One of the biggest impediments to getting a tummy tuck is patient’s fear that they will throw up after surgery. Who wants to get their tummy tightened and then spend the next several days throwing up? Options to prevent nausea prior to getting a tummy tuck have vastly improved to over the past few years.

The first development was the approval of the medication Emend by the Food and Drug Administration in 2006. Emend works through a novel mechanism,which primarily blocks nausea and vomiting signals to the brain and has been shown to have a tremendous benefit in reducing postoperative nausea and vomiting prevention caused from general anesthesia. Dr. Jejurikar prescribes Emend to all patients prior to surgery and has seen a huge effect in lessening nausea the first 48 hours after surgery.

The second development is the introduction of better anti-nausea pills for patients. Dr. Jejurikar prescribes Phenergan (Promethazine) for his patients to take the first few days after surgery. It is particularly effective for dealing with the nausea and vomiting that result from taking narcotic pain medications postoperatively.

The third development is the introduction of better local anesthetic agents that can tremendously lessen the need for postoperative narcotic pain medication. Exparel is a novel new local anesthetic agent that Dr. Jejurikar routinely injects into the abdominal walls of patients undergoing tummy tucks. It can block nerve fibers that cause pain for up to 72 hours postoperatively. Because of less pain, patients are taking less narcotic pain medication and, as a result, are experiencing less nausea and vomiting.

The most important thing to remember is the symptoms of uncomfortable nausea and vomiting can be controlled and even prevented. If you have any questions regarding tummy tuck surgery, do not hesitate to contact Dr. Jejurikar’s Dallas or Plano offices at 214-827-2814.

Breast lift , otherwise known as mastopexy is  surgery that raises and firms the
breasts by removing excess skin and tightening the surrounding tissue to
reshape and support the breasts.  Most of the Dallas breast lift patients seen by Dr. Sam Jejurikar, board certified plastic surgeon, have experienced significant changes to their breast after pregnancy and breast feeding. Although breastfeeding in a wonderful bonding experience between mother and child, it can have profoundly negative effects on the breasts, leaving many women with saggy skin and enlarged areola (pigmented skin surrounding the nipple).

If this describes you, breast lift can do wonders for your breasts! A breast lift
rejuvenates your figure with a breast profile that is youthful and
uplifted.  Many women choose to get simultaneous breast augmentation, either with silicone or saline breast implants. Not only can breast implants increase the size of your breasts, but they can restore fullness to the upper portions of the breasts.

What incisions are used for a breast lift? Generally, three incision patterns are utilized. The first is a circumareolar incision, or an incision which is around the areola. This is useful when only a small lift is required and most often is utilized in conjunction with placement of a breast implant. The second is a circumvertical incision, or an incision around the areola extending vertical from the areola to the crease below the breast. This is the most common incision utilized by Dr. Jejurikar for breast lift for changes resulting from breast feeding. The third is an anchor pattern incision, or an incision around the areola, vertically from the areola to the crease below the breast, and horizontally within the crease at the base of the breast. This usually is reserved for the most severe cases. To see cartoons of these incisions, follow this link.

To learn more about breast lift after breast feeding, contact Dr. Sam Jejurikar’s Plano or Dallas offices at 214-827-2814.