Kolker uses the On-Q local anesthesia delivery system, which is placed at the time of surgery and maintained for approximately four days thereafter, which minimizes any postoperative discomfort.ĭr Kolker is a Double Board-Certified Plastic Surgeon In New York City Providing Quality Breast Augmentation, Breast Lift, Liposuction, Rhinoplasty, Facelift and other Cosmetic Surgery procedures. Kolker favors liposuction with tummy tuck in many cases to maximize the aesthetic, sculptural contours of the abdomen. With moderate and severe excess, a classical procedure involves resetting the umbilicus, providing for a maximal tightening and flattening of the anterior abdominal contour. When excess skin is mild or moderate, a modified abdominoplasty is performed, without any incision at or around the native belly button. The repair of the diastasis recti is carried out as a "long plication", fixing the separation of the rectus muscles from the xiphoid (breast bone) all the way down to the pubic bone, effectively flattening and narrowing the midsection. If a hernia is present, the hernia is isolated and reduced, and hernia repair is performed. When diastasis recti and more pronounced skin and fat excess are present, this incision also provides access to the abdominal wall musculature. When a mini tummy tuck is performed, the excess skin and fat above the pubic region and of the lower tummy is removed, and the procedure completed. Koehler can then repair and tighten the abdominal muscles before surgically excising fatty tissue. The position of the resulting incision is maintained as low as possible, and most can easily cover it with regular underwear or a bikini. While quite common following several pregnancies, after twin pregnancy, heavy weight-gain. While a C-section-length incision can be used as access for the repair of diastasis recti, it is not sufficient to remove excess skin. Most abdominoplasty procedures utilize a horizontal incision above the pubic line that is made only as long as the skin-excess requires, generally within the confines of the hip bones. Kolker to listen to and to understand your desires, to examine and evaluate your physical requirements, to thoroughly inform you about the procedure or alternative treatments, to review and answer questions, and to acquaint you with our very special, professional, compassionate and caring staff. The first visit is an opportunity for Dr. Kolker's attentiveness, thoughtfulness, meticulous attention to detail, caring, and warmth.
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