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Oklahoma City Cosmetic Surgery Blog

A blog about cosmetic surgery in Oklahoma City.

Drainless Tummy Tuck

In the last 5 years abdominoplasty has taken on a different dimension in that there has been seismic shift to less invasive techniques. In my practice we feel that results are even better and more natural with these approaches.

Combining liposuction of the upper and lower abdomen and by including liposuction of waist and hip regions along with the excess skin removal and central muscle tightening more natural results are achievable.

In this technique the tissue planes are left intact after tumescent liposuction. Hematoma and seroma formation are much less likely to occur. This also reduces the necessity for including drains. The smaller liposuction incisions are left open to drain the tumescent fluid used in the liposuction.

Liposuction of the abdomen lets the tissue planes slide more easily and therefore the amount of undermining of the lateral and upper abdomen is reduced. This helps also to reduce the discomfort post surgery and recovery time is shortened.

This new abdominoplasty technique produces excellent results in patients who have the need for fat reduction. A few years ago many surgeons were skeptical of incorporating liposuction with abdominplasty because of the fear that blood supply to the skin would be compromised. Those issues have been resolved with the use of smaller cannulas and other techniques.

Occasionally some physicians will perform this surgery with total local anesthesia similar to the total tumescent liposuction procedure. Although this is not common some physicians feel it gives much quicker recovery.

Finding Miami Actresses Without Breast Implants Proves Difficult

According to a recent article in The Miami Herald, the producers of Magic City, a 1950s-era period TV show on the Starz Network, had trouble casting actresses and extras from Miami that have not received breast enhancement.

As the most popular surgical cosmetic procedure in the US, breast augmentation was performed over 300,000 times last year. Rhinoplasty was second, with around 250,000 procedures. According to a report mentioned in the article, Miami has had the third highest percentages of cosmetic surgery per capita in the US, with breast augmentation, liposuction and tummy tucks all popular procedures. As a result, when the Starz Network put out a casting notice for full-figured women who had not had breast augmentation, they experienced significant difficulty.

Soaring Popularity of Breast Augmentation Makes Natural Casting Difficult

Magic City, a period drama set in 1959, was filmed on a soundstage near Miami International Airport.

One casting notice sent by the production crew to the women of South Florida stated the obvious: “GIRLS HAD FULLER FIGURES BACK THEN. SO NO SKINNY MODELS. ALL-NATURAL — NO PLASTIC SURGERY/BREAST IMPLANTS.”

It got so difficult that local extras casting director Bill Marinella said he had to go all out, "finding people on the beach and literally walking up to them on the street and saying, ‘Hey, you look like you’re right out of The Great Gatsby.’"

Other productions have run into similar issues. Producers had difficulty finding natural actresses to play the mermaids in the latest Pirates of the Caribbean installment as well, noting that they certainly didn't have breast surgeries in the 1700s.

The Magic City crew was eventually able to find enough actresses and extras to finish production, searching high and low in burlesque clubs and out of the way places. In Marinella's words, looking in “little pockets that are very little heard of, off the main street path, where we find all these amazing figures and bodies, and that’s what we did for Magic City.”

Increasing Popularity of the New 'Daddy Do-Over' Procedure

A press release recently released through the The Wall Street Journal's MarketWatch states that one of the recent plastic surgery trends among men is the combination of a male breast reduction and a tummy tuck. The press release refers to this male version of the mommy makeover as a "daddy do-over."

While men may not experience a direct physical change as a result of having a baby, it does become more difficult to stay in shape. The dramatic lifestyle changes of raising children can have a significant physical effect on men as well through stress and changes in routine. More and more men are turning to plastic surgery procedures to help them manage these changes along with diet and exercise.

Daddy Do-Over Procedure Gaining Popularity

Men are having more plastic surgery now than ever. In 2011, over 800,000 cosmetic procedures were performed on men, about 9% of the total. Many of these procedures were either of the two surgeries used in the Daddy Do-Over.

Male breast reduction is one of the two surgeries in the Daddy Do-Over. This procedure treats gynecomastia, or enlarged male breasts, a surprisingly common condition that affects up to 60% of the male population at some level. Over 18,000 of these surgeries were performed in 2011, and it is consistently one of the five most common cosmetic surgeries for men each year.

The tummy tuck or abdominoplasty is the other procedure involved in the Daddy Do-over. This procedure involves the removal of a band of fat and skin from around the stomach and the tightening of the abdominal wall. This procedure is far more popular in women, with women receiving over 95% of all tummy tuck procedures.

The tummy tuck is also a part of the standard mommy makeover procedure, which often also includes a breast lift or breast augmentation. Other procedures that may be a part of the mommy makeover include liposuction, labiaplasty and a thigh lift.

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