities.

The recent successful completion of a proof of concept Phase 2A clinical study established efficacious and safe doses of EB-001 in the treatment of glabellar (frown) lines. Dosing data from that study confirmed dose selection for the LANTERN Phase 2 studies. The LANTERN-1 study is a single intra-operative treatment of EB-001 IM injections into the pectoralis major (PM) which will be administered in subjects undergoing breast augmentation. The primary outcome measure is the subjects assessment of pain using the Numeric Pain Rating Scale (NPRS). Interim clinical results from the LANTERN-1 Phase 2 study are expected by year-end 2017.

We are excited about the commencement of our LANTERN clinical program. As a locally administered biologic, EB-001 has the potential to address pain without the addiction risks or the side effects of current analgesic treatments, commented Fauad Hasan, co-founder and CEO at Bonti. The start of this Phase 2 study is a significant milestone toward successfully establishing EB-001 as a long-acting, non-opioid solution for the treatment of focal musculoskeletal pain. Our aim is to make EB-001 available as quickly as possible to help address the opioid epidemic affecting millions in the U.S. annually.

Countless people experience musculoskeletal pain due to surgery, overuse (wear and tear) or other injury of muscles, causing muscle spasms and hyperactivity. Pain reaches extremes after many surgical procedures and in other medical conditions when it results from incised and stretched muscles or muscle tension. Current pain relief medications such as systemic opioids and muscle relaxants and even locally administered anesthetics only mask symptoms and fail to treat the muscle hyperactivity, muscle spasms and muscle contraction which are root causes of pain.

EB-001 has the potential to be one of the most meaningful pain management advances in decades for post-surgical and non-surgical care where opioids have long been the standard of care because of their efficacy, despite their side effects and risks, added Valerie Lemaine, MD, MPH, Assistant Professor of Plastic Surgery at Mayo Clinic in Rochester, Minnesota and a Bonti advisor. As a surgeon, I seek to provide my patients the best outcomes possible so they recover as rapidly and comfortably as possible and EB-001 has the promise to help me achieve this goal while helping stem the crisis we currently face with opioids. EB-001s fast onset and short duration target profile will make a promising addition to our multi-modal pain relief options for pain management following breast surgeries.

LANTERN Clinical Program

The LANTERN (Long-Acting NeuroToxin-E Relief, Non-opioid) clinical programs key objective is to support Bontis strategy of seeking broad label approval of EB-001 for the treatment of focal musculoskeletal pain. This requires conducting two successful registration trials in two different musculoskeletal models starting with Phase 2 studies LANTERN-1 (Breast Augmentation) and LANTERN-2 (Abdominoplasty).

About EB-001

Bontis lead product candidate, EB-001, is an investigational botulinum neurotoxin serotype E (BoNT/E). EB-001 has a mechanism of action similar to the marketed botulinum neurotoxin serotype A (BoNT/A) products though it has a differentiated clinical profile. EB-001 has a fast onset of action (about 24 hours) and short duration of effect (about 4 weeks). Currently marketed BoNT/A products have an onset of action around 3-7 days and a duration of effect around 3-4 months. The unique target clinical profile of EB-001 is well suited for a vast range of aesthetic and therapeutic uses, including for the treatment of post-surgical and non-surgical musculoskeletal pain, with currently unmet needs.

About Bonti

Bonti, based in Newport Beach, California, is a rapidly emerging biotechnology company founded by world class neurotoxin experts with proven success at Allergan, one of the Fortune 500 fastest growing pharma companies. This team, with unsurpassed neurotoxin, aesthetic and pain expertise, is uniquely qualified to develop unprecedented treatment paradigms driven by a novel neurotoxin platform to become an innovative leader in both aesthetic and therapeutic markets. By turning the science of neurotoxins into beneficial patient and healthcare provider solutions, Bonti will improve lives by successfully addressing key unmet needs in markets with significant addressable opportunities.

For more information, please visit http://bonti.com.

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Bonti Announces Start of LANTERN-1 Phase 2 Clinical Study Evaluating EB-001 in Reducing Musculoskeletal Pain – Business Wire (press release)

Beverly Hills Physicians Welcomes Two Aesthetic Plastic Surgery Fellows – Benzinga

Dr. Christina M. Busuito and Dr. Lukasz Swistun will be training in aesthetic and cosmetic surgery with the Los Angeles based medical group.

Los Angeles, California (PRWEB) August 21, 2017

Los Angeles area medical group Beverly Hills Physicians is announcing the addition of two plastic surgery fellows for academic year 2017-2018, Christina M. Busuito, M.D. and Lukasz Swistun, M.D. This one year fellowship is designed for candidates who have successfully completed residency in Plastic and Reconstructive Surgery. The candidate will have the opportunity to work with leading experts in field of aesthetic plastic surgery, gain hands-on experience and have access to an unmatched volume of surgical cases, including breast augmentation (primary or revision), breast lift and reduction, liposuction, abdominoplasty, facial procedures, rhinoplasty (primary, revision and ethnic), fat transfer, post bariatric body contouring, and much more.

Coming to Southern California from the state of Michigan, Dr. Busuito is bringing her friendly and approachable Midwestern bedside manner to the high-flying world of Los Angeles plastic surgery, where Beverly Hills Physicians says that she is earning very positive responses from delighted patients. Dr. Busuito was trained in Plastic Surgery at Detroit’s Wayne State University, where she also performed her residency in General Surgery and attended medical school. The doctor is a member of the American College of Surgeons, the American Medical Association, and the Detroit Surgical Association.

Dr. Lukasz Swistun brings a fresh approach, a strong background in aesthetics, and a resume that underscores his ability to handle a wide variety of very challenging situations. Another former resident of the Midwest, Dr. Swistun graduated from the University of Chicago at Illinois, where he also completed his residency in general surgery. Moving further west, Dr. Swistun’s residency in Plastic and Reconstructive surgery was at the University of Utah in Salt Lake City, where he mastered craniofacial, reconstructive, and cosmetic surgery. A Naval Medical Officer from 2004 to 2009, the doctor was twice deployed with the United States Marines in the Al Anbar province of Iraq. Dr. Swistun’s background also includes a B.A. in Visual Arts. While serving his country, Dr. Swistun took a sideline as a photographer working with the Associated Press and he continues to pursue his interest in the art of photography in his spare time.

Beverly Hills Physicians says that it is proud to welcome both Dr. Busuito and Dr. Swistun to its team and adds that it looks forward to introducing the two doctors to women and men from throughout Southern California. The medical group adds that its entire team of plastic surgeons, weight loss specialists, and other highly skilled and experienced medical professionals is ready to provide superb care to patients from all walks of life. Interested readers are invited to call the medical group at 800-788-1416. They can also visit the Beverly Hills Physicians web site at http://www.BeverlyHillsPhysicians.com.

For the original version on PRWeb visit: http://www.prweb.com/releases/2017/08/prweb14613744.htm

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Beverly Hills Physicians Welcomes Two Aesthetic Plastic Surgery Fellows – Benzinga

A Tummy Tuck Flattens the Stomach and Tightens Muscle

Abdominoplasty, or tummy tuck, is a cosmetic surgical procedure that helps flatten the abdomen by removing excess fat and skin. It also tightens the muscle. The best candidates for an abdominoplasty are non-smokers who are in good physical condition and at a stable weight. They will also have pockets of fat or loose skin that has not responded well to diet and exercise. Abdominoplasty is an appropriate procedure for slightly obese people who have lost elasticity in their skin and for women whose skin and muscles have been stretched from pregnancy.

Women who are planning to have more children or anyone planning on losing a significant amount of weight should wait before undergoing an abdominoplasty. Many patients undergo an abdominoplasty after pregnancy or bariatric surgery.

A partial abdominoplasty, or mini-tummy tuck, is a less invasive procedure with shorter incisions. It is ideal for those patients with fat localized in the lower part of the abdomen. The procedure produces less scarring and a shorter recovery time.

During the abdominoplasty procedure, the patient is placed under general anesthesia. Two incisions will be made: one from the hip bone on one side to the hipbone on the other side of the body, close to the pubic area, the other incision around the navel. The skin will be separated from the abdominal muscles. The abdominal muscles are then pulled together and stitched into place for a more narrowed waist and firmer abdomen.

The separated flap of skin is then stretched over the newly tightened muscles and excess skin is removed. The navel is reattached to a position where it looks natural. The incisions are closed and a sterile dressing is applied over the area. The abdominoplasty procedure can take from two to five hours to perform.

A temporary tube may be inserted under the skin to drain excess fluid from the surgical site. A compression garment is worn during the recovery period. Recovery can vary from two weeks to two months. During this time patients should avoid strenuous activity and avoid lifting heavy objects. With their doctors permission, the patient may return to work after a week or two.

A flatter and more toned abdominal area are noticeable right away. As long as the patient maintains their weight with a balanced diet and regular exercise and abdominoplasty will provide long-lasting results.

Along with the usual risks associated with surgery and anesthesia, the risks of an abdominoplasty include the following:

Patients who have had previous abdominal surgery may find that their scars are raised, stretched or are more noticeable. A scar revision may address their concerns and minimize the results.

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A Tummy Tuck Flattens the Stomach and Tightens Muscle

Abdominoplasty – Dr. Neil Zemmel

Back to Gallery!Abdominoplasty Gallery

49 year old requesting cosmetic enhancement of abdomen and trunk. She has excess skin and fatty tissue throughout the abdominal wall and an overhanging skin fold. She underwent full abdominoplasty and flank liposuction. The abdomen is flattened and tighter with greater definition of the hips and waist. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

39-year-old requesting cosmetic enhancement of abdomen and trunk after two pregnancies. She has excess skin and fatty tissue throughout the abdominal wall, with most of the excess below the level of the belly button. Stretch marks are present across the abdominal wall. She underwent full abdominoplasty and the incision is is well hidden beneath the underwear line. The abdomen is flatter and tighter, and the belly button has been rejuvenated. The patient is shown 6 months after surgery.

Age: 29Height: 5 8Weight: 140Preop: 34 BPostop: 36 CImplant Size: 450cc smooth round high profile siliconeIncision/Location: Submuscular with full mastopexyNotes: Patient had undergone previous breast augmentation, vertical lift, and abdominoplasty elsewhere and was dissatisfied with her results. She received revision of the breasts and abdominal wall. Revision breast augmentation with full mastopexy, full abdominoplasty, scar revision, and liposuction of the flanks and thighs was performed. Patient shown 4 months after surgery.

32 year old requesting cosmetic improvement of abdominal area after having three children. She is concerned with excess skin and fatty tissue of the lower abdomen and stretch marks across the abdominal area. She underwent full abdominoplasty with muscle tightening. The abdomen is flattened and tighter, and the extra skin is removed. Most of the stretch marks have been removed and the belly-button shape is improved. The patient is shown 6 months after surgery.

36-year-old requesting cosmetic improvement of abdominal area after having two children. She has excess skin over the pubic area and stretch marks across the lower abdomen. This patient underwent full abdominoplasty with muscle tightening. The overhanging skin and stretch marks have been removed and the belly-button shape is significantly improved. The patient is shown 12 months after surgery.

Age: 39Height: 5 7Weight: 157Preop: 34 A/BPostop: 34 DImplant Size: Right 525cc Left 550cc smooth round moderate plus profileIncision/Location: Submuscular with periareolar mastopexyNotes: Patient underwent breast augmentation with periareolar lift, abdominoplasty, and flank liposuction. Patient shown 6 months after surgery.

40 year old requesting cosmetic improvement of abdominal area after having two children. She is concerned with excess skin and fatty tissue of the lower abdomen and stretch marks across the abdominal area. She underwent full abdominoplasty with muscle tightening. The abdomen is flattened and tighter, and the extra skin is removed. She also underwent full breast lifting (mastopexy). The patient is shown 6 months after surgery.

36-year-old requesting cosmetic improvement of abdominal area after having two children. She has excess skin over the pubic area and stretch marks across the lower abdomen. This patient underwent full abdominoplasty with muscle tightening. The overhanging skin and stretch marks have been removed and the belly-button shape is significantly improved. The patient is shown 4 months after surgery.

32-year-old requesting cosmetic enhancement of abdomen and trunk after two pregnancies and deliveries by C-section. She has excess skin and fatty tissue throughout the abdominal wall and a lower abdominal overhanging skin fold. Stretch marks are present across the abdominal wall. She underwent full abdominoplasty. The incision has been placed below the prior C-section incision. This allowed complete removal of the prior incision, and the new scar is well hidden beneath the underwear line. The overhanging skin fold has been removed, and the abdomen is flatter and tighter. The belly button has an improved shape. The patient is shown 6 months after surgery.

Age: 30Height: 5 8Weight: 130Preop: 34 BPostop: 34 DImplant Size: 300cc moderate plus profile smooth round salineIncision/Location: Periareolar, submuscularNotes: This patient underwent breast augmentation with periareolar mastopexy and abdominoplasty. She shows significantly improved contour of the abdomen and flanks, and rejuvenated breasts. She is extremely pleased with her results and is shown 4 months after surgery.

47-year-old requesting cosmetic enhancement of abdomen and trunk. She has excess skin and fatty tissue throughout the abdominal wall and fullness of the flanks and hips unresponsive to diet and exercise. She underwent full abdominoplasty with flank and hip liposuction. The abdomen is flattened and tighter with greater definition of the hips and waist. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

38-year-old requesting cosmetic enhancement of abdomen and trunk unresponsive to diet and exercise. She is concerned with excess skin and fatty tissue throughout the abdominal wall and an overhanging skin fold. She underwent full abdominoplasty with flank, hip, and outer thigh liposuction. The abdomen is flattened and tighter and the overhanging skin is eliminated. There is greater definition of the hips and waist. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 8 months after surgery.

27-year-old requesting cosmetic enhancement of abdomen and trunk after two pregnancies. She is concerned with excess skin and fatty tissue throughout the abdominal wall and stretch marks across the front of the abdomen. She underwent full abdominoplasty. The abdomen is flattened and tighter and most of the stretch marks have been removed. There is improved definition of the waist. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

44-year-old requesting cosmetic enhancement of abdomen and trunk. She has undergone massive with loss and has excess skin, fatty tissue, and stretch marks throughout the abdominal wall. She underwent full abdominoplasty. The abdomen is flattened and tighter with greater definition of the hips and waist. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

51-year-old requesting cosmetic enhancement of abdomen and trunk. She has undergone massive with loss and has excess skin, fatty tissue, and stretch marks throughout the abdominal wall. She underwent full abdominoplasty. The abdomen is flattened and the lower abdominal overhang has been removed. The incision is hidden beneath the underwear line. The patient is shown 6 months after surgery.

28-year-old requesting cosmetic improvement of abdominal area after having two children. She has excess skin and stretch marks of the abdominal wall extending above the level of the belly button. She underwent full abdominoplasty with muscle tightening. The abdominal has been recontoured and rejuvenated. The patient is shown 6 months after surgery.

39-year-old requesting cosmetic enhancement of abdomen and trunk after two pregnancies. She has significantly laxity of the abdominal wall and rectus diastasis resulting in severe bulging of the abdominal wall. This patient underwent full abdominoplasty. The incision has been placed below the underwear line and the prior midline scar has been completely removed. Her abdominal wall is flatter and tighter and the belly button has an improved shape. The patient is shown 6 months after surgery.

25 year old requesting cosmetic improvement of abdominal area after having two children and previous abdominal surgery through a lower midline scar. She has excess skin, fatty tissue, and stretch marks across the front of the abdominal wall. She also has a large depressed midline scar. She underwent full abdominoplasty with muscle tightening and excision of the midline scar. The patient is shown 6 months after surgery and has a completely new appearance.

59-year-old requesting cosmetic enhancement of abdomen and trunk. She has undergone previous abdominal surgery and has a lower midline scar. In addition to this scar, she has excess skin and fatty tissue throughout the abdominal wall. She also has significant muscle laxity and bulging of the lower abdominal wall muscles. This patient underwent full abdominoplasty. The incision has been placed below the underwear line and the prior midline scar has been completely removed. Her abdomen is flatter and tighter and the belly button has an improved shape. The patient is shown 8 months after surgery.

36-year-old requesting cosmetic enhancement of abdomen and trunk after major weight loss. She has excess skin and fatty tissue throughout the abdominal wall and a lower abdominal overhanging skin fold. She underwent full abdominoplasty. The overhanging skin fold has been removed, and the abdomen is flatter and tighter. The incision is hidden beneath the underwear line and the belly button has an improved shape. The patient is shown 6 months after surgery.

39 year old requesting cosmetic improvement of abdominal area after having two children. She is concerned with excess skin and fatty tissue of the lower abdomen and stretch marks across the abdominal area. She underwent full abdominoplasty with muscle tightening and liposuction of the flanks. The abdomen is flattened and tighter, and the extra skin is removed. The contour of the waist is more accentuated. Most of the stretch marks have been removed and the belly-button shape is improved. The patient is shown 8 months after surgery.

Age: 43Height: 5 4Weight: 170Preop: 36 CPostop: 36 DImplant Size: 425cc high profile smooth round siliconeIncision/Location: Periareolar, submuscularNotes: Patient underwent breast augmentation with a circumareolar breast lift and full abdominoplasty with flank liposuction. Patient shown 4 months after surgery.

Age: 38Height: 5 5Weight: 145Preop: 34 BPostop: 34 DImplant Size: 300cc moderate profile smooth round siliconeIncision/Location: submuscular, full mastopexyNotes: Patient underwent breast augmentation with full lift, abdominoplasty, liposuction of the flanks and hips. Patient shown 4 months after surgery.

Age: 24Height: 5 4Weight: 130Preop: 34 CPostop: 34 full DImplant Size: 425cc high profile smooth round siliconeIncision/Location: Periareolar, submuscularNotes: 24 year old requesting cosmetic improvement of abdominal area and breasts after having two children. She is concerned with excess skin and stretch marks across the abdominal area. She underwent full abdominoplasty with muscle tightening, and breast augmentation. The abdomen is flattened and tighter, and the extra skin is removed. Most of the stretch marks have been removed and the belly-button shape is improved. The breasts are also rejuvenated. The patient is shown 6 months after surgery.

Age: 28Height: 54Weight: 130Preop: 34 BPostop: 34 DImplant Size: 275cc smooth round moderate plus profile siliconeIncision/Location: Submuscular with full mastopexyNotes: Shown 4 months after surgery. Patient underwent breast augmentation with full mastopexy, abdominoplasty and flank liposuction.

32 year old mother of three presented with complaints of significant abdominal wall skin and muscle laxity. She underwent a reconstruction of her abdominal musculature, abdominoplasty, and liposuction of the flanks. Results are approximately 6 months following surgery.

52 year old woman who presented with complaints of excess abdominal skin, abdominal bulging, and a small umbilical hernia. She underwent an abdominoplasty with rectus plication and an umbilical hernia repair. Results are approximately 6 months following surgery.

32 year old requesting cosmetic enhancement of abdomen and trunk. She has excess skin and stretch marks across the central and lower abdominal wall. She underwent full abdominoplasty with muscle tightening (rectus plication). The abdomen is flattened and tighter with greater definition of the hips and waist. The skin is tighter and near all of the stretch marks are removed. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

36-year-old requesting cosmetic enhancement of abdomen and trunk. She has excess skin throughout the abdominal wall and stretch marks around the belly button. She underwent full abdominoplasty with muscle tightening (rectus plication) and liposuction of the flanks. The abdomen is flattened and tighter with improved definition of the hips and waist. The skin is tighter and near all of the stretch marks have been removed. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

64 year old requesting cosmetic enhancement of abdomen and treatment of a bulging abdominal wall. She has excess skin and stretch marks across the central abdomen. She has severe muscle laxity of the abdominal wall apparent on side view. She underwent full abdominoplasty with muscle tightening (rectus plication). The abdomen is flatter and tighter with greater definition of the hips and waist. The skin is tighter and near all of the stretch marks have been removed. The incision is hidden beneath the underwear line and the belly-button has a natural contour. The patient is shown 5 months after surgery.

34 year old requesting cosmetic enhancement of abdomen, trunk, and breasts after having 3 children.She has excess skin and stretch marks across the central and lower abdominal wall.She also has severe rectus diastasis (stretching of the muscle layer) which give a rounded look to her abdominal wall. She underwent full abdominoplasty with muscle tightening (rectus plication) with full breast reduction.The abdomen is flattened and tighter with greater definition of the hips and waist.The muscle layer was aggressively tightened eliminating the roundness.The skin is tighter and half of the stretch marks were removed.The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

45-year-old requesting cosmetic enhancement of abdomen and trunk. She has excess skin across the abdominal wall and stretch marks around the belly button.She also has a thickened lower midline scar from emergency surgery in the past. She underwent full abdominoplasty with muscle tightening (rectus plication) and removal of the lower midline scar.The abdomen is flattened and tighter with improved definition of the hips and waist. The skin is tighter and the entire scar has been removed.The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.

34 year old requesting cosmetic enhancement of abdomen and treatment of excess skin and stretch marks. She has excess skin and stretch marks across the central abdomen. She has muscle laxity of the abdominal wall apparent on side view. She underwent full abdominoplasty with muscle tightening (rectus plication). The abdomen is flatter and tighter with greater definition of the hips and waist. The skin is tighter and most of the stretch marks have been removed. The overall contour of the abdomen is flat due to the muscle tightening. The incision is hidden beneath the underwear line and the belly-button has a natural contour. The patient is shown 5 months after surgery.

46-year-old woman presented with complaints of abdominal bulging and excess lower abdominal skin. She underwent an abdominoplasty with a rectus plication with improvement in her abdominal contour. Results are approximately 6 months following surgery.

63-year-old woman presented with complaints of excess lower abdominal skin and associated rashes and skin break down. She underwent an open gastric bypass and had a subsequent 100 lb weight loss. She underwent an abdominoplasty with a fleur-de-lis incision pattern. She is seen approximately 8 months following surgery with an improved abdominal contour.

37-year-old woman presented with complaints of abdominal laxity and fullness of her flanks. She underwent breast reduction in the past at another practice. She underwent an abdominoplasty and liposuction of her flanks. She is seen approximately 6 months after surgery with improved aesthetics of her abdomen and flanks.

45-year-old woman presented with complaints of excess abdominal skin and breast heaviness following a 90 lb weight loss after undergoing weight loss surgery. She underwent a breast reduction and abdominoplasty with rectus muscle tightening. She is seen approximately 6 months following surgery.

28-year-old woman presented with significant abdominal skin and muscle laxity and an umbilical hernia following previous pregnancies. She underwent an abdominoplasty and simultaneous umbilical hernia repair. She is seen approximately 8 months following surgery.

36-year-old woman with a history of previous abdominal surgery presented with complains of abdominal skin laxity with stretch marks and muscle weakness. She also complained of fullness of her flanks. She underwent an abdominoplasty with flank liposuction. She is seen approximately 6 months following surgery.

51-year-old woman with a history of a previous gastric sleeve surgery and an 85 lb weight loss presented with complaints of upper and lower abdominal skin excess, and breast sagging. To address her breasts, she underwent a mastopexy with autoaugmentation. She also underwent an abdominoplasty with muscle tightening. She is seen approximately 10 months following surgery, pleased with her improved breast and abdominal aesthetics.

49-year-old woman presented with complains of abdominal skin laxity with stretch marks and muscle weakness. She underwent abdominoplasty and full breast lifting and is seen 10 months after surgery.

48-year-old woman with a history of a gastric bypass and a 100lb weight loss presented with complaints of a painful lower abdominal laparotomy scar, excess skin, and skin fold rashes. She underwent abdominoplasty with muscle tightening and removal of her previous abdominal scar. She is seen 8 months after surgery with improved abdominal contours and resolution of her symptoms.

*Individual Results May Vary

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Abdominoplasty – Dr. Neil Zemmel

Multiple Postmarket Clinical Studies Nearing Completion in Europe, Supporting Broad Range of Applications for … – GlobeNewswire (press release)

RALEIGH, N.C., Aug. 15, 2017 (GLOBE NEWSWIRE) — Six postmarket clinical series studying outcomes associated with the use of TissuGlu Surgical Adhesive in a variety of surgical procedures are nearing completion in Europe. The studies, involving over 200 patients in four European countries, all evaluate TissuGlu in surgical procedures adhering a skin flap to the underlying tissue to minimize dead space and facilitate the healing process. In some procedures, the use of postsurgical drains to manage fluid during recovery were eliminated. These studies will expand the growing body of evidence of positive TissuGlu outcomes and will support future indication expansions into the US market. TissuGlu Surgical Adhesive is approved in the EU for the approximation of tissue layers where subcutaneous deadspace exists between the tissue planes in large flap surgical procedures such as abdominoplasty.

Mastectomy: Two prospective, randomized Level I studies evaluated TissuGlu in mastectomy procedures with positive preliminary outcomes. Both compared overall invasiveness of standard mastectomies with subcutaneous drains, which generally stay in place from 4-9 days, vs. drain-free mastectomies in which TissuGlu was used to adhere the tissue flap. The first is a single center randomized trial with 61 patients at a German university hospital. Enrollment was completed in May and the study is nearing the end of the patient follow-up period. The second mastectomy trial involved 84 patients from 11 investigator sites in Germany and the UK.

DIEP: Breast reconstruction using an abdominal tissue flap, in a procedure similar to a tummy tuck, is considered the gold standard for breast cancer patients in Europe. Prof. Chris Andree of the SANA Clinic in Gerresheim, Germany, an international thought leader in this procedure, has been documenting outcomes using TissuGlu to eliminate drain use in the abdominal donor site. He and his team are nearing completion of a series of 50 patients using this drain-free technique and expect to present their promising outcomes in a publication this fall.

Decubitus: Grade IV decubitus (pressure sores) often require flap surgery for repair, leading to long recoveries. Dr. Reto Wettstein of the Swiss Paraplegic Center in Nottwil, Switzerland is nearing completion of a 15 patient pilot series evaluating TissuGlu for its potential to improve postoperative recovery in decubitus patients. The Center is internationally recognized for their specialization in the management of wheelchair-bound patients.

Ventral Hernia: A pilot series of 10 high BMI patients undergoing open ventral hernia repair (OVHR) is near completion in Germany. The patients are being followed after use of TissuGlu to eliminate postsurgical drain placement. This patient group is at particularly high risk of postoperative wound healing complications, and use of the adhesive without drains may be able to improve outcomes. Similarly, in the Netherlands another pilot series of 15 OVHR patients have undergone procedures using TissuGlu without drain placement. Data from this series is favorable and is expected to be submitted for publication soon.

Mart Pearson, VP Europe for Cohera Medical, Inc. said, We are very fortunate to be able to work with such an impressive group of clinicians and researchers. This broad range of studies is indicative of the need to improve the wound healing process after flap surgeries and the postoperative recovery for patients. Generating this clinical data will help surgeons everywhere better understand how TissuGlu can help improve their patients recovery.

About Cohera Medical

Cohera Medical, Inc. is a growing medical device company that is developing and commercializing a line of surgical adhesives and sealants. Cohera Medicals products are based on a unique chemical design that is resorbable, non-toxic, and easy-to-use. The Companys lead product, TissuGlu Surgical Adhesive, is indicated for use in the U.S. for the approximation of tissue planes in abdominoplasty procedures. Refer to the complete Directions for Use information available at TissuGlu.com for a full description of use information including the contraindications, warnings, precautions, benefits, and risks of use of TissuGlu Surgical Adhesive. TissuGlu is currently approved for sale in the EU for the approximation of tissue layers where subcutaneous dead space exists between the tissue planes in large flap surgical procedures such as abdominoplasty and is being utilized in Europe to eliminate drains or reduce complications in patients undergoing large flap surgical procedures such as abdominoplasty, mastectomy, ventral hernia repair, decubitus and latissimus dorsi flap procedures. The Companys second product under development, Sylys Surgical Sealant, the first synthetic sealant designed specifically to help reduce anastomotic leaks, has received CE Mark approval in Europe as an adjunct to standard closure in ileostomy reversal procedures. TissuGlu and Sylys are the first products in a pipeline of technology that includes adhesives for surgical mesh fixation, meniscal repair and other orthopedic indications. Sylys and the other Cohera Medical products are currently available for investigational use only and have not yet been approved for sale by the Food and Drug Administration (FDA) in the U.S.

Certain statements made throughout this press release that are not historical facts contain forward-looking statements regarding the Companys future plans, objectives and expected performance. Any such forward-looking statements are based on assumptions that the Company believes are reasonable, but are subject to a wide range of risks and uncertainties and, therefore, there can be no assurance that actual results may not differ materially from those expressed or implied by such forward-looking statements.

2017 Cohera Medical, Inc. All Rights Reserved. Cohera Medical, Inc., TissuGlu and Sylys are registered trademarks of Cohera Medical, Inc.TissuGlu Surgical Adhesive is covered by one or more of the following U.S. Patents 7,264,823; 8,182,647; 8,652,293; 8,950,629. Other Patents Pending.

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Multiple Postmarket Clinical Studies Nearing Completion in Europe, Supporting Broad Range of Applications for … – GlobeNewswire (press release)

Tummy Tuck Pittsburgh – Abdominoplasty Greensburg, PA

When it comes to getting the toned, trim body we all desire, the tummy seems to be the most stubborn body part. Many men and women are frustrated with excess fat around the abdomen that can be difficult to remove even when following stringent diet and exercise routines. Abdominoplasty, also known as tummy tuck surgery, is a cosmetic procedure that raconteurs the abdomen to reveal a slimmer, more attractive physique. Board certified plastic surgeon Dr. Francis Johns performs tummy tuck surgery at his Pittsburgh plastic surgery practice. Read more about the comprehensive procedure below, and contact Dr. Johns at 877-245-6467 to schedule a consultation.

The ideal tummy tuck candidate is someone who is over the age of 18 and is unhappy with the appearance of excess fat or loose skin around the abdomen. This procedure is particularly popular among women who have had trouble losing all of their weight after pregnancy, and among individuals who have experienced weight gain as a result of aging. Tummy tuck surgery is not meant to serve as an weight loss alternative to diet or exercise. In fact, patients who undergo tummy tuck in Pittsburgh with Dr. Johns should be at a healthy, stabilized weight before the procedure because weight fluctuations can have a negative outcome on the surgery. In addition, women who wish to undergo the procedure should not plan on becoming pregnant again. Patients also should not smoke. Those who do smoke will need to quit for a period of time before and after surgery.

Patients who undergo tummy tuck surgery can enjoy a number of benefits from the final results, including:

Dr. Johns performs tummy tuck surgery on an outpatient basis at his state-of-the-art ambulatory center in Greensburg, PA. The length of the procedure will vary from patient to patient based on the amount of tissue being removed, and if the procedure is being performed simultaneously with others such as breast augmentation or liposuction. During the procedure, Dr. Johns makes an incision just above the pubic bone, extending from hip to hip. He removes excess skin and fat through these incisions, and tightens the abdominal wall to create a sculpted final look. He may use a liposuction technique as well to remove localized fat deposits. Once these steps are complete, the incision is closed with sutures.

Tummy tuck surgery is an in-depth procedure that requires substantial recovery time. Patients experience minor swelling, bruising and discomfort in the days and weeks following treatment, all of which can be managed by medication as prescribed by Dr. Johns. Patients are instructed to avoid strenuous activity, although light walking is encouraged as soon as possible to promote blood circulation and healing. Patients wear a compression garment in the weeks after surgery to promote optimal surgical results. Most tummy tuck patients are able to return to work within two weeks. Dr. Johns and his dedicated staff are available around the clock to address any questions or concerns that may arise during the recovery period.

Tummy tuck surgery is a popular procedure among men and women who wish to obtain the trim and toned contours of their youth. This comprehensive procedure can transform your appearance and self-confidence. If stubborn belly fat has you feeling less than you best, contact Dr. Francis Johns to learn how his advanced treatment options can get you the body you deserve. Schedule a consultation by calling 877-245-6467.

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Tummy Tuck Pittsburgh – Abdominoplasty Greensburg, PA

Abdominoplasty – Toronto Plastic Surgery

An abdominoplasty (or tummy tuck) is a surgical procedure designed to remove excess skin and fat from the abdomen and to tighten the underlying abdominal muscles. It also allows for the possible elimination of stretch marks, especially if they are located in the lower part of the abdomen. If required, liposuction of the waist may be performed at the same time for a more contoured waistline. The result is a flatter, firmer abdominal shape.

The best candidates for surgery are women and men in good health, close to their ideal body weight and with reasonable expectations as to what surgery can provide. An abdominoplasty may address one or more of the following conditions:

Following an abdominoplasty, you can expect to have a tighter and firmer abdomen with an improved overall contour. Maximum results can be achieved when surgery is combined with exercise, toning , weight control and maintenance of a healthy lifestyle.

Depending upon the amount of excess skin and fat as well as its location on the abdominal wall, there are several approaches to restoring a pleasing shape to the abdomen. The standard abdominoplasty is performed through an incision that is placed along the bikini line and extends towards the area of the hips The length of the scar depends upon the amount of excess skin that requires removal. A second incision may be made around the navel, allowing the excess skin to be pulled downward. Although the navel maintains its position, its appearance will be improved by removal of the excess skin around it. In cases where there is minimal skin excess and a protuberant lower abdomen, the incision can be kept within the pubic area only (mini abdominoplasty). Every effort is taken to try to keep the scar within your bathing suit lines. The decision of which technique is best for you depends upon your expectations and physical examination. Dr. Brown will discuss these issues with you in detail at the time of your consultation. Abdominoplasty surgery is performed under general anaesthesia and often on an outpatient basis, though many patients choose to spend one night in hospital or at the surgical clinic. Most patients are back to normal daily activities within two weeks, but are asked to avoid heavy physical activity and heavy lifting for 6 weeks.

Although most patients undergo abdominoplasty with very few complications, it is important for you to be well informed of the risks and potential benefits. These issues will be discussed with you in detail at your initial consultation. Patients can maximize their chances of a successful result by following their pre- and post-operative instructions, eating well and refraining from smoking.

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Abdominoplasty – Toronto Plastic Surgery