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Michael B Wolfeld, MD  
Male, 44
New York, NY

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What is a "mommy makeover"?

Apr 18, 2011 - 3 comments
Tags:

mommy

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mommy makeover

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tummy tuck

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abdominoplasty

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breast lift

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Breast Augmentation

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breast implants

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liposuction

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Pregnancy

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childbirth



Many of us have heard the term “mommy makeover” on television or in a magazine, but many do not know what that actually means.  Does that involve surgery? Is it non-surgical and non-invasive? What is done and am I candidate?

A “mommy makeover” generally refers to a combination of procedure to improve the appearance of the breasts and abdominal regions.  For the abdomen, this would be referred to as an abdominoplasty or a tummy tuck.   For the breasts, this may refer to a breast lift with or without implants.  These procedures may also be combined with liposuction for further body contouring.

These procedures are performed for women who want an improved figure after having children. Pregnancy, childbirth, and breastfeeding can take a serious toll on a woman’s body, and many moms find that no amount of diet and exercise can restore their pre-baby figures.  Following childbirth, many women notice their breasts sagging as they had been stretched during pregnancy and now they have lost volume and have descended.  Also, these patients have noticed an abdominal bulge from weakening of the abdominal muscles and excess abdominal skin from this skin being stretched during pregnancy.  A mommy makeover aims to correct these conditions and help restore your pre-pregnancy figure.

To learn more about these procedures discussed above, please visit www.drwolfeld.com
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What is the difference between a full tummy tuck and a mini-tummy tuck?

Mar 30, 2011 - 17 comments
Tags:

tummy tuck

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abdominoplasty

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Weight Loss

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skin removal



The abdominoplasty (tummy tuck) is a commonly performed surgical procedure to get rid of excess skin and fat in the tummy area (tummy tuck), and to tighten the muscles of the abdominal wall. In patients who have had one or more pregnancies, or who have lost large amounts of weight, the skin and fat in the abdomen can become loose and flaccid. No amount of exercise will get rid of this hanging, loose skin. At the same time, because the muscles of the abdomen have been stretched, your belly can push forward from the inside, creating an unsightly bulge of the abdomen.  A tummy tuck can tighten these muscles to help create a flat, firm abdominal wall. At the same time, any excess loose, hanging skin and fat is removed.

The abdominoplasty procedure begins with an incision that is made in your pubic region below the bikini line.  The navel is separated from the skin, and the skin and fat of your abdomen is elevated thus allowing the underlying muscles to be tightened.  Excess fat is removed, the navel is repositioned, and the skin is pulled taut around the stomach.  The entire procedure typically takes about two to four hours to complete and is usually performed under general anesthesia.

A mini abdominoplasty (mini tummy tuck) is a quicker, less invasive procedure than the full tummy tuck. Patients who have just a small amount of excess abdominal skin and those who are experiencing minor skin sagginess due to aging are often good candidates for a mini abdominoplasty.  The procedure requires a shorter incision that is made across the lower abdomen, below the bikini line. The navel does not need to be separated from the skin. After the incision is made, underlying abdominal muscles are tightened and excess fat is removed. The skin is then pulled tight around the midsection and trimmed to create a fit, toned appearance. Mini abdominoplasty is usually performed on an outpatient basis, typically taking about two hours to complete. Scarring from a mini abdominoplasty is minimal.  Patients are usually able to resume normal daily activities within a few days after a mini abdominoplasty, compared to 1-2 weeks with a full abdominoplasty.

www.drwolfeld.com


Non-Invasive Body Contouring. CoolSculpting™ by ZELTIQ™ - A new non-invasive method of fat reduction

Mar 28, 2011 - 3 comments
Tags:

Body Contouring

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plastic surgery

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Cosmetic Surgery

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liposuction

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fat reduction

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non-invasive



Cryolipolysis™ is a FDA approved technology developed by ZELTIQ™ that is non-invasive and uses cooling technology to target and eliminate fat in specific areas of a patient's body.  This procedure can reduce unwanted abdominal fat, love handles (flanks), and back fat.  This device is used in an office setting and the procedure can result in reduction of the fat layer by up to 20 to 40%.

This non-invasive technology induces the breakdown of fat cells and involves no incisions and no anesthesia, and can reduce the fat layer without harming the skin or other tissues.  This is due to the fact that fat cells are more susceptible to the effects of cold than the surrounding tissues.  Lipids in fat cells crystallize at warmer temperatures than other water-containing cells. This is how cryolipolysis targets only fat cells for destruction and spares other tissue such as skin, muscle, and nerves.  Lipids from the fat cells are slowly released and transported by the lymphatic system to be processed and eliminated.  By doing so we see a significant improvement in the shape of the body.  

The CoolSculpting procedure by Zeltiq using cryolipolysis differs from other fat reducing methods. Other methods of fat removal primarily involve necrotic cell death by damaging fat with heat, high-intensity focused ultrasound, or chemical injections.  With the CoolSculpting procedure, a specially designed cooling applicator is applied to the desired area of fat reduction to extract energy from the underlying fat tissue without damage to other tissues. This process cools the fat. The applicator cup uses a gentle vacuum pressure to draw the tissue between the cooling panels. During the procedure, the applicator delivers controlled cooling conditions that target and eliminate fat cells in specific areas of the body. When fat cells are exposed to precise cooling, they trigger a process of natural removal that gradually reduces the thickness of the fat layer.  The result is a reduction in fat bulges that is visible in most patients in two to four months.  Additional procedures may be administered two to four months after the initial procedure to achieve greater fat reduction. Patients experiencing fat layer reduction show persistent results at least six months after the CoolSculpting procedure.

Patients typically resume normal activities on the same day as the procedure.  Redness may appear in the treated area, and may last from a few minutes to a few hours. Some localized bruising may occur, which clears within a few weeks. Many patients experience a temporary dulling of sensation in the treated area, lasting one to eight weeks.  

Ideal candidates for the CoolSculpting procedure are relatively fit, but have some modest-size fat bulges that are not easily reduced through diet and exercise.

To learn more about this new non-invasive technology, please call Dr. Wolfeld at 212-281-1000, or for office location information please visit www.drwolfeld.com