Successful brachioplasty or “arm tuck” surgery requires careful attention to detail to yield a natural contour to the arm. It is paramount that there is an even and gradual contour of the arm from the forearm toward the axillae or “arm pit”, often with modification of the lateral chest wall as shown in the above photograph. Inadvertent over-resection of the…
Abdominoplasty or body contouring procedures are common following gastric bypass surgery such as roux-y gastric bypass and sleeve gastrectomy. After patients have lost weight and their weight has stabilized, they are candidates for body contouring procedures. The abdominoplasty helps to restore the contour to the abdominal wall that is traditionally lost following weight gain. Often, when patients lose weight, they…
Abdominal Wall Reconstruction and Hernia Repair: It is quite common for patients to have undergone a previous umbilical hernia repair and have a recurrence of their hernia. Also, patients can have a history of a previous surgical operation that results in an abdominal or “incisional” hernia. Typically, when patients have a hernia that recurs, it is often required to restore…
In order to repair multiple hernias of the abdominal wall, for example midline hernias and hernias related to colostomy or ileostomy procedures a large exposure is needed to properly perform a repair. Often the previous multiple incisions can be incorporated and included into one wound to obviate or prevent complications from wound breakdown. Further, massive hernias of the abdominal wall…
Incisional hernias can occur after surgery on the abdominal wall. Often a recurrent hernia needs to be repaired differently to prevent the recurrence of the hernia again. Just as important are patient factors that need to be controlled such as weight, protein intake, and cessation of smoking if the patient is a smoker. If there are multiple hernias of the…
Abdominal wall hernias are best reconstructed by recreating a functional abdominal wall. That is, return all the abdominal wall musculature back to its original position. When patients cough, sneeze, or bear down to have a bowel movement, this increases the intra-abdominal pressure. As the intraabdominal pressure increases, the abdominal wall musculature exerts a back pressure on the viscera. If there…
