On Tummy Tucks and Liposuction

Despite impressive improvements to nonsurgical technologies for reducing fat and improving skin tone, tummy tucks are still one of the most popular procedures among our Vancouver-area patients. This is because your abdomen can experience irreversible stretching of the skin and muscle layer as a result of pregnancy or major weight fluctuations. Although most patients would prefer to restore their torso tone without surgery, a tummy tuck, also known as an abdominoplasty, remains the best approach for significant skin laxity and weakened abdominal wall tissues.

Other options exist when the concerns are more limited. For example excess fat on the lower tummy and hips can be managed with liposuction or improved without surgery utilizing a breakthrough technology called SculpSure®. Refined liposuction techniques and the experienced Plastic Surgeons at YES can achieve lasting body contour improvements with a surprisingly fast recovery. Laser-assisted liposuction reduces bruising and improve skin contraction compared to traditional methods. Since 2009, I have treated more than 400 patients using this technology, also known as SmartLipo™. Laser energy is an effective way of targeting the fat cells and is also a key component of the non-surgical SculpSure® treatments performed at YES Medspa. A single SculpSure treatment can shrink the treated fat layer by an average of 24%.  In just 25 minutes the abdomen or flanks can be targeted without anesthesia and without taking time away from the things you enjoy.

At YES, body contouring is our specialty. We have evaluated the different technologies available and recommend what we feel offers patients the safest and best results available with or without surgery. I understand it can be overwhelming to know which option is right for you, which is why I work with my patients in a personalized consultation to develop a customized solution based on their body contouring goals.

Tummy Tuck

Tummy tuck surgery achieves dramatic improvement to the midsection. This procedure is performed under general anesthesia monitored by anesthesiologists that are selected for their experience, empathy and attention to detail. Located onsite, YES Surgery Centre is a modern and welcoming outpatient surgery centre designed for the delivery of elective cosmetic surgery procedures Depending on your body contouring needs, different surgical techniques are considered by our experienced Plastic Surgeons. The most common procedure is referred to as a standard abdominoplasty. This procedure improves the appearance of the entire abdomen (upper & lower). The final scar extends from hip to hip but resides below normal undergarment lines. We proactively manage your surgical scar with the latest proven approaches to make the final incision line more discreet. A mini abdominoplasty is perfect for patients with loose skin primarily affecting the lower abdomen without laxity of the muscle layer. This is also the procedure of choice when an uneven or tethered scar is present across the pubic area such as what occurs with a C-section or bladder lift procedure. In an extended abdominoplasty, incision lines are extended along the belt line to address laxity affecting these areas. Occasionally, our experienced YES Plastic Surgeons will recommend a customized procedure to address laxity affecting just the upper abdomen or when the excess skin extends all the around the torso. At YES, we also see and improve upon the results of past cosmetic surgery of the abdomen performed elsewhere.

Tummy tucks traditionally are considered a very difficult procedure with regards to recovery. At YES, we have developed and refined techniques to make the recovery easier. Drainage tubes are rarely used at YES, which reduces pain and decreases your movement restrictions after surgery. A Comfort Management pump is also used to deliver pain relieving medication directly to the muscle repair zone for 3 days after surgery. Less pain results in fewer postoperative medications being needed and more independence for our patients while they recover at home. We’ve had substantial success with these techniques over the years, and share our methods with Plastic Surgery Residents at UBC and at national conferences in the Plastic Surgical community.

More before and after images can be found on our website.

Standard Abdominoplasty

Liposuction

Liposuction remains the most effective method of removing unwanted fat from areas that seem “out of proportion” with the rest of your body. Where a tummy tuck removes excess skin and tissue from the abdomen, liposuction allows the plastic surgeon to precisely remove fat to contour many areas of the body. As with most aesthetic surgical and non-surgical treatments, the most important determinant of your results is the judgment and skill of your plastic surgeon. As a plastic surgeon specializing in cosmetic surgery for over 22 years, I have gained extensive knowledge and experience with multiple liposuction techniques, including power-assisted liposuction (PAL, PowerX), ultrasound-assisted liposuction (UAL, VASER), SAFE™ liposuction and laser-assisted liposuction (Smartlipo). Since there are many liposuction techniques available, choosing the best approach for each patient requires a personalized consultation and discussion about my patient’s goals.

Liposuction of small areas can be done under local anesthesia with IV sedation. Larger areas are performed under general anesthesia at YES Surgery Centre. With liposuction, the fat is removed or in some cases redistributed to achieve the best shape of each area. Common areas for liposuction include the neck, bra area, abdomen, hips and thighs. Fat removed during this procedure can also be transferred and grafted to other areas of the body that patients want to augment and enhance. The most common destinations for removed fat to be grafted is the buttocks and the breasts. Liposuction of the hips, flanks and lower back combined with fat grafting of the buttocks is known as a “Brazilian butt lift” that enhances the curves of these body areas. When it is considered safe, liposuction can also be combined with other body contouring procedures such as a tummy tuck.

Liposuction of Abdomen

Body contouring surgery and treatments can change your shape, but they do not change your physiology. If you want lasting results you will need to maintain a healthy lifestyle after your procedure and limit the accumulation of fat mass.

To determine which popular body contouring procedures is right for you, call YES and book a personalized consultation with one of our experienced Plastic Surgeons.

YES Medspa & Cosmetic Surgery Centre at (604) 888-9378

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