Avalon Cosmetic Surgery Tele-Consult

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1 Avalon Cosmetic Surgery Tele-Consult By Robert Kenevan, M.D. Medical Director Avalon Clinic for Cosmetic Surgery Who else wants their pre-pregnancy waist back and how to have an uneventful Tummy Tuck Recovery Avalon Affiliations The Avalon Clinic 1

2 Introduction Welcome to Avalon Cosmetic Surgery Tele-Consult One Question Title: Who else wants their pre-pregnancy waist back and how to have an uneventful Tummy Tuck Recovery - Robert Kenevan, M.D. Medical Director You will learn 3 Steps of the Tummy Tuck healing journey 4 familiar Tummy Tuck Problems which do you want to overcome 7 Mistakes to avoid when having a Tummy Tuck 2008 The Avalon Clinic 2

3 Context: Cosmetic Surgery is now: Mainstream Affordable Widely accepted Readily available Freely talked about It was not always like that. In the past, Cosmetic Surgery was only for the, usually performed at expensive in cities. It was considered and was talked about. It was not until the advent of that things changed. It is possible! Purpose of today s talk: 1. Educate about recovery and healing process after Tummy Tuck. 2. Help minimize risks 3. Distinguish when Tummy Tuck vs. Liposuction 2008 The Avalon Clinic 3

4 Story (Start) Cata (not real name) - 33 years old - 3 children - Had previous breast enlargement - Asked if she could have liposuction for her tummy. (Continued later) Your story: 2008 The Avalon Clinic 4

5 Checklist (Before) 1. It is possible to get rid of stretched skin bulge by exercising and loosing weight. Yes No Additional Notes: 2. Tummy Tuck and Liposuction can be used interchangeably since they accomplish the same thing. Yes No 3. I know the two kinds of fat in the tummy area. Yes No 4. It is possible to safely have a baby after a Tummy Tuck. Yes No 5. A Tummy Tuck is designed to tighten the muscles. Yes No 6. I know the 7 mistakes to avoid before and after having a Tummy Tuck. Yes No 2008 The Avalon Clinic 5

6 What are the 4 tummy layers and how can you tell if you are a good candidate for Tummy Tuck or Liposuction? A. Skin B. Fat C. 1. Fascia 2. Muscle D. Fat E. Intestine, Liver, Spleen, etc. Key Test: On side of abdomen above hip pinch skin and measure its thickness. Normal is less then cm. Check for loose skin. Your anatomy: 2008 The Avalon Clinic 6

7 What are the 4 common tummy problems after pregnancy (and massive weight loss) and which can be fixed by exercise or surgery? Additional Notes: 1. Stretched 2. Stretched 3. Fat Fullness 4. Fat Fullness Your anatomy: Graphs from TT 2008 The Avalon Clinic 7

8 Tissue removed in lbs Tissue removed in lbs by Weight Groups Weight Groups Average Smallest Amount removed in lbs Largest Amount removed in lbs Average Tissue removed by Weight Groups Tissue removed in lbs Weight Groups Average tissue removed in lbs by Weight Groups Overall Average of tissue removed in lbs 2008 The Avalon Clinic 8

9 Some of you will choose to have a consultation with one of Avalon s Doctors. Please do me a favor and write down the code here: Bring in these notes and allow us to copy them. I will give $100 off on your cosmetic surgery. This will help me with input, research and future tele-consults. I appreciate it very much. Visit: 4 Ways to schedule a consultation with one of Avalon s Board Certified Cosmetic Surgeons. 1. Call: (253) info@avalonclinic.com Phone Hours: Monday Thursday: 8:00 am 7:00 pm Friday 8:00 am 5:00 pm 3. Fax: (253) Stop in: 9315 Gravelly Lake Drive SW, Suite 205, Lakewood, WA The Avalon Clinic 9

10 What happens the day of surgery and what should you bring with you that day? Additional Notes: A. Day of Surgery 1. Pre-Surgery Room a. Support b. Visit Doctor, Nurse and Anesthetist c. Charge Nurse d. Shoulder Massage 2. Going to Surgery Room a. OR Table b. IV with relaxing medications c. O 2 d. Sleep 3. Waking up after 4. Recovery Room B. What should you bring with you: 1. Loose Clothes 2. Medications 3. Notebook Planning: 2008 The Avalon Clinic 10

11 What are the 5 key steps of a Tummy Tuck Procedure and what are the 4 main types of Tummy Tuck? A. 5 Key Steps 1. Removing the skin and fat. 2. Freeing up the remaining. 3. Tightening the stretched that encircles 4. Close the skin and holds muscles in place. 5. Bring the belly button through opening. B. 4 Types of Tummy Tuck 1. Tummy Tuck 2. Tummy Tuck 3. Tummy Tuck 4. Tummy Tuck 2008 The Avalon Clinic 11

12 What are the 8 duties of the Support Person and how will the Support Person be trained? Additional Notes: A. Duties of the Support Person 1. Bring you in for surgery 2. Taking you home after surgery 3. Give you medications 4. Help you to 5. Help with fluids and 6. Help with dressings 7. Record drainage bulbs 8. (253) if or B. Training the Support Person 1. Phone interview with Nurse 2. Before Surgery a. Doctor b. Nurse 3. After Surgery 4. Call if concerns (253) Reliable Support Person: 2008 The Avalon Clinic 12

13 What are the 7 common mistakes you could make before and after Tummy Tuck Surgery and what could the result be? Mistake Taking, 1 week before 3. Taking, 1 week before 4. or right before surgery 5. coughing 6. walking 7. Taking, Result 2008 The Avalon Clinic 13

14 What are the 7 common discomforts and what can you do to minimize them? Discomforts 1. Soreness 2. Nausea & Vomiting 3. Hematoma 4. Constipation 5. Swelling 6. Infection 7. Sleeplessness Minimize by Reliable Support Person: 2008 The Avalon Clinic 14

15 How long is the recovery time after surgery and when can normal activities be resumed? 1. Full recovery is 2. Normal Full activities are 3. Other activities a. Lifting over 25 lbs. b. Sex c. Driving d. Sleeping on side e. Light work f. Not wearing girdle Reliable Support Person: 2008 The Avalon Clinic 15

16 Checklist (After) 1. It is possible to get rid of stretched skin bulge by exercising and loosing weight. Yes No Key Learnings: 2. Tummy Tuck and Liposuction can be used interchangeably since they accomplish the same thing. Yes No 3. I know the two kinds White of fat in the tummy Yellow area. Yes No 4. It is possible to safely Listen to discussion have a baby after a Tummy Tuck. Yes No 5. A Tummy Tuck is And take of extra skin designed to tighten the muscles. Yes No 6. I know the 7 mistakes see page 14 to avoid before and after having a Tummy Tuck. Yes No 2008 The Avalon Clinic 16

17 Story (Completion) Key Points: Join me next Avalon Tele-Consult: Thank you for participating! We are looking forward to seeing you! 2008 The Avalon Clinic 17

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