I’ve thought about a tummy tuck since I had my second child, who left me with a C-section scar, a bunch of stretch marks, and a wider mid-line between my rectus muscles, but I was warned as a female bodybuilder that I might not like the results. Why is that?Women bodybuilders can benefit from tummy tuck (abdominoplasty) surgery, but there are a few considerations that surgeons must be aware of that are less important in many women who have this procedure. A tummy tuck usually does two things. First, it removes extra skin and stretch marks, generally including the skin between the lower abdomen (where you may find a scar from a C-section) and the belly button. To accomplish this, the skin is lifted off of the underlying muscles, exposing the rectus abdominus muscles and their overlying fascia. This allows the skin to be pulled down toward the feet, and the extra can be cut off. A mini-tummy tuck won’t remove as much skin, since it doesn’t usually do anything (or very little) for the area above the belly button.
Muscle damage following resistance exercise is characterized by a loss in plasma membrane integrity, release of intracellular constituents, and myofiber degradation. As described by Dr Connelly in his interview with Heavy Muscle Radio, a localized source of functionally-competent stem cells called satellite cells, restore myofiber formation and muscle architecture through a highly-regulated process. Toward this end, growth factors released from injured fibers, connective tissue, and infiltrating immune cells engage a diverse array of receptors located at the surface of satellite cells. This process promotes an ordered process of satellite cell activation (release from a quiescent state), migration to sites of damage, and fusion with each other to form new myofibers. As the ratio of myonuclei/sarcoplasmic volume is fixed, this process of satellite cell fusion re-establishes the myonuclear domain in growing myofibers.
Have you ever performed areola donut pexy or do you not like this practice? If you do perform it, is the scarring always permanent or can it heal???
This inquiry relates specifically to male breast reduction or gynecomastia surgery, where there is an excess of skin, frequently in combination with a large areola. And the answer is, yes, I do perform skin resection when necessary as a "donut pexy." I have a number of patient examples of this procedure, but one that is particularly appropriate to accompany a reply on this website can be found on my site at:
Myofiber size is dynamically regulated, increasing, and decreasing depending on muscle use. Hypertrophy is defined by increases in myofiber cross-sectional area and mass, as well as myofibrillar protein content. During muscle growth, cell surface receptors, relay signals from extracellular growth factors, hormones, and cytokines through cell surface receptors into the interior of the myofiber. These signals are then distilled through a myriad of signaling pathways to regulatory compartments known as nuclei within the myofiber. Therein, "myonuclei" harness growth factor-induced signaling into transcriptional signatures, protein synthesis, and notably, muscle growth. Myofibers contain many hundreds of nuclei each of which has a nuclear domain
"One of my friends who got breast implants last year just competed, and I didn't think her implants looked very good. Her surgeon told her that since she's a bodybuilder, the implants had to be above the muscle. Now that I'm planning to get mine, I'm not sure what to do-Above or below the muscle?"
Placement of breast implants in bodybuilding women presents a unique challenge for plastic surgeons and women bodybuilders. When I first started to do breast implant surgery in the early 1990s, silicone gel implants were only available for limited use, and as a result, nearly all of my early experience was with saline implants
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