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Plastic Surgery

What is a tummy tuck?

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  • Aging
  • Heredity
  • Pregnancy
  • Prior surgery
  • Significant fluctuations in weight

What tummy tuck surgery can’t do

A tummy tuck is not a substitute for weight loss or an appropriate exercise program.

Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies would be advised to postpone a tummy tuck.

Here at Premier Plastic Surgery of New England, we are pleased to offer our patients a recovery coach to help you achieve the best recovery and long-term results as possible.  


Do you wish you had a zipper on the back of your neck to tighten it?

Have you ever been caught pinching the skin at the sides of your neck or at the back of the neck and say, “if I could just pinch like this my neck and jowls would disappear and I would look younger”.  If only it was that simple.  The skin on the neck gradually looses its elasticity and collagen as we age and we end up with hanging and sagging skin that is unattractive.

What can we do to tighten it?

Facial exercises?  Not really.  Facials, creams, peels, botox and fillers?  Well, they can help but likely won’t achieve the results you are looking to gain.  This is why the beauty industry is a 6 billion dollar market.  So what should you use?  There is no one answer that will fit everyone’s needs. To understand the treatment options I need to first dissect how I approach the neck.

 There are some patients who are not candidates for minimally invasive procedures and require a neck lift. For these patients the surgeries performed in the hospital under general anesthesia and the skin is elevated off of the underlying platysma muscle of the neck and then the neck muscle is tightened underneath first thereby strengthening the structural integrity of the muscle and then the skin is redraped on top of the muscle and pulled. This type of surgical neck left can last for over 10 years. So what options are available for those of us that do not need a neck lift but are starting to see gravity take effect and need a “tweek”?  The answer are Eurothreads.

Thread Lifts have been around for many years but the older techniques used permanent threads that were met with increased complications. The new threads are now dissolvable.  How do they work? They are made of a dissolvable filaments and are placed with needles under the skin. They trigger your body to cause an inflammatory reaction and collagen gets deposited for the first 6 months, then the threads start to dissolve away and the collagen remains for an additional 6 -12 months.

Zipper neck

The procedure is an hour in the office using novocaine laughing gas (Pronox).  Most patients experience soreness for a few days that can be managed with Tylenol.  Please come and see me at Premier Plastic Surgery of New England if you are interested in learning if threads are right for you.