Tummy Tuck Surgery

Tummy tuck, also known as abdominoplasty, is a plastic surgery procedure performed to achieve firmer and flatter tummy. It flattens abdomen by removing excess and lose and fat and skin and tightening muscles in the abdominal walls. It further helps in removing stretch marks in the lower tummy. In most cases, it is performed after massive weight loss or pregnancy, or when the flabby tummy with weak muscles damages contour of body. Patients who undergo this procedure experience improvement in self-esteem.

Tummy Tuck Surgery

Are you an ideal candidate for this procedure?

Many people follow strict diet and adhere to exercise regime to stay in shape. However, over the period of time, they realise that some body parts remain same. Protruding and sagging abdomen is one such body part. Here are a few reasons for you to consider this procedure:

  • • You have stable body weight. Slim people with excess fat deposits and loose skin in the lower abdomen are the best candidates. For those who are obese should not consider undergoing tummy tuck.
  • • Weight fluctuations, ageing, pregnancy or heredityhave left skin on your tummy and abdominal walls weak.
  • • You are physically fit. You should be in good physical shape if you want to undergo this surgery.
  • • You are not a smoker. It is important to know that smoking slows down the process of healing and increases the chances of serious complications both during and after the procedure. In case you smoke, then you must quit smoking six to eight weeks prior the surgery.
  • • External or internal scars from any previous abdominal procedure might also affect the candidacy.
  • • In case you have major deposit of intra-abdominal fat surrounding the internal organs then the first thing you need to do is slim down before undergoing the surgery.
  • • You no longer plan to have children. Remember abdominal muscles that are repaired during the tummy tuck can separate again if you plan to have children.

If you have a positive attitude, realistic expectations and good health then are an ideal candidate for this surgery.

Information regarding the procedure

How is the abdominoplastyperformed?

In this procedure, the plastic surgeon would remove loose abdominal skin and tighten the abdominal muscles with sutures.

  • • The plastic surgeon would mark the abdomen for indicating the location of the incisions, the location of the repositioned navel and the centre of your torso.
  • • A solution of a local anaesthesia, known as lidocaine, and epinephrine (a vasoconstrictor that controls bleeding by constricting blood vessels) would be injected.
  • • The primary incision in this procedure will be made above the pubic mound, from one hipbone to the other. In case a full abdominoplasty is performed, another is incision is made near the navel. However, in a mini-tummy tuck, the surgeon would make shorter incision.
  • • The plastic surgeon would loosen from the abdominal wall skin to the ribcage. Then he would suture fascia of abdominal muscles so that they can be pulled into a tighten position. This part is called the muscle repair portion of the procedure.
  • • Once the abdominal muscles have been sutured, the surgeon would now remove the excess fat using liposuction or any other method. Then, your abdominal skin is stretched down over the incision line followed by removal of skin.
  • • Next, the plastic surgeon would mark the placement of navel. Even though the skin around navel has been removed, the navel stays in the place. Then the doctor would cut a hole through the re-draped skin and place suture around the navel.
  • • Then using staples, tissue glue, sutures or steri-strips, the surgeon would close the incisions.
  • • In case of full abdominoplasty, one or more than one drains are placed for preventing build-up of fluid that can pressurise incision. The drain tube is a plastic tube which is placed through a very small incision beneath the main incision that leads out of the body to a smaller oval-shaped bulb. Each time a the bulb is emptied before being closed, you have to squeeze it to help drain the wound.

The goal of the plastic surgeon and staff is to achieve the best results of the procedure and make the entire experience comfortable and easy.

What are the options?

Consult a board certified plastic surgeon. He or she would help in determining the best available option for you. Listed below are different approached for the surgery:

Full abdominoplasty or tummy-tuck

Along with the incision across the lower tummy, a conventional abdominoplasty involves placement of incision around the navel area too. Muscles are removed, excess skin and fat is removed andLiposuction might be used for contouring abdomen. The procedure aims at removing excess skin from above the navel down to the pubic part that has been affected by obesity, genetic laxity or pregnancies.

Mini tummy tuck

In this type of method, a single incision is made in the pubic part. The incision is made as low as possible and might range from a few inches to the entire abdomen stretch. Through this incision, the plastic surgeon would remove excess fat and skin, tighten weak muscles and might use liposuction for refining the area. The right candidate for this method is the one who hasprotrusion and laxity beneath the navel. It is generally recommended for those who are in good shape however are unable to achieve aesthetic goals with exercise and diet.

High lateral tension or extended abdominoplasty

In case you have deposits of excess skin and fat in the hips or love handles, the incisions made are longer. The extended tummy tuck was one of the first procedures developed for addressing excess skin deposits after pregnancy or weight loss. This technique uses a layer in the deeper tissue for maintaining and supporting the repair. This procedure comprises a tummy tuck in the abdominal front and transfers the lift over the hip to the thigh side for improving contour in this part, suspending as well as improving the thigh and hip. The effect can be stimulated by grabbing the skin on the sides of your waist and pulling up as if you are wearing a pair of jeans or pants. /p>

Recovery after the surgery

The plastic surgeons have been performing tummy tuck effectively and safely for several years. However, it is a major surgical procedure. Thus it requires proper care and extensive recovery. If you adhere to the instructions given by the doctor, you can experience swift healing.

Down time

After the procedure, patients have to rest for at least three to four weeks. Take off for at least three to four weeks even though you might need six to seven weeks for recovery in case you have undergone an extensive procedure. Those who have young kids should make sure there is someone at home to take their care. Moderate walking is important as it helps in healing process, however avoid strenuous activity otherwise suggested by the surgeon. Maintain healthy diet to counteract the effects of reduced activity level and complete supply of nutrients. Keep your head elevated during sleep for at least three weeks after the procedure.

Post-surgery care

After the procedure, drain tubes are placed under the skin. These tubes have to be emptied at least three time a day. Monitor the amount of discharge and inform the surgeon in case you notice unpleasant odor or significant amount of blood. Bandages have to be changed many times in a day. Most plastic surgeons ask patients to wear a compression garment around the tummy. Compression stockings help in minimizing the risk of blood clots during the initial recovery days. Medications are prescribed after the surgery. Consume them as prescribed.

It is common for patients to experience constipation after the procedure. Drink plenty of water to minimize this effect. Try to drink ten to sixteen glasses of water a day as it will also speed-up the process of healing too. Over-the-counter medication for constipation can also help in alleviating the problem.

When it comes to medication after the abdominoplasty, they vary depending on the preferences of the surgeon and the procedure performed. Medicines are prescribed for reducing discomfort. Also, antibiotic might be recommended for reducing the chances of developing an infection. Antibiotic ointments and medicines help in minimizing irritation around the incision areahowever some plastic surgeons do not like their patients to touch the surgical area frequently.

After the tummy tuck procedure, avoid taking shower for two to three days or until otherwise suggested by the surgeon. You can take gentle sponge baths. Even when the surgeon permits taking shower, be careful, particularly around the sites of the incision. Some plastic surgeons recommend wearing a compression garments or using a thin stream of water in the shower. Swimming, hot tubs and baths are strictly prohibited until the incisions are completely healed as these activities not only increase the risk of developing infection but can also cause damage to the surgical site. For timely recovery and effective results, it is important for patients to adhere to the instructions given by the surgeon after the procedure.

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