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…
Abdominal hernias are often uncomfortable for patients. Abdominal or ventral hernias can be repaired in many different fashions. When ventral hernias or incisional hernias have been previously repaired and recur, it is often best to undergo abdominal wall reconstruction with mobilization and medialization of the abdominal muscles and component separation. The medialization of the abdominal muscles allows for the creation…
There are an increasing number of patients who present to our Newport Beach office requesting to undergo a revision abdominoplasty. Typically patients notice that they may have an abdominal scar that is placed too high or asymmetric and would like this corrected. In addition, we are seeing more patients who would like to undergo plication of their lower abdominal muscles…
Mastopexy augmentation and abdominoplasty, when performed in combination, can be quite a powerful combination for improving the overall body aesthetic. Q:What is a Mastopexy Augmentation? A: Essentially a mastopexy procedure is when a breast lift and breast augmentation are performed simultaneously to improve the size, contour and elevation of the breast. Q: What is involved in a Mastopexy Procedure? A:…
Liposuction in the lower abdomen is a common procedure in Newport Beach, California. It is important for patients to maintain a strict diet after liposuction procedures and to continue exercising to optimize surgical outcomes. Typically, following liposuction, patients are asked to wear an abdominal binder or compression garment for at least two to four weeks following their procedure. I find…
Liposuction of the abdomen can be a very effective tool to contour the body. It is commonly used in those areas of the body where people are unable to lose weight with diet and exercise. These areas can often be the “love handle” regions of the body, the upper abdomen, and the bra fat area of the back. Q: What…
Liposuction procedures are very common. There are different thicknesses of the skin and subcutaneous tissue in various parts of the body. The medial thigh region is an area of the body where the skin is relatively thin. It is not uncommon when liposuction is performed in these areas for the region to be overly resected of the subcutaneous fat. The…
Abdominoplasty, commonly referred to as a Tummy Tuck, involves plication of the rectus abdominis muscles, which in turn restores the external obliques, internal obliques, and transverse abdominis muscles to the midline of the abdomen. It is quite common for patients to observe an improvement not only the their abdominal contour, but also in their posture post-operatively. When breast augmentation is…
Typically after an abdominoplasty or “Tummy Tuck” operation, I tell my patients to ensure that their diet is high in protein. The abdominoplasty operation requires a significant amount of protein and nutritional calories to heal all the wounds well and without complications. Patients are instructed to eat 1mg/kg of body weight of protein per day. If a patient is 135…
