Pregnancy causes many changes in the body, especially in the abdomen. The ability of the abdomen to ‘rebound’ after childbirth decreases with each delivery. The typical patient that presents for abdominal contouring complains of extra skin, extra fat, a stretched or loose abdominal wall, stretch marks, and/or poor lower abdominal skin quality. Some patients complain that they can’t see their belly button and others that their clothes don’t fit properly. The abdominoplasty or tummy tuck procedure addresses all of these issues.
The abdominoplasty is completed through an incision made across the lower abdomen in an area that is usually covered by undergarments, typically at a level similar to a c-section scar. Through this incision, most of the abdominal wall is exposed. With pregnancy, the paired ‘washboard’ or rectus abdominus muscles typically separate from each other (horizontal excess) and lengthen (vertical excess). Sit-ups and other exercises may strengthen the muscles but no amount of sit-ups can bring the abdominal wall back into its normal, unstretched postion. During the abdominoplasty operation, these muscles are plicated, or tightened, with sutures. The rectus muscles are visibly closer together and have better form. This achieves a flatter and tighter abdominal wall.
Next, the excess skin and fat is removed. Usually, this results in removal of all of the skin and fat between the belly button and the incision. This discarded skin tends to contain most or all of the stretch marks and often is inelastic and of poor quality. The upper abdominal skin, which is usually of better quality, more elastic and without stretch marks, is stretched to the lower incision. I like to contour the abdominal tissue to give the impression of a well toned abdominal wall. Finally, the belly button is recreated in ideal position.
Abdominoplasties are often combined with other procedures, such as liposuction of the lower back or thighs, or a breast lift/reduction. After abdominoplasty, my patients spend the night at the surgical facility which allows them to be cared for by our excellent nursing staff. Depending on the type of work, most patients are ready to return with 1-2 weeks.
Explore the possibility of sculpting a new you.
Dr. Ronan is Board Certified by the American Board of Plastic Surgery. His specialty is aesthetic or cosmetic surgery. If you would like to discuss this or any other aesthetic procedure in detail, please call (925) 736-5757 or email us for a complimentary consultation.
Do you wake up, even after a good night’s sleep, and find that the loose skin above your eyes or bags below your eyes make you look tired? Do the wrinkles and frown lines on your forehead and the heaviness of the brow bother you? Do you look tired but feel awake? If you answered ‘yes,’ you are not alone. Eyelid (blepharoplasty) and a brow lift procedures are commonly performed to help restore a more energetic and youthful appearance.
What is all the fuss about BOTOX®? What is it and what can it do for me? Facial expressions like smiling, frowning, and laughing cause wrinkling of skin, especially between the eyebrows and in the lateral eye area (crow’s feet). BOTOX® is a medicine which treats wrinkles in an office setting with little or no downtime.
The youthful face is curvilinear with fullness in the upper midface, graceful curves, and a relative hollowness in the lower midface. The lower lid appears vertically short. With aging, there is an inevitable descent of cheek tissue which creates a depression hollowness of the lower lid area, emptiness of the upper face area, fullness in the lower face, and jowling. The lower lid sags and appears vertically taller. The neck skin and muscle loosen creating central fullness and blunting of the youthful, sharp distinction between the jaw and the neck.
Upper breast flattening and breast drooping are expected consequences of childbearing and aging. Some women find that their breasts are too large and cause them problems with neck pain, back pain, shoulder strap grooving, etc. They also find that clothes and braziers don’t fit properly. For others, the volume of breast tissue is deficient or appropriate but the breasts themselves droop. If this sounds like you, keep reading. There is a newer breast procedure, with minimized incisions, that offers correction of these problems.
The breast is the universal symbol of femininity, nurturing, love, and sexuality. Most women interested in breast augmentation or enlargement are intelligent, successful and well-adjusted individuals who are concerned with inadequate breast size. The overwhelming majority of women who undergo breast augmentation are very satisfied with their result. Because of such high patient satisfaction and improvement in self-image, it is not surprising that breast augmentation is one of the more common aesthetic plastic surgery procedures performed.
As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. There is an inevitable descent of cheek tissue which creates a depression hollowness of the lower lid area, fullness in the lower face, and jowling. The neck skin and muscle loosen creating central fullness and blunting of the youthful, sharp distinction between the jaw and the neck.
Fashion Wire Daily NY December 26, 2001 - Can we talk? Joan Rivers, the self-proclaimed arbiter of Hollywood style, talks as much about her own plastic surgeries as she does about other stars' fashion gaffes. But while famous folks like Rivers, Phyllis Diller, Michael Jackson and Jocelyn Wildenstein (aka The Bride of Wildenstein) can pass off their multiple body modifications as aesthetic adventurousness or a plain old sight gag, there's a fine line between people who get numerous nips and tucks, and those on a compulsive quest for perfection.
The Maliniac Circle is an opportunity for all ASPS members – at any stage of their careers – to make a donation to PSEF to support future research and educational programs.
Stephen Ronan, MD, an ASPS candidate-member, exemplify the fact that it is never too early, or too late, to become a Maliniac Fellow.
At age 32, Dr. Ronan is the youngest member to join the Maliniac Circle. He hopes that other young plastic surgeons will follow his lead in making a deferred contribution to PSEF.
By Tammy Duggins
I’m 28 and recently became worried about sagging around my eyes. I live in an affluent area around San Francisco, and frankly, people judge you by appearance here. In my job as a secretary, I deal with the public and want to look my best. I’ve had friends who’ve had minor plastic surgery, and they look great.
So I went to a plastic surgeon, Dr. Stephen Ronan, and asked for a brow lift. I’d made my mind up to have it done, and I was floored when he said, “You don’t need an eye job or brow work or anything else. You don’t need plastic surgery.” That’s what every woman wants to hear! I know my husband likes my looks, but I didn’t expect a surgeon to say no to my request to change them.
Dr. Ronan suggested I pluck my eyebrows into more flattering arches, and now I do that. He didn’t charge me for the consultation (or the beauty tip!). I came away feeling like I got a gift-a confidence boost-for free.
The youthful face is curvilinear with fullness in the upper midface, graceful curves, and a relative hollowness in the lower midface. The lower lid appears vertically short. With aging, there is an inevitable descent of cheek tissue which creates a depression hollowness of the lower lid area, emptiness of the upper face area, fullness in the lower face, and jowling. The lower lid sags and appears vertically taller. The neck skin and muscle loosen creating central fullness and blunting of the youthful, sharp distinction between the jaw and the neck.
The breast is the universal symbol of femininity, nurturing, love, and sexuality. Most women interested in breast augmentation or enlargement are intelligent, successful and well-adjusted individuals who are concerned with inadequate breast size. The overwhelming majority of women who undergo breast augmentation are very satisfied with their result. Because of such high patient satisfaction and improvement in self-image, it is not surprising that breast augmentation is one of the more common aesthetic plastic surgery procedures performed.
Pregnancy causes many changes in the body, especially in the abdomen. The ability of the abdomen to ‘rebound’ after childbirth decreases with each delivery. The typical patient that presents for abdominal contouring complains of extra skin, extra fat, a stretched or loose abdominal wall, stretch marks, and/or poor lower abdominal skin quality. Some patients complain that they can’t see their belly button and others that their clothes don’t fit properly. The abdominoplasty or tummy tuck procedure addresses all of these issues.
Before you undergo cosmetic surgery, you may want a consultation with expert plastic surgeon Stephen J. Ronan MD. This month, after ten years of East Coast training, Dr. Ronan returns home to the Bay Area and combines extensive knowledge, new procedures, and technologic know-how in a very reputable and successful private practice located in Blackhawk, CA.
Dr. Ronan was born at the Presidio in San Francisco. He was raised in Petaluma where he attended St. Vincent Grammar and High School. He graduated St. Vincent H.S. with more than 20 awards and scholarships. He participated in sports year round (football, basketball, baseball and tennis) throughout these years and was chosen for multiple All-Star teams, MVP awards, etc.

