Download - ABDOMINOPLASTY TUMMY TUCK - Cadogan Clinic · ABDOMINOPLASTY - TUMMY TUCK - PATIENT Nº 0017 ABDOMINOPLASTY - TUMMY TUCK - PATIENT Nº 0018 FULL ABDOMINOPLASTY MODIFIED BRAZILIAN

This is a procedure which removes an unwanted ellipse of excess tissue generally speaking from the belly button to the pubic bone, tissue from the upper abdomen is then moved downwards to close the wound.

This new modified Brazilian technique of tummy tuck includes additional liposuction to flanks as standard, all sutures are dissolvable, there are no drains. Patients seem to be in less pain than compared to traditional techniques. So much so that I now expect patients to be up and mobilising within a few hours and patients can safely be discharged on the day of surgery. See images below and the information leaflet for more details about the operation.

Please note due to modesty, all underwear is pulled down during pre and post op images, all post op scars are designed to fit below the underwear. All images are taken relatively early to show you the scar types, colour and position.

ABDOMINOPLASTYTUMMY TUCK

These are all of my former patients who have kindly consented for me to use their images for patient education and teaching purposes, so please treat them appropriately.

All images are taken at 4-6months to show early post op results and so that patients get a true representation of what the shape and particularly the scars will look like.

As you go through these series of images you will note such variation in pre op anatomy and post op results. This is normal and what makes us all so very individual!

Kind regards

Mr Garrick GeorgeuMB ChB, MSc, FRCS (PLAS)

Modified Brazilian Technique ..................................................................................................................................... 1 - 20Hernia Repair - Modified Brazilian Tummy Tuck ................................................................................................... 21 - 23Fleur de Lys ................................................................................................................................................................... 24 - 25Apronectomy ........................................................................................................................................................................ 26Mini Tummy Tuck ................................................................................................................................................................ 27

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35yr old who underwent modified Brazilian tummy tuck, early post op picture show a nice result, but scar a bit red. On review 9months post surgery scar faded nicely.

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39yr old mother of two who underwent a modi-fied Brazilian abdominoplasty.

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42yr old fitness instructor with loose skin and overhang following two pregnancies and caesarians, modified Brazilian tummy tuck performed.

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43yr old mother of two underwent modified Brazilian tummy tuck and a simultaneous Gynaecological operation. Early post op images, expect scar to settle more with time.

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28yr old mother of 4 who underwent a modified Brazilian tummy tuck. Post op images taken at 5months.

Note: underwear pulled down for first two post op pictures, and in normal position in the final picture.

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48yr old mother of 5, with a number of previous abdominal surgeries, underwent a modified Brazilian tummy tuck.

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29yr old mother of 3 kids, who has had large fluctuations in weight, of up to 5 stone. Modified Brazilian tummy tuck performed with removal of 1kg of fat during liposuction and 2.75kg of tissue. Pictures taken at 4-5 months post op.

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45yr old mother of two, who underwent a modified Brazilian tummy tuck with removal of 950ml of fat with liposuction and 1.7kg of tissue. Pictures taken at 4-5 months post op.

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TUMMY TUCK

35yr mother of three children, who had a wide fluctuation of weight of 6 stone over the recent years. Now back into her low hipster jeans. Pictures taken at 4 months, with scars softening and beginning to fade.

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43yr old lady, who underwent a modified Brazilian tummy tuck. She previously weighed 19.5 stone and 3years previously had a gastric banding.

Note picture of patient with underwear pulled down to cover modesty (top left), and in usual position hiding scar in bottom two pictures.

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MINI TUMMY TUCK

36yr old mother who did not want a tummy tuck, who decided on a mini tummy tuck and liposuction to abdomen.

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36yr old, mother of two with a caesarean scar and a tissue overhang coupled with a central split of the muscle (divarification) due to pregnancies. Both repaired with a modified Brazilian tummy tuck, images taken at 5months.

Note underwear pulled down for photographs, but covers scar completely when in normal position.

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35yr old mother of 3, who underwent modified Brazilian tummy tuck. During operation removed 1.9kg of tissue. Scar sits well below “knickers line”. Pictures taken at 5months.

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52 yr old mother who underwent a modified Brazilian tummy tuck. Pictures taken at 4months, anticipate will fade nicely with time.

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35yr old diabetic who underwent modified Brazilian tummy tuck. Note underwear is pulled down to show scar, but completely covers the incision when worn in a normal position.

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25year old women who had a previous caesarian operation a year previously, which burst open a few months later resulting in a protracted healing process – requiring 5 further abdominal operations and finally allowing the cavity to close slowly with assistance of district nursing wound care.

Corrective surgery was performed in the form of a tummy tuck – the modified “Brazilian technique”. Recovery was not straightforward as the patient had a reaction to the absorbable sutures, so the scars have been slow to settle. Post op pictures taken at 5 months.

The “New Tummy Tuck” includes additional liposuction to flanks as standard, all sutures are dissolvable, there are no drains.

Patients seem to be in less pain than compared to traditional techniques. So that I now expect all my patients to be comfortable enough to mobilise within a few hours on day of surgery and everyone has been discharged home in 24hours.

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41yr old, with 4 children. Early post op pictures taken at 3month.



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49yr old women who underwent a modified Brazilian tummy tuck. Post op pictures taken at 3months.

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46yr old patient with significant medical history undergoing tummy tuck. Surgery removed 2.2kg of tissue (liposuction and excision of tissues).

Post operatively flare up of medical condition resulting in limitations on exercise and resulting in weight fluctuation. Pictures taken 5 months post op.

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35yr old diabetic who underwent modified Brazilian tummy tuck. Note underwear is pulled down to show scar, but completely covers the incision when worn in a normal position.

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HERNIA REPAIR WITH MODIFIED BRAZILIAN TUMMY TUCK

36yr old mother of twins with significant central abdominal hernia and split tummy muscles (the twins fault!). Underwent mesh repair of the hernia via a modified Brazilian tummy tuck. Images taken at 6months.

Note underwear pulled down in first two post op images and then in the normal position in the last.

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The new way to perform a “tummy tuck”, you get the same amount of tissue removed without the need for drains.



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34yr old very active mother of two, with a large lower abdominal weakness and central umbilical hernia. Underwent a modified Brazilian tummy tuck approach to repair the muscle and hernia.

NOTE:1. This is compromise surgery w.r.t. the understanding that a longer higher scar is needed due to very little skin laxity2. Knickers pulled down to expose the scar.

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MODIFIED BRAZILIAN TUMMY TUCK – FLEUR DE LYS

Used for weight loss patients or those patients with vertical and horizontal abdominal laxity that cannot be treated with a traditional “tummy tuck”.

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MODIFIED BRAZILIAN TUMMY TUCK – FLEUR DE LYS

42yr old women who had lost 12.5stone of weight who underwent a Fleur de Lys abdominoplasty removing excess skin in the vertical and horizontal planes. Removal of 12 pounds (5.5kg) of tissue during procedure.

Pictures taken early at 4 months, just before patient flew off to first beach holiday ever.

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MODIFIED BRAZILIAN TECHNIQUE

67yr old patient, who lost a 1/3 of her original body weight (7stone) with a gastric banding. Unfortunately was having significant problem after this surgery with a large pendulous skin flap creating a pressure effect. This resulted in raw painful sores in the fold between the lower abdomen and groin creases.

Aim of the surgery is “melon slice” of apron of tissue, NOT COSMETIC operation. Modified Brazilian tummy tuck used for removal of 6.29kg of Apronectomy tissues (4.59kg of tissue and 1.7litres of liposuction fat)

This is NOT A COSMETIC BUT FUNCTIONAL OPERATION, the aim is to remove large amounts of redundant abdominal skin following massive weight loss. Usually the patients have other medical problems necessitating a quicker procedure. It is high-risk surgery with increased rates of complications including infection, wound breakdown. To obtain very good results, the surgery is often planned to be performed in stages.

Mr Garrick GeorgeuAesthetic Plastic Surgeon

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