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Monday, February 22, 2016

Tummy Tuck Overview by Miguel Delgado,MD

What is a Tummy Tuck? Dr Delgado Explains.

This is a tummy tuck overview.

Miguel Delgado, MD explains who is a good candidate for a tummy tuck or abdominoplasty. He explains in great detail the current state of the art techniques to achieve the best aesthetic outcome.  Dr. Delgado uses his patients for before and after examples as he explains. for more information and many before and after photos, click here. 

Monday, May 4, 2015

Mommy Makeover - The Complete Surgical Experience | San Jose | Palo Alto...

Mommy Makeover - The Complete Surgical Experience | San Jose | Palo Alto...

This is a great video about mommy makeover and the experience of a young Novato resident.  This was filmed by the BBC and hosted by a British Super Star.

Wednesday, August 13, 2014

Mommy Makeover Surgery Experience-Hosted By Louise Redknapp

Mommy Makeover Movie

Louise Redknapp, a rock star and model, came from Europe to film a mommy makeover.  She selected Dr. Delgado for his expertise and experience in performing this surgery.  ★★★★★  Ratings: 4.74 -118 Reviews-The surgery is a local Marin County resident, Jocelyn Sisco who just had twins.

Her goal was to get her body back after having her lovely twins.  She under went a breast lift, full tummy tuck with waist enhancement and liposuction of the flanks.  This is a wonderful story and full of valuable information. Call today for more information or email.

                                                                 Mommy Makeover Video

★★★★★  Ratings: 4.74 -118 Reviews Dr. Delgado is a certified by the American Board of Plastic Surgery.  He has been in practice since 1988 and is committed to the highest quality results and care.  Call today at 415-898-4161.

Thursday, February 7, 2013

Mommy Makeover- Napa Valley, California

Mommy Makeover Napa Valley

Mommy makeover before and after-Breast lift,tummy tuck, lipo
Mommy makeover Before and After Pic
Napa Valley,California - Mommy Makeover is a term used by plastic surgeons to describe a certain combination of procedures done at the same time. The purpose of these specific procedures is to restore a woman’s body shape and dimensions to what she enjoyed prior to the impact of pregnancy and breastfeeding.  Combining these procedures is something that has been practiced for many years.  The technology is not new, but there has been refinement of the gold standard techniques as they are performed during a single operative setting.  There have been significant improvements in anesthesia,  the reduction of blood loss,  and in prevention of major complications, such as blood clots leading to pulmonary embolism (blood clots that migrate and lodge in the lungs). 1,2,38
The Mommy Makeover combination usually encompasses a breast augmentation, a breast lift or sometimes both.  In some cases, it may be a breast reduction.  In addition to the breast surgery is a full abdominoplasty (tummy tuck) and liposuction for sculpting.   Mommy Makeover procedures are customized to the individual patient’s needs.
Mommy makeover-breast surgery, tummy tuck and liposuction
Mommy makeover
The following shows flow charts that have a separate category for each part of the Mommy Makeover; they can be used to assist a woman in exploring the different options available for her situation. 

Breast Augmentation
It is common for a woman’s breasts to change shape and lose volume as a result of pregnancy and breast feeding.  Breast augmentation is one of the most common procedures performed by plastic surgeons in the United States today[1][2], and either saline or silicone implants will restore fullness to the breasts.   Breast enhancement is the simplest breast procedure for a Mommy Makeover due to the small incision and minimal recovery time.  Refer to the flow chart to determine if breast augmentation is the best solution. 15,16,17,19
Breast Lift
A breast lift (mastopexy) moves the breast higher on the chest wall by removing excess skin and tightening the surrounding tissue. The nipple can be repositioned as well.  Depending on the patient’s preference for breast shape, there are three popular types of lifts.
1.        The inverted T incision
2.        Short Scar or lollipop incision
3.        Peri-areolar incision, although this approach usually requires a breast implant, as it can have a flattening effect.
 A breast lift is indicated when the nipples have moved into a lower location, and may even be pointing downward, rather than in a forward position.  The type of lift that is chosen is dependent on the distance the nipple-areolar complex needs to be elevated and the amount of loose skin that is present.  The purpose of a breast lift is to give the breasts a more youthful configuration. 20


Breast Augmentation with a Lift
In order to reclaim or add fullness to their breasts, some women will opt for breast augmentation to be done in addition to a breast lift.  The impact of pregnancy and breastfeeding on the breasts often results in decreased breast volume.  A breast lift alone may not achieve the volume a women desires and this is when breast implants provide the best solution.  Breast implants can be added to any of the above breast lift techniques.  The outcome will be elevated youthful breasts with breast volume individually adjusted for each woman. 18
Breast Reduction
A woman with very large breasts prior to her pregnancy may find her breasts have retained their size, but have a less attractive, more elongated shape after pregnancy.  Many of these women choose to have a breast reduction with their Mommy Makeover.  For these women, a breast reduction will create breasts that are smaller, roundly shaped, and lifted.  In some cases, the breast reduction portion of the Mommy Makeover may be covered by health insurance. 21,22,23,24,25,26
The Tummy Tuck is the core procedure of the Mommy Makeover, as the appearance of the abdomen is usually the primary concern of the patient.  Pregnancy expands the abdominal wall and irreversibly stretches out the skin.  This results in a protruding abdomen with loose skin that is scarred with stretch marks and often a misshapen belly button.  Multiple pregnancies and twin pregnancies only amplify these changes.  If a c-section was performed, this can lead to further distortion of the abdomen.  With time, some c-section scars will develop an over-hanging ledge of fatty skin and tissue.  The Tummy Tuck procedure will create a new incision, revise any unsightly c-section scarring, tighten the internal abdominal wall, create a more attractive belly button, and eliminate any looseness of the abdominal skin.  At least some of the stretch mark scars will be eliminated with the excision of excess skin that is part of the Tummy Tuck procedure.  The result is dramatic and long lasting. 4,6,7,8,14,31,32,35,37,40,42,43,45,46
Liposuction is performed in conjunction with the Tummy Tuck to accentuate the waist and add definition to the abdomen.  This is a crucial part of any Mommy Makeover.  A nicely contoured waist blends into the flattened abdomen in a natural way.  Likewise, a narrowed waist complements the proportions created by the breast procedure.  The result is a body which looks much like what the patient had prior to her pregnancy or pregnancies. 3,5,27,28,29,30,36
The patient will have difficulty standing up straight for about a week due to the skin being stretched and snugly sewn.  As the patient is increasingly able to stand upright, the abdomen takes on a firm, contoured appearance.  Bruising will be present for about two weeks, though swelling tends to persist a few weeks longer and is dependent on the amount of liposuction performed.  Pain medication, and very often a pain pump, is provided by the surgeon for pain management.  It can take up to six months before the final surgical outcome is completely evident. 44
The Mommy Makeover constitutes one of the most difficult recoveries in the realm of cosmetic plastic surgery.  Comprehensive pre-operative and post-operative education of the patient and her family are essential for a smooth and successful recovery.  The early issues are pain control, early ambulation, and management of the dressings and drains.  By the second week, the patient is fairly comfortable with walking, eating, and travel to the doctor’s office for appointments.  With the third week will come the biggest advances towards the patient’s return to her normal activities.  She will be able to drive, return to work, and perform most household tasks.  Once six weeks of recovery have been completed, the patient can resume formal exercise, if desired.
As with all surgeries, there are risks involved. The risks include bleeding, infection, small issues with the incision or belly button, or the side effects of general anesthesia. The most feared complication is blood clots (thromboembolism) and the spreading of blood clots to the lungs (pulmonary embolus).  This complication has caused death, and therefore, plastic surgeons take great care in preparing the patient for surgery and educating the patient and family.  Not all patients are candidates for the procedures being performed in one surgical setting.  Depending on the patient’s health and preferences, the procedures may be completed in two stages. 9,10,11,12,13,33,34,39,41,47,48,49,50,51
Mommy Makeover costs vary greatly, depending on the geographical location of the patient and the varying combinations of the procedures performed.   Generally speaking, the most basic Mommy Makeover procedure will cost about $18,000, with more complicated and extensive procedures ranging up to $30,000 and higher.

San Francisco plastic surgery specialist with offices in S.F. and Marin County, California. Dr. Miguel Delgado is certified by the Am. Board of Plastic Surgery. He specializes in facelift surgery, all breast surgery, and body contouring  such as liposuction, tummy tuck, and mommy makeover.  Call Today 415898 4161 or email.

1.Benchmarking Outcomes in Plastic Surgery: National Complication Rates for Abdominoplasty and Breast Augmentation 'Outcomes Article] Alderman, Amy K.; Collins, E Dale; Streu, Rachel; Grotting, James C.; Sulkin, Amy L.; Neligan, Peter; Haeck, Phillip C.; Gutowski, Karol A.Plastic & Reconstructive Surgery. 124(6):2127-2133, December 2009.doi: 10.1097/PRS.0b013e3181bf8378

2 Is It Safe to Combine Abdominoplasty with Elective Breast Surgery? A Review of 151 Consecutive Cases Stevens, W Grant; Cohen, Robert; Vath, Steven D.; Stoker, David A.; Hirsch, Elliot M.Plastic & Reconstructive Surgery. 118(1):207-212, July 2006.doi: 10.1097/01.prs.0000220529.03298.42
3 Liposuction as an Adjunct to a Full Abdominoplasty Revisited Matarasso, AlanPlastic & Reconstructive Surgery. 106(5):1197-1202, October 2000.
4 Abdominoplasty and Abdominal Contour Surgery: A National Plastic Surgery Survey Matarasso, Alan; Swift, Richard W.; Rankin, MarlenePlastic & Reconstructive Surgery. 117(6):1797-1808, May 2006.
5.Liposuction as an Adjunct to a Full Abdominoplasty Revisited by Alan Matarasso, M.D Shestak, Kenneth C.Plastic & Reconstructive Surgery. 106(5):1205, October 2000
6.  Abdominoplasty and Abdominal Contour Surgery: A National Plastic Surgery Survey Swift, Richard W.; Matarasso, Alan; Rankin, Marlene Plastic & Reconstructive Surgery. 119(1):426-427, January 2007.doi: 10.1097/01.prs.0000245333.12259.87
7 Ultrasound-Assisted Abdominoplasty: Combining Modalities in a Safe and Effective Technique Abramson, David L.Plastic & Reconstructive Surgery. 112(3):898-902, September 1, 2003
8 Discussion: Painless Abdominoplasty: The Efficacy of Combined Intercostal and Pararectus Blocks in Reducing Postoperative Pain and Recovery Time Mustoe, Thomas A.; Fang, Robert C.Plastic & Reconstructive Surgery. 126(5):1733-1734, November 2010doi: 10.1097/PRS.0b013e3181efff72
9  Procedural Risk for Venous Thromboembolism in Abdominal Contouring Surgery: A Systematic Review of the Literature Hatef, Daniel A.; Trussler, Andrew P.; Kenkel, Jeffrey M.Plastic & Reconstructive Surgery. 125(1):352-362, January 2010.doi: 10.1097/PRS.0b013e3181c2a3b4
10 Thromboembolic Risk Assessment and the Efficacy of Enoxaparin Prophylaxis in Excisional Body Contouring Surgery Hatef, Daniel A.; Kenkel, Jeffrey M.; Nguyen, Marilyn Q.; Farkas, Jordan P.; Abtahi, Fatemeh; Rohrich, Rod J.; Brown, Spencer A.Plastic & Reconstructive Surgery. 122(1):269-279, July 2008.doi: 10.1097/PRS.0b013e3181773d4a
11 Venous Thromboembolism in Cosmetic Plastic Surgery: Maximizing Patient Safety Rohrich, Rod J.; Rios, Jose L.Plastic & Reconstructive Surgery. 112(3):871-872, September 1, 2003.
12 Thromboembolism in Plastic Surgery Most, Daniel; Kozlow, Jeffrey; Heller, Jennifer; Shermak, Michele A.Plastic & Reconstructive Surgery. 115(2):20e-30e, February 2005.doi: 10.1097/01.PRS.0000150147.31475.BB
13. Deep Venous Thrombosis Prophylaxis Practice and Treatment Strategies among Plastic Surgeons: Survey Results Broughton, George II; Rios, Jose L.; Rohrich, Rod J.; Brown, Spencer A.Plastic & Reconstructive Surgery. 119(1):157-174, January 2007.doi: 10.1097/01.prs.0000240810.52392.51
14 The Use of a Pain Pump for Optimal Postoperative Pain Management Pu, Lee L. Q.; Plastic Surgery Educational Foundation DATA CommitteePlastic & Reconstructive Surgery. 117(6):2066-2069, May 2006.oi: 10.1097/0
14 Efficacy and Safety of Venous Thromboembolism Prophylaxis in Highest Risk Plastic Surgery Patients Seruya, Mitchel; Venturi, Mark L.; Iorio, Matthew L.; Davison, Steven P.Plastic & Reconstructive Surgery. 122(6):1701-1708, December 2008.doi: 10.1097/PRS.0b013e31818dbffd1.prs.0000210677.44052.3f
15. Breast AugmentationSpear, Scott L.; Bulan, Erwin J.; Venturi, Mark L.Plastic & Reconstructive Surgery. 118(7S):188S-196S, December 2006.doi: 10.1097/01.PRS.0000135945.02642.8B
16. Advances in Breast Augmentation Rohrich, Rod J.Plastic & Reconstructive Surgery. 118(7S):1S-2S, December 2006.doi: 10.1097/01.prs.0000247292.96867.06
17. The Efficacy of Breast Augmentation: Breast Size Increase, Patient Satisfaction, and Psychological Effects Young, V. Leroy; Nemecek, Jane Riolo; Nemecek, Douglas A.Plastic & Reconstructive Surgery. 94(7):958-969, December 1994.The Efficacy of Breast Augmentation : the degree of breast enlargement produced by augmenta..
18. Breast Ptosis: To Augment, to Lift, or to Do Both? Don Parsa, Fereydoun; Parsa, Alan A.Plastic & Reconstructive Surgery. 117(6):2101-2102, May 2006.doi: 10.1097/01.prs.0000214741.56973.e8
19. Dual Plane Breast Augmentation: Optimizing Implant-Soft-Tissue Relationships in a Wide Range of Breast Types Tebbetts, John B.Plastic & Reconstructive Surgery. 118(7S):81S-98S, December 2006.
20. The Limited Scar Mastopexy: Current Concepts and Approaches to Correct Breast Ptosis Rohrich, Rod J.; Thornton, James F.; Jakubietz, Rafael G.; Jakubietz, Michael G.; Grünert, Jörg G.Plastic & Reconstructive Surgery. 114(6):1622-1630, November 2004
21. Current Trends in Breast Reduction Hidalgo, David A.; Elliot, L. Franklyn; Palumbo, Steven; Casas, Laurie; Hammond, DennisPlastic & Reconstructive Surgery. 104(3):806-815, September 1999.
22. Reduction Mammaplasty Is a Functional Operation, Improving Quality of Life in Symptomatic Women: A Prospective, Single-Center Breast Reduction Outcome Study Chao, Jerome D.; Memmel, Heidi C.; Redding, John F.; Egan, Linda; Odom, Linda C.; Casas, Laurie A.Plastic & Reconstructive Surgery. 110(7):1644-1652, December 2002.
23 Inferior Pedicle Breast Reduction Technique Robbins, Thomas H.Plastic & Reconstructive Surgery. 73(2):325, February 1984.INFERIOR PEDICLE BREAST REDUCTION TECHNIQUE.
24  Vertical Scar Reduction Mammaplasty: A 15-Year Experience Including a Review of 250 Consecutive Cases Lista, Frank; Ahmad, JamilPlastic & Reconstructive Surgery. 117(7):2152-2165, June 2006.doi: 10.1097/01.prs.0000218173.16272.6c
25  Evolution of the Vertical Reduction Mammaplasty Spear, Scott L.; Howard, Michael A.Plastic & Reconstructive Surgery. 112(3):855-869, September 1, 2003
26  Breast Reduction: Modified "Lejour Technique" in 500 Large Breasts Hofmann, Albert K.; Wuestner-Hofmann, Margot C.; Bassetto, Franco; Scarpa, Carlotta; Mazzoleni, Francesco Plastic & Reconstructive Surgery. 120(5):1095-1104, October 2007.doi: 10.1097/01.prs.0000279150.85155.1e
27Is Liposuction Safe? Rohrich, Rod J.; Beran, Samuel J.Plastic & Reconstructive Surgery. 104(3):819-822, September
28 An Evidence-Based Approach to Liposuction Wells, James H.; Hurvitz, Keith A.Plastic & Reconstructive Surgery. 127(2):949-954, February 2011.doi: 10.1097/PRS.0b013e318204afaf
29  Evidence-Based Patient Safety Advisory: Liposuction Haeck, Phillip C.; Swanson, Jennifer A.; Gutowski, Karol A.; Basu, C Bob; Wandel, Amy G.; Damitz, Lynn A.; Reisman, Neal R.; Baker, Stephen B.; the ASPS Patient Safety CommitteePlastic & Reconstructive Surgery. 124(4S):28S-44S, October 2009.doi: 10.1097/PRS.0b013e3181b52fcd
30   Liposuction as an Adjunct to a Full Abdominoplasty Matarasso, AlanPlastic & Reconstructive Surgery. 95(5):829-836, April 1995.Liposuction as an Adjunct to a Full Abdominoplasty. and locations for liposuction over the ae
31Liposuction Abdominoplasty: An Evolving Concept; Daniel Brauman, M.D Matarasso, Alanlastic & Reconstructive Surgery. 112(1):299-301, July 2003
32   Liposuction as an Adjunct to a Full Abdominoplasty Revisited Matarasso, Alanlastic & Reconstructive Surgery. 106(5):1197-1202, October 2000
33. Benchmarking Outcomes in Plastic Surgery: National Complication Rates for Abdominoplasty and Breast Augmentation 'Outcomes Article] Alderman, Amy K.; Collins, E Dale; Streu, Rachel; Grotting, James C.; Sulkin, Amy L.; Neligan, Peter; Haeck, Phillip C.; Gutowski, Karol A.Plastic & Reconstructive Surgery. 124(6):2127-2133, December 2009.doi: 10.1097/PRS.0b013e3181bf8378
34. Complications of Abdominoplasty in 86 Patients van Uchelen, Jeroen H.; Werker, Paul M. N.; Kon, MoshePlastic & Reconstructive Surgery. 107(7):1869-1873, June 2001
35.  Abdominoplasty: A Comparison of Outpatient and Inpatient Procedures Shows That It Is a Safe and Effective Procedure for Outpatients in an Office-Based Surgery Clinic Spiegelman, Jamie I.; Levine, Ronald H.Plastic & Reconstructive Surgery. 118(2):517-522, August 2006.doi: 10.1097/01.prs.0000227630.88566.74
36.  Liposuction of the Flanks and Abdomen during Cosmetic Abdominoplasty: Safe or Sorry? Neaman, Keith C.; Armstrong, Shannon D.; Baca, Marissa; Renucci, John D.; VanderWoude, Douglas L.Plastic & Reconstructive Surgery. 126():71, October 2010.doi: 10.1097/01.prs.0000388792.69619.78
37.  Abdominoplasty, An Issue of Clinics in Plastic Surgery:August 2010

Safe and Consistent Outcomes of Successfully Combining Breast Surgery and Abdominoplasty: An Update  Original Research Article
Aesthetic Surgery Journal, Volume 29, Issue 2, March-April 2009, Pages 129-134
W. Grant Stevens, Remus Repta, Salvatore J. Pacella, Marissa J. Tenenbaum, Robert Cohen, Steven D. Vath, David A. Stoker

39. Abdominoplasty combined with additional surgery: A safety issue  Original Research Article
Aesthetic Surgery Journal, Volume 26, Issue 4, July-August 2006, Pages 413-416
Sean Simon, Seth R. Thaller, Nirmal Nathan

40.  Full abdominoplasty with circumferential lipoplasty  Original Research Article
Aesthetic Surgery Journal, Volume 27, Issue 5, September-October 2007, Pages 493-500
Cárdenas-Camarena Lázaro, Laguna-Barraza Victor

41.  Does lipoplasty really add morbidity to abdominoplasty? Revisiting the controversy with a series of 406 cases  Original Research Article
Aesthetic Surgery Journal, Volume 25, Issue 4, July-August 2005, Pages 353-358
W. Grant Stevens, Robert Cohen, Steven D. Vath, David A. Stoker, Elliot M. Hirsch

42. Improving abdominoplasty results: Reconstruction of the linea alba sulcus by direct fat excision  Original Research Article
Aesthetic Surgery Journal, Volume 26, Issue 6, November-December 2006, Pages 682-686
Steve Laverson

43  Safe and Consistent Outcomes of Successfully Combining Breast Surgery and Abdominoplasty: An Update  Original Research Article
Aesthetic Surgery Journal, Volume 29, Issue 2, March-April 2009, Pages 129-134
W. Grant Stevens, Remus Repta, Salvatore J. Pacella, Marissa J. Tenenbaum, Robert Cohen, Steven D. Vath, David A. Stoker

44. Breast augmentation and abdominoplasty: Postoperative management with pain pumps  Original Research Article
Aesthetic Surgery Journal, Volume 25, Issue 1, January-February 2005, Pages 69-71
Malcolm D. Paul

45.  Issues in abdominoplasty  Original Research Article
Aesthetic Surgery Journal, Volume 20, Issue 5, September 2000, Page A1
Armand A. Lucas, Joseph P. Hunstad, Renato Saltz, Luiz S. Toledo

46.  Awareness and avoidance of abdominoplasty complications
Aesthetic Surgery Journal, Volume 17, Issue 4, July-August 1997, Page 256
Alan Matarasso

47.  Venous thromboembolism in plastic surgery patients: Survey results of plastic surgeons  Original Research Article
Aesthetic Surgery Journal, Volume 26, Issue 5, September-October 2006, Pages 522-529
Michelle A. Spring, Karol A. Gutowski

48.  Continuing medical education article—patient safety: The need for venous thromboembolism (VTE) prophylaxis in plastic surgery  Original Research Article
Aesthetic Surgery Journal, Volume 26, Issue 2, March-April 2006, Pages 157-175
V. Leroy Young, Marla E. Watson

49.  Thromboembolism in High-Risk Aesthetic Surgery: Experience With 17 Patients in a Review of 3871 Consecutive Cases  Original Research Article
Aesthetic Surgery Journal, Volume 28, Issue 6, November-December 2008, Pages 648-655
Christopher K. Patronella, Amado Ruiz-Razura, Germán Newall, Henry A. Mentz, Monica L. Arango, Tiravat Assavapokee, Jana L. Siarski

50.  Prevention of Venous Thromboembolism in the Plastic Surgery Patient: Current Guidelines and Recommendations  Original Research Article
Aesthetic Surgery Journal, Volume 29, Issue 5, September-October 2009, Pages 421-428
Mark L. Venturi, Steven P. Davison, Joseph A. Caprini

51.  Prevention of perioperative hypothermia in plastic surgery  Original Research Article
Aesthetic Surgery Journal, Volume 26, Issue 5, September-October 2006, Pages 551-571
V. Leroy Young, Marla E. Watson