Announcement
Dr. Sam Naficy named TOP COSMETIC SURGEON
Dr. Sam Naficy was named Top Cosmetic Surgeon on the Eastside by 425 Magazine. Dr. Naficy has also been selected in the past as Top Doctor in Facial Plastic Surgery by Seattle Magazine. We thank our patients for helping Naficy Plastic Surgery & Rejuvenation Center become the top plastic surgery, cosmetic injection, laser, and skin care destination in the region.
Announcement
NAFICY REJUVENATION CENTER IS A NATIONWIDE LEADER IN THE ADMINISTRATION OF BOTOX AND INJECTABLE FILLERS
At our office, we perform over 4,000 injections per year - making us #1 in the Pacific Northwest for Radiesse, #1 single location in the Puget Sound for Restylane, and #1 in the State of Washington for Botox (also the top 1.5% of all offices in the Nation for Botox)! We are one of Seattle's top injectors for Sculptra. All treatments are administered or supervised by a board certified facial plastic surgeon. When undergoing your treatment - make sure you choose a Provider with experience. Contact our office for further information, or to reserve your complimentary consultation and treatment time.
Announcement
COMBINATION TREATMENTS = CREATING THE BEST RESULTS IN THE LEAST AMOUNT OF TIME
Restoring volume in your face is one of the most effective and natural ways to look younger and more vibrant. Restylane and Juvederm treatments are a quick and effective way to give your face instant volume - smoothing out deeper lines and folds, and plumping lips for a youthful smile. The positive effects of Restylane and Juvederm are even more dramatic when used in combination with the smoothing effects of Botox. Botox not only smoothes fine lines and wrinkles - it also prevents new lines and wrinkles from forming! Both treatments can be performed in less than 15 minutes and typically do not require any downtime. Worried about facial skin laxity? Add Thermage to your treatment plan for a non-surgical face lift! Be proactive in maintaining your skin - call us for a complimentary consultation to see what combination treatments can do for you. You will be amazed by the results!
Announcement
FAT GRAFTING PROCEDURES FOR FACE, BREAST and BODY!
A comprehensive body liposuction procedure can be combined with a Fat Grafting procedure! This outpatient surgical procedure restores volume to the face and improves shape of the breast and buttocks. Our surgeons use a tumescent liposuction technique and twilight anesthesia to sculpt your curves and simultaneously improve facial and body volume and contour. During your consultation with our experienced surgeons, you'll learn to learn more about this exciting and revolutionary procedure. Call 425-450-0880 to schedule your liposuction and fat grafting consult today!
About Fat Grafting Procedures
Announcement
FAT INJECTIONS TO THE FACE
One of the best ways to help reverse the signs of aging is to add body fat to the face! Using gentle techniques, Dr. Naficy removes fat from the abdomen, thighs, or buttocks. Your own fat is then injected into the face to fill in wrinkles, correct nasolabial folds, or to plump lips. The greatest advantage of fat over Sculptra or Restylane is that it is 100% natural. CLICK HERE to read more.
Abdominoplasty (Tummy Tuck)
Abdominoplasty or tummy tuck is a surgical procedure designed to tighten, shape, and rejuvenate the abdominal area. Many women experience abdominal bulging, excess abdominal fat and skin laxity after pregnancy. These changes are often resistant to diet and exercise. The procedure is frequently combined with other surgical procedures, such as breast augmentation, breast lift and liposuction, as part of a mommy makeover surgical procedure.
The abdominoplasty procedure removes excessive skin and fat in addition to tightening of the stretched abdominal muscles. This surgical procedure profoundly improves the appearance of the abdominal wall in a way that liposuction alone and other non-surgical alternatives such as Thermage are not capable of doing. There are two general types of abdominoplasty procedures:
- Full abdominoplasty
- Mini abdominoplasty
A full abdominoplasty procedure is designed for individuals with abdominal laxity above and below the belly button, in addition to excess skin and fat. A mini abdominoplasty procedure is designed for individuals with a smaller area of skin laxity below the belly button. A mini abdominoplasty is not intended for patients with any tissue laxity above the belly button level. The mini-abdominoplasty results in a shorter abdominal scar. Both procedures can be combined in conjunction with liposuction of the hip and flank region.
What can Abdominoplasty achieve?
The patient in this example has a substantial amount of excessive abdominal skin and fat in the regions above and below the belly button. She has rolls of skin along her flanks. The belly button appears to be oriented horizontally, and does not appear to be youthful. She also has significant abdominal wall muscle laxity, which is difficult to appreciate in a photograph.
This woman has excess laxity of her abdominal skin and fat present both above and below the belly button and along her flanks. She is an excellent candidate for the Full Abdominoplasty procedure.
|
|
The treatment plan for this patient would include a full abdominoplasty incision, and tightening of the abdominal wall. The incision is well concealed beneath her underwear.
Full Abdominoplasty by Seattle Plastic Surgeon Dr. Scott Sattler. The abdomen is much smoother and tighter. There is substantial improvement to her back contour, although no skin was removed from the back. The incision is easily hidden beneath bikini underwear.
|
|
|
Click on thumbnail to begin viewing slide-show.
|
Typical steps performed during a Full Abdominoplasty
During a full abdominoplasty, an incision is made at the bikini line, in the same location as a C-section incision but longer in size. Abdominal skin and fat are both elevated from the underlying muscles after isolating the belly button and leaving it attached to the abdominal wall.
A curved incision is made at the bikini line and the skin and fatty tissues are lifted off the muscle layer up to the level of the rib cage.
|
|
Laxity of the abdominal wall muscles is treated by suture tightening of the rectus abdominus muscle (commonly know as the abdominal muscle). This maneuver tightens the abdominal wall, and also can slim the waistline. Sometimes, a horizontal row of sutures can be added to reduce bulging out of the abdomen.
Lax abdominal muscles are then repaired with a suture along the midline.
|
|
With the structural components of the abdominal wall tightened, the abdominal skin and fat layer are placed back down. Excess skin and fat are trimmed away and a new hole is made for the belly button. The wound is closed with several layers of dissolving sutures. Drainage tubes are also placed that will remove excess fluid that may build up between the muscle and abdominal tissue layers. If the patient desires, a special device (On-Q Pain Pump) that trickles numbing medication directly into the surgical area can be placed at this time.
The wound is closed with sutures and drainage tubes are placed.
|
|
Typical steps performed during a Mini Abdominoplasty
During a mini abdominoplasty, an incision is also made at the bikini line, in the same location as a C-section incision but not as long as the one required by the full abdominoplasty. Abdominal skin and fat are both elevated from the underlying muscles up to but not beyond the belly button.
A curved incision is made at the bikini line and the skin and fatty tissues are lifted off the muscle layer up to the belly button.
|
|
Laxity of the lower abdominal wall muscles is treated by suture tightening of the lower half of the rectus abdominus muscle (commonly know as the abdominal muscle). This maneuver tightens the abdominal wall, and also can slim the waistline. Sometimes, a horizontal row of sutures can be added to reduce bulging out of the abdomen.
Lax abdominal muscles are then repaired with a suture along the midline.
|
|
With the structural components of the abdominal wall tightened, the abdominal skin and fat layer are placed back down. Excess skin and fat are trimmed away and the wound is closed with several layers of dissolving sutures. Drainage tubes are also placed that will remove excess fluid that may build up between the muscle and abdominal tissue layers.
The wound is closed with sutures and drainage tubes are placed.
|
|
Abdominoplasty and Hernia Repair
Patients often ask if a umbilical hernia can be repaired at the time of tummy tuck surgery. If the hernia is small and limited to the region of the umbilicus, it can be repaired at the time of abdominoplasty surgery. Other types of hernias, such as ventral and incisional hernias, can be repaired at the time of abdominoplasty if they are small and reducible. Your insurance company may pay for the repair of these hernias.
A rectus diastasis is a seperation of tissues between the rectus muscles creating abdominal bulging. A rectus diastasis is not considered to be a hernia and is not a functional problem. A rectus diastasis is repaired during a tummy tuck procedure as part of the abdominal wall tightening procedure. Repair of rectus diastasis is not covered by insurance companies.
What type of anesthesia is used?
An abdominoplasty can be performed under an epidural anesthetic, with sedation. With this technique, you are breathing on your own during the procedure and your recovery from the anesthetic is typically quicker and easier. An alternative option is to do the procedure under a general anesthetic in which you are totally asleep for the procedure. Mini abdominoplasty procedures may be performed using IV sedation.
What is recovery like?
After tummy tuck surgery the abdomen is wrapped using a comforting abdominal binder that supports the surgical site and helps to ease swelling in the area. Patients are discharged home on the same day of surgery. If the patient desires, a stay-at-home nurse can be arranged to aid in recovery, help with the drain tubes and pain pumps, and ensure the patient is well hydrated and comfortable after surgery.
Most patients are back at work full-time at 2 weeks post-op. Walking is encouraged a few days after surgery. Activity is limited to easy walking and non-weight bearing activities for 3-4 weeks after surgery. Weight lifting greater than about 40 lbs should be strictly avoided in order to not disrupt the repair of the abdominal wall laxity. This restriction includes lifting children off the ground. A good rule of thumb to follow is 'if it hurts to lift something, its too heavy, ask for help.' The drainage tubes are removed around 10-14 days after surgery. The patient is permitted to resume vigorous exercise at about 8 weeks after surgery. When combined with breast augmentation or other mommy makeover procedures, the recovery time is about the same for a tummy tuck alone.
I am interested! What do I do next?
If you are considering this procedure we encourage you to schedule a consultation with Dr. Sattler. During this visit he will listen to your concerns and discuss your options. He will tell you whether you are a suitable candidate for an abdominoplasty procedure and whether you would benefit more from a mini or a full abdominoplasty procedure. You will also have a chance to view before and after photo albums of his patients who have undergone procedures similar to what you are considering.
|
