Abdominoplasty okanagan. Starting from $ 80. Abdominoplasty okanagan

 
 Starting from $ 80Abdominoplasty okanagan  Vitality Plastic Surgery

The main focus of a tummy tuck is to remove excess skin and contour your body shape, not weight loss. Trussler and his staff are here to help. 222 Westchester Avenue. 401, Kelowna, BC. Occasionally this causes rashes and discomfort in the folds. A tummy tuck, also known as abdominoplasty, is a procedure that tightens loose muscles and eliminates excess skin and fat in the abdomen. . Plast Reconstr Surg. This surgery is also called a tummy tuck. The first step is careful consideration of the special factors involved in preoperative screening of patients with MWL presenting for body contouring surgery. Surgery typically takes 3-4 hours. Dr. Liposuction or Lipoplasty is the cosmetic plastic surgery that helps slim and reshape specific areas of the body by removing excess fat deposits, improving your body contours and proportion, and ultimately, enhancing your self-image. Are you feeling self conscious about excess skin around your abdomen? Here are 4 signs that an abdominoplasty might be the right option for you. 12. A panniculectomy is more expensive than a tummy tuck, but it’s often covered by medical insurance. This cosmetic procedure removes excess skin and fat from the abdomen and may also tighten the muscles of the abdominal wall. During surge. Mayo Clinic's plastic surgeons work closely with doctors from other specialties to offer patients comprehensive medical care to meet their reconstructive and cosmetic surgical needs. Abdominoplasty—sometimes called "tummy tuck"—has a higher risk of major complications than other cosmetic plastic surgery procedures, reports a study in the November issue of Plastic and Reconstructive Surgery®, the official medical journal of. Diet and exercise alone may be unable to restore a flat and well-toned abdomen. It is known that obese patients undergoing abdominoplasty have a significantly increased risk of developing complications compared to non-obese patients [13,28,29,30,31]. The tummy tuck is a popular cosmetic. The procedure is commonly requested to restore pre-pregnancy appearance in women, maintain youthful physique, and lose weight in obese population. 5. emotion; mood. If you have any other questions about tummy tuck surgery, or other plastic surgery procedure, please feel free to contact us at 514-695-7450. Abdominoplasty is the cosmetic surgery of the abdomen that typically involves removing excess skin fat and tightening of abdominal muscles. It is generally sought after by individuals who have undergone significant weight loss, pregnancy, or have loose abdominal skin due to ageing. It is a commonly requested procedure for various reasons: for the aging population that wants to maintain a youthful belly, the postpregnancy mothers to restore their previous appearance, and the bariatric patients after massive weight. Austin are very accomplished at finishing all of their surgical procedures with as little visible scarring as possible. Expertise. Plastic Surgery in a Judgment-Free Zone "My results exceeded my expectations. < Previous 1 2 3 Next >. 30 Years Experience. media@plasticsurgery. 3. A tummy tuck, also called abdominoplasty, is a plastic surgery procedure that helps those with a “pooch” by removing excess skin and fat around the abdominal area and lifting the belly button while tightening the abdominal wall and restoring elasticity. For many people, genetics, weight gain or pregnancy can alter the muscles and skin of your abdomen, causing them to stretch permanently. A mini-tummy tuck takes between 1 and 2 hours. Liposuction. Call: 250-868-9099. No matter your reason for getting a tummy tuck, you’re certainly not alone. As highly trained, experienced, and accredited plastic surgeons, Dr. Top 10 Best tummy tuck Near Orange County, California. These include such sought-after procedures as liposuction, rhytidectomy ("facelift"), rhinoplasty ("nose job"), blepharoplasty ("eye job"), abdominoplasty ("tummy tuck"), breast augmentation in women, and breast reduction in men and women. Most people choose to have a tummy tuck to look better and to feel better about the way they look. Extended tummy tuck. . During Abdominoplasty. Contact Us. a. The rate of reoperations to achieve an acceptable aesthetic result associated with this complication is less than 1%. Canada. • Seamless across the belly button so it won’t rub. Abdominoplasty. The liposuction part of the procedure can take up nearly a third of the total time. Liposuction surgery can be used to treat stubborn fat pockets in many parts if the body including the abdomen. Dr. Ahmad and Dr. While this procedure is not a surgical treatment for being overweight, it can dramatically improve the contour of the protruding abdomen. 17999. Tummy tucks are not weight loss surgery. Abdominoplasty, usually called a tummy tuck, removes excess skin and fat to create a flatter abdomen and slimmer midsection. 2015;135:1027–1032. Fat deposits around the midsection can linger. Pugash takes. Not taking care of the incision sites during the rehabilitation can lead to belly button issues. 304-3320 Richter St. View this content in Español. , F. $109. A panniculectomy is elective surgery performed to relieve symptoms from an overhanging apron of skin. Providing the best Tummy Tuck in the Houston, TX area. (FUPA stands for “fatty upper pubic area,” and the acronym is a slang term for the abdominal pannus. In preparing for tummy tuck surgery, you may be asked to: Get lab testing or a medical evaluation. See a photo gallery of Dr. 84 may differ. Dr Marco Faria Correa Plastic Surgery. Liposuction is used to remove body fat from a trouble region. 59. Use an ice compress to minimise the pain and swelling. 00. Driving Directions. 4. Starting from $ 1,031. Dr. Before - A tummy tuck can help remove excess fat and stretched out abdominal skin, resulting in a firmer, flatter tummy. Castanet - Nov 13, 2023 / 8:30 am | Story: 457077. People often have a tummy tuck surgery after pregnancy or after losing a significant amount of weight, both of which can stretch abdominal muscles and leave excess skin. Whether you are a mother who just gave birth or somebody who just lost a lot of weight, you might have excess fat and loose. The abdominal trunk is an area of special interest to plastic surgeons as it presents a large area of opportunity for body contouring. No Drain Tummy Tuck Our Chicago tummy tuck expert surgeons have perfected a faster healing approach that allows patients to recover faster and safer. However, it's important to have realistic expectations and commit to a healthy lifestyle to ensure the best possible results. The main focus of this procedure is to strengthen weakened stomach muscles, which can be caused by numerous factors, such as: Pregnancy; Aging; Significant weight loss; Heredity See full list on okanaganhealthsurgical. To combat those effects, tummy tuck surgery—also called abdominoplasty—tightens the stomach muscles and reduces fat and skin around the midsection. It also gets rid of loose or wrinkled skin and stretch marks. An abdominoplasty surgery, also known as a tummy tuck is designed to tighten the appearance of the abdominal area, according to the unique preferences of each patient. Pregnancy often causes the abdominal muscles to loosen and separate. Learn the truth behind common tummy tuck myths. Flatten Your Stomach With Abdominoplasty and Tummy Tuck Plastic Surgery in Kelowna, BC. Dr. Dr. Your physician will prescribe methods to help you remain as comfortable as possible during your recovery. The abdominal trunk is an area of special interest to plastic surgeons as it presents a large area of opportunity for body contouring. Facial Rejuvenation . Meredith Vandegrift. k. Discussion: The diastasis is not a hernia and repair. Fat stretches the skin when you gain a few pounds, but the skin is often unable to achieve its original state. During a tummy tuck, excess skin and fat are removed from the abdomen. The surgical procedure tightens lax anterior abdominal wall muscles and removes excess abdominal skin and fat. 655. For these reasons, the abdominoplasty may not be right for everyone. For more information about the “Mommy Tummy” or other body contouring, call Feel Beautiful Aesthetic Wellness and Plastic Surgery at (858) 295-1592 to schedule your in-office consultation today. 105(1):425-35. View Gallery. Take certain medications or adjust your current medications. However, it's still a major surgery, and complications are possible. With this procedure, the surgeon makes a long incision from one side of the hipbone to the other. Breast Lift. Panniculectomy. There's no damage to your liver. This reshaping and contouring of the abdominal wall area. AGE: 31 HEIGHT: 5'8" CHILDREN: 1 BREAST FEEDING: Yes IMPLANT TYPE: Saline replaced with Silicone PROFILE: Extra-Full Profile SHELL: Smooth, Cohesive SIZE: Left - 800 cc, Right - 750 cc INCISION: Anchor PLANE: Existing Pocket NOTES: Mastopexy with Remove and Replace (Explants - Left - 560 cc, Right - 560 cc)Abdominoplasty can also be done as a reconstructive operation to: correct abnormalities after a disease or surgery, such as removal of large pelvic tumours. If you’re currently struggling to get rid of stubborn fat and loose skin to get that toned abdominal profile of your dreams, an abdominoplasty in San Romon may be the solution you’ve been looking for. This document addresses the surgical procedures panniculectomy and abdominoplasty and when they are considered medically necessary, not medically necessary, and cosmetic. It is one of the most popular plastic surgery operations in the UK. The total surgery time is about 4-5 hours. Cannot stress enough how wonderful and efficient are the clinic staff, even when one's business has been rare (1-2 visits a year) and. Plast Reconstr Surg. A tummy tuck can be a great option for individuals who have excess skin and fat in the abdominal area and are in good overall health. Sunday. Call (631) 935-0303 to get started today. If you. Abdominoplasty or “tummy tuck” is a body contouring surgical procedure used to remove excess skin and fatty tissue from the middle and lower abdomen and to tighten the muscles of the abdominal wall. Although abdominoplasty is a safe procedure, it has been associated with a higher complication rate compared with other body-contouring procedures [13,25,26,27]. The 2024 edition of ICD-10-CM Z98. BACKGROUND. However, none of these techniques will get rid of extra skin folds due to weight. Do not forget to follow all the instructions provided by the doctor. A panniculectomy is surgery to remove excess skin from the lower abdomen. He and his staff made sure I was comfortable throughout the whole procedure Nolo, South Africa, 05 05 22. 3 percent compare favorably with other studies of abdominoplasty alone. Your scar will continue to improve and fade over time, and protecting it from the sun will help prevent it from darkening. Call Weinrach Plastic Surgery at (480) 634-6014 if you are interested in a tummy tuck across the Scottsdale, Phoenix, Paradise Valley, and Mesa, AZ area. Abdominoplasty is a commonly requested procedure for many reasons, including the concerns of an aging population determined to maintain a youthful physique, women intent on restoring their prepregnancy appearance, the rise in massive weight loss patients who are seeking to remove the stigmata of residual excess skin from weight. Song, M. Call Us: 949. Definition. Williamson is a Kelowna based Canadian Certified Plastic Surgeon with over 20 years experience. Full Abdominoplasty. Explore a variety of global perspectives for studying art and visual culture, with courses on the arts of South Asia, the Middle East, Africa, Europe, and the Americas. How to Eliminate Marionette Lines For Good . In an abdominoplasty, excess skin and excess fat is removed, and skin is repositioned into a tighter, smoother position. An abdominoplasty—or “tummy tuck”—is a surgical operation that removes this excess skin and tightens your abdominal wall muscles. As one of the most popular and A “tummy tuck” (the medical name for the procedure is abdominoplasty) is a popular cosmetic surgery for removing excess skin and fat from the abdomen. ??Pregnancy, weight gain and weight loss have a devastating impact on a woman’s. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. DR. 1. Local Currency: Canadian Dollar (CAD) is the official currency and 1 USD converts to approx. A significant amount of weight and overhanging skin can be. Abdominoplasty or “tummy tuck” is a body contouring surgical procedure used to remove excess skin and fatty tissue from the middle and lower abdomen and to tighten the. This is the American ICD-10-CM version of Z98. Visit Our Location (310) 326-9400 Visit Our LocationThe Tummy Tuck (abdominoplasty), is a cosmetic surgical procedure in Long Island that is designed to reduce the size and appearance of a protruding abdomen. Background Shermak believed that individuals who have massive weight loss after open gastric bypass surgery are prone to incisional hernias. The average cost of a tummy tuck is $6,154, according to the most recent statistics from the American Society of Plastic Surgeons. However, just like any other surgery, it has some risks. If you’d like more specific information about tummy tuck cost, please contact our office at (604) 522-5199. Extended Abdominoplasty: Removal of the roll of loose skin and fat that wraps around the waistline or the love handle. Tummy tuck (abdominoplasty) Abdominoplasty, known more commonly as a tummy tuck, is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. Learn the symptoms, risk factors, and treatment of DRA. m. Kelowna Plastic Surgery performs facial cosmetic, breast implants & reductions, body contouring in Kelowna, Vernon and PentictonAbdominoplasty. Call our Las Vegas-area office at (702) 447-1257 to schedule your confidential consultation today. Abdominoplasty or a 'tummy tuck' is cosmetic or reconstructive surgery. Learn the truth behind common tummy tuck myths. The tummy tuck, offered at Boston Center for Plastic Surgery, can help to address issues such as loose skin and stretch marks. Anatomically it is described as when the penis is located beneath the abdomen, thigh or scrotum [ 1, 2 ]. Lista, Dr. A tummy tuck, also called abdominoplasty, is a body contouring procedure that flattens the stomach. (913) 754-4939 7901 W. Abdominoplasty, a well-established cosmetic surgery procedure for improving body contour, is performed by removing excess skin and fat from the abdominal wall and thereby restoring musculofascial integrity and skin elasticity, resulting in a more ideal body shape and increasing quality of life. This recontouring ofA Tummy Tuck, medically known as an Abdominoplasty, is a popular procedure for anyone carrying excess skin on their abdomen. A full abdominoplasty (or traditional tummy tuck surgery) is the most common technique for excising abdominal skin, which uses a low abdominal incision as well as an incision along the bikini line. The Clifford Clinic. A panniculectomy is a surgical procedure that removes the panniculus, an “apron” of loose skin and fat that hangs from the lower stomach after significant weight loss. An. Abdominoplasty. Abdominoplasty continues to be one of the most frequently performed procedures in aesthetic plastic surgery. Starting from $ 979. If you have questions or would like more information, please contact us online or call our Plymouth office at 651-290-7600 to request your tummy tuck consultation and learn more about how to improve your look. Keeping skin protected from the sun. Using moisturizer. Abdominal rectus diastasis is a condition where the abdominal muscles are separated by an abnormal distance due to widening of the linea alba, which causes the abdominal content to bulge. Timeline: The recovery period for a foot fusion surgery can range from 2-3 months. Toll Free: (877) 505-8895. 2000 Jan. It can also remove some if not all of the stretch marks in your lower abdomen. Most commonly, Dr. This procedure is popular following pregnancy. Kelly was one of the first surgeons to attempt to correct excess abdominal skin and fat. Not smoking. The trunk is a gross description of the area between the inferior aspect of the breasts and the beginning of the pelvis. At the Okanagan Health Surgery Centre, I perform a complete range of Cosmetic and Aesthetic Surgical procedures with a specific focus on clinical excellence, safety and personalized patient care. Excess skin that forms around the abdomen with significant weight loss. To book your consultation, reach out to us online or call: (203) 388-9919. A full tummy tuck in Bellevue removes the excess skin on the lower abdomen, stretches the upper skin down, and repositions the belly button. Saturday.   It is not effective in eliminating cellulite or. Robert Steely can provide you with a beautiful and natural-looking appearance. The cost can vary by region, surgeons' expertise, and your specific needs, but you should budget five figures for the operation. Tummy-tuck surgery or corset abdominoplasty can flatten your abdomen by removing loose, excess fat and skin in which the remaining skin is then repositioned to create a more toned look. 299 Victoria Street, Prince George. From reception, consultation, nurses, home visits, and the amazing doctor - the experience was better than ever imagined. The hernia is repaired and an abdominoplasty is performed. It is a popular option among women who have had children and both men and women who have lost a large amount of weight, either through diet and exercise or weight loss surgery. 2. In 1991, he completed his specialty exams administered by the Royal College of Physicians and Surgeons of Canada. A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and belly button. Often combined with liposuction and “muscle tightening”, tummy tucks can result in a leaner, smoother, and slimmer belly! alamoplasticsurgery. Once the abdominal skin is lifted, the underlying weakened abdominal muscles are repaired. Write Us A Review. This type of surgery is usually sought by patients with loose or sagging. The history of abdominoplasty records the attempt to improve long-term aesthetic outcomes and achieve high patient satisfaction. Tummy Tuck. 732-548-3200. Valnicek, MD. uk) Dr Selena Langdon, Berkshire. After massive weight loss (MWL), patients present with deformities that are more severe and often different than those observed in standard cosmetic abdominoplasty. , Kelowna, British Columbia . Abdominoplasty, also referred to as a “tummy tuck,” is an excisional surgical procedure, which involves removal of excess abdominal skin (apron) and fat from the pubis to the umbilical or above, and may include fascial plication of the rectus muscle diastasis and a neoumbilicoplasty. CALL CONTACT DR. During the procedure, the connective tissue in the abdomen is tightened, using sutures to hold it in place. This surgery focuses on removing and trimming excess fat and skin around the stomach to slim and tighten the abdominal area. Abdominoplasty Singapore - Mini Tummy Tuck, Price - Shens Clinic. During your tummy tuck recovery, dressings or bandages may be applied to your incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and support your abdomen as it heals following surgery. Dr. To restore a fit, sculpted stomach, the ideal choice is abdominoplasty surgery. Ear Surgery; Dermabrasion; Brow Lift; Facelift - Neck Lift. Dr. When exercise is ineffective in correcting this problem, our plastic surgeon, Dr Craig Layt. don@timeschronicle. Eliminate loose stomach skin and stubborn fat. Abel is the best dentist ever! She fixed my teeth spotlessly and efficiently. It is a commonly requested procedure for various reasons: for the aging population that wants to maintain a youthful belly, the postpregnancy mothers to restore their previous appearance, and the bariatric patients after massive. Dr. Find a Plastic Surgeon. )An abdominoplasty, commonly known as a tummy tuck, is a cosmetic procedure designed to contour the abdomen by trimming excess fat and skin while also tightening muscles in the abdominal wall. ), in the shape of bicycle handlebars, or as a gentle concave curve like a saucer. The. Loose abdominal skin and collections of stubborn fat deposits may occur due to aging, pregnancy, or weight loss. Common Myths About Tummy Tucks | Plastic Surgeon Kelowna, Okanagan A tummy tuck ( abdominoplasty) is an elective cosmetic surgery to remove excess skin around the abdomen (belly or tummy). The ideal tummy tuck candidate will have one or more of these conditions or symptoms: Excess or sagging abdominal skin. The scar will stretch from hip to hip, and recovery will take longer, but a person should be able to hide the scar under their bathing suit. Expertise. Learn the truth behind common tummy tuck myths. Tipping is standard practice and is expected. Abdominoplasty or Tummy Tuck helps flatten the abdomen & waist by removing excess skin & fat. demonstrates the safety of lipoabdominoplasty compared to traditional. Board Certified Plastic Surgeon Brian S. Remove extra skin and fat, revealing a firmer, younger-looking mid-section. Tummy Tuck prices from $6010 - Enquire for a fast quote ★ Choose from 40 Tummy Tuck Clinics in British Columbia with 13 verified patient reviews. Get in touch today to book your consultation at Steely Plastic Surgery. 236, 672, 778, 250. 4. Ear Surgery; Dermabrasion; Brow Lift; Facelift - Neck Lift. Tummy tuck Enlarge image. A complete tummy tuck typically takes between 3 and 4 hours under general anesthesia. A tummy tuck is a common cosmetic procedure to remove excess skin around the midsection. The doctor reflects the caring vibe of his clinic Em, Canada, 17 08 22. Addresses the loose, sagging abdominal skin common after pregnancy and weight loss. Jonathan Hall will recommend which choice is best for you. 12ORIGINAL: 4 a. Umbilicoplasty is a key component of any abdominoplasty as the umbilicus has been described as the central aesthetic subunit to the abdomen. K) specializes in helping Orange County, California residents achieve the tummy tuck results they are looking for. Our Power Tuck, an abdominoplasty and liposuction combination, creates the most dramatic transformation and is an excellent fit for most of our patients in the Ann Arbor and Detroit areas. Crosby offers Tummy Tuck to Houston and. White Plains NY, 10604. STAN VALNICEK - KELOWNA PLASTIC SURGERY. Prior to 2016, I performed lipo-abdominoplasty exclusively. 4 percent. Peterson’s clinic located at the Okanagan Health Surgical Centre in Kelowna today. 4 percent in other aesthetic surgery procedures). All procedures are performed on an outpatient basis at one of our advanced AAAASF-accredited surgical suites. 94 . Abdominoplasty is the technical name for a "tummy tuck," surgery that removes excess skin and fat from the abdominal area and tightens the abdominal wall muscles. Drinking lots of water and staying hydrated. In the world literature, very few cases have been reported presenting abdominoplasty for therapeutic purposes. Or you can call our office at (406) 609-0210 to schedule an appointment. Tummy Tuck (Abdominoplasty) by our NYC, New York and Long Island plastic surgeons eliminates excess belly fat and skin for a flatter stomach. During a tummy tuck, the excess skin and fat are treated and, in patients that require it, the muscles are tightened. One of the most commonly performed aesthetic procedures, abdominoplasty, in which excess skin and fat are removed from the abdomen, has undergone significant evolution over the past several decades. Abdominoplasty is mainly reshaping of the skin, muscle and fatty tissue of the abdomen, usually by removing skin and fatty tissue. Look better in clothes. Abdominoplasty is a very common procedure used worldwide for cosmetic purposes. Contact Us. Side effects are mild, too, and go away after a. Toll Free: (888) 505-8895. 3990 to schedule an appointment or fill out a Contact Form here! Back to Procedures. The average price range for mini abdominoplasty at our practice is starting at $10,500, with the exact cost of surgery being influenced by the specifics of your custom treatment plan. Your tummy tuck will be done by board-certified plastic surgeons. Mayo Clinic's plastic surgeons work closely with doctors from other specialties to offer patients comprehensive medical care to meet their reconstructive and cosmetic surgical needs. , Ste. Breast implants can restore fullness and lost volume, while a breast lift helps to lift sagging skin for improving shape. Dr. David Cangello today at (212) 644-4416 to schedule your consultation for a tummy tuck in NYC. Although they are rare, more serious. Such an intervention should not be a way with liposuction - abdominoplasty of the abdomen is not a methodology for dealing with obesity, although. Abdominoplasty, also known as a “tummy tuck,” flattens and contours the abdomen and waist. Methods: Reviews for abdominoplasty were sampled from RealSelf, Yelp, and Google for six major metropolitan areas. Your surgeon then makes 2 horizontal abdominal incisions: 1 above the pubic line and 1 at the. Abdominoplasty continues to be one of the most frequently performed procedures in aesthetic plastic surgery. The Plastic Surgery Practice. The aim is to remove excess skin on the tummy that cannot be removed through exercise – for example, excess skin caused by pregnancy or. 4. Toll Free: (888) 505-8895. 105(1):425-35. 763. Background. 923. co. Power Tuck in Michigan. What is abdominoplasty? Abdominoplasty — or tummy tuck — is a common procedure to improve the lower abdomen cosmetically. Stan M. 4% if a limited dissection technique is used, preserving an adequate number of perforating vessels [ ]. • Lab work: $25. Alfonso Barrera, M. A seroma usually forms after some type of reconstructive surgery, during which dead space is created. Spiegelman JI, Levine RH. 2000 Jan. The procedure is safe and effective for many patients, but it is major surgery and requires recovery time. A tummy tuck is a type of cosmetic surgery that removes excess skin and fat. Robert Kessler 's surgery center located in Corona Del Mar. This is the most common question we get about these Tummy Tucks procedures and it is important to understand all this as you decide which is right for you. In one of the largest recent series of abdominoplasty patients (1008 consecutive patients),. Medically Necessary: In this document, procedures are considered medically necessary if there is a significant functional impairment AND. She is kind and caring with her patients, and there is no. An Abdominoplasty (commonly referred to as a “Tummy Tuck”) removes excess fat and skin around your abdomen to shape and contour your midsection. Tummy Tuck surgery is consistently one of the most popular Plastic Surgery procedures in the United States every year. Here’s what to look for in tummy tuck before and afters, according to plastic surgeons. “I'm one year post-op from a Tummy Tuck and I'm so happy with my results. When diet and. Eugene Kim, MD. The other is a tummy tuck or an abdominoplasty. In an abdominoplasty, excess skin and excess fat is removed, and skin is repositioned into a tighter, smoother position. Abdominoplasty is an operation designed to firm and smooth the abdomen and stomach area. 4 Signs That Liposuction is the Right Cosmetic Surgery For You . Greenwald helps patients seeking a slimmer appearance with abdominoplasty in Westchester county,. 1 - 10 of 1,038 results. The skin is tightened in a vertical direction, but the naval remains in place. Here, we describe our preferred technique for umbilicoplasty which involves a half-moon design with periumbilical defatting which in our hands produces consistent, aesthetically pleasing results.