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Category: Lipomas and Lipomatosis


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Tummy Tuck Time

Tummy Tuck Time

With the coming feasts that are part of Thanksgiving and the December holidays, it’s going to be very hard not to put on an extra few pounds this winter season. Many people are already starting behind the curve by not meeting their summer weight loss goals, and will add more pounds to that over the next 2 months.

If that’s you, there’s no reason to be depressed about it. As long as you’re on the journey towards better health (or plan to start in the new year), there’s a solution to help you get the results you desire. A Tummy Tuck could be just the boost you need to get on the right track for the body you want.

WHO GETS A TUMMY TUCK AND WHY… This is one of the most common procedures. As with most elective surgery, it’s for people with generally good health, but can help most anyone who’s struggled to get rid of belly bulges. It could be from stubborn post pregnancy weight that won’t budge, to that extra bit that just won’t go away no matter how much you work out or diet. A Tummy Tuck can:

  • reshape your body to fit comfortably in the clothes you want,
  • relieve back ache from getting rid of extra weight,
  • help boost your energy and self confidence.

WHAT IS A TUMMY TUCK…Formally called an Abdominoplasty, it is a cosmetic surgery that removes excess skin and fat from the abdominal area resulting in a smoother, flatter tummy. It is the “Gold Standard” and surgery of choice for men and women who want to be rid of the tummy rolls, beer belly, and muffin top. Unlike just getting liposuction, a Tummy Tuck removes both the fat and the stretched out skin for a completely smooth abdominal area.

WHERE CAN YOU TUCK… While Abdominoplasty, by name, is focusing on the abdominal area, you can also receive the same type of procedure and benefits on different parts of your body. For example, some other common areas include:

  • hips
  • thighs
  • back
  • bra line
  • buttocks

WHEN IS THE BEST TIME FOR A TUMMY TUCK… recovery from this type of surgery generally takes about 6 weeks, so it’s important to plan for some down time. Some people like to use the time off, they’re already getting for the holidays, others like to start off their “New Year with a New Body.” Every person is different, which is why our time in the consult is so important.

FULL BODY CONTOURING… If you’re looking for a full body lift and tuck, Abdominoplasty can be combined with other procedures to address all your areas of concern. Here are some more options for full body contouring:

  • Liposuction to remove targeted fat deposits.
  • Arm Lifts (Brachiaplasty) to eliminate the hanging, flabby skin under the arm.
  • Breast Augmentation, Reduction and Lifts to create a harmonious upper body balance in breast size and form.
  • Lower Body Lift to remove fat and extra skin, while lifting and reshaping the thighs, lower abs, and buttocks.

So is it your “time for a tummy tuck”? Let’s talk about your body rejuvenating goals. Visit my website www.davinciplastic.com for more info.

Steven Davison, M.D.

 

Lipomas Removal…Quick Squeeze Method

Lipomas are the most common form of soft tissue tumors and they are formed with adipose (fatty) tissue. Lipomas can form in many shapes, sizes and places on the body and they occur more often during middle age (40 to 60) but they are often diagnosed in children as congenital lipomas. They are soft to the touch, moveable and usually painless. Typically they grow just between the skin and underlying muscle but can also be found in the deeper muscle tissues such as the intermuscular septa, or in organs like the abdominal organs, the oral cavity, the internal auditory canal, the cerebellopontine angle and the thorax. They require treatment by a plastic surgeon for safe, effective removal. Lipomatosis, also called liposis, adiposis or lipomatoza and simply refers to groups of lipomas in one location on the body.

Other names for lipomas (types) include:

  1. Adenolipomas are associated with the sweat glands
  2. Conventional lipomas are the most common type composed of mature white fat
  3. Hibemomas are made up from brown fat
  4. Fibrolipomas are fat and fibrous tissue
  5. Angiolipomas are mostly blood vessels and fat tissues
  6. Myelolipomas are fat and the tissues that make blood vessels
  7. Spindle Cell lipomas are rod shaped, seen mostly in elderly men
  8. Intradermal spindle cell lipomas is most common in women
  9. Pleomorphic lipomas are the various shapes and sizes
  10. Atypical lipomas are composed of a large number of “deeper” fat cells
  11. Neural lipomas are fibrous, fatty tissues
  12. Others include: Proteus Syndrome, Cowden Syndrome caused by PTEN gene mutations, Familial lipodystrophy, Hibernomas and Familial angiolipomatosis.

METHODS OF REMOVAL

Lipoma cases are nearly always referred to a surgeon who is skilled and qualified in their removal.

Typical Treatments:1) endoscope assisted removal: 2) suction assisted removal, 3) minimal incision removal and 4) remote incision lipoma extraction.  These all work and have been used by surgeons for decades to remove lipomas of all types.  But, some of these techniques are tedious and require extra equipment (even though they are advanced treatments) and are not always necessary since a quicker, simpler method is now in use.

I helped pioneer a very simple, safe and effective method that involves a “simple incision and a quick squeeze” to remove lipomas without all the extra instruments used in other methods.

Once surgeons learn the quick squeeze method and start using it, they realize it’s great benefits. It’s safe, quick, simple and effective.

QUICK SQUEEZE LIPOMA REMOVAL

1) The lipoma is identified by palpation and its margins are outlined.  2) The area is then infiltrated with local anesthesia and is prepared and draped in standard fashion.  3) An incision approximately one quarter to one third the diameter of the lipoma is made (carried down to the lipoma capsule).  4) The lipoma is then squeezed out through the incision…without any additional dissection.

 

LIPOMA STUDY

Involved 140 lipomas removed, in 50 patients, over the life of this study.These lipomas were located on the face, scalp, neck, thorax, back and flanks, hips/pelvis and on both the upper and lower body extremities.  Of the 140 removals, there were only two recurrences, no complications, no revisions.

Simple Incision, Quick Squeeze technique for lipoma removal makes them gone in 30 seconds!

See complete information about this method of lipoma removal at: www.DAVinciplasticsurgery.com.

Dr. Davison

 

 

 

Lipomas…this safe, simple treatment makes them “gone in 30 seconds!”

Lipomas can form in many shapes, sizes and places on the body.

Lipomas are the most common soft-tissue tumors formed with adipose tissue.  They also require a referral to plastic surgeons for safe, effective removal and to minimize and conceal scars.  A few facts about lipomas include:

  • Lipomas are a common reason for referral to a plastic surgeon
  • They occur more often in adults between 40 to 60 years of age
  • Lipomas are soft to touch, moveable and usually painless
  • Lipomas often grow to more than 6 centimeters in diameter
  • They can also occur in younger adults and children

TREATMENTS for REMOVAL of LIPOMAS have typically included ….1) endoscope assisted removal: 2) suction assisted removal, 3) minimal incision removal and 4) remote incision lipoma extraction.  These all work and have been used by surgeons for decades to remove lipomas of all types.  But, some of these techniques are tedious and require extra equipment (even though they are advanced treatments).   I helped pioneer a very simple, safe and effective method that involves a simple incision and a “quick squeeze” to remove lipomas without all the extra instruments used in other methods.

THE QUICK SQUEEZE METHOD FOR LIPOMA REMOVAL….deserves attention amid today’s array of modern, advanced techniques…that require extra time, attention and technology.  Once surgeons learn the quick squeeze method and start using it…they realize it’s great benefits….it’s safe, quick, simple and effective with a very low rate of recurrence.

QUICK SQUEEZE LIPOMA REMOVAL…how it works:  1) the lipoma is identified by palpation and its margins are outlined.  2) The area is then infiltrated with local anesthesia and is prepared and draped in standard fashion.  3) An incision approximately one quarter to one third the diameter of the lipoma is made (carried down to the lipoma capsule).  4) The lipoma is then squeezed out through the incision…without any additional dissection.

LIPOMA STUDY…140 lipomas removed, in 50 patients, over the life of this study. These lipomas were located on the face, scalp, neck, thorax, back and flanks, hips/pelvis and on both the upper and lower body extremities.  Of the 140 removals….there were only two recurrences.  There were no complications or revisions.

Dr. Samir S. Rao, M.D., Department of Plastic Surgery, Georgetown University Hospital, Washington, D.C. and I… Steven P. Davison, M.D….DAVinci Plastic Surgery, Washington D.C.  setup and carried out this study to demonstrate the efficacy of our “simple lipoma squeeze method.”  This method was first described by Kenawi in 1995 and this exposure encouraged the literature to focus more on minimally invasive lipoma removal methods.  This method is best suited for subcutaneous lipomas with overlying mobile skin.  Deep intramuscular lipomas often found in the back or shoulder region may require longer incisions and more dissection for complete removal.  The method is still safe, simple and effective in spite of these factors.  Also, our method does leave a small scar directly over the lipoma, but most incisions can be hidden along skin tension lines.  Scars typically fade of time…and today we have cosmetic scar topicals that help this process move along quicker.

SQUEEZE DELIVERY TECHNIQUE…for lipoma removal gets them gone in 30 seconds!  We successfully demonstrated, and continue to do so with our patients, that with only a small incision and a safe, effective procedure, lipoma removal can be performed quickly without complications!    Certainly, this deserves more attention!

OK…next blog will cover Lipomatosis…to help you better understand lipomas and the need for their removal.  Also, I will present info on “keloids” in the next few blogs.  These are not exciting topics….but the information is certainly beneficial for those who suffer with these problems.

THE SUN is coming…The days of beach going and picnics etc will soon be upon us…skin cancer awareness month is May…look for helpful info so you can enjoy your playtime.  Now is the time to schedule those procedures that will get you “beach body ready!    Http://www.davinciplastic.com.

Steven Davison M.D.

“DAVinci….where I combine the supreme elements of art and surgical science.”

Lipomatosis…nobody wants it….many people get it…one simple “squeeze technique” can remove it in 30 seconds!

LIPOMATOSIS…is the presence of multiple lipomas on the body.  Lipomas are adipose tumors….these are tumor growths filled with mature fat cells.  Lipomatosis is also referred to as: liposis or adiposis.  Whatever it is called…it simple means an abnormal localized tumor like accumulation of fat in the tissues.  Many discrete, encapsulated lipomas form on the body trunk and extremities with very few on the head.  In 1993, a genetic defect within lipomas was localized to chromosome 12q15, where the HMGIC gene encodes the high-mobility-group protein isoform 1-C.  This is one of the most commonly found mutations in solitary lipomatous tumors, while lipomas often have multiple mutations.  Other chromosomes have also been observed.

Other entities often accompanied by multiple lipomas include Proteus syndrome, Cowden syndrome and related disorders due to PTEN gene mutations, benign symmetric lipomatosis (Madelung disease), familial lipodystrophy, hibernomas and familial angiolipomatosis.  Below I outline some symptoms….because more people are presenting today with lipomas….it is important to educate on this subject.

SYMPTOMS of FAMILIAL LIPOMATOSIS (FML)…FML is a rare disorder that tends to run in families and affects both men and women.  It is hereditary and shows up as groups of fat cells in the subcutaneous tissues that begin to grow and produce multiple fatty lumps of “benign” fatty tumors (lipomas).

  • Usually appear on the abdomen, arms, thighs, neck
  • Can also appear on the face, buttocks, lower legs
  • Tend to vary widely in size…& may or may not be surrounded by connective tissue
  • May or may not be attached to the skin & nearby muscle
  • They are rubbery, moveable & ovoid to round in shape
  • Are not usually painful (unless in an irritated area)
  • Can appear singularly or in clusters
  • Typically appear during of soon after adolescence
  • Extreme cases can grow to appear grotesque & can interfere with mobility, movement & cause disfigurement

LIPOMA REMOVAL REQUIRES THE SKILLS OF A QUALIFIED SURGEON…LIPOMA cases are nearly always referred to a surgeon who is skilled and qualified in their removal.

My previous blog covered methods of Lipoma’s removal…surgical excision, endoscopic removal, liposuction and a simple “squeeze” technique I have developed that safely and effectively removes many lipomas within just seconds through a small incision.

LIPOMATOSIS….NOBODY WANTS IT…WE CAN DEAL WITH IT!  If you, a friend or loved one has been suffering with Lipomas.  Please know there is help!  Come in and let’s get your treatment plan going so you can be free again.

OK….MY NEXT BLOG WILL COVER KELOIDS….THEN WE’LL GET OFF THIS TRACK AND GET BACK INTO BEACH BODY TOPICS!

HOPE EVERYONE IS HAVING A WONDERFUL SPRING!

Steven Davison M.D.

“DAVinci….where I combine the supreme elements of art and surgical science.”

Schedule Your Consultation With Dr. Davison

The initial consultation with your surgeon is critical! It should always be face to face with your surgeon during which time he/she listens closely to your concerns. Dr. Davison believes this time spent with you is critical to both you and to him. It is during the consultation that he comes to fully understand your concerns, evaluates them correctly and is then able to make the recommendations and develop the treatment plan thats right for you. Dr. Davison invests the time to sit down and talk to you face-to-face.

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Washington D.C.