DR COTRUFO

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Tummy Tuck

A tummy tuck, technical name abdominoplasty, can dramatically reduce the appearance of a protruding abdomen, increasing comfort and confidence levels by restoring tummy tone.

Why choose abdominoplasty?

If your abdomen has been affected by a cycle of weight gain and loss or impacted by pregnancy or ageing and loss of skin laxity, abdominoplasty surgery also known as a tummy tuck may be an option. A tummy tuck reduces the appearance of your abdomen through removal of excess skin and fat. Individuals often find that this body contouring procedure helps them to feel more content, giving them the self-confidence to wear the clothes they would ideally like to wear.

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What can abdominoplasty achieve?

  • Restore tummy tone after weight loss and gain
  • Remove stubborn excess skin or fatty deposits
  • Shape and tone after pregnancy
  • Can help ease lower back pain and improve posture
  • Boost your confidence for exercise or clothing choices

What are the alternatives to abdominoplasty?

If your fat deposits and area of loose skin are largely in the area below the navel, you may select to undergo a less complex procedure called a partial abdominoplasty or mini tummy tuck. Another option is to have abdominoplasty alongside liposuction for improved body contouring or to undergo liposuction on its own. Dr Cotrufo will be happy to take you through the options best suited to your goals during your consultation.

Before your abdominoplasty

Clear communications between yourself and your cosmetic surgery team are vital for a relaxed and comfortable surgery experience. You will start to establish these before surgery takes place during your initial consultation with your surgeon.

During you consultation you will:

  • Be able to discuss your circumstances
  • Be given time to ask advice and pose questions to Dr Cotrufo
  • Undergo a health evaluation
  • Have a full assessment of your skin tone and the fat deposits and/or loose skin in the abdomen area
  • Discuss the options that are open to you, including costs and timescales
  • Ask about risks, benefits and alternatives to abdominoplasty
  • Learn more about the tummy tuck procedure

In the run up to your procedure and in the days immediately before surgery, you may be asked to make small changes to your lifestyle and to avoid certain medications or activities.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding overexposure in the sun, particularly to the abdomen
  • Committing not to make stringent changes to your diet

If you need a general anaesthetic for your procedure you will be given instructions on how to fast before your surgery.

The abdominoplasty/tummy tuck procedure

  • Depending on the complexity of your personal procedure, a tummy tuck will commonly last between 2 and 5 hours
  • The steps of the surgical procedure will vary if you are also undergoing other treatments such as liposuction but it will generally involve the removal of some fatty deposits and excess skin
  • To do this, your surgeon will make incisions from hipbone to hipbone and to free the navel from surrounding tissue
  • Incisions are usually made at the level of the underwear line in order to conceal any possible scarring
  • Your tummy muscles may also be tightened during the procedure
  • Once the incision(s) is stitched, dressings are applied and temporary tubes inserted to drain excess fluid away

The partial abdominoplasty/mini tummy tuck procedure

  • A mini tummy tuck procedure will generally last between 1 and 2.5 hours
  • During a mini tummy tuck, a shorter incision is made and the navel usually remains in place, though it may be reshaped when the skin is tightened and stitched
  • The skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess removed and the flap is stitched back into place

After your tummy tuck procedure

Once your procedure is complete you are likely to feel bruised and sore, and you may find you have a drip in your arm to maintain hydration. You should be up and around in 24 to 48 hours and we advise a friend or relative drives you home to help you with your tummy tuck recovery.

After that:

  • You will be able to remove the small drainage tubes inserted during surgery once fluid production reduces
  • Moderate pain and discomfort is likely for 3 to 5 days
  • You should be able to wash with moderately warm water on the second day after your surgery
  • During the healing process, you will need to dress your wound as instructed by the clinic team
  • You will be able to return to normal activities after 2 weeks but should continue to avoid strenuous exercise of all types for up to 6 weeks
  • Most of the swelling should subside within 4 to 6 weeks, though it may take up to 3 months for the area to return to normal
  • A series of aftercare appointments will be scheduled for you to attend, Dr Cotrufo will also be available to discuss your progress via telephone

Do you have more questions about abdominoplasty?

There are a number of differences between a mini tummy tuck and a full abdominoplasty, if you would like to learn more about these variances or what type of procedure is most suited to your personal circumstances and goals, our expert surgeon Dr Cotrufo will be able to guide you through this information. Dr Cotrufo is an expert cosmetic surgeon and reconstructive microsurgery. He has a great deal of experience in carrying out this procedure and is able to carry out tummy tucks with minimal scarring. Should you have any further questions about the procedure or his experience, you can book a consultation by calling 0207 873 2330.

Arm Lift

An arm lift, technical name brachioplasty, aims to reshape your arms to help them look more proportionate. It can be carried out on the upper or underarm region.

Why choose an Arm Lift?

Fluctuations in weight and the effects of ageing can result in excess fat and sagging skin on both the upper and lower arm areas. Brachioplasty reshapes the arm, giving a more toned appearance.

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What can an arm lift achieve?

  • Reduce stubborn fat deposits in the arm
  • Improve the sagging appearance of skin around the arm
  • Reshape arms to look more in proportion, particularly after weight loss and gain

Is there an arm lift alternative?

Your surgeon will be best able to advise on the surgery most appropriate for your goals, however, depending on your individual circumstances you may find liposuction or a combination of liposuction and arm lift surgery may be another course of treatment open to you.

What to expect before arm lift surgery

Establishing good communications between you and your surgeon will help make for a comfortable and relaxed surgery journey. This begins with your consultation when you will have the opportunity to spend time talking to Dr Cotrufo.

During you consultation you will:

  • Be able to explain why you are seeking arm lift surgery
  • Have the opportunity to pose questions to Dr Cotrufo
  • Undergo a full health evaluation
  • Learn more about the procedure, including aftercare
  • Have a full assessment of your arm area(s)
  • Discuss the options that best suit your needs, including arm lift costs and timescales

As your surgery gets closer, you may be asked to make small changes to your day-to-day life or to avoid particular medications or activities.

This may include:

  • Taking a blood test or other medical tests
  • Stopping smoking
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Refraining from drinking alcohol
  • Avoiding sun overexposure
  • Committing not to make stringent changes to your diet

Those undergoing general anaesthetic will be given fasting instructions to follow.

The arm lift procedure

  • Arm lift surgery normally takes about 2 hours though it could take more or less time depending on the extent of the work and whether it is being combined with other procedures
  • Small incisions are made in an inconspicuous location on your arms and fat is then drawn out, liposuction may be used and excess skin may also be removed
  • The arm is smoothed and secured in place with sutures

After your arm lift

Following surgery you may be required to stay overnight in the clinic, we recommend that a friend or relative drive you home.

After that:

  • You should be able to return to work 2-4 weeks after your procedure
  • You will attend free aftercare appointments with Dr Cotrufo and be able to speak to him should you have any questions
  • Sutures will be removed 7-14 days after your arm lift
  • Bruising will subside 7-14 days after surgery
  • Vigorous exercise, sun exposure and hot and spicy food should be avoided for around 1 month
  • Your scars may be more noticeable for the first 3-6 months while they heal, they will start to flatten in colour after 6-9 months

Still have questions about arm lift surgery?

Our clinic’s surgeon Dr Cotrufo has worked in some of the best plastic surgery hospitals in the world and is a regular contributor to cosmetic surgery journals including the Journal of Plastic Reconstructive and Aesthetic Surgery. Should you have any questions about brachioplasty, your suitability for the surgery or the treatment and aftercare you can expect to receive with us, please call 0207 873 2330 to organise a consultation.

Thigh Lift

Thigh lift surgery helps to re-shape your thighs, to gain smoother looking skin, and to give them a more proportionate appearance to the contours of your lower body.

Why choose thigh lift surgery?

Growing older and fluctuations in weight are the most common reasons for our thighs and skin to appear drooping and sagging. If you feel self-conscious and lack confidence in the appearance of your thighs, this surgery can help by removing excess skin and fat to give a firmer looking and more toned thigh area.

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What can a thigh lift achieve?

  • Improve the shape of your thighs
  • Smoother looking skin
  • Put the contours of your lower body more in proportion
  • No more sagging and drooping
  • Confidence in the appearance of your upper legs

What are the alternatives to a thigh lift?

Your surgeon will speak with you about possible alternatives to thigh lift surgery such as liposuction, which, in some cases, may be performed alongside or instead of a thigh lift.

Before your thigh lift procedure

Every thigh lift surgery is different and tailored to the needs of the individual patient, that’s why establishing good communication between you and your surgeon is essential. A relaxed and comfortable surgery experience starts with open discussion of your personal goals within your thigh lift surgery consultation.

During you consultation you will:

  • Have the opportunity to ask Dr Cotrufo to ask questions about details of the thigh lift procedure
  • Highlight your reasons for seeking surgery
  • Complete a full health evaluation and lower body examination
  • Discuss the surgical and non-surgical options that are open to you, as well as costs and timescales

As your procedure approaches, you may be asked to make small alterations to your lifestyle or to avoid particular activities and medications, this is to ensure you are in the best possible health for surgery.

To make sure you are in the best health before your thigh lift, the surgeon may ask you to make some vital lifestyle changes in the run up to surgery. This can include:

  • Stopping smoking
  • Refraining from drinking alcohol
  • Refraining from any stringent diets
  • Adjusting or taking certain medications
  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs
  • Avoiding overexposure to the sun, especially to the thigh area

The thigh lift procedure

  • The surgery normally takes around 2 hours but this depends on the extent of work required
  • Your surgeon will generally make incisions in the groin, extending downwards and wrapping around the back of the thigh, so that any scarring is as hidden as possible
  • The underlying tissue will be reshaped and tightened, with the reduced skin secured by sutures

After your thigh lift surgery

You are likely to feel tired and sore for a few days following your surgery, but you should be up and around in 24 to 48 hours and able to return home with a friend or relative.

  • There may be a drip in your arm to keep you hydrated after surgery. As soon as you can drink enough it will be removed
  • You may shower with mildly warm water on the second day after your operation and if you need pain relief

It is best to avoid these foods and activities for at least a month:

  • Hot and spicy food
  • Vigorous exercise
  • Activity that is more strenuous, including housework
  • Heavy lifting

The results of the thigh lift surgery are visible almost immediately afterwards. However, it will take several months for the final results to fully develop. During this time you will attend scheduled aftercare appointments with Dr Cotrufo, who will closely monitor your post procedure progress.

Still have thigh lift questions that you’d like answered?

Dr Cotrufo is an expert in cosmetic surgery and reconstructive microsurgery. His extensive plastic surgery experience spans several continents and includes spells in some of the UK’s leading reconstructive surgery departments. Should you have any more questions about the thigh lift procedure, please call 0207 873 2330 to organise a consultation.