Tummy Tuck: Renewed Abs After Pregnancy
January 21st, 2015
Many women are postponing motherhood, waiting longer to have children today. What is the best age to have a baby? Many factors enter into this equation. From a purely biological viewpoint, the early twenties are best biologically, according to John Mirowsky, a sociologist at the University of Texas at Austin. Women in their twenties are least likely to have developed health problems that would put them or their babies at risk. Physically speaking, it is apparent that younger women are able to weather pregnancy and bounce back more quickly than older moms. In that regard, renewed abs and pre-pregnancy figure are relatively easier to obtain. However, a tummy tuck, or abdominoplasty can be restorative.
Perhaps the popular trend of considering a Mommy Makeover reflects the desire to erase the physical toll that later childbearing sometimes brings. Many will agree that having children at any age is one of the most rewarding experiences a mother will have. However, the physical effects of pregnancy, especially multiple pregnancies, can leave unwanted and unflattering changes to your body. Common complaints from my patients include, loss of breast fullness and/or sagging, excess abdominal skin, stretched or torn abdominal muscles and umbilical hernia. Even if you adhere to the 25-35 pound weight gain during pregnancy, it’s often more difficult to get back into shape the older you are when you have a baby. No amount of exercise or weight loss can fix some of these problems. Fortunately, cosmetic surgery is an option to help a patient return to a pre-pregnancy appearance and restore the natural feminine shape following their pregnancy. Some of our happiest patients are women of all age-ranges who have chosen Mommy Makeovers.
Photo: Our son, Josh.
Breast Asymmetry: What to do about it?
January 13th, 2015
Breast asymmetry is a very common concern among women, adolescents and adults alike. No one is born with perfectly symmetric breasts and mild to moderate differences in breast shape, or a 1-2 cup size difference, or position in the developing adolescent are to be expected. Moreover, breast asymmetries that persist beyond puberty affect more than half of all women! In fact, one study in the Plastic and Reconstructive Surgery Journal, out of 100 women who wanted breast augmentation with implants, 88 percent had natural asymmetries. At a time when our body and mind are changing rapidly, when is breast asymmetry a cause for concern? Having uneven breasts may impact a young woman’s body image. Let’s review the pros and cons of surgical intervention with an emphasis on newer techniques such as using lipo-suctioned fat to correct asymmetry, called fat transfer.
A recent study published in the December issue of the Plastic and Reconstructive Surgery Journal highlights the psychological impact of breast asymmetry on adolescents. The study suggests that patients with breast asymmetry have poorer emotional well-being and lower self-esteem than their female peers. This is not a surprising revelation given that high rates of breast dissatisfaction have been reported within the adolescent female population, especially during early adolescence when there is greater variance among peers. Psychological issues are important in this group of young women, and these issues include social embarrassment, low self-esteem, depression and isolation from classmates. Problems that occur relate to sexual relationships and cultural beliefs. The majority of these patients are young, healthy individuals, and the psychological and social impact of these conditions is significant. Physicians and parents should be aware that seemingly small differences to an examiner’s eye might have a considerable impact on the sometimes fragile psyche of an adolescent.
Surgical options for correction exist. These include improving breast symmetry by combining different techniques using implants, autologous or your own fat transfer, liposuction, breast reduction and/or myocutaneous flaps. Correction of breast asymmetry often involves multiple surgical procedures. The best policy is early intervention with education, support and counseling. The key steps in successful management are diagnosis, appropriate referral, counseling, optimal timing of surgery and avoiding unnecessary surgery in a developing young adult. In the rare instance that the asymmetry causes such distress that your doctor recommends surgery, please consult with an experienced plastic surgeon about your options for surgery.
Newer techniques such as autologous fat transfer, offer a less invasive way to correct breast asymmetry with more natural appearing results. Fat grafting is natural, flexible and versatile. It allows the plastic surgeon to gradually sculpt and reconstruct the breast to a natural looking shape and feel. Like other reconstructive techniques, fat grafting is a staged procedure with results achieved over time. Fat is harvested from the abdomen, flanks and thighs and then is injected into the breasts through small incisions. This is an outpatient procedure, with each stage carried out every 3 to 6 months. The number of stages required for completion varies on an individual basis. The results are long-lasting and the patient also receives the added benefit of liposuction at the donor sites.
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