Causes of Poorly Functioning Fallopian Tubes

 

Tubal disease affects approximately 25% of infertile couples and varies widely, ranging from mild adhesions to complete tubal blockage.  Treatment for tubal disease is most commonly surgery and, owing to the advances in microsurgery and lasers, success rates (defined as the number of women who become pregnant within one year of surgery) are as high as 30% overall, causes of infertility
with certain procedures having success rates up to 65%.  The main causes of tubal damage include:

(1) Infection 
     Caused by both bacteria and viruses and usually transmitted sexually, these infections commonly cause inflammation 
     resulting in scarring and damage.  A specific example is Hydrosalpnix, a condition in which the fallopian tube is occluded at 
     both ends and fluid collects in the tube.

(2) Abdominal Diseases 
      The most common of these are appendicitis and colitis, causing inflammation of the abdominal cavity which can affect the 
      fallopian tubes and lead to scarring and blockage.causes of infertility

(3) Previous Surgeries 
     This is an important cause of tubal disease and damage.  Pelvic or abdominal surgery can result in adhesions that alter the 
     tubes in such a way that eggs cannot travel through them.

(4) Ectopic Pregnancy 
      This is a pregnancy that occurs in the tube itself and, even if carefully and successfully overcome, may cause tubal damage 
      and is a potentially life-threatening condition.causes of infertility

(5) Congenital Defects 
      In rare cases, women may be born with tubal abnormalities, usually associated with uterus irregularities.

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How Do I Get Tested for Female Infertility? 

Fundamental Infertility Workup 

In distinguishing the cause(s) of infertility, there are five essential steps, each of which comprises of various tests: 

Step One 

An assessment of ovulatory working to figure out if the lady is ovulating all the time, whether the luteal period of the menstrual cycle is working appropriately, and whether the timing of ovulation could be surveyed. Tests of ovulation may incorporate basal body temperature observing (which can show sometime later that a lady has ovulated), ultrasound testing (which identifies the number, size, and state of the egg follicles, takes after the development of follicles, and distinguishes whether follicles have caved in, demonstrating that ovulation has happened), and Lh2 surge checking (which predicts when ovulation will happen). Luteal stage testing is led to evaluate whether the uterus plans itself legitimately to get and convey a treated egg, and may incorporate blood tests to focus hormone levels or an endometrial biopsy to watch the improvement of the uterine covering. causes of infertility

Step Two 

A semen examination, which will first assess the amount, motility, and state of sperm. If starting investigation shows a low sperm check, strange sperm shapes, or low sperm motility, extra dissection may be performed, including infiltration tests or the hemizona test. The hemizona examine test figures out if sperm tying to the zona film of the egg is ordinary while the hamster infiltration test, or sperm entrance test, utilizes hamster eggs to measure the capability of human sperm to prepare. causes of infertility

Step Three 

Tests cervical working, utilizing the post-coital test to survey if there is an issue in the communication between a lady’s cervical bodily fluid and her accomplice’s sperm. A post-coital test requires the couple to have sex before the lady visits the physicianís office to analyze her cervical bodily fluid. 

Step Four 

Assesses the lady’s regenerative tract and conceptive organs through distinctive method for imaging. A HSG, for instance, is a radiologic study in which color unmistakable by fluoroscopy is infused into the uterine hole to focus the state of the uterus and the intensity of the fallopian tubes. causes of infertility

Step Five 

Surveys the pelvic environment with laparoscopy, a surgical method in which the internal organs are seen through an instrument taking after a telescope that is embedded through the stomach divider. causes of infertility

The aforementioned appraisal is ordinarily utilized by regenerative endocrinologists, yet there is incredible variability in infertility 

assessment, as showed by Glastein et al in a 1996 overview of U.s. board-guaranteed regenerative endocrinologists. The 

greater part of 397 specialists who reacted requested a semen dissection (99.9% of suppliers), an appraisal of ovulation 

(98.0%), a HSG (96.0%), a laparoscopy (89.0%), and a post-coital test (79.0%). There was less assent to methods 

for example, hormonal testing, hysteroscopy, and pelvic ultrasound causes of infertility

Ovulation issues in Infertility

Ovulation issue, importance you ovulate rarely or not in any way, represent infertility in something like 25 percent of fruitless couples. These could be brought about by imperfections in the regulation of conceptive hormones by the hypothalamus or the pituitary organ, or by issues in the ovary itself. causes of infertility

Polycystic ovary disorder (PCOS). In PCOS, complex progressions happen in the hypothalamus, pituitary organ and ovaries, bringing about a hormone lopsidedness, which influences ovulation. PCOS is connected with insulin safety and corpulence, strange hair development on the face or body, and skin break out. It’s the most widely recognized reason for female infertility. 

Hypothalamic brokenness. The two hormones in charge of animating ovulation every month — follicle-fortifying hormone (FSH) and luteinizing hormone (LH) — are transformed by the pituitary organ in a particular example throughout the menstrual cycle. Abundance physical or enthusiastic anxiety, a high or low body weight, or a late generous weight addition or misfortune can upset this example and influence ovulation. The fundamental indication of this issue is sporadic or truant periods. 

Untimely ovarian inadequacy. This issue is typically created by an immune system reaction where your body erroneously ambushes ovarian tissues or by untimely misfortune of eggs from your ovary because of hereditary issues or ecological put-down, for example, chemotherapy. It brings about the misfortune of the capability to process eggs by the ovary, and also a diminished estrogen processing under the age of 40. causes of infertility

An excessive amount of prolactin. Less normally, the pituitary organ can result in abundance processing of prolactin (hyperprolactinemia), which lessens estrogen creation and may cause infertility. Most generally this is because of an issue in the pituitary organ, yet it can likewise be identified with meds you’re taking for an alternate ailment. 

Harm to fallopian tubes (tubal infertility) 

At the point when fallopian tubes get harmed or blocked, they keep sperm from getting to the egg or square the section of the prepared egg into the uterus. Causes of fallopian tube harm or blockage can include: 

Pelvic provocative ailment, a disease of the uterus and fallopian tubes because of chlamydia, gonorrhea or other sexually transmitted contaminations 

Past surgery in the mid-region or pelvis, including surgery for ectopic pregnancy, in which a prepared egg gets embedded and begins to create in a fallopian tube rather than the uterus 

Pelvic tuberculosis, a real reason for tubal infertility around the world, albeit extraordinary in the United States 

Endometriosis 

Endometriosis happens when tissue that ordinarily develops in the uterus embeds and develops in different areas. This additional tissue development — and the surgical evacuation of it — can result in scarring, which may hinder the tube and keep the egg and sperm from uniting. It can additionally influence the covering of the uterus, disturbing implantation of the prepared egg. The condition additionally appears to influence richness in less-control courses, for example, harm to the sperm or egg. causes of infertility

Uterine or cervical causes 

A few uterine or cervical causes can affect fruitfulness by meddling with implantation or improving the probability of an unsuccessful labor. 

Considerate polyps or tumors (fibroids or myomas) are basic in the uterus, and a few sorts can impede richness by hindering the fallopian tubes or by upsetting implantation. Nonetheless, numerous ladies who have fibroids or polyps can get pregnant. 

Endometriosis scarring or irritation inside the uterus can upset implantation. 

Uterine variations from the norm present from conception, for example, an anomalous molded uterus, can result in issues getting to be or staying pregnant. 

Cervical stenosis, a cervical narrowing, could be created by an inherited contortion or harm to the cervix. 

Here and there the cervix can’t transform the best kind of bodily fluid to permit the sperm to go through the cervix into the uterus. causes of infertility

Unexplained infertility 

In a few examples, a foundation for infertility is never found. It’s conceivable that a synthesis of a few minor components in both accomplices underlie these unexplained fruitfulness issues. Despite the fact that its baffling to not get a particular reply, this issue may revise itself causes of infertility

Causes of Failure to Ovulate 

Ovulatory issue are a standout amongst the most widely recognized reasons why ladies are not able to consider, and record for 30% of ladies’ infertility. Fortunately, pretty nearly 70% of these cases could be effectively treated by the utilization of pills, for example, Clomiphene and Menogan/Repronex. The causes of fizzled ovulation could be arranged as takes after: 

(1) Hormonal Problems 

These are the most widely recognized causes of anovulation. The procedure of ovulation relies on a complex parity of 

hormones and their connections to be effective, and any disturbance in this methodology can frustrate ovulation. There are three 

principle sources creating causes of infertility

Disappointment to prepare experienced eggs 

In pretty nearly half of the instances of anovulation, the ovaries don’t prepare ordinary follicles inwhich the eggs can develop. Ovulation is uncommon if the eggs are juvenile and the shot of preparation gets to be practically nonexistent. Polycystic ovary disorder, the most widely recognized issue in charge of this issue, incorporates manifestations, for example, amenorrhoea, hirsutism, anovulation and infertility. This disorder is portrayed by a lessened generation of FSH, and typical or expanded levels of LH, estrogen and testosterone. The current theory is that the concealment of FSH connected with this condition causes just fractional advancement of ovarian follicles, and follicular blisters could be discovered in a ultrasound filter. The influenced ovary often gets encompassed with a smooth white container and is twofold its typical size. The expanded level of estrogen raises the danger of bosom growth. 

Breakdown of the hypothalamus 

The hypothalamus is the share of the cerebrum in charge of sending indicators to the pituitary organ, which, thusly, sends hormonal boosts to the ovaries as FSH and LH to launch egg development. If the hypothalamus neglects to trigger and control this procedure, youthful eggs will come about. This is the reason for ovarian disappointment in 20% of cases. causes of infertility

Glitch of the pituitary organ 

The pituitary’s obligation lies in handling and discharging FSH and LH. The ovaries will be not able to ovulate appropriately if either an excessive amount of or excessively little of these substances is generated. This can happen because of physical harm, a tumor or if there is a substance irregularity in the pituitary. 

(2) Scarred Ovaries 

Physical harm to the ovaries may bring about fizzled ovulation. Case in point, broad, obtrusive, or various surgeries, for 

rehashed ovarian sores may cause the case of the ovary to get harmed or scarred, such that follicles can’t develop causes of infertility

appropriately and ovulation does not happen. Infection might likewise have this effect. 

(3) Premature Menopause 

This introduces an uncommon and starting yet unexplainable reason for anovulation. Some ladies stop monthly cycle and start 

menopause before typical age. It is estimated that their regular supply of eggs has been exhausted or that the dominant part 

of cases happen in greatly sports ladies with a long history of low body weight and far reaching activity. There is likewise 

a hereditary plausibility for this condition. causes of infertility

(4) Follicle Problems 

Although presently unexplained, “unruptured follicle disorder” happens in ladies who produce an ordinary follicle, with an egg 

within it, consistently yet the follicle neglects to break. The egg, thusly, stays inside the ovary and fitting ovulation 

does not happen.

Extra Factors About Causes of Infertility

 

(1) Other variables that may cause infertility in ladies: 

At slightest 10% of all instances of female infertility are brought about by a strange uterus. Conditions, for example, fibroid, polyps, 

and adenomyosis may prompt hindrance of the uterus and Fallopian tubes. causes of infertility

Congenital irregularities, for example, septate uterus, may prompt intermittent unnatural birth cycles or the failure to consider. 

Approximately 3% of couples face infertility because of issues with the femaleís cervical bodily fluid. The bodily fluid needs to 

be of a certain consistency and accessible in sufficient sums for sperm to swim effectively inside it. The most well-known 

explanation behind anomalous cervical bodily fluid is a hormone unevenness, to be specific excessively little estrogen or an excessive amount of progesterone. 

(2) Behavioral Factors: 

It is well-realized that certain individual propensities and lifestyle elements sway wellbeing; a number of these same components may constrain a 

couple’s capability to imagine. Fortunately, be that as it may, a considerable lot of these variables might be managed to build not just the 

possibilities of imagining additionally one’s general wellbeing. causes of infertility

Eating methodology and Exercise 

Ideal regenerative working requires both fitting eating methodology and proper levels of activity. Women who are essentially overweight or underweight may experience issues getting pregnant. 

Smoking 

Cigarette smoking has been demonstrated to lower sperm checks in men and builds the danger of unnatural birth cycle, untimely conception, and low-conception weight babies for ladies. Smoking by either accomplice decreases the possibility of considering with each one cycle, either regularly or by IVF, by one-third. 

Liquor 

Liquor allow extraordinarily builds the danger of conception imperfections for ladies and, if in sufficiently high levels in the motherís blood, may cause Fetal Alcohol Syndrome. Alcohol additionally influences sperm numbers in men. causes of infertility

Drugs 

Medications, for example, hashish and anabolic steroids, may affect sperm checks in men. Cocaine use in pregnant ladies may cause extreme impediments and kidney issues in the child and is maybe the most exceedingly bad conceivable pill to mishandle while pregnant. Recreational medication utilization ought to be dodged, both when attempting to imagine and when pregnant. 

(3) Environmental and Occupational Factors: 

The capability to imagine may be influenced by introduction to different poisons or chemicals in the working environment or the encompassing 

nature’s turf. Substances that can result in changes, conception imperfections, premature births, infertility or sterility are called conceptive 

poisons. Disorders of infertility, proliferation, spontaneous premature birth, and teratogenesis are among the main ten work-related 

maladies and damages in the U.s. today. Despite the way that respectable discussion exists with respect to the effects of 

poisons on richness, four chemicals are currently being directed focused around their recorded encroachments on origination. 

Lead 

Presentation to lead sources has been demonstrated to adversely affect fruitfulness in people. Lead can prepare teratospermias (unusual sperm) and is thought to be an abortifacient, or substance that causes fake fetus removal. causes of infertility

Restorative Treatments and Materials 

Rehashed introduction to radiation, going from straightforward x-beams to chemotherapy, has been demonstrated to change sperm creation, and help a wide show of ovarian issues. 

Ethylene Oxide 

A substance utilized both within the cleansing of surgical instruments and in the assembling of specific pesticides, ethylene oxide may cause conception abandons in right on time pregnancy and can possibly incite early unsuccessful labor. 

Dibromochloropropane (DBCP) 

Taking care of the chemicals found in pesticides, for example, DBCP, can result in ovarian issues, prompting an assortment of wellbeing conditions, in the same way as ahead of schedule menopause, that may specifically affect fruitfulnes causes of infertility

Tummy Tuck

tummy tucks surgery  is also referred to as abdominoplasty. It is a cosmetic procedure which removes excess skin and fat to produce a firmer and smoother abdomen. To increase your comfort level, your doctor will either suggest general anesthesia or intravenous sedation. The surgeon will make horizontal incisions between the navel and pubic hairline to repair failing abdominal muscles. If there is excess skin in the upper abdomen a second incision around the navel may be required. Costs may include surgeon fees, anesthesia fees, prescription costs, surgical facility fees, medical tests costs and can range between $3,000 and $10,000, depending on the patient. Swelling and pain are the most common after-effects of a  tummy tucks surgery , and recovery generally takes one to two weeks, but also varies from patient to patient.

Liposuction

The process of liposuction involves vacuuming the fat from under the skin of the abdomen, buttocks, thighs, hips, knees, back, calves, ankles, cheeks, neck or upper arms. A liposuction can be performed alone or in conjunction with a tummy tuck or other cosmetic surgeries, such as breast reduction. Your surgeon can also perform liposuction on many areas of your body simultaneously. According to the American Society for Aesthetic Plastic Surgery (ASAPS), in 2007, liposuction was the most commonly performed surgical procedure. The surgeon uses a magic marker to mark the procedural area, administers local or general anesthesia, applies wetting solutions into the area and then performs the fat removal. Recovery can take a few days or several months, and costs range from $1,500 to $7,500 depending on the patient and the scope of the procedure.

Liposuction vs.  tummy tucks surgery

The  tummy tucks surgery  procedure is more substantial than a liposuction, with the incision around the procedural area being two feet long. Liposuction requires only minimal incisions which are hardly noticeable. With a tummy tuck procedure, the belly button is moved downward to a noticeable degree, whereas with a liposuction no movement of the belly button occurs. Liposuction recovery time is also quicker than with a  tummy tucks surgery . With a tumescent liposuction, local anesthetic is used to numb the area and decrease bleeding, eradicating the risks associated with general anesthesia. Additionally, with tumescent liposuction recovery usually takes three days or less. For these reasons, a liposuction is more highly recommended than a  tummy tucks surgery .

 

Tummy Tuck in Dubai

Losing weight and feeling good is your own skin is one of the hardest things to do with diet plans that promise instant weight loss that, unfortunately, amount to anything but those hopeful results and the diet pills which ‘guarantee’ great numbers on the scale but are too expensive to sustain. It would seem that dieting is a vicious cycle of disappointment even to those most willing to put in the effort. An alternative solution to the unfrequented hard work of dieting could be cosmetic surgery.tummy tucks surgery in Dubai

One of the biggest ‘undesirable’ fatty areas on a person’s body is often seen as the stomach – also commonly referred to as a ‘spare tyre’. This area is also one of the hardest areas to train to improve muscle definition and tone, making it harder to shift that unwanted excess weight. This is commonly the case for both men and women. An abdominoplasty – or as it is more commonly known a ‘tummy tuck’ – is a cosmetic surgical procedure which can reduce the fat mass around your stomach. A tummy tucks surgery works by removing overhanging skin and fat from the belly, creating a leaner middle section. It may be the case that the navel also has to be repositioned during this procedure to help the overall appearance of your new flatter stomach.

Cosmetic surgery is available to both men and women in need of assistance with their appearance. With the taboo of men opting for plastic surgery now being replaced with an acceptance for such procedures, people need not feel shy about having cosmetic work carried out. Some people may want to consider opting for this body contouring procedure abroad. Opting for a tummy tuck in Dubai would still give you the great results you would hope whilst ensuring the expertise you would expect when making such an important decision. For those who have been successful and have lost weight around the stomach but are now haunted by excess skin, a tummy tuck procedure in Dubai could offer the final results – making all your hard work worthwhile.

If you are considering plastic surgery and would like more information on a tummy tucks surgery in Dubai, please call a member of the You New – Plastic Surgery team on 040-298-9979 who will be able to give advice on the procedure and how it may work for you. Alternatively, please visit the website of You New to find out about other cosmetic procedures which could help you love your body.

 

Tummy Tuck Surgery – Abdominoplasty

PROCEDURE PRICES FORUMS DOCTORS BEFORE AFTER PHOTOS REVIEWS
Abdominoplasty solves removal of excessive fat, sagging skin and firmness of abdominal muscles. It is performed under general anesthesia and it takes 2 or even more hours. The abdomen is bandaged after the procedure with abdominal belt, which is worn for about a month. Hospitalization takes 3-4 days, then staying in calm for 5-7 days and total recovery process takes 2-4 weeks.tummy tucks surgery

Abdominoplasty, commonly known as a “tummy tuck” is a major surgical procedure which flattens your abdomen by removing extra fat and skin and tightening abdomen muscles. Abdominoplasty can dramatically reduce the appearance of a dropping or protruding abdomen.tummy tucks surgery

Causes:

Pregnancy
Significant weight reduction
Diastasis of rectus abdominis muscle and weakening of abdominal wall
The reason of a drooping or protruding abdomen is mostly a big change of abdomen’s weight or volume. In women it is mostly after pregnancy or weight reduction, when the skin is often damaged by striae, it does not adjust and remains in excess. It can also be a functional disorder of abdominal wall when the rectus abdominis muscle weakens and the abdominal wall is loose. There creates a gap (diastasis) between this muscle, which causes the already mentioned drooping or protruding abdomen. The plastic surgery reduces the gap between rectus muscles, removes excess skin and moves the navel.tummy tucks surgery

Male Tummy Tuck

Tummy tuck is also an alternative for men that were obese at one point in their lives and they still have excess skin in abdominal area after weight reduction. In men the fat is often deposited in the abdominal cavity and not in the dermis. It is important to have in mind that abdominoplasty does not solve this problem.

When is liposuction sufficient and when do I need a tummy tucks surgery?
Liposuction is sufficient when the skin is in good shape with no scars (striae). When there is not much excess skin and muscle diastasis. The procedure is far less invasive compared to abdominoplasty. Today there is a great number of clients that undergo liposuction so we know a lot about the healing process of the dermis after this surgery. Liposuction is more often recommended, mainly to younger people with more elastic and adjustable skin.

What does abdominoplasty (Tummy Tuck) include?
Skin and fat reduction in the lower part of abdomen
Skin and fat reduction in the entire area of abdomen
Skin and fat reduction including plastic surgery of rectus abdominis muscle
Abdominoplasty is a surgery under general anesthesia with muscle relaxation. It is forbidden to eat at least 12 hours before the surgery. It is an abdominal surgery with higher risk of embolism, that is why an adequate intake of fluids is necessary, together with bandage of legs to prevent thromboembolism. The patients have to stay in hospital at least for two days after the surgery, they have drains inserted for this time. The pain is reduced by opiates and the drains are removed on the second or third day. The client is invited for the first rebind after a week, other visits are planned individually according to the wound healing by a surgeon.tummy tucks surgery

Abdominoplasty operations
Complete abdominoplasty
Modified abdominoplasty
Mini abdominoplasty

Tummy Tuck Advantages and Disadvantages

This would be a costly solution to just one area that some women feel is one of the problem areas of their body. That a lot of insurances will not cover unless the operation is needed for life or death, yet there are times that it would still be a fight. More or less it comes to be an out of pocket expense to you.tummy tucks surgery

There are many advantage and disadvantages to this operation. One of the disadvantages that come with the surgery is the scaring on their stomach that may reside there for weeks or months before the stomach and scares are completely healed. tummy tucks surgery

But yet to many women the reward of having a flat stomach just like a model is the best reward of all. Just like any other women they would like to see the reaction of men out in the street, at work, and their better half at home with the new and approved look that they received.

Some might even have the operation done before a class reunion so they can prove to old class mates that still look good, or for some that they have lost a great deal of weight since school. Some might have it done so they can look good for a vacation or in that new swim suit that they went and purchased for summer.

You could not just get the operation done and forget it you have to keep up with it as well For instance to keep the great looking abs you would still half to continue to exorcise and eat healthy just to keep their new and approved stomach in the shape that they are pleased with. That alone will be a large task for some of us to keep up with. tummy tucks surgery

This is one operation that you should not take with ease you would need to do a lot of investigating in the doctors and the recovery time that you would need to recover from the surgery.
 

3 Signs You Might Need a Tummy Tuck Revision

3 Signs You Might Need a Tummy Tuck Revision

Despite all the hard work involved to reach your ideal target weight, there are some things that diet and exercise won’t affect, such as separated abdominal muscles or loose skin. As frustrating as this may be, at least abdominoplasty and other body contouring procedures offer a solution for these concerns.

But if your tummy tuck results don’t live up to your expectations, what can you do? Here are three signs that you might be a good candidate for tummy tucks surgery revision surgery.

1. You Notice Irregular Contours
Muscle laxity following pregnancy and loose skin left behind after significant weight loss are the two primary reasons men and women pursue tummy tucks. During surgery, your surgeon can repair and tighten those muscles and then remove excess skin and tissue to reveal smoother, slimmer contours throughout the lower abdomen.

In some cases, though, your post-surgical silhouette may look uneven or may have too much fullness in the upper abdomen, typically due to an imbalance in skin tension after surgery. Choosing a highly skilled plastic surgeon with experience performing tummy tucks will minimize the chances of contour irregularity. Additionally, opting for a combination tummy tuck plus liposuction allows for more finesse during surgery, with the additional benefits of a drain-free tummy tucks surgery.

2. Your Incision Looks Too High
When looking through before and after patient photos, you’re likely to see incision placements ranging from below the bikini line to about halfway between the navel and pubic area. Regardless of how well an incision may heal up after recovery, a more discreet initial placement is definitely preferable for most patients.

The primary abdominoplasty incision should run from hip to hip across the lowest part of the belly where it will be fully hidden by everyday clothing. More ideally, the incision should be placed well enough that the scar is not visible even if wearing underwear or a swim suit… including a bikini. If you feel your incision is placed too high or you’re unhappy with the appearance of your scar after healing, a tummy tuck revision may be able to help.

3. You’re Unhappy with Your New Navel
A poorly re-created belly button can be one of the telltale signs of having had a tummy tuck. A too-shallow navel may look odd and obviously surgical, while a misshapen one is often the result of too much tension in the skin, which pulls and distorts the new belly button. Placement of the navel can appear either too high or too low on the belly as well.

Belly button revision (the technical term is umbilicoplasty) may be performed without the need for a secondary abdominoplasty. This relatively minor surgery can make a very positive aesthetic impact on the overall results of an otherwise satisfactory tummy tucks surgery, or can also serve as the finishing touch in combination with a full tummy revision.

Choose the Right Surgeon
As important as it is to find a skilled and experienced plastic surgeon for your initial tummy tucks surgery, it’s even more critical for a revision surgery. Examine photos of prospective surgeons’ work to ensure that the results reflect the natural contours of the abdomen rather than looking unnaturally flat, and take note of incision placement and how the belly button looks. With careful consideration and the right surgeon, you can enjoy beautiful, natural results even if it’s the second time around.