Abdominoplasty

Abdominoplasty

One of the top tummy tuck doctors in the  San Jose and Palo Alto area can be found at An Enhanced You Cosmetic Surgery Center. Dr. Robert Lowen performs customized abdominoplasty, or tummy tuck procedures to help his patients from the entire Bay Area and beyond achieve technically advanced and attractive cosmetic surgery results.

Dr. Lowen specializes in doing tummy tucks with a drainless technique. He also uses Exparel long-acting anesthetic during surgery.  Patients therefore wake up with little or no pain, have no drains or catheters to contend with, and can become active more easily, contributing to a speedier, more pleasant recovery. Ultrasonic liposuction is an integral part of any tummy tuck where there is excess fat in the upper abdomen, waist or flanks, with the goal of giving a sculpted, youthful look.

317581 front 4 months317581 side 4 months

Abdominoplasty, or tummy tuck, is an operation to reduce unwanted excess or overhanging skin and fat and tighten the abdominal wall. Dr. Lowen is regarded as one of the best tummy tuck doctors in the SanFrancisco Bay area. His main goal is to restore a slimmer profile and waistline. Dr. Lowen performs three types of abdominoplasty, Mini, Standard and Extensive.

TT breast aug front TT breast aug oblique TT breast lateral

 

Mini- Abdominoplasty

A mini-abdominoplasty procedure is appropriate when skin is wrinkled or in excess in the lower abdomen only.  Abdominal wall laxity can be corrected only if it is in the lower abdomen. This is an excellent procedure for women who have a C-section scar with excess skin hanging over the scar, and who have minimal need for abdominal wall tightening.

Standard Abdominoplasty

If the skin is wrinkled and in excess in both the upper and lower abdomen, the standard abdominoplasty is needed. This procedure tightens the skin, tightens the abdominal muscles, and removes excess skin and abdominal fat. Liposuction can be done as needed in the upper abdomen.

Extensive Abdominoplasty

An extensive abdominoplasty approach is used when there is excess and over-hanging skin in the lower abdomen and when excess girth extends around the waist which is poorly defined. It also treats significant laxity of the abdominal wall, below and above the umbilicus.

5 weeks post-op318212  TT R oblique 5 weeks318212  TT R side 5 weeks5 weeks post-op

318224 Tummy tuck lipo front318224 Tummy tuck lipo oblique318224 Tummy tuck lipo side318224 Tummy tuck lipo back10 weeks post-op

Dr. Lowen specializes in the “high-lateral tension and high-superior tension” abdominoplasty at his San Jose area center. This exacting and time-consuming advance in body contouring surgery is the plastic surgery version of fine tailoring. The goal is to have not only a great looking abdomen and a slim waistline, but a scar that heals as a fine line, without the thickening, widening, or depression that occur commonly after less secure repairs with absorbable sutures.

TT Scar at 2.5 and 4.5 months 9-3-web-size4 years post-op

To visualize how this tummy tuck procedure works, imagine a Chinese-finger trap. You put your fingers in and pull. As you pull the trap gets tighter and thinner in the middle. The body has a similar network of fibers called the superficial fascia that can be used to transmit and hold this tension. By securing this fascia, which runs throughout the thickness of the abdominal fat, with permanent sutures placed so close together that you cannot get a finger between them, it is possible to restore a tight and youthful tone to the entire abdomen. Additional superior-tension support is provided by securing the portion of the abdominal flap adjacent to the umbilicus to the abdominal wall. This effectively removes tension in the midline at the site of flap closure at the pubic area. This area is the most prone to wound healing problems if tension is present. The high-tension closure enhances scar quality. Our scars usually heal as a fine line.

The technique also protects the blood supply to the lower abdomen by placing the tension laterally, and not in the vertical direction. The procedure achieves not only a tighter, pleasantly shaped abdomen, but a lifted and rejuvenated appearance of the pubic area and front of the thighs.

The high-lateral tension abdominoplasty can be combined with liposuction of the upper abdomen and flanks to obtain better definition of the waistline and a comprehensive sculpting of the area between breast and thigh.

A  detailed description of the abdominoplasty procedure, step-by-step, can be found at this link: how an abdominoplasty is done.

For more information on the abdominoplasty procedure, schedule a tummy tuck consultation at our Mountain View practice. Contact our plastic surgery center today to get started.

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    "Outstanding results come from superb surgeon skills. I have dedicated my working life to the art of medicine and surgery. My artistic vision and intense attention to detail, as well as my real concern for my patients' happiness, are what have lead to such high satisfaction."