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At the Arizona Center for Aesthetic Plastic Surgery, an abdominoplasty (tummy tuck) is the procedure I select in order to rejuvenate the appearance of the abdomen with lax skin and that usually is protuberant. A major component of this operation involves the elevation, redraping and removal of excess skin employing an incision in the inguinal area that usually extends from hip to hip. This will provide for a firmer and tighter skin envelope but it will not address the bulging out of the underlying tissues.

What is the etiology of this protrusion and how can it be treated? The bulging is caused by laxity and separation of the underlying muscle layers that are most often the consequence of pregnancy, considerable weight loss, aging or a combination of these factors. Most commonly, the increased separation between the rectus abdominis muscles, particularly in women who were pregnant, is responsible for the majority of the bulging. At times the separation can be so significant and the tissues so thin that a ventral hernia develops further exacerbating the deformity. Unfortunately, all the sit-ups in the world will not bring these muscles closer together again – only surgery will.

The solution involves the surgical retightening of the muscles of the abdominal wall in a horizontal direction to variable degrees in order to obtain more feminine contours in women or masculine ones in men. An analogy can be made with tailoring clothes by using hems and pleats so that they fit better. With the skin tightened to firmly drape over the sculpted muscle layer, an alluring appearance can be the result.

Abdomen before surgery - frontal view

After tummy tuck surgery - frontal view

Abdomen before surgery- oblique view

After tummy tuck surgery - oblique view

If you would like more information on an abdominoplasty, liposuction or any other plastic surgery procedure that I perform or to schedule a free cosmetic consultation with me, please contact my office at 480-451-3000.

Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.