News Archives

November 2012

November 26th, 2012

Questions & Answers with Dr. Burns


Q:  My waist is around 30 inches, I want to make my waist smaller.  What procedures will I need to accomplish that?

A: Making waists smaller

I have been doing plastic surgery for 25 years and have never had a specific number goal to waist size. Realize that your pelvis and bone structure will determine your smallest waist size limit.

However, if you want to make your waist smaller there are two ways to do that.

  1. liposuction of love handles and waist. If you have fat you can grab in your hands in these areas, specifically lower abdomen, then you can suction it and reduce waist circumference. With your height and weight you must not have too much, if any fat in these areas.
  2. abdominal wall tightening in conjunction with a tummy tuck. This would be indicated if you abdomen has loosened due to pregnancies

Hope this helps. One more thought. I don’t have any photos of you which would help, but at the end of the day, be sure to not be too hard on yourself. Your weight and height seems in line from a strictly numbers standpoint.

November 1st, 2012

Questions & Answers with Dr. Burns

Q: How Do Plastic Surgeons Determine Belly Button Placement when Performing TT?

A: Belly Button position with tummy tuck

Classically there are two anatomic landmarks for positioning belly buttons with tummy tucks, one is the midline and the other is a line drawn with the superior iliac crests.

The crests are the two bony prominences you can feel on the front of your pelvic bones.

This seems straightforward, but actually it is many times not that straightforward as the pelvis can be tilted to one side or the other. In fact pelvic tilt is more common than not.

Also many people have lopsided bodies due to one side being wider than another. Just look at your natural belly button and realize it may not be in the exact middle now!

So I place the belly button at the level it is currently, ie…I place it where God put it and I try to place it as close to the midline as possible.

Finally I relate all of these facts to my patients to give them realistic expectations, which should be a belly button as close to the middle as possible at or near the level it was before the surgery.