Abdominoplasty, also known as the "tummy tuck," is a
surgical procedure to remove excess skin and fat from
the abdomen and to tighten the muscles of the
abdominal wall. The procedure can dramatically reduce
the appearance of a protruding abdomen, eliminate most
stretch marks due to pregnancy and re contour the over
all appearance of your abdomen. We use advanced
techniques of abdominal wall contouring, adjunctive
liposuction and hidden incisions to give you the best
results of this surgical procedure.
WHO IS A CANDIDATE:
Candidates for abdominoplasty include MEN or WOMEN who
have excess skin and fat above the belt line. This is
usually the area that .hangs. or .bulges. when wearing
pants or swim wear. Usually, the individual has
attempted weight loss and exercise to get rid of this
area, but it absolutely has made no difference or has
made it worse!
Another large category of patients that get tummy tucks
are women who are done having children that want their
pre-pregnancy belly back. Stretch marks, umbilical
hernias and loss of strength of the abdominal wall can
be corrected with an abdominoplasty.
Finally, another large group of patients that consider
the procedure are individuals who have lost a great
deal of weight, either by gastric-bypass surgery or
traditional weight loss methods. After the fat has gone,
the excess skin can only be removed surgically.
You should probably wait to do your tummy tuck if you
plan on having more children, plain on losing more
weight, or plan on having another abdominal surgery.
Sometimes, however, the procedure can be done at the
same time as a hysterectomy or tubal ligation, since
the incision is basically the same.
Also, if you are significantly overweight, you will not
get good results from your tummy tuck. Have us evaluate
your status during your appointment and we will be able
to provide you with realistic goals and expectations of
the procedure.
RISKS:
It is important to realize that although thousands of
tummy tucks are performed successfully across America
every year, all surgery does carry some element of risk.
When performed by a highly qualified surgeon with
experience, and in a safe environment, the risks are
minimalized.
Every attempt is made to shorten the incision used to
perform the tummy tuck. However, depending on your body
frame, the incision can go hip to hip or even longer.
Also, although the most advanced methods are used to
close your incision, most of your scar healing is
genetically determined by yourself. The scar might
require laser treatments, injections, or even revision
in the future if it is noticeable. Smoking almost
guarantees poor scarring and healing, and should be
stopped 6 weeks before surgery
Infections, although rare, can occur. Antibiotics are
given before, during, and after the surgery to minimize
this chance.
A drainage tube is kept in place for about 2 weeks to
remove fluid produced by your body in response to the
surgery. Occasionally, the fluid can recollect and may
need to be removed.
Finally, a rare complication is the development of blood
clots in your legs. This risk can be minimal if you walk
around soon after your surgery.
THE SURGERY:
The procedure takes approximately two hours to perform,
during which time you will be under general anesthesia.
After the procedure, you will spend a couple of hours in
recovery, after which time you can be discharged to home
or, if you choose, spend one or two nights in the hospital.
During the procedure, an incision is made above the pubic
bone to almost your hip area. A skin flap is elevated and
the excess skin removed. The muscles are then tightened
with many sutures. The belly button is brought out through
a new opening, and the all incisions are sutured closed.
Post operatively, you will keep in close contact with our
office for at least 3 to 6 months. Sutures are removed at
one week. The drainage tube usually comes out in about
two weeks. You will be prescribed pain medication, muscle
relaxers, and antibiotics for the first two weeks after
surgery. A support garment should be worn for one month
after surgery. Full recovery takes 4-6 weeks, but most people
can return to a desk job in about 2 weeks.
It will take approximately 6 months for you to feel like your
normal self again. The scars, however, will not lighten or
fade for about a year, and then will continue to fade even
after that. The scar will never completely go away. It is
important to take care of yourself, eat healthy and continue
to exercise so that you can enjoy the results or your new body
for many years to come!