By Gary D. Hall MD
| August 1st, 2014
Tummy tuck surgery, also known as “abdominoplasty,” is one of the most popular procedures at Dr. Hall’s Kansas City practice. The following are some of the most frequently asked questions about the procedure:
1. Am I a good candidate for a tummy tuck?
Many patients who have experienced very good results with tummy tuck surgery are those who have either lost a significant amount of weight or those who have had children. Weight loss and pregnancy can cause loose skin in the abdomen, abdominal muscle separation, and stretch marks – all of which can be remedied with an abdominoplasty. Those who have excess skin and fat on their abdomen due to other reasons also experience great results with this procedure. Generally, if you are unhappy with the appearance of your abdomen and you are at or near your ideal weight, you will likely qualify.
Those who experience the best results with abdominoplasty can relate to the following:
Your weight has been stable over the last few months, not fluctuating significantly
You are within 10 to 20 pounds of your ideal weight
You do not smoke or you are able to quit for at least one month before and after surgery
You are finished having children
You have realistic expectations for the procedure
Some patients may be better candidates for a mini tummy tuck, which will address sagging skin and excess fat in the lower abdomen only. If you have good skin elasticity or only a small amount of loose skin, liposuction may be sufficient to get the desired results.
2. What will happen if I become pregnant after a tummy tuck?
It is best to wait until you are finished having children before choosing tummy tuck surgery. Pregnancy after tummy tuck will not cause any harm to you or the developing child, but it can “undo” your tummy tuck results to some extent. Any loose skin after pregnancy can be resolved with revisional surgery to improve your shape.
3. How long will results last?
Results with a tummy tuck are long lasting. Patients can prolong their results by maintaining a healthy diet and exercise routine and by protecting their skin from the sun.
4. How much weight will I lose from a tummy tuck?
Tummy tuck surgery is not a weight-loss procedure. In fact, the average amount of weight lost from tummy tuck surgery is only five pounds. However, as we mentioned in a previous post, a recent study has shown that some patients can experience a marginal amount of steady weight loss after the procedure – not counting the five pounds or so that were removed during surgery.
5. Will scars result from this procedure?
A scar will be present on the pelvis that spans from hipbone to hipbone. This scar can usually be hidden beneath most styles of swimsuit bottoms and will fade significantly with time. A shorter scar in the same area is associated with a mini tummy tuck.
6. Is pain associated with this procedure?
Like any other surgical procedure, there will be some amount of discomfort after tummy tuck surgery. As we mentioned previously, Dr. Hall can now perform tummy tuck surgery on an outpatient basis thanks to the use of a slow-releasing numbing medication, which continues to work for about three days. This saves you from spending money on a hospital stay. Dr. Hall will also prescribe medication that will keep you comfortable for the remainder of your recovery time.
If you are interested in tummy tuck surgery in the Kansas City area, please contact board-certified plastic surgeon Dr. Gary Hall by calling (913) 299-5100 today. For your convenience, you may also fill out our online contact form.
By Gary D. Hall MD
| July 9th, 2014
The breasts change as the skin loses elasticity from circumstances such as pregnancy, breastfeeding, weight fluctuations, aging, and heredity. As the skin loses its ability to stretch and return to normal, the breasts do not retain their shape and begin to sag. The breasts lose their youthful shape and firmness as loose breast skin, stretched areolas, and drooping breasts develop.
Breast lift surgery (mastopexy) removes excess skin and tightens the surrounding tissues to achieve the following:
It is important to understand that mastopexy cannot increase the size or add fullness to the breasts. Patients often combine breast augmentation surgery and breast lift surgery to attain more youthful breasts that are both larger and uplifted.
What Recovery Looks Like
After breast reduction surgery, the breasts will be bandaged and wrapped with a compression garment to support them. This compression garment should be worn the majority of the time during recovery to reduce swelling and bruising and help the breasts take on their new and improved shape. Dr. Hall will give you specific instructions to follow to ensure you have the safest recovery possible.
The enhanced shape and position of the breasts will be noticeable immediately and will continue to improve over the next few months. Incision lines will fade and will be hardly noticeable over time. Results will be long lasting as long as the patient maintains a healthy lifestyle. Most patients experience a boost in confidence with their more youthful and uplifted breasts after the procedure.
If you are considering breast lift surgery or any other breast enhancement procedure, please call (913) 299-5100 to schedule your consultation with Dr. Hall. For your convenience, you may also fill out our online contact form. Dr. Gary D. Hall is a board-certified plastic surgeon and has extensive experience performing breast enhancement surgeries.
By Gary D. Hall MD
| June 18th, 2014
Breast reduction is arguably one of the most rewarding cosmetic surgeries available. When women can play sports, exercise, and simply go about everyday life without the pain caused by their excessively large breasts, their confidence and overall quality of life improves.
Those who consider breast reduction surgery typically have one or more of the following complaints:
- Pain in the neck, back, and/or shoulders
- Heavy, pendulous breasts
- Skin irritation beneath the breasts
- Indentations on the shoulders from bra straps
- Breasts that are too large in proportion to the body
- Difficulty with exercise and physical activities
- Difficulty finding clothing and bras that fit well
- Breast asymmetry
Surgery is performed under general anesthesia in a hospital or outpatient surgery center. From the initial consultation to the final result, Dr. Hall seeks to provide his patients with all the necessary information so that no question is unanswered.
Dr. Hall employs different surgical techniques for breast reduction based on the patient’s desires and the degree of correction needed. He can preserve the breast tissue and milk ducts necessary for future breastfeeding. If needed, he can also reduce the size of the areolas (the darker colored skin around the nipples). For those who require only a slight reduction, an incision is made around the areola and vertically from the areola to the breast crease. Women who need a large amount of tissue removed may require another incision beneath the breast that follows the crease. Recovery time is about two weeks, and patients are able to resume exercise after about six weeks.
This procedure results in firmer breasts that have an improved, more youthful-looking shape. Women are very satisfied with their ability to move freely without the excessively heavy weight on their chest.
If you are interested in the breast reduction procedure, please schedule a consultation with board-certified plastic surgeon Dr. Gary Hall. With years of experience performing this procedure, Dr. Hall can provide the recommendations that will give you excellent results. Please call (913) 299-5100 to schedule an appointment. For your convenience, you may also fill out our online contact form.
By Gary D. Hall MD
| May 20th, 2014
Advances in surgical techniques with breast augmentation have given patients more options than ever. You can choose the type of implant (silicone or saline; round or shaped), you can choose the incision location (around the areola, under the breast, or in the armpit), and you can choose the implant placement (above or below the pectoral muscle). Every option provides certain advantages and disadvantages with regard to scarring, healing time, and appearance. In this blog, we can help you begin your decision-making process by discussing the general advantages and disadvantages of the two implant placement options.
Subglandular Placement: Above the Pectoral Muscle
Many surgeons agree that when a patient has an adequate amount of breast tissue to cover the implant, placement above the pectoral muscle is not a bad option. Although breast augmentation in this plane does have a faster recovery, this placement is associated with a higher risk of capsule contracture and visible rippling, and it can give a less natural appearance.
Submuscular Placement: Below the Pectoral Muscle
Dr. Hall performs submuscular placement most often as his practice. This placement works best for patients who are thin, who have thin skin, or who do not have much breast tissue to cover the implant. This reduces the risk for implant wrinkling or “rippling,” which occurs when wrinkles in saline implants show through the skin. Studies have shown that capsular contracture occurs less often with submuscular placement as well. Recovery time with submuscular placement may also be a bit longer than subglandular placement. The choice between the two will depend on the outcome you desire as well as your unique physical anatomy.
Dr. Gary Hall has been practicing for many years and knows that all the choices involved with breast augmentation can be overwhelming. During your consultation, Dr. Hall will help you sort through your options and provide his recommendations that will give you the best results.
If you are interested in the breast augmentation procedure, please schedule a consultation with board-certified plastic surgeon Dr. Gary Hall. With years of experience performing this procedure, Dr. Hall can provide the recommendations that will give you unparalleled results. Please call (913) 299-5100 to schedule an appointment. For your convenience, you may also fill out our online contact form.
By Gary D. Hall MD
| May 3rd, 2013
Many patients in my practice talk about how they keep losing weight after an abdominoplasty (tummy tuck) procedure. Many think that it is related to early satiety, possibly secondary to the abdominal wall tightening. There was an article just published, Plastic and Reconstructive Surgery 131:2 2013, showing that many patients had sustained weight loss at 1 year after abdominoplasty even after accounting for the weight of the tissue removed. These authors felt that part of the continued weight loss was related to neuroendocrine changes from the bulk of fat cells removed with the abdominoplasty procedure.
Even though I like patients to have already lost weight and be at a stable weight before having a tummy tuck, I know that many patients will use this procedure as a way to get through a barrier when they can’t seem to lose any more weight. It is nice that science is starting to show us why this works. Please visit my website at www.hallmd.com if you would like more information on abdominoplasty.
By Gary D. Hall MD
| February 23rd, 2013
Finally, after being available in Europe for about 15 years the highly cohesive form stable silicone gel breast implant was just approved for use in the United States. This will be the first highly cohesive gel implant on the market in the United States from a long term established implant company. Allergan is a well respected medical company that brings a lot of security with it. The term “gummy bear” of course is not it’s real name but has been popularized in the press.
This implant has the ability to give more control over the shape of the breast than the current silicone gel implant that is available. The more cohesive nature of the silicone gel should alleviate any fears a patient should have regarding silicone migration and it seems to have less risk of capsule formation and rippling in current studies.
Of course it seems that every good thing always has some negatives. With this implant the negatives are that it will take at least a 1/2 inch larger incision than the current gel implant and will feel just a little firmer with the more cohesive gel. Also, since it has shape to it, if the implant should rotate in the breast pocket after placement it could give some deformity to the breast. As it seems with all new things on the market the manufacturer is charging more for the implant also.
As I am now certified by Allergan in the use of this new implant I would be happy to discuss this new augmentation option that we now have available. Please visit my website at www.hallmd.com and call my office at 913-341-2188 for a free consultation.
By Gary D. Hall MD
| November 16th, 2012
I frequently have breast augmentation patients ask me what they are supposed to do with the implant ID card that we give them and what if they lose it.
Every breast implant box comes with an ID card that the nurse in the operating room then puts a patient identification label as well as stickers with implant information on. There is also a place to mark left and right so we will know what implant is on a particular side. This implant sticker has the serial number of the implant so that information is readily available if needed.
Some patients worry that if they lose the card their warranty is not good anymore. No problem there, the card is not necessary, it just makes it easier if your medical record is not readily available.
I always recommend putting the card in your files at home where you can always find it. Then many years down the road if there is a need for information on your implants it is readily available. This information is also recorded at the place of your surgery but sometimes may not be readily available.
By Gary D. Hall MD
| November 6th, 2012
Over six years ago I kept all of my tummy tuck (abdominoplasty) patients overnight so that the early pain could be kept in control. Then a new device was released called a pain pump. This devise slowly released numbing medicine through two little catheters that I placed during surgery and lasts about 3 days before it runs out. This was very effective at controlling the pain and enabled me to start doing abdominoplasty surgery on an outpatient basis. Patients really seemed to like this since it saves them quite a bit of money and they don’t have to go in to the hospital. This pain control method has worked very well for the last 6 years. A new product has now been released called Exparel. This is the same numbing medicine that I used with the pain pump but it is in a delayed release format. I just inject it during the surgery and the numbing medicine slowly releases for the next 3 days. So far the pain control has been better than that achieved with the pain pump, no catheters are needed and no device is hanging from you to carry around. My patients and I have been very happy with this change and I plan to use this for all of my abdominoplasty patients from now on. At least until the next great thing comes along! If you have any interest in this procedure please visit my website at www.hallmd.com and call my office at 913-341-2188 for a free consultation.
By Gary D. Hall MD
| September 4th, 2012
Many people are unhappy with their nose. They either think it is too big, too small, too crooked, too wide, has a hump or is droopy. This is why rhinoplasty is a common plastic surgical procedure. Due to the large variation in what needs to be corrected their is a large variation in what is done in a rhinoplasty. Some people just need a little rasping or a small dorsal hump or a little lifting of the tip. While others need a large dorsal hump excised, tip reduced, and nasal boned infractured to narrow the nose. Frequently the nasal septum requires work also.
When you see a surgeon regarding your nose make sure that you bring out all of your concerns and expectations and make sure these are addressed in the consultation. You can find other information on my website.
Below is a young man who was unhappy with his nose and is shown here about 8 months after a rhinoplasty
By Gary D. Hall MD
| August 28th, 2012
Many patients have excess tissue in the inner thigh area. Most commonly this can be treated with liposuction alone. Some patients however have loose skin in this area that will not contract after liposuction and will just sag and hang there. Many of these patients have had large amounts of weight loss. In this group of patients an inner thigh lift can be helpful.
In most patients I will do this with only a groin incision. This will allow me to excise an elipse of skin in the groin area pulling up and tightening the inner thigh. This is usually combined with liposuction. Some patients however have loose sagging skin all the way down to the knee. These patients will benefit from extending the scar from the groin down to the knee allow more of the excess skin to be excised. This does leave a more noticeable scar so I only do this for severe cases. Using in patients with very large amounts of weight loss.
This surgery can be done as an outpatient but frequently I have patients spend the night in the hospital. A general anesthetic is required and the surgery can take 2.5 to 3 hours depending on what all is done.