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    Tummy Tuck Beverly Hills | Abdominoplasty Los Angeles

    Pre-Operative marking prior to your surgery, you will have the opportunity to speak
    with Dr Motykie about any part of your surgical procedure and/or recovery process. You
    will be asked to change into a surgical gown and Dr Motykie will place surgical markings
    on your abdomen that will be the approximate location and length of your incision as
    well as indicate all possible areas of accompanying liposuction. You may want to bring a
    pair of your own swimwear or underwear to help place your incision hidden below your
    own personal “bikini line.”All markings for abdominoplasty are performed in the standing position to ensure a properly placed belly button and appropriate incision location. Dr. Motykie places great importance on making your scar as minimal in length as possible and he strives to keep all of your incisions in well hidden locations for you personally.

    Anesthesia and Operating Facility for almost all abdominal contouring techniques
    you will most likely receive general anesthesia (you are asleep) for your own
    personal comfort, safety and surgical ease. Dr. Motykie uses only Board Certified
    Anesthesiologists to administer anesthesia and monitor your safety during your
    surgery. You may be given medication before reaching the operating room so you will
    feel relaxed before surgery. The surgery takes approximately 3-4 hours to perform
    depending on the complexity of your procedure. Dr Motykie performs his surgery in
    a fully accredited (AAAASF) surgical facility where your safety and privacy are of the
    utmost importance. Deep vein thrombosis (blood clot) precautions are taken with every
    patient and include a minimum of anti-embolic stockings and sequential compression
    devices (SCDs) on the lower extremities during the entire length of your procedure.

    Surgical Procedure An abdominoplasty is most commonly performed by making

    horizontally-oriented incision below your bikini line. The shape and length of your
    incision will be determined by the degree of correction necessary.

    In a mini abdominoplasty, excess skin of the lower abdomen is removed and the lower
    abdominal muscles may be tightened. The incision may possibly be shorter along the
    lower abdomen than in a full abdominoplasty depending on the amount of loose skin
    present pre-operatively. Your belly button is not moved because the skin and muscles
    of the upper abdominal are not addressed during this surgery. Any excess abdominal
    skin is removed at the end of the procedure and your incision is closed with dissolvable
    sutures that are placed underneath the skin.

    In a full abdominoplasty, all three layers of the abdomen are addressed which include
    tightening ofthe abdominal muscles, removing excess fat through liposuction and
    removing loose skin and stretch marks by direct excision. During the procedure, the
    abdominal muscles are pulled together and repaired to a more normal anatomical
    position. This technique is very akin to an “internal corset” because as the abdominal
    muscles are drawn together, your waistline is narrowed. In addition, a second incision
    is made around your belly button in order to address any loose skin and repair the
    muscles of the upper abdomen. After the muscles have been repaired, the creation
    of a realistic “belly button” is essential to having a natural looking abdomen after your
    tummy tuck procedure. The belly button is often the signature creation of the plastic
    surgeon since there are many different techniques currently available to create a
    realistic appearing belly button. The belly button is often the only thing that is visible
    after a tummy tuck because the other abdominal incision is hidden below the bikini line.
    Therefore, an “attractive” belly button is essential to a satisfactory outcome. A wide array
    of sizes, shapes and positions of a “natural” appearing belly button are seen and this
    diversity must be identified and maintained after surgery. In other words, your new belly
    button should not appear too large, too thin, too shallow or too deep. After your belly
    button is complete, any excess abdominal skin is removed and your incision is closed
    with dissolvable sutures that are placed underneath the skin.

    Dr. Motykie commonly performs liposuction in conjunction with both full and mini
    abdominoplasty procedures in order to help create a well contoured abdominal profile
    and waistline post-operatively. The mons pubis represents a distinct aesthetic unit
    and it is always addressed accordingly during surgery. Two drains are typically placed
    below the level of the abdominal incision in order to collect any swelling fluid that may
    accumulate over the next few days of recovery. A pain pump is also placed which leaks
    numbing solution onto the repaired abdominal muscles in order to significantly improve
    post-operative comfort. At the conclusion of the procedure small sticky tapes are placed
    over the incision and an abdominal binder is placed in order to provide support and
    compression of the abdominal area post-operatively.The end goal of ever surgery is a
    narrower, flatter, firmer abdomen with a naturally appearing belly button.

    Recovery Room After surgery you will be brought to the recovery area where you are allowed to rest and completely recover from anesthesia. Nurses will be on staff by

    your bedside to make sure you are recovering properly as well as being able to provide
    you with pain medications and small amounts of water and/or ice chips while you are
    becoming more awake and alert. After you have fully recovered from anesthesia, you
    may be released to home with a responsible adult although we often encourage our
    abdominoplasty patients to stay overnight in an outpatient recovery retreat where there
    are nurses on staff 24hrs to assist you with post-operative care and medications.Some
    patients decide to return home after one night in the recovery retreat while others prefer
    to stay for two to three days.

    The most comfortable position to recover in after surgery is a reclining chair with your
    knees in a slightly flexed position. Over the first night you will most likely find yourself
    having to use the bathroom frequently. This is normal and is due to the intravenous
    fluids you received from your IV during your surgical procedure. Leave all garments
    intact until the next morning when you will return to Dr Motykie’s office in order to
    have your dressings changed and receive further instruction for the rest of the week.
    The “anti”-pain pump which was placed during your surgery will help to “numb” your
    abdomen for the first few days after surgery. This pump self-administers the numbing
    solution which will significantly decrease your need for oral prescription pain medications during your early post-operative recovery period. The night following your surgery, you may experience some pain and discomfort which can be controlled with your prescribed pain medication.

    The majority of the sutures used during your surgery will be placed underneath your skin
    in order to create a very thin scar. None of these sutures need to be removed after your
    surgery and all of them are covered by thin surgical tape that is left in place for the first
    week after your surgery.

    To find out more about these body contouring procedures please contact us at 310-246-2355

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