Tummy Tuck Honolulu, Hawaii by Dr Schlesinger

Tummy Tuck in Honolulu Hawaii

The key to a great tummy tuck is a great belly button. The belly button has two blood supplies – one from the skin around it and one from the liver. There are two veins and one artery that come from the liver and go to the bottom of your belly button. This is how your mother fed you when you were inside her. In a full tummy tuck, the belly button is circumscribed (a cut is made all the way around it), and it is dropped inside to be brought out through a new opening.

Another little known fact about the belly button is that it is not a midline structure. It is usually slightly off to the right or the left. This has to be taken into consideration when your plastic surgeon creates a new belly button. I attempt to center the belly button. Many plastic surgeons try to make a very natural belly button by giving it a slight hooding. It has been my experience that this hooding rarely looks natural and takes away from the potential beautiful looks of a new belly button (neo-umbilicus). The opening to the new belly button should be neither too big nor too small since both of these choices again detract from an attractive belly button.

Technically, I use a vertical ellipse measuring 15 mm in vertical height and 8 mm in width. It is important to take all the fat off the bottom of the skin around the belly button for a distance of 20 mm. This allows the skin to indent in a very natural fashion since the belly button should have a gentle slope down to it from the tissue around, and not an abrupt step off. The scar around the neo-umbilicus should be deep inside the belly button, therefore not visible to the outside world leading to a more natural appearance. The way to do this once the surgeon has repaired the muscles of the abdominal wall, he or she should anchor the belly button at 3, 6, 9 and 12 o’clock to the fascia covering the muscles. This allows the defatted skin around the neo-umbilicus to be pulled downward leading to a hidden scar. The sutures that connect the abdominal skin to the edge of your old belly button should be below the surface, and only super glue should be used at the scar edge to prevent railroad tracking which is a dead giveaway for a tummy tuck.

A great looking belly button should be centered as much as possible, having a gentle slope down to its edge, and the scar should be hidden as much as possible inside the belly button.

The abdominoplasty incision scar should be hidden under the upper edge of one’s panty or bikini line, therefore the belly button is truly the key to a well done abdominoplasty. What is taken away during an abdominoplasty is, of course, important, but what is left after an abdominoplasty is more important. A great belly button gives you a great midriff. Feel free to visit our websites,

www.breastimplantcenterofhawaii.com
www.liquidfacelifthawaii.com

Plastic surgery to prevent bullying on the rise

makeupPlastic surgery is enjoying an increasingly comfortable reception in much of the world, a fact that’s attested to by the growing number of patients who undergo cosmetic procedures with each passing year. Last year saw a sharp rise in the number of men committing to plastic surgery, and now a similar rise is being witnessed among an even less likely demographic: children.

Some parents have begun to consider plastic surgery as an option to manage teasing and bullying dished out on account of abnormal features like ears that stick out or an over-sized nose.

“I would hear all kinds of things, dumbo, whatever,” says London Woodward about her own early years. Woodward recently had work done on her right ear, and says she’s considering approving the procedure for her eleven and thirteen year old daughters.

“I didn’t like it,” continues London, referring to the bullying, “it made me feel insecure.”

Dr. Michael Olding, a George Washington University plastic surgeon, admits that correcting wayward ears is a fairly simple, routine procedure — even for children. But he’s not sure that abnormal features and being bullied at school have such a straightforward, cause and effect relationship.

“The knife is not the answer,” says Dr. Olding, who believes that the bullying itself needs to be addressed instead of whatever inane detail the bully has chosen to latch onto. For Mrs. Woodward and her daughters, however, the prospect of reducing the teasing and bullying in one fell swoop holds a certain allure.

“People judge you on a lot of other things,” says Aubrey, one of Mrs. Woodward’s daughters. “And then when you add an ear to it, it makes you feel bad.”

“They’ve been teased a little bit in elementary and in junior high,” continues Mrs. Woodward, sympathizing with her daughters. “So it’s something I think they want to do, so we’re behind them.”

While performing cosmetic procedures on children may have been unheard of just ten or twenty years ago, times are certainly changing. Even Dr. Olding, while he doesn’t believe surgery is the right course to prevent bullying, admits that he’s still willing to perform some procedures on children — assuming they display a certain level of emotional maturity.

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

New bandage could reduce scarring

woman-fourScarring is a normal part of just about any major surgery, whether it’s a cosmetic procedure or not. Surgeons work very hard to reduce the visibility of scars, but they haven’t ever had a method at their fingertips that can help to guarantee the optimal healing of surgical incisions — until now.

Geoffrey Gurtner, a Stanford University plastic surgeon, has been working with his colleagues to develop a new type of bandage for minimizing the appearance of scars. The bandage helps to alleviate stress from the incision area, which ensures that the skin heals without the stretching and separating that causes large, raised scars.

“Even doing the best I can,” says Gurnter, “patients still end up with scars, and it’s somewhat unpredictable. Some people have very bad scars, and some people have better scars. So there hasn’t been a simple way to really get the scar as good as it possibly can be.”

Gurtner’s bandage adheres to the skin in lines that run parallel to the incision. The strong bond that’s made on either side of the wound helps to transfer mechanical stress that results from bending and stretching across the incision area to the skin on the other side. The reduction in stress applied directly to the incision keeps it closed and well formed during the healing process.

“If you’re moving around or doing jumping jacks, actually all the mechanical forces go to the skin, and then they go over the incision through this elastomer and go back on to the other side,” says Gurtner. “So that the area underneath the bandage doesn’t feel any mechanical forces.”

As a plastic surgeon, Geoffrey Gurtner’s primary interest in the bandage is to help reduce the scars created during cosmetic procedures. But scars left by face lifts, tummy tucks and other popular procedures aren’t all that the bandage can help with. According to Gurtner, the bandage could help to reduce scars left by caesarian sections, knee surgery, open heart surgery and more.

Tests have been performed on both laboratory animals and a few human subjects. The results so far are promising.

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

Fourth total face transplant in the country performed at BWH

woman-three-133x150A team of more than thirty medical professionals including nurses, physicians, anesthesiologists and residents performed the country’s fourth total face transplant this month at the Brigham and Women’s Hospital in Boston, Massachusetts. Dr. Bohdan Pomahac, a plastic surgeon at the Brigham and Women’s Hospital specializing in breast, facial and trunk re-constructive and alteration procedures, led the highly organized transplant team’s efforts for more than fourteen hours.

The face transplant was performed on Mitch Hunter, a thirty year old man from Indiana who was severely injured during a traumatic incident involving both a car crash and shock by a high voltage electrical wire. Hunter’s facial tissues were irreversibly damaged, necessitating the full transplant of lips, nose, eyelids, foundation tissues, the muscles which control facial animation, and the nerves which provide sensation to the face.

“It is remarkable and truly inspiring to see the entire Brigham transplant team, once again, perform this amazing life giving and life transforming procedure,” said the president of Brigham and Women’s Hospital, Betsy Nabel, MD. She went on to say that the operation could not have been performed without a tissue donor, and that she hoped the success of the procedure would prompt others to consider “the most selfless human act” of organ and tissue donation.

The procedure’s astounding complexity, its need for donor tissue and its shocking professional collaboration requirements make it a truly miraculous achievement. The Brigham and Women’s Hospital is recognized as a world leader in transplantation, completing, among others, the first human organ donor transplant in 1954, the first heart transplant in New England in 1984, and the first heart-lung transplant in Massachusetts in 1992.

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!