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Mini vs. Traditional: Which Tummy Tuck is Right for Me?

The tummy tuck, also called abdominoplasty, has many different benefits and is known as one of the best ways to rejuvenate the stomach using surgical techniques. However, when considering your tummy tuck options, it’s important to know that you have a choice in which tummy tuck will benefit you best. Although Dr. Weider will discuss the right tummy tuck for you during a consultation, here are some things to keep in mind as you plan your consultation.

The Traditional Tummy Tuck

Sometimes called the Full Tummy Tuck, this technique is the standard tummy tuck that produces excellent results. This method is best for patients that have recently undergone major weight loss or pregnancy, since this method includes tightening of the underlying muscles. This can have many benefits, including greater support of the abdomen which can reduce symptoms like back pain or urinary incontinence. This tummy tuck, however, can be more invasive than the mini tummy tuck and require greater downtime and recovery.

The Mini Tummy Tuck

This tummy tuck is best for patients looking for improvement in fatty deposits and excess skin below the belly button. This method is less invasive and doesn’t require extensive downtime, but also doesn’t include muscle tightening. This means the mini tummy tuck is best for patients looking for rejuvenation of the lower abdomen and improved contours. Many patients prefer it because it can be a quick and easy way to correct slight sagging before beach weather.

Which is best for me?

During a consultation with Dr. Weider, you’ll discuss your goals for a tummy tuck procedure and which option will achieve your results. Generally, however, patients experiencing looseness and sagging because of abdominal stretching can greatly benefit from a traditional tummy tuck. Patients that want improvement of the lower abdomen without extensive surgical techniques and recovery can greatly benefit from a mini tummy tuck. In many cases, liposuction can be combined with either method for additional contouring and rejuvenation.

Schedule a Consultation

Your first step in your tummy tuck journey is scheduling a consultation with Dr. Weider who can discuss your best options and make a professional recommendation. To schedule a consultation at our Dallas office, contact us by calling or filling out our online form.


As the new year 2015 keeps rolling on, we’re looking ahead to developments in the world of plastic surgery. Continued from our previous blog post, here are more predictions:

* Eye lift surgery (blepharoplasty) is expected to become even more popular, as the procedure has been vastly improved in recent years. Rejuvenating this delicate area — often one of the first body parts to show signs of aging — is now easier than ever.

* With better harvesting techniques, fat grafting will likely continue to boom in 2015. Fat injections are becoming even more popular than fat removal — a major shift from the past. Dr. Laurence Weider performs fat transfer and micro fat injections in Dallas.

* More patients will request “just a little tweak.” Even simple treatments — such as ear surgery (otoplasty), removal of moles or birthmarks, and soft lifts that gently raise sagging cheeks, brows and jowls — can greatly improve self esteem.

* Still to come in the future, surgeons are excited about fat-melting facial injections that can help reduce the appearance of double chins. A new topical form of Botox also awaits FDA approval.

If this is the year you’re ready to embrace the opportunity to create a new you? Dr. Laurence Weider, a board-certified plastic surgeon in Dallas, Texas, can help. Contact Weider Plastic Surgery to find out how.

Plastic Surgery In 2015: WHAT’S COMING UP?

As 2015 is off to a rolling start, what will the new year bring in the world of plastic surgery? Medical advancements have made the process of improving one’s appearance safer and easier, encouraging more people than ever to seize the opportunity to feel more attractive.

Will this be the year you change your look and boost your confidence? Dallas, Texas, board-certified plastic surgeon Dr. Laurence Weider will work with you to help you reach your goals.

List of the trends expected to grow in the upcoming year:

* Combining functional and cosmetic procedures, such as nose surgery (rhinoplasty) that both makes the nose more attractive and helps the patient breathe better.

* “Stacking,” which means combining treatments — such as Botox and facial fillers — to increase their efficacy.

* Ever-present smart-phone cameras and photo-filled social sites such as Facebook have people evaluating their appearance — and taking steps to change what they don’t like.

* Seniors, who are becoming more active due to advances in medicine, want to look as young as they feel. A new study showing that cosmetic surgery is no more dangerous for seniors — even those over 80 — could encourage higher procedure rates.

Look for more predictions in the next blog!

Seniors’ Cosmetic Procedures Pose No Added Risk, Study Reports

Seniors looking to spruce up their appearance can rest easy: A new study reports older men and women are at no greater risk than younger patients of having complications with cosmetic surgery.

The study, Safety of Cosmetic Procedures in Elderly and Octogenarian Patients, was published in October’s issue of the journal Plastic and Reconstructive Surgery.

The study compiled statistics gathered from 2008 to 2013. The numbers show postoperative complications occurring at a rate of 1.84 percent rate in patients with a mean age of 39.2 years; the rate for seniors (mean age 69.1 years) was 1.94 percent, which is statistically insignificant. For patients aged 80 years or older, the rate was also statistically insignificant: 2.2 percent.

“Our study demonstrated that patients over 65 years old can safely undergo cosmetic procedures with a complications rate similar to younger patients when surgery is performed by board certified plastic surgeon,” explained Dr. Max Yezhelyev, who wrote the study.

The seniors carried greater risk factors, including a higher average Body Mass Index and a higher incidence of diabetes (5.7 percent to 1.6 percent), but they were less likely to smoke.

Older patients underwent more facial procedures: 62.9 percent, compared to 12 percent. Only abdominoplasty indicated a higher complication rate: 5.4 percent to 3.9 percent. The most common postoperative complications in older patients were hematoma, infection and problems with the healing of wounds.

For cosmetic surgery in Dallas, Texas, visit board-certified breast augmentation and plastic surgery expert Dr. Laurence Weider at Weider Plastic Surgery.

Herbal Supplements

A recent article in Plastic and Reconstructive Surgery, the official journal of the American Society of Plastic Surgeons (ASPS), highlighted the frequent use of Herbal Supplements in patients who have a consultation for facial cosmetic surgery. The article also emphasized the risks of taking herbal supplements before and shortly after cosmetic surgery.

Many potential cosmetic surgery patients do not think of these supplements as medications, and therefore do not list them when asked about medication use. However, many vitamins and herbals supplements, which are not regulated by the FDA, can have significant side effects such as excess bleeding and changes in blood pressure.

In the study, almost fifty percent of patients were taking at least one type of supplement at the time of their consultation. Over seventeen percent of the patients were taking supplements that have been linked to an increased risk of bleeding. Supplements and vitamins that have been linked to increased bleeding risk include bilberry, bromelain, fish oil, flaxseed oil, garlic, methylsulfonylmethane (MSM), selenium and vitamin E. Additional commonly used supplements that carry a risk of adverse side effects include echinacea, ephedra (ma huang), ginkgo, ginseng, kava, St John’s wort, valerian, feverfew and ginger.

In my practice in Dallas, I recommend that patients stop using nutritional supplements two week prior to cosmetic surgery. My staff and I ask all patients about their use of vitamins and nutritional supplements during their initial consultation. It is important that patients list all supplements and vitamins that they are taking in order that we can help to ensure a smooth procedure and recovery period.

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Abdominoplasty (Tummy Tuck) vs Panniculectomy

Abdominoplasty (Tummy Tuck) vs Panniculectomy

I often find that the difference between a tummy tuck (abdominoplasty) and a panniculectomy is confusing to patients. It is understandable because the two procedures have some aspects in common but they are not the same. This distinction has become even more relevant because of the growing popularity of weight loss surgery.

The word panniculectomy means removal of the pannus. The pannus is the overhanging skin of the lower abdomen that typically occurs after major weight loss, pregnancy or both. A panniculectomy is a functional and not a cosmetic procedure. By this I mean that it is designed to relieve problems associated with the overhanging skin (pannus) that often occurs after a large amount of weight loss. The most common problems that may lead to insurance approval for a panniculectomy are skin irritation or skin erosion under the pannus and interference with typical daily activities.

A tummy tuck, which is also known as an abdominoplasty, is a cosmetic procedure designed primarily to improve the appearance of the torso. It often also involves tightening of the abdominal muscles that are typically stretched out during pregnancy. Since a tummy tuck is a cosmetic procedure, it is not covered by insurance.

From a surgical standpoint, a panniculectomy involves removal of the excess skin and fat under the skin (subcutaneous fat) and closure of the wound. While a tummy tuck also involves removal of the excess skin and fat of the lower abdomen, it usually is much more extensive and also entails the following procedures:
– release of the excess skin and fat all the way to the bottom of the ribs to maximize the tightening and contouring that can be achieved
– tightening of the rectus (abdominal) muscles as well as the fascia (fibrous tissue) that surrounds the muscles
– reconstruction of the navel
– liposuction of the flanks

Should you wish to discuss a tummy tuck or any other procedure, please give Weider Plastic Surgery a call at (972) 566-8444.

To Your Health,

Dr. Weider

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Chin Augmentation: A growing trend in Plastic Surgery

Data recently published by the American Society of Plastic Surgeons revealed that the number of chin augmentations experienced a 71% increase in 2011. This made it by far the plastic surgery procedure with the greatest growth last year. While no one knows exactly why chin augmentation has become so popular, there is speculation that the growth of video chatting is responsible for at least a portion of this phenomenon. People see themselves on services such as Skype and FaceTime and are self conscious of a weak chin. There is no doubt that a strong chin is associated with self-confidence and leadership. A chin implant can have a positive effect upon one’s profile just as a rhinoplasty (nose job) can. In fact, these two procedures are often done simultaneously.

Placement of a chin implant is usually a fairly straightforward procedure. During your consultation with Dr. Weider at his office in Medical City Dallas, he will discuss your goals and assess your face, jaw and chin. The appropriate implant size and shape will be chosen in preparation for surgery. During the procedure, an incision will be made inside the lower lip or under the chin. The implant will then be inserted below the soft tissue covering the chin to create a pleasing jawline in harmony with the patient’s face. The procedure can at times be performed under local anesthesia and is relatively affordable.

The recovery is usually quick as well with very little down time.

As with any procedure, there are occasional complications, though they are uncommon. The risks include infection, numbness and scarring. These will all be discussed with you in detail at the time of your consultation.

Should you wish to discuss chin augmentation or any other procedure please give Weider Plastic Surgery a call at (972) 566-8444 or contact us via email.


French Breast Implants and Medical Tourism

A recent report from France warns that silicone filled breast implants manufactured by a French implant maker called PIP have a very high rupture rate. In addition, PIP has been accused of using industrial grade silicone to fill the implants instead of more expensive medical grade silicone. The cheaper industrial grade silicone may lead to greater inflammation of nearby tissues. These implants were sold and implanted in several countries including those in Europe as well as South America. They were not available or implanted in the United States, however.

Health officials in several countries are now trying to determine whether to recommend that these implants be removed from those women who have them already. Interestingly, in the late 1990s, approximately 15,000 women had saline filled PIP implants placed in the United States. Some of them even had their surgery in Dallas, Texas. Those PIP saline filled implants had a high leakage rate and were banned by the FDA in 2000.

Currently, there are only two breast implant manufacturers who have FDA approval to sell their implants in the United States. They are Mentor and Allergan. The implants that are sold in the United States have undergone very rigorous testing and research done over multiple decades.

The PIP implant controversy serves to highlight one more reason why medical tourism (traveling to a foreign country to have cosmetic surgery) is often a bad idea. While you may find a competent surgeon, the safety standards in many countries are not as rigorous as those in the United States. I have personally seen women who have had non-FDA approved silicone implants inserted in a South American country that are now having problems with the implants. A small amount of savings initially could cost you much more in the long run.

To your health, for any more information on breast implants or to schedule a consultation feel free to contact us.

Dr. Weider