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Tummy Tuck

Tummy Tuck Surgery in Beverly Hills with The Mercator Technique:
A Revolutionary Concept

Abdominoplasty (tummy tuck) is an operation designed to restore the abdomen’s original svelte and muscular form after damage to its underlying structure has occurred from life events such as weight gain and loss or pregnancy. Women want the hourglass appearance; men, a six-pack. Arriving at these results demands from the surgeon, not only an understanding of the anatomy and physiology of the abdomen and rib cage, but also an eye for building individual plans, tailored to every patient.

A tummy tuck is not a one-size-fits-all surgery where everyone gets the same design and the same operation. This is precisely why Dr. Anous has, meticulously, over the years, devised and implemented the concept of the Mercator tracing. With this technique, the patient’s unique body shape informs the planning and execution of the surgery.

Much like an architect, a surgeon should build the foundations of their technique with the goal being to create improved aesthetics. As of the date of this writing, Dr. Anous has performed over 900 tummy tucks using his Mercator abdominoplasty concept. His results speak for themselves.

slim blonde woman in butterfly printed short dress

Dr. Anous' Approach to Individualized Abdominoplasty Surgery

The clinical examination of any tummy tuck patient should start at the rib cage and chest wall, and not at the abdomen. This is because of the Scissors Principle, introduced and named by Dr. Anous, (Fig.1) that controls the relation between the volume of the lungs and of the abdomen. The combined core volume (chest + abdomen) is constant. This means that if you increase one you must correspondingly decrease the other one for the relation to remain constant (Fig. 2). This has major implications not only regarding the shape and protrusion of the belly, but in how your operation is designed to rectify to correct laxity of the abdominal wall.

By starting the examination at the rib cage, Dr. Anous can better understand the configuration of the belly. The form of the ribs helps him to evaluate the strength of the core abdominal muscles (rectus abdominis and obliques). The tone of those muscles, in turn, dictates how much the internal structures can exert forward pressure on them; weak abdominal muscles typically allow for greater protrusion and the appearance of a stomach “pooch.” Dr. Anous also evaluates the quality of the skin, which influences the formation of laxity and stretch marks.

The form of your belly is the result of a pyramidal structure, with its base starting at your ribs and its tip ending at your skin.

Planning Your Mercator Tummy Tuck with Dr. Anous

As no two individuals are the same, it doesn’t serve the patient or esthetic surgeon to follow the same design for every tummy tuck surgery. For Dr. Anous, the most logical way to approach tummy tuck treatment planning is to tailor the operation to the patient’s specific body shape; this is the concept of the Mercator abdominoplasty.

Decisions about your tummy tuck surgery should not be made while the operation is in progress. Every aspect of the surgery should be put in place before the patient is asleep under anesthesia. With the Mercator abdominoplasty, most of the planning is done with the patient standing to properly take into consideration the effect of gravity.

The Mercator tracing follows very rigorous lines and fixed anatomical spots. The grid created with these tracings allows Dr. Anous to create proper navigation lines and design your surgical plan. There are a variety of tracings that could be applied, depending on patients’ individual body shapes:

  1. The M-Design (Fig. 3)
  2. The Inverted V-Design (Fig. 4).
  3. The Reverse Abdominoplasty Design (Fig. 5)
  4. The Fleur-de-Lys Design (Fig. 6).
  5. The half Manta Ray Design.
  6. The full Manta Ray Design (Fig. 7).

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Successful Abdominoplasty Surgery, Satisfied Patients

At Dr. Anous’ Beverly Hills practice, a tummy tuck operation is successful if it accomplishes the following:

  • A flat, hourglass abdominal configuration
  • A properly placed, properly rejuvenated Mons pubis (female hair-bearing lower abdomen)
  • A properly oriented belly button (vertical and slit like)
  • The elimination of most, if not all, stretch marks
  • A very low position for the scar, placed in the thigh crease lines (and not between the belly button and Mons pubis)
  • A six-pack central configuration as bonus

Now you understand why most “after” pictures you see on the Internet are shot with the subject wearing their underwear, to conceal scarring. On Dr. Anous’ website, our tummy tuck before and after gallery demonstrates the full results of surgery and does not conceal any post-treatment scarring.

Can I Have a “Mini’ Tummy Tuck Instead?

Not according to Dr. Anous. The designation of “mini” is meant to attract those afraid of the surgery by making them believe that the operation is minimal, and treatment is somehow less extensive; this is never the case. Plastic surgery of any kind should be regarded seriously, and patients should be wary of cleverly-labeled treatments.

Tummy-tuck operations either work or they don’t. They work if the expected results are delivered. This can only happen if surgeons understand the proper concepts and foundations that allow them to deliver desired results.

Recovering from your Abdominoplasty

Post-operative recovery is a matter of ten days to two weeks at most. This is the time needed for most patients to feel that they are back to their normal selves. You will be able to walk from day one and we would encourage you to do so in order to prevent the formation of clots. You will also be asked to shower twice per day to keep your incisions clean and to ensure you feel refreshed.

Most likely, you will not have drains. The use of drains is very selective in Dr. Anous’ practice and is the rarity rather than the rule. An abdominal binder, called a compression garment, is required to help support the abdomen and control any swelling. Walking, sitting, and bending may be challenging right after surgery, but they are doable with the proper attitude and mindset.

Lifestyle changes are required during the healing interval. Rigorous exercise is restricted, while the ability to lift will be added in small stages. Strict adherence to the instructions will help to prevent any complications.

Dr. Anous offers individualized care that helps you define your goals and construct a personalized treatment and recovery plan. The attention to detail and willingness to work closely with each patient to achieve realistic goals are fundamental to Dr. Anous’ practice.

Mercator Tummy Tuck

Contact Dr. Anous for Your Beverly Hills Abdominoplasty

The tummy tuck procedure can dramatically change the way you look and feel. The emotional satisfaction of looking and feeling your best will stay with you for many years to come. Your self-esteem and confidence will thank you for having had the courage to make this step. Contact Dr. Anous’ office today.