High Definition Tummy Tuck
The high definition tummy tuck was developed by Dr. Mowlavi to allow for simultaneous abdominal etching while having the ability to maximally remove the skin by virtue of a tummy tuck incision design. The high definition of body contouring results is only obtained when both skin redundancy and excess fat are addressed.
This means the elimination of all skin redundancy and the removal of all excess fat. When both of these measures are accomplished, then truly transformative results are appreciated. This means stunning figures and curves for the ladies with a voluptuous buttock when desired. Six-packs and masculinized chest appearance for the gentlemen. Certain expectations of “jaw-dropping” results must be achieved to label outcomes as high definition body contouring. In summary, Dr. Mowlavi has developed a high definition of a tummy tuck.
At first glance, this procedure seems to defy all of the principles of tissue blood flow preservation. This is because tissues have two routes of blood flow. The first involves perpendicular blood from directly from the heart or its major tributaries such as the aorta. The perpendicular description describes blood flow through vessels that are literally running directly at right angles to the tissues, called perforators.
The issue we are most concerned about is the skin and its underlying fat. In fact, each palm size area of skin is fed directly by a single identifiable vessel that enters the skin in a perpendicular fashion. This palm-size area is medically termed an angiosome and approximately 100 angiosomes cover the entire body.
Preservation of blood flow to angiosomes has been studied and published and includes, for example, the fact that an angiosome can survive if its perforator is disconnected as long as one neighboring angiosome has its perforator preserved. This is because the disconnected angiosome can rely on the blood flow from the connected neighbor angiosome for blood flow via a horizontal network of microchannels. This horizontal blood flow system, called the subdermal plexus, is in fact the second is the second and final system of blood flow to tissues.
The subdermal plexus lies directly under the skin and spans the entire skin of the body like a web. In essence, if the perforator blood flow becomes disconnected, then the horizontal web of microvessels will provide adequate blood flow to the disconnected region.
How this applies to a tummy tuck, is that the abdominal skin must be undermined from the pubic region to the ribs so that redundant skin can be removed and the abdominal skin redraped to allow for it to be repaired. In addition, central abdominal undermining must be completed in order to allow for access to the abdominal muscles so that they can be tightened.
In lifting the abdominal skin, the perforators to the central region of the abdominal skin must, unfortunately, be disconnected. As such the central abdominal skin, angiosomes, must rely on the lateral abdominal skin angiosomes for their blood flow and survivability.
To make matters even worse is the fact that to achieve a high definition result, the area of interest must be liposuctioned. Unfortunately, the act of liposuctioning can theoretically compromise the horizontal subdermal plexus flow. This is because when hollow bore cannulas are used to scrape out the fat, there is collateral damage to the microvessels in the subdermal plexus.
As a result, the central abdomen theoretically will be compromised by potentially compromising its subdermal plexus but also the lateral abdominal skin can also have its subdermal plexus compromised.
This constraint makes consideration of performing a simultaneous tummy tuck and liposuction at least at first glance seem precocious. To review, when performing the tummy tuck, we must undermine the central abdominal region thus disconnecting the perforator blood flow.
Then, liposuction may potentially compromise the subdermal plexus, horizontal blood flow. In summary, it becomes questionable how we can achieve these stunning results in a safe manner.
Dr. Mowlavi has developed the high definition tummy tuck which achieves high-end results stunning results for patients with redundant skin and excess fat. Dr. Mowlavi has modified traditional techniques for a tummy tuck and liposuction in order to achieve high definition results yet avoid blood flow constraints.
First, Dr. Mowlavi strategically limits the amount of undermining in order to be able to remove all redundant skin but avoid disrupting all of the perforators. Meticulous proprietary dissection technique is utilized to allow for undermining while preserving selective perforators. In addition, Dr. Mowlavi utilizes ultrasound-assisted liposuction to gently remove the fat thereby reducing unnecessary trauma to the subdermal plexus.
In addition, Dr. Mowlavi utilizes a compression coupling technique during his liposuction that allows him to sculpt abdominal musculature and achieve highlights that are so highly esteemed. Patients who are interested in a high definition tummy tuck are evaluated by Dr. Mowlavi either in person or by a virtual consultation. Virtual consultations can be performed through several platforms including Facetime, Skype, What’s up, Instagram, and Zoom.
Please this 27-year-old patient who demonstrates improved shape and contour from a tummy tuck and liposuction procedure.