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101 Old Short Hills Road Ste 510
West Orange, New Jersey 07052
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Category: Abdominoplasty

Congratulations

A Big congratulations to our Registered Nurses Marybeth and Maria on the publication of their amazing article on the effectiveness of Coolsculpting.

Our nurses work tirelessly at staying ahead of the curve with Coolsculpting. They are very conscientious and deliver great outcomes to patients. They have been recognized nationally for their work and by the manufacturer as experts. Now they are published in scientific journals! Great Work!

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Restoring Core Stength

I recently saw a Pilates instructor 12 weeks after I performed an abdominoplasty and hernia repair on her. She has an amazing cosmetic outcome, but she gave me such a heartfelt thank you for restoring her core strength and tone. She reported to me that she had not felt that strong since before her first pregnancy fifteen years prior. It was very gratifying to hear here uplifting story.

Beauty and Shape

There is something magical about the combination of tummy tuck, liposuction, fat grafting and breast augmentation or lifting: it is the beauty of shape, of curves , of connotation of youth and femininity. It is truly transformational. Please check out the abdominoplasty section of before and after photos to see what I mean!

Patient Testimonial

I have decided to share with my blog readers some of the kind words my patients have had about their experiences with me. So each week for the next nine weeks you will get to read the reflections of former patients. Their words will reveal a lot about me to you.

Dear Dr. Spiro,

Thank you for the amazing result you were able to give me! I truly appreciate your skill and artistry and just wanted to let you know how thrilled I am with my new and improved figure. I just love the results!

Thanks Again!

L.N.

Patient Testimonials

I have decided to share with my blog readers some of the kind words my patients have had about their experiences with me. So each week for the next nine weeks you will get to read the reflections of former patients. Their words will reveal a lot about me to you.

March 2013

Dr. Scott Spiro,

I started to write a testimonial many times and never really knew where to begin. However, after today’s checkup, thirteen moths after the seven hour procedure (which included a breast lift, tummy tuck and liposuction of the buttocks and hips) I sat in my car in the parking lot of the Atkins-Kent Office building and penned this testimonial to express my gratitude. When I refer to gratitude, I do not just mean for changing my body from what it looked like thirteen months ago, but for being the honest, caring and dedicated doctor that you are.

Seven years ago, I sat in your office after a good friend recommended you. I made an appointment and went to see you. After careful evaluation, you told me to go home, lose weight and not come back until I was ready for the surgery. In fact, your words were, “I am not a diet doctor!”  You knew I wasn’t ready.

I wasn’t ready. It took seven years for me to lose seventy pounds and find the courage to reschedule an appointment and bite the bullet to commit to surgery. Many women and men both say that they are not going to live like “this” anymore. The operative word “this” meaning their out of control body, the way they have let themselves go, but not many have the determination to do something about it.

I am an ex-teacher and have a sales position working in an industry that deals with young people. I had made up my mind that I did not want to be that woman who looked like someone’s grandmother who came to the schoolhouse to work with the students, anymore. So, after joining the YMCA, going to classes, changing the way I eat and losing enough weight to give me the courage to make a second appointment, I was ready. My second visit was a little more refreshing and relaxing. I had done the work. I had lost the weight necessary to have a successful outcome. I made an appointment for the surgery. Dr. Spiro, you have changed my life.

The frightening part of any surgery is the unknown. Everyone responds differently; emotionally, mentally and physically. The only surgery that I ever had, were two C-sections when I delivered my children over thirty years ago. To say I wasn’t frightened would be a lie. I was frightened. I even wrote a letter to my family in the even I didn’t wake up. Deep down, I knew that everything was going to be just fine; it just made me feel better to go through the exercise.

Having finally reached the decision to go ahead, I spoke with three patients of yours. They all had experienced the same procedure I was about to undertake. One woman was forty, one fifty and the third, a sixty year old. All of the women convinced me to go ahead with the surgery, and that was the best decision they have ever made, but it had to be you preforming the operation. I went ahead and have never looked back.

Dr. Spiro, you are the “wizard of artistry”, in your field, as well as a kind, caring and compassionate individual. You are an artist as well as a surgeon. You have made me feel special. No, you have made me feel beautiful. You explained everything you were going to do, sometimes more times than you would have liked to. And, you gave me time to digest the procedure, to my level of understanding.

You looked at me as a human being, one that you wanted to improve physically for my best interest, and because of your artistic talent, you could. You are a proud man and extremely proud of your work. You work un-rushed, are attentive both pre and post-op and have reassured me every time that I had any doubt about myself.

Because of your gentleness, kindness and talent, I also had you perform a full face lift six months later. I believe that because of the weight loss, my face looks even more natural than I ever expected. I look twenty plus years younger and feel great. Wow, what a feeling.

Only a few close friends even know about the surgery, when asked about the pain I cant honestly remember. I guess it is like having children. You forget what it was like. All I know is that when I look in the mirror and see the new me, I am grateful that I made the commitment to myself and I had you as my surgeon.

When you feel better about yourself, mentally and emotionally and then add the physical component to the mix I honestly believe that you become more active and better contributor to society. You make a difference. You are noticed. Regardless of what you do, whether it be working full time, volunteering or taking care of you r family, you must take care of yourself first. If you can’t do it yourself, don’t be afraid to ask for help. I needed help…I asked.

As far as I am concerned, people considering plastic surgery of any kind should not look any further than your office door. Your compassion, talent and your incredible staff is the perfect combination for success. Just like the old slogan, New Jersey and You…Perfect Together. I should read on your door…Dr. Scott Spiro and You…The Best Fit for Now and the Future.

-E.S.

Tummy Tuck Case Examples

So let’s go over some examples of women and then what types of tummy tuck is best suited for them.

A 5’4” tall, 135 pound woman age 48 presents after having two children.  She is active, goes to the gym but complains of stretch marks in lower belly, inability to get a flat stomach despite exercise, and when she wears snug clothing or a bathing suit she looks like she has a roll of fat. During examination, I find that I can grab and move skin of upper and lower abdomen all the way to her hip bone on the side.  What she believes is fat is actually just rolled up loose skin.  Her abdomen is centrally weak. The best solution for her is a traditional umbilical transposition abdominoplasty and flankplasty (repair of abdominal wall muscles, fascia, rectus and obliques) as well as excision of excess skin to hip or just beyond. This will maximize her outcome and give her a shapely, strong, firm, flat, and tight abdomen.  Visit the website for examples!

Next is a 38 year-old woman who is 5’2” and weighs 130 pounds. She has a slightly high belly button position from carrying her pregnancies low and has a low roll of thinned out loose skin which stretches from hip to hip and is 4 inches tall. Her upper skin is tight and of good quality.  She too has a weak middle bulging.  The procedure best suited for her is an umbilical float abdominoplasty & flankplasty with abdominal wall repair.  Her incision is still hip to hip to excise poor skin but since only the lower skin is loose and her belly button starts slightly high, there is no reason to make a surface incision on her belly button.  It is temporarily disconnected on the inside, the abdominal wall is repaired and the skin is pulled.  The upper abdomen only slightly so the belly button moves down slightly (and gets reattached) and then the lower skin is stretched and excised significantly (6-8 inches). She still has an incision hip to hip but ends up with a flat, tight, shapely, strong abdomen.  Visit the website for examples of this too!

Now a 45 year old woman 5’5 and weighs 150 pounds comes in. She has a slightly weak abdomen but really only cares about the loose roll of bad skin pouched above an old c-section line.  She wants the simplest thing that can be done.  So here, an excision and removal of this scar and roll of skin will tighten her lower abdomen somewhat but do nothing to her abdominal wall strength or slight bulge. She is ok with this, so I suggest a ‘skin only’ limited ‘infraumbilical’ abdominoplasty.  The belly button is not touched and the length of the scar is slightly longer than the original c-section but is flat and tighter.  This is the most minor type of tummy tuck procedure.

Of course liposuction can be done to compliment any of these procedures mentioned and I will review that in upcoming blogs.  For now, visit the website to see photos of actual patients!

 

Not every Tummy Tuck is the Same

Decision Making 101

There are many versions of abdominoplasty (or tummy tuck) as it is commonly known. The decision making starts with an assessment of skin quality and quantity.  Quality assessment deals with elasticity issues such as stretch marks, thinness or thickness of skin, and quantity deals with attachments to underlying tissues.  Poorly adherent skin and fat slides significantly around, is quite mobile, and makes people look fatter than they actually may be.  Additional excess skin may present also as folds or rolls of skin.

The location, above and or below belly button (umbilicus), of the skin issues is a key determining factor in the TYPE of tummy tuck.  (Fat issues and abdominal wall issues are the other two key issues and will be dealt with in future blogs.)  If the skin is in excess, and mobile or poor quality limited only below the belly button, then tummy tuck may not require an incision visible on surface of umbilicus.  If the “incision” of umbilicus is just where belly button meets the abdominal wall on the inside it is hidden from view and known as an “umbilical float” procedure.  The belly button is reattached slightly lower as the upper skin is pulled slightly.  The excision is of lowest abdominal skin and limited to about 6 inches. If there is skin excess and/or laxity above AND below belly button, then there must be an incision on the surface of the belly button to separate it from the skin so that the maximal amount of skin can be removed.  This is more typical and is known as umbilical transposition abdominoplasty.  The skin removed here is often 10-15 inches of excess skin!

Now let’s move on to what determines the length of the incision. The incision length depends on the amounts of excess skin and how far lateral on the belly (toward the flank) the laxity or poor quality extends.  Incisions are shortest when there is essentially no significant skin excess and access is only needed to eliminate a bulging or repair a weak abdominal wall.  If no abdominal wall work is required then the procedure is called a “skin only” or “limited” procedure.  If abdominal wall tightening is done, then it is a ‘traditional abdominoplasty.”  I prefer these terms rather than silly terms like ‘mini.’ A term like ‘mini’ usually means mini results.

Visit www.drspiro.com to view numerous examples of my patients’ abdominoplasty outcomes.

America's Health Front

Dr. Spiro on TV!

I hope you were able to watch my little spot on NBC, Sunday March 25, 2012. We did a segment on America’s Health Front. In it I discussed body and breast transformational procedures, including liposuction, fat grafting, breast augmentation, lifting, body lift, and tummy tuck. We featured several patients who were shown in an exam as well as reflecting back on their experiences. We filmed 2 1/2 hours including in the operating room. Unfortunately, several of our patients who had volunteered, were left out on the cutting room floor!

Try to catch it online or look for it on our You Tube channel (search for Spiro Plastic Surgery) in the coming weeks.

Abdominoplasty New Jersey

Abdominoplasty: A Little Background

Let’s talk a little about abdominoplasty (or as it is more commonly known by its slang name – tummy tuck) .

I’ll address a fundamental  point often overlooked in both planning and execution of the surgery. I think it helps separate my outcomes from others.

Many women consider abdominoplasty (tummy tuck) a purely cosmetic procedure.  Is this view accurate?
 The most important and overlooked benefits of abdominoplasty are improved function and core strength, which are critically important parts of a woman’s outcome and her well- being.  Many woman experience loose or excess abdominal skin resulting from pregnancies or abdominal surgeries, and also suffer abdominal wall laxity and weakness due to muscle separation or hernias.  Left untreated, these problems – which can’t be solved by exercise – often lead to poor posture, back fatigue and the ability to sustain activity or achieve peak performance.  They can also be psychosocially frustrating and sources of depression.

What is my approach to this procedure?
 My surgical method, which I like to describe as “human origami”, tightens both the abdominal wall and its musculature, and in doing so places the muscles in a functional position.  They become properly aligned and can therefore work together equally.  When the muscles of the abdominal wall remain misaligned, the physiology of conventional exercise and conventional core fitness training methods simply don’t work.  My technique has enabled many hundreds of patients , ranging in age from 20’s to 60’s, to regain impressive core strength along with an attractive, more feminine shape.

I hope that gives you a better understanding of how I view a women’s abdomen. Much more on abdominoplasty to come…

 

Regeneration
Promises to fill the needs of our patients who are seeking non-surgical facial & body regenerative skin care.