Abdominoplasty is also known as a ‘tummy tuck’ procedure that is used to reshape and firm the abdomen. This procedure involves removing excess fat and skin from the center of the lower abdomen in order to tighten the muscles of the abdomen wall. Generally this procedure is performed on women and people who have abdominal fat deposits that won’t respond to diet and exercise. A complete abdominoplasty (tummy tuck) procedure is performed by creating a small incision from one hip to the next (just above the pubic area). After this, another cut is made to free the surrounding skin away from the navel. The skin is detached from the abdomen wall which will reveal the muscles. The skin is then reattached and a new hole for the navel is created and stitched into place. When preparing for your surgery it is best to listen to all of the instructions your surgeon gives you. This will most likely include guidelines on eating, drinking, smoking and what medications to take. Overexposure to the sun before surgery can slow down the time it takes to heal. Smoking is also not recommended for at least a week before your surgery. After the surgery has been completed your abdomen will probably feel swollen and you will most likely undergo some pain and discomfort. Your doctor will provide you with medication to help you out during this time. Some people are able to return to work within two weeks of the procedure, while others take 3-4 weeks. Minor exercise will help you heal better, and it is recommended to start an exercise program to reduce swelling. Expect your scars to last for around 9-12 months after the procedure. While these scars will never disappear completely, most will not show under clothing and even bathing suits.
During the past 20 years, there has been a dramatic increase in obesity in the United States. Thirty states have obesity rates of more than 20 percent. Currently, more than 44 million Americans are considered obese, the result of our fast-food life style and lack of exercise. As a result, more obese Americans are turning to bariatric surgery. In 1995, just 20,000 weight-loss operations were performed in the United States. Last year, physicians performed 103,000 bariatric surgeries, an increase of more than 500 percent. The projection for 2005 rises to 144,000. These surgeries are in the range of $30,000 each and if complications arise, even more. Even though some health insurance groups do not include this surgery in their plan language, requests for independent medical reviews regarding bariatric surgery have surged over the past year. Most of these reviews hinge on what’s considered medically necessary or optional when it comes to bariatric surgery. As a claims manager, there are several issues to consider when making a decision about a patient’s claim for bariatric surgery: Is the person suffering from morbid obesity? (The term morbid obesity refers to patients who are 50-100% or 100 pounds above their ideal body weight. ) Has the patient failed one or more non-surgical multi-component weight loss programs? (Was this an evidence-based, integrated weight loss program — such as the one offered by the Ornish Program — that has sustainable, reproducible results? ) Does the patient have a medical illness related to obesity and is he/she willing to participate in a pre-surgeryweight loss effort to improve the success of surgery? (Even a somewhat slimmer patient has reduced cardiac risk. ) Can the patient make the lifestyle adjustment necessary to sustain weight loss? (Many of the dietary limitations are more severe than those needed to lose weight in the first place. ) Only by answering these questions, or using the expertise of your IRO, can you make an informed decision as to whether the claim is medically necessary or considered a cosmetic procedure.
Various forms of cosmetic surgery exist today. All have the aim of altering the physical appearance of an individual. An implicit – sometimes explicit – part of this alteration, change or transformation is the individual’s image of themselves as well; not only how they see themselves, but how they see themselves seen by the people around them. For this reason, there are two elements at stake in cosmetic surgery: the physical and the psychological.
Valid advertisements of cosmeticsurgery do not represent themselves as the be all and end all. They allow the individual to understand that it’s a complex process with many factors to consider. Even a simple goal like having a smoother stomach, can become complicated by the various procedures available. Even then, the range of techniques. In the end, a consultation is always recommended, with a review of the various options available. As well, the attendant risks. What follows is an attempt to acquaint the reader with some of the issues regarding the procedures available. It does not explore what – if any – legal restrictions there may be depending upon where the procedure is done. For example, in Canada, there are can be regulations regarding the use of silicone in prosthetic devices, namely breast implants. The reader should also try to acquaint themselves with whatever follow-up or check-ups are necessary after the fact.
General vs. local anesthetic
If a general anesthetic is used, it is usually performed in a hospital setting. There are certain risks associated with any kind of procedure involving a general anesthetic. Regardless, a hospital stay is normally required. In contrast, a local anesthetic usually carries fewer risks and hospitalization is not required.
In-patient vs. out-patient
For the in-patient, a hospital stay is in part meant to ensure that any potential complications that can arise from the procedure can be dealth with immediately. As well, the individual will likely require a certain amount of rest and recovery in a hospital setting. In contrast, the out-patient can go home after the procedure should no complications arise. Regardless, having a qualified physician performing the procedure in a sterile, controlled setting is critical.
The individual should be in good general health. Procedures like liposuction and tummy tucks are not meant for the purpose of weight loss as much as what’s known as body contouring. Also, pregnancy can be a factor in precluding one from most procedures.
What you should avoid
Smoking a few weeks before and after the procedure. This is because smoking affects the blood’s circulation and can hamper the body’s ability to heal. Excessive exercise, dieting and heavy physical acitivity after the procedure. Again, this can affect the individual’s ability to recover. The former two should also be avoided prior to the procedure. Certain types of medication can also seriously affect your ability to recover. For example, anticoagulants should be avoided if undergoing liposuction.
People are lured to the city of Chicago because of the soaring buildings in the metropolitan area that seemed to have created a vision of metropolitan skyline. And the fact that there is so much to look for at Chicago, most notably in arts.
Arts are embodied in the museums, monuments and even in the most common places. Yet it is wonderful to note Chicagoans bear in themselves an art- the art of body beautification.
Breast enlargement Chicago apply well-recognized programs that produce natural looking outcomes and satisfied customers.
To give credit to one of the leading practitioners in breast enlargement Chicago, we’ll give a quick briefing on Chicago’s pioneer in the industry- the Breast Augmentation Chicago.
Breast Augmentation Chicago has been in existence for over twenty years now. And since its beginnings, it has created the largest cosmeticsurgery practice in the Midwest.
The founding director of the Breast Augmentation Chicago, Dr. Leon Forrester Tcheupdjian M.D, has been specializing in the field of cosmetic surgeries since 1981. His practices include:
• breast augmentation • breast enhancement • breast enlargement • breast reduction • breast implants • plastic surgery • cosmetic surgery • liposuction / lipotherapy • and other related fields
Breast Augmentation Chicago is located at Downtown Chicago, Chicagoland locations and Oakbrook and Arlington Heights.
There are a number of breast enlargement practitioners that may be located around the city of Chicago. Some of the names of the surgeons are gathered below to provide you easier access to their services. For more elaborate data, you may consider visiting their websites.
• Deming Payne Hinsdale (Chicago, Illinois) • Elias Gikas (Chicago, Illinois) • Frank Madda Downers Grove (Chicago, Illinois) • Gregory Turowski Skokie (Chicago, Illinois) • Jay Pensler (Chicago, Illinois) • John Cook (Chicago, Illinois) • Laura Semba located at Orlando Park (Chicago, Illinois) • Michael Marschall Wheaton (Chicago, Illinois) • Mimis Cohen (Chicago, Illinois) • O.P. Steinwald MD, FACS & Paul Steinwald, MD located at Lake Forest (Chicago, Illinois) • Otto Placik (Chicago, Illinois) • Peter Geldner (Chicago, Illinois) • Rodger Pielet (Chicago, Illinois) • Rudolph Dolezal located at Buffalo Grove (serving Chicago, Illinois) • S. Arumugam located at Orlando Park (serving Chicago, Illinois) • Steven Bloch located at Highland Park (Chicago, Illinois)
All these breast enlargement doctors are known to be experts in the industry. Most of them have medical teams who are their aids in enhancing the looks of their patients.
It’s essential to organize a Home Team before you go in for heart surgery, even if you have little time before your surgery to plan it. On the other hand, if you have just gotten home from the hospital, don’t worry it’s not too late. A Home Team is a group of friends and family who are willing to assist you in your recovery following your surgery. Make a list of up to fifteen people, family and friends (but not your primary caregiver) who would be glad – even honored – to be called to help out. Pick a leader among these friends and engage her or him to contact the others about the tasks ahead. Set up a revolving schedule of assignments for your first three to four weeks at home.
Your Primary Caregiver Has The Most Important Role
Who will your primary caregiver be; your spouse, your partner, a friend, or another family member? In my new book, The Open Heart Companion: Preparation and Guidance for Open-Heart SurgeryRecovery the following scenario is explained to help you better understand their importance: Suddenly your caregiver, your close personal ally, has the extended responsibility for all previously shared arrangements – nursing aid, household tasks, transportation, medical and social plan coordination. It can become overwhelming and too much for one person. That is why it is essential that you line up a supportive Home Team to pitch in. Your primary caregiver needs assistance and taking care of too. Once you are home and recovering, he or she is now “on” 24/7. He or she also needs continuing acknowledgment, appreciation and love from you. Plan to regularly express your gratitude. Find out how your loved one is feeling – every day. Though sometimes you won’t feel like it, remember to smile, and show you care and appreciate all that is being done for you.
Five basic tasks to assign to your Home Team
1. Dinner nightly Some friends will like to prepare a home cooked meal for both patient and caregiver, while others can pick up a heart healthy take-out meal. Since the reality of landing back home means the primary caregiver has antenna focused on you continuously, your caregiver loved one will appreciate the sit-down break at dinner time.
2. Buddy system During the many hours and days of convalescence, neither patient nor primary caregiver wants to feel isolated at home. Anticipate a buddy system in advance. Is there a friend who has been though open-heart surgery who will agree to check in with the patient regularly? Is there someone that the heart patient can call spontaneously? Many basic questions can be answered this way, by a friend or family member. Naturally, any substantial recovery question requires picking up the phone and calling your designated medical professional. Maybe you know, or know of, a former heart patient who also is a medical professional? Arrange chat times (perhaps twice weekly) with him or her. Primary caregiver and patient should also plan regular phone time with a best friend independently, to be free to let their hair down to tell it like it is.
3. Running errands Who – friend or neighbor – would be willing to be counted on to run to the pharmacy or to deposit or pick up laundry or dry cleaning? How about someone who will shop for staples at the supermarket or buy a box of thank-you notes? Recruit a list of volunteers beforehand. It’s critical to have this in place to enable you to focus on getting well.
4. Housekeeping In the hospital take-home instructions, there are very specific physical directives that must be honored while the sternum (breastbone) is healing. You are not to lift more than five to ten pounds for four to six weeks. As well, you are to avoid pushing/pulling activities with your arms, and also avoid heavy one-armed lifting for three months. This eliminates carrying groceries, carrying a toddler, vacuuming, shoveling snow, mowing the lawn, raking leaves – even wiping up a kitchen counter with a sponge can be challenging in the first couple of weeks. It is best to schedule others for regular housekeeping duties for at least four to six weeks and/or consider hiring a house cleaner for the short term.
5. Chauffeuring An open-heart patient may not resume driving for six to eight weeks – until the sternum is fully healed. Because you don’t want to risk re-injuring the sternum should a passenger airbag need to be deployed, you might be advised to ride in the back seat using the shoulder seat belt. That said, you can ride in a car as soon as you’re home – to a medical appointment, to the store, to eat out. However, all these outings become a lot of driving for the primary caregiver, so line up chauffeur volunteers.
Recovering from heart surgery can be challenging, but with these tips and more tips on planning ahead found in The Open Heart Companion you can ensure that your recovery will go smoothly.