A drain-less tummy tuck is a newer procedure (10 years old already) where I will suture your skin down to the muscles of the abdomen and so will not need to places drains to remove liquid as no liquid forms. This gives you the patient less pain, faster recovery and a better scar.
Typically, the procedure is performed as an outpatient procedure and takes between 2-4 hours depending on the number of ancillary procedures performed. The surgery is performed general anesthesia.
Tightening of muscles leads to a cramping type of pain that is best relieved using a combination of pain medications. Discomfort is usually less by the 3rd day and the more patients move, the less pain!
As in any surgery, tummy tuck surgery has risks. Thousands of abdominoplasties are performed successfully each year with very satisfying results. Luckily, major complications are rare and minor complications, when they do occur are easily treated. Infections, fluid collections and minor wound healing problems are usually self-limited. The most serious complication, that of a pulmonary embolus due to blood clots in legs is also one rare, and its treatment may require hospitalization. Smokers are advised to stop smoking for at least two weeks before a tummy tuck.
Most patients return to activities of daily living within a week after a mini-abdominoplasty and within 10-14 days after a full tummy tuck. Swelling will persist for up to 6 months. A garment and massage will help with the swelling. Patients can resume gentle exercise after two weeks and increase the amount as tolerated.
What is a tummy tuck – abdominoplasty?
A tummy tuck / abdominoplasty procedure helps patients who have excess abdominal skin and fat deposits that do not respond to diet and exercise, or those who have laxity of the abdominal muscles. Abdominoplasty dramatically improves the appearance of a protruding abdomen and waist, restoring a more pleasing shape to the body.
Full Tummy tuck
This procedure is performed to tighten the abdominal muscles and remove the excess fat and skin from the belly button down to the pubis. The abdominal skin is then stretched down the full length of the abdomen, hence, the tummy tuck. The umbilicus is kept on a stalk and a new "button hole" is created for it on the abdominal skin. The tummy tuck (or full abdominoplasty) procedure leaves a horizontal scar in the bikini line.
Mini Tummy tuck
A mini abdominoplasty is performed to remove excess skin and fat from the lower portion of the abdomen only. Care is taken to hide the mini abdominoplasty scar in the bikini line. The upper abdomen and hips are contoured with liposuction to achieve a harmonious abdominal profile.
Extended Tummy tuck
This type of abdominoplasty is performed on patients who may require a more extensive removal of skin and fat and longer incisions. Sometimes, it is necessary to remove the skin and fat through a vertical midline incision as well as the usual horizontal abdominoplasty incision over the pubic bone, resulting in an inverted "T" abdominoplasty incision.
Surgery in Surgery center
The abdominoplasty procedure is performed under general anesthesia in a surgery center as an outpatient procedure and takes about 2.5 hours. It can be combined with a Brazilian buttock lift , liposuction or cosmetic breast surgery.
You need to have someone stay with you the night after tummy tuck surgery and can usually resume work in 7-14 days.depending on the surgery. The cost for a tummy tuck includes the operating room fee and all of your follow-up visits.
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