Thigh Reduction Surgery

In thigh reduction surgery, excess wrinkled skin and fat are removed from your upper and inner thigh to firm and tighten the area. This procedure will leave a scar that begins in the groin area, runs across the inside of your thigh and under the crease of your buttocks.

If you also have significant excess loose skin on your inner thigh extending almost to your knee, additional surgery would have to be done to shape the area and would result in a vertical scar on your inner thigh.

Your consultation

During your consultation your surgeon should ask about your general medical history. You should discuss the outcome you are seeking and whether this is possible and how much scarring you would find acceptable.

• As with any other surgery, the extent of the problem and amount of correction that is necessary would determine how much skin would need to be removed and how extensive the scarring would be.

• Post-operative scars on the body will always be more visible than scars on the face, although much of the scarring can be hidden in your bodies natural folds.

What to expect from your operation

Thigh reduction is usually done under general anaesthesia. It may be performed as a day case or you may spend a night in hospital after your procedure. As part of your operation, the surgeon may perform liposuction on the inner part of the thigh to reduce volume and mobilise the skin.

An incision is made in the groin crease (and inner thigh, if more extensive surgery is being done). The upper part of the skin is undermined and the excess skin would be trimmed. Suspension sutures are used to attach the skin to the groin area and the wounds are closed with or without drains and your wounds would be dressed. The entire operation should take around 1.5 hours. Wearing a compression garment is advisable after this type of surgery.

After your surgery

You should not experience a significant amount of pain. However, suitable pain relief should be provided by your surgeon/anaesthetist.

During your recovery there are several things you should know:

• It is important to take proper care of your wound to reduce the possibility of infection. Antibiotics should be prescribed and you should use an antiseptic wash on the wound area whenever you use the toilet, reapplying a light dressing. Continue wearing your compression garment.

• Avoid exercise for 1 month after surgery. Gradually resume normal activities after 1 month.

• If you do sedentary work (office) you should be able to return to work in around 7 - 10 days.

• You should have 4 or 5 return appointments with your surgeon, or members of his team, to monitor your progress.

The risks

• Bleeding, which is most often manifested as bruising, should not alter at the end result.

• Infection (2% to 3% of cases) can lead to wound breakdown. In most of these cases conservative management using dressings, antibiotic creams, etc., would help the wound to settle down. However, you may require scar revision.

• Deep vein thrombosis and pulmonary embolism are also risks with this type of surgery. It is therefore important to mobilise as soon as possible after your operation.

Arm Reduction Surgery

As we age, the skin of our upper arms begins to sag and hangs from the lower side of the arm when the arm is extended. Arm reduction (brachioplasty) can remove the loose skin and underlying fatty tissue. You should know that you will have a noticeable scar, so please bear this in mind, as you may feel reluctant to bare your arms after the procedure.

This condition can also occur after substantial weight loss, even in much younger people. If you have lost a great deal of weight, this surgery can be an important part of restoring a balanced body shape.

Your consultation

During your consultation your surgeon should take a medical history and ask you about your goals for the procedure. He should discuss the surgery and make sure you understand that you will be left with visible scarring.

As body scars do not fade as much as those on the face, plastic surgeons have made efforts to reduce the visible scars. New techniques have evolved using a combination of liposuction with a shorter scar arm lift, but these are generally more suitable for people with smaller amounts of loose skin and fatty tissue to be removed, and whose skin has retained some elasticity. The surgeon should discuss whether you would be a suitable candidate for this approach. If you have significant sun damage, extensive stretch marks or very loose skin, you would not make a good candidate for short scar surgery.

What to expect from your operation

The procedure is normally performed under general anaesthetic and you can either return home the same day or have an overnight stay in hospital. Depending on the amount of skin & fatty tissue to be removed, the scars may be placed in the armpit; in the armpit, extending a short way on the inner part of the arm or; along the inner arm from elbow to armpit. The procedure normally takes around 1.5 hours.

After your surgery

You should not experience a significant amount of pain. However, suitable pain relief should be provided by your surgeon/anaesthetist.

As you recover there are some things you should expect:

• Some swelling and bruising is normal and should resolve in a matter of days or weeks.

• Absorbable sutures should be used. Your dressings will be removed in 1 week.

• You can wash, but it would be best to keep the dressings dry for the first week.

• Sometimes hands and wrists may swell after surgery on your arms. Try to keep your arms elevated on pillows at your sides in the first week.

• 2 to 4 postoperative visits are usually required, but you may need additional visits if more scar management is necessary.

• The surgeon should suggest ways to minimise your scars, such as using silicone gel and massage for a period of several months, or using a tape impregnated with silicone applied straight over the scar.

• Arm movement should be reduced for 1 month.

The risks

• Complications from arm reduction surgery are rare but may include infection, bleeding and excessive scarring.

Laserlipolysis

With laserlipolysis a laser is used to rupture fat cells under the skin, causing the fat to liquefy. This liquid fat is then allowed to drain away via the lymphatic system. Pockets of fat can be removed from almost any part of the body using this procedure and the results are visible almost immediately. Although there are limits to the amount of fat than can be removed, the surgeon should help you to decide which areas of your body would benefit from this process.

What would my recovery time be?

This varies with the extensiveness of the procedure – the amount of fat removed, the number of sites treated, and so on. It is important that you establish realistic expectations through discussion with your surgeon.

The risks

The following conditions would need a medical review before any treatment could take place:-

• Certain hereditary diseases;

• Cardiac disease;

• High cholesterol;

• Scarring, hernias, or undefined skin disorders in the treatment area;

• The taking of anticoagulants;

• Haemophillia

• The ingestion of pesticides, or similar substances;

In the case of pregnancy, you would not be able to undergo this procedure

Tummy Tuck (Abdominoplasty)

An abdominoplasty, or tummy tuck, is a surgical procedure that can change the shape of the abdomen by removing excess loose skin and fat, and by tightening the underlying muscles.

Why choose tummy tuck surgery?

Tummy tuck surgery is one of the most rewarding and popular procedures available today and can help people achieve a flatter stomach, slimmer overall physique, and a feeling of rejuvenation. It is commonly performed in cases where abdominal skin and muscles have been significantly stretched, such as women who have recently given birth or a person who has gained and then lost a large amount of weight. The procedure can also correct Caesarean scars and reduce the effects of stretch marks.

Is an abdominoplasty right for me?

If you are considering having a tummy tuck procedure, it's essential that you contact an accredited and experienced surgeon for a full consultation. The surgeon will be able to assess your personal needs, and decide whether surgery is your best option. Ideally you should be close to your ideal weight, but it is understood that this is not always possible. The surgeon will discuss whether you should combine the procedure with liposuction, and the position of your scar. Sometimes the position of the scar can be slightly adjusted in light of your preferred form of clothing or underwear, but ultimately the final decision is restricted by your anatomy. The surgeon may also suggest non-surgical alternatives such as tummy tuck cream.

What is involved in the tummy tuck procedure?

There are two forms of tummy tuck surgery. UK surgeons will either perform a full tummy tuck or a partial tummy tuck (apronectomy). The surgery is normally performed under general anaesthetic, and the length varies depending on the patient's needs, but can often take up to three hours.

During a partial tummy tuck, your surgeon will make a large incision across the lower abdomen. He or she will then separate the skin from the abdominal wall and remove any excess fat. The surgeon will then cut away any excess skin before the remaining skin is pulled down to the first incision and stitched together.

In a full tummy tuck, your surgeon will make an incision across the abdomen, just above the pubic region, from hip bone to hip bone. A second incision is then made in order to free the belly button from surrounding tissue, and the skin is then separated from the abdominal wall. The muscles are then pulled down and stitched into the new position, and any fat deposits and excess skin are removed. A new hole is subsequently cut for the belly button, and it is stitched back in to place. Finally, your surgeon will pull the remaining skin down to the first incision and stitch them together.

What happens after the abdominoplasty operation?

After your tummy tuck surgery, drainage tubes are placed under the skin in order to collect any excess fluids. This will be removed after twenty-four to forty-eight hours, but the post-surgery dressing is usually kept in place for a week, and a special compression garment that aids healing is often required, which is worn for up to three weeks.

Abdominal discomfort and tightness may occur after abdominoplasty surgery, but can be controlled with painkillers—although aspirin should be avoided as it can promote bleeding. Swelling and bruising may also occur but will usually disappear within six weeks. Numbness is also known to occur in the lower abdomen, but sensation should return over time.

For a full tummy tuck recovery, you should avoid returning to work for around two weeks—longer if your job requires strenuous activity. It's important to rest fully and to make sure you don't put any strain on the affected area.

Rare tummy tuck complications can include:

  • Infection
  • Blood clots
  • Haematoma
  • Prominent scars
  • Seroma (fluid collection)
  • Skin necrosis (Skin death)

Infection can be treated with antibiotics and drainage, and a seroma can usually be drained by you surgeon using a fine needle. You can reduce the risk of blood clots by moving about as soon as you can after your operation.

More serious wound problems such as skin sloughing off, or liquefied fat draining from the incision, may require additional surgery to allow healing, sometimes utilising skin grafts.

It's important that you research the procedure you're interested in thoroughly before you make any final decisions regarding surgery. You should be completely happy and confident with your surgeon, and aware of the inherent risks and limitations of all surgery. Once you are fully prepared, you stand a good chance of achieving a pleasing outcome.

Please click here to download your free Tummy Tuck Guide

The area to be sculpted is filled with a special saline solution which helps to numb the site and shrink the blood vessels.  This helps to minimise blood loss, thereby giving reduced bruising.  A small probe transmitting sound energy (similar to that used for cataract removal from the eye) fragments fatty tissue, whilst leaving other important tissues intact.  The liquified fat is then removed by a suction process.  Pain, swelling and bruising are usually less than with traditional liposuction.

     
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