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Tuesday, November 29, 2011
Friday, November 25, 2011
Recovery After Plastic Surgery
One of the most important concerns of Beverly Hills and Los Angeles men and women who are considering plastic surgery procedures such as liposuction, tummy tuck, or breast augmentation is the extent of recovery time after cosmetic surgery. With our hectic lives, busy work schedule, and never ending family responsibilities, men and women want to know:
1. When can they go back to work?
2. When can they go back to the Gym?
3. How soon can they care for their small children?
4. How bad is the pain from surgery?
5. When can they drive?
6. How soon can they travel?
7. How soon can they have sex?
8. How soon can they wear certain types of cloths?
The answer to these important questions about plastic surgery recovery depends on the type of surgery, the involved body parts, multiplicity of the procedures, family support structure, and the extent of work or home responsibilities.
In the following section, Dr. Younai describes the approximate recovery course and restrictions for a variety of plastic surgery procedures, for patients in southern California, including those from Beverly Hills and Los Angeles.
Recovery after liposuction: Tumescent, laser, ultrasonic.
Liposuction is a relatively easy procedure to recover from, mainly because there are no large incisions, and the surgery is superficial. Liposuction can be performed on the neck/face, arms, chest, breasts, abdomen, back, buttocks, thighs, knees, calves, and ankles. The pain and recovery time of liposuction is similar to that of a bad muscle bruise sustained during a motor vehicle accident. Most patients take a week or less of recovery before returning to work after liposuction. There are no restrictions with respect to exercise and you may return to your exercise routine as you feel comfortable. Likewise, there are no restrictions with lifting, pushing, pulling or taking care of young children; although, most people can not do strenuous house work for about 4 days. Most patients are able to drive within a week; however this also depends on the areas of liposuction. For example, it is harder to steer if you had liposuction of the arms. When it comes to sex there is no restrictions as long a you are comfortable!
Especially in Beverly Hills and Los Angeles, most patients are eager to know when they can wear that especial outfit for that special party or event. After liposuction you will be wearing a girdle for about six weeks. Despite this, most of your regular cloths should fit comfortably over it. After the first three weeks, if you are planning to wear revealing cloths or dresses, you don't have to wear your girdle during that time. Finally, there are no travel restrictions.
Recovery after Tummy Tuck, Abdominoplasty, Body Lift, or Belt Lipectomy,
Tummy tuck, abdominoplasty, or body lift, involves removing the hanging abdominal skin fold, along with tightening the abdominal muscles. The pain and recover of a tummy tuck is similar to that of a c-section or hysterectomy. Most women in Los Angeles or Beverly Hills take about two weeks for recovery before returning to work. Because of tightening of the abdominal muscles patients can not do any heavy lifting or straining at home, work, or the Gym for about eight weeks. You can do power walking or bicycling in 2-3 weeks. You can also have sex in 2-3 weeks as long as you don't strain your abdominal muscles for 6-8 weeks. Most cloths or pants will be somewhat tight around the waist for about 4-6 weeks due to the normal post-operative swelling. There are no travel restrictions as long as you don't use a public pool or Jacuzzi for three weeks.
Recovery after Breast Augmentation with implants
Breast augmentation is one of the most common plastic surgery procedures performed in Beverly Hills and Los Angeles. Breast enlargement involves insertion of a Saline or Silicone Breast Implant under the Pectoralis chest muscle. The pain associated with breast augmentation is due to the stretching of the Pectoralis muscle by the underlying breast implant. Most women describe heavy pressure over their chests. Because of this moving the arms, especially above the shoulders is uncomfortable for two weeks. Most women take off one week from work after breast augmentation. You can do lower body exercises in one week and should refrain from lifting heavy objects for the first 2-3 weeks. Likewise, I don't recommend driving for one week. You may have sex at any time as long that your breasts don't get manipulated for the first 5 weeks. There are no travel restrictions as long as you don't get your breasts wet in a public pool or a Jacuzzi for 4 weeks.
Usually, augmentopexy, or breast lift plus augmentation, is more painful than just breast augmentation, and the recover is the same.
Tuesday, November 22, 2011
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Sunday, November 20, 2011
Body Contouring After Massive Weight Loss- Latest Beverly Hills Plastic Surgery Trends
Morbid obesity is a new epidemic afflicting nearly one third of all those in Southern California, including Beverly Hills and Los Angeles. One of the most effective ways for permanent weight loss has been through "bariatric" surgery, including gastric bypass and gastric banding.
Having successfully battled obesity, these people are now faced with a new challenge - excessive and hanging skin folds of the abdomen, arms, thighs, breasts, and face. Thinking that once they lose their massive weight they will be attractive again, men and women are disappointed and frustrated with unsightly folds of skin that now cover their groin like an apron, hang off their arms like "bat wings," and wiggle from their legs when trying to jog. It also creates a problem for personal hygiene and in finding clothes that fit.
This challenge has led to the development of new ways of body contouring; specially designed for individuals after massive weight loss surgery. An experienced Beverly Hills plastic surgeon can help to determine if this procedure is right for you.
The most common post-bariatric body contouring plastic surgery in Los Angeles and Beverly Hills is a tummy tuck, or "abdominoplasty." These are not standard tummy tucks, but rather extensive or "high tension" tummy tucks designed to also lift the sagging hips and thighs, while tightening the loose abdominal wall muscles. A more extensive form of this tummy tuck is called a body lift or belt lipectomy, which removes the excess skin of the abdominal fold as well as that from the back; resulting in a greater lift of the sagging buttocks and the thighs. Panniculectomy is a more specific form of a tummy tuck selected for those with extremely large, heavy, and hanging abdominal pannus.
Often, obesity results in the over-stretching and weakening of the abdominal wall, which produces a ventral hernia. This and other types of hernias can also be repaired at the time of a tummy tuck or body lift. The cost of a body lift in Los Angeles is approximately ,000 to ,000.
The second most common body contouring procedure in Los Angeles and Beverly Hills after massive weight loss is breast lift surgery and breast reduction surgery. These procedures are not limited to women, because men also develop hanging breast/chest folds after weight loss. In women, an inverted-T or anchor mastopexy is used. (Only a skilled Los Angeles breast augmentation specialist should perform this surgery)
Often breast implants are added to replenish the lost breast volume. This procedure is, at times, combined with an upper body lift which removes the excess skin folds of the upper torso that extends to the upper back. Breast reduction surgery for post-weight loss male patients has a different aim and design. Its goal is to create a flat and masculine chest. Breast reduction for men typically causes a scar that falls in the under-breast fold as well as around the areola. It can also be combined with an upper body lift or a brachioplasty. The cost of breast lift surgery in Beverly Hills or Los Angeles is approximately $ 8,500 to ,000.
The third most common body contouring surgery in Los Angeles and Beverly Hills following massive weight loss is brachioplasty. Brachioplasty, or an "arm tuck," removes excess hanging skin of the upper arms. In its extended form, it also removes the redundant skin folds of the outer chest and the axilla or the armpit. The cost of brachioplasty in Los Angeles and Beverly Hills is approximately ,500 to ,000.
The fourth most prevalent post-bariatric plastic surgery procedure in Los Angeles and Beverly Hills is a thigh lift. Thigh lifts address the excess skin folds of the inner or medial thighs, that of the outer or lateral thighs, or that of the entire thigh. It can be rather extensive, reaching along the entire length of the thighs and legs. The cost of thigh lift in Los Angeles and Beverly Hills is approximately ,000 to ,000.
Finally, the least common plastic surgery procedure performed as a result of massive weight loss is a facelift. This is due to the fact that people gain relatively far less weight in their face that their body. Therefore, after massive weight loss there is relatively less loose skin of the face, as there would be on the other areas of the body. Nevertheless, patients have less loose facial skin, hanging neck folds, jowls, and cheeks after weight loss. A variety of facial cosmetic surgeries including neck lift, facelift, mid-face lift, or a forehead lift can address problems associated with sagging facial skin, accordingly.
In planning for body contouring procedures after massive weight loss, special attention has to be given for optimizing safety and minimizing potential complications. These types of procedures that are rather lengthy, complicated, and are performed on patients that might have other associated risk factors such as sleep apnea, obesity, diabetes, heart disease, venous insufficiency, malnutrition, etc. These patients need to be medically optimized and cleared by an internist, pulmonologist, or a cardiologist prior to surgery. Furthermore, the surgical facility must be equipped and staffed to provide specialized care for such surgeries, as well as to provide extended post-surgical monitored care.
Dr. Sean Younai is a board certified Los Angeles plastic surgery specialist with formal training in plastic & reconstructive surgery, as well as general surgery at some of the most prestigious university residencies in the United States. As a cosmetic plastic surgeon, he has had ample experience in performing post-bariatric body contouring surgeries including tummy tuck surgery (abdominoplasty), panniculectomy, belt lipectomy, repair of ventral hernia, body lift, thigh lift, brachioplasty, upper body lift, breast reduction, and breast lift surgery.
At the California Center for Plastic Surgery- http://www.beautifulfigure.com Dr. Younai will review your treatment options for massive weight loss body contouring, including the pros and cons of each procedure, potential risks and complications, recovery course, pre- and post-operative instructions, and aesthetic outcomes. There are also many before and after pictures and high resolution images of such procedures available in our photo gallery.
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