Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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The
upper abdominoplasty or upper
tummy tuck
" A flat, firm abdomen "
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Rather than a long text,
we thought we would answer
the most commonly-asked
questions as concretely
and objectively as possible.
Dr Frederic Sarfati answers
your questions
Ex Head of Clinic, Hospitals
of Paris
Fellow of the Endoscopic
Plastic Surgery Center Baltimore,
USA |
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I) Before treatment
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1. Why would I have an upper tummy
tuck ?
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« This tuck is for any time your diet or exercise regime is
not enough to get satisfactory
results in the upper abdomen,
or any time your body
changes shape there. »
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2. How
do you find out what my
needs are ?
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« Before treatment, we discuss what would be suitable. We use both recent
and older photos and remorph
them so I can advise you
on how we get a nice natural-looking
result that fits with your
figure. » |
3.
Does
an upper tummy tuck really
make my figure look younger ? |
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« Yes, this procedure gives you a slimmer, more youthful looking body. Recent
progress in abdominal
plastic surgery means
that we can now deal with
most aesthetic problems
of the abdomen. The aim
is for you to be able
to wear low-waist clothes
once again, showing your
tummy, with no folds in
the region above the belt,
even when sitting. »
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4.
How
do you get natural-looking
results ? |
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« The general aim is to recreate the lines and valleys that make an abdomen
beautiful. Careful diagnosis
tells us the best way
to do this, depending
on the state of the skin
and of how the distribution
of muscle and fat will
work for us. The by now
well-known procedure is
to remove damaged skin
and use only healthy,
smooth skin to replace
it. »
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5.
Do I need a medical examination before treatment ?
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« During
your preparatory consultation
with the anaesthetist
or the surgeon, we will
ask you for the results
of a general medical examination
to spot any medical contraindications.
You should take no aspirin
or anti inflammatory medicines
for ten days prior to
your visit. »
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the
upper tummy tuck |
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| II ) During treatment :
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6.
How
long do I stay at the clinic ? |
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« Hospitalisation is for 24 hours as we
need to leave the drains
till the day after treatment.
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7.
How long does the treatment last ? |
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« The
treatment lasts about
two hours. »
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8.
What
kind of anaesthetic do you
recommend ? |
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« A light epidural with neuroleptic-anaesthetic
or else general anaesthetic
is needed for this type
of procedure. »
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9.
What
happens during the treatment ? |
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« We first of all take out the fat from
the whole abdomen by liposuction.
We will tighten the upper
abdomen skin in one of
two ways: if there less
than about 8-9 cm of excess
skin, then we tighten
it upwards, fixing it
using multiple deep sutures,
the 5cm scar being in
the breast/body fold.
If there is more than
10cm of excess skin, then
again we tighten it upwards,
fixing it as before and
this time taking out a
band of skin in the breast/body
fold. Then we reposition
and smooth out the navel
. »
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10.
What are the risks ? |
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« We take all active measures to reduce
risks to the minimum before,
during and after the treatment,
namely of haematoma (a
one in 450 chance) and
infection, by prescribing
antibiotics from two days
before to seven days after
treatment as well as surgical
measures during treatment.
There may be risks due
to diabetic obesity.
Sensitivity in the abdomen
may be decreased, for
a few months.
Rare cases of ripple effect
can be dealt with by massage
or so called m6 treatment.
Any risks associated with
the anaesthetic will be
clarified during pre-treatment
interviews. »
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11.
What risks of phlebitis (deep vein thrombosis)
are there ?
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« There is a very low risk
of phlebitis for this
type of treatment. It
consists of a blood clot
appearing in the deep
veins of the leg, which
can detach and move to
the lungs, causing a lung
embolism. We can effectively
deal with this risk using
anti-coagulants and support
stockings during your
whole visit. During the
treatment, we also do
leg massages. So far,
we have had no cases of
phlebitis at all. »
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III )
After treatment
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12.
What scars will be visible ?
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« There will be a thin (1mm) discreet scar hidden in
the breast/body fold.
It will turn from pink
to white over a period
of 6-12 months. »
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13.
Is it painful ?
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« This
procedure is measured
at around 3 out of 10.
Discomfort gradually disappears
during the first week
and you will be able to
stop the painkillers as
from the second week. »
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14.
How soon will I be able to see the results
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« You
will see the results immediately
in your figure's shape,
but you may see the deep
fixation points for a
month. »
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Results
six months
after an upper
abdominal
tuck.
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15. How often will I have to come back for check-ups ?
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« You will need to be seen after two weeks,
a month then two months.
We are of course available
to see you at any other
time. »
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16.
What
do you do to protect the
treatment zone ? will I
have to wear bandages ? |
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« You
will have to wear a special
corset for two weeks.
This is vital to support
the reconstructed and
repositioned muscles. »
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17.
What care should I take afterwards ?
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« There is not really any post
operational care to carry
out besides applying silicone
adhesive strips to help
with the cosmetic healing
quality and taking antibiotics,
anticoagulants, and normal
pain-killers for two weeks.
You can shower immediately. »
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18.
How
soon can I start work again ? |
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« You
can start work after four
days if you have a sedentary
job, otherwise after 12
days. »
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19.
Should
I avoid physical activity ?
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« You
can start sports activities
only after four to six
weeks and ideally would
start with gentle swimming. »
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20. Is
this treatment reimbursable
on my health insurance ? |
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« You
will have to consult your
local health authorities
and your private health
insurers to see if you
can be supported financially
following a serious illness
or congenital deformation,
for example. »
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IV) Photos gallery :
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Docteur
Frédéric Sauveur Sarfati
- 242, rue de Rivoli - 75001 Paris
PLASTIC,
RECONSTRUCTRIVE AND AESTHETIC SURGERY
- ANDOSCOPIC PLASTIC SURGERY - MICROSURGERY
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