Q and A is submitted by members and answered by our medical community.
While abdominoplasty is not a weight reduction procedure, some patients will see a slight loss in weight due to the removal of excess tissue and skin. Many candidates for this plastic surgery are patients who have previously been through a significant weight loss and opt for tummy tuck to remove excess skin and achieve a tighter, smoother contour. Â It is best for tummy tuck candidates to be at a stable weight before surgery.
If the abdominal skin has become loose and/or the abdominal muscles are separated, exercise will not help reverse these effects.
The length of time the drain needs to stay in depends on each patient. Â The drain is there to collect blood and fluids from the surgery site so as the amount of fluid decreases, the drain(s) Â can be removed.
A tummy tuck can be performed again with removal of excess skin, tightening of the abdominal wall and liposuction of any excess fat. However, we recommend that it is best for women to be done having children before undergoing a tummy tuck.
A tummy tuck is a procedure in plastic surgery that removes excess skin and tissue from the abdominal area and tightens the underlying loose or separated muscles to create a firmer and more contoured abdomen.
Tummy tucks are often associated with ugly scars producing a deformed appearance of the pubic and lower abdominal areas. Although the lower abdominal area is usually covered when a bathing suit is worn, the scars are quite apparent without clothes. The removal of a large segment of lower abdominal skin requires that the belly-button be repositioned and surgically reconstructed. A surgically altered belly button often does not have a natural appearance. Tummy tucks are far more dangerous than abdominal liposuction. Tummy tuck surgery has a much higher risk surgical complications such as blood clots in the lung (pulmonary embolism) compared to liposuction. In most cases, liposuction alone, without a tummy tuck, produces excellent cosmetic results and avoids the risks and additional expenses associated with a tummy tuck.
When a tummy tuck is indicated, some surgeons believe it is safer to first do a liposuction and then, several months later, do the tummy tuck. Often the patient is so pleased with the initial liposuction that she no longer sees a need for a tummy tuck. Second, if the results of the liposuction are not sufficient, then dividing liposuction and tummy tuck into two separate relatively minor surgical procedures is usually much safer than one major surgery.
While some plastic surgeons tout a ‚drainless tummy tuck‚, it is really more of a marketing gimmick than good medicine. The development of tissue glue is a wonderful advancement, but when used without a drain, the incidence of complications like seroma (the collection of fluid at the surgical site) is dramatically increased. Our plastic surgeons use drains, sometimes in conjunction with tissue glue. While a drain can be inconvenient, it really is the best option.
As every patients procedure is different and every patients pain tolerance is different, this can vary greatly. Â Immediately after surgery, patients will be very sore and pain medication should be taken as prescribed. The second week is better but patients will still experience some discomfort with certain movements and many patients still use pain medication at this time. By the third week, most patients are off pain medication and mostly able to take care of themselves.
Its always best to choose the options thats going to give you the best overall result as opposed to the shortest incision. Going with a shorter incision is not recommended and can result in a less than desirable outcome. Â However, a qualified plastic surgeon will be able to place the incision so that it is hidden by most bathing suits.
Yes, often times plastic surgeons may perform a tummy tuck in conjunction with a breast surgery,Â liposuctionÂ or other lifting procedures like anÂ arm lift.
A mini tummy tuck is not based on the length of the incision, but rather by the amount of repair that is needed. Â A patient that does not need any rejuvenation of the abdomen above the belly button may be a good candidate for a mini tummy tuck.
We recommend your length of holiday for recovery is a minimum of 7 nights. In most cases, it is OK to fly after 7-10 days for 1 surgery treatment eg. Breast enlargement, and 10-14 days for 2 surgery treatments eg. Breast enlargement and liposuction. For tummy tucks and thigh lifts, we recommend a stay of 21 nights.
A tummy tuck recovery is a process, the length of the recovery time after a tummy tuck depends on what type of tummy tuck is performed. Â Two to six weeks is the average amount of time someone should plan to be limited in day-to-day activities. However, some patients do take longer to reach the same recovery comfort level as other patients.
The best thing you can do to improve your healing after a tummy tuck is to take care of yourself. Â Not smoking is a key factor in good healing. If you smoke, you need to STOP at least six weeks before surgery. Â In addition, get plenty of rest, eat well, stay hydrated and follow the doctors instructions. We provide all of our patients with a scar recovery gel/treatment plan to help make sure the resulting scar heals well.
Abdominal liposuction is safer, gives superior cosmetic results, and has a more natural appearance without disfiguring surgical scars. Thus, liposuction has now largely replaced tummy tuck surgery as the preferred technique for improving the silhouette of the abdomen. There is another reason why a surgeon might recommend a tummy tuck. Some surgeons and some patients believe the aesthetics benefits of a maximally flat tummy outweigh the disadvantages of an abnormal appearance of the belly button and the unnatural appearance of the lower abdominal scar. Patients should be aware of this issue when evaluating liposuction vs. tummy tuck.
Tummy tucks are more expensive as liposuction of the abdomen. The recovery time required before a person can return to work after a tummy tuck is typically two to four times longer than after liposuction of the abdomen.
Liposuction of the abdomen removes most of the fat found under the skin and above the abdominal muscles. When patients have good abdominal muscle tone, liposuction can provide a dramatic improvement, with a natural appearance of the abdomen, and with minimal scarring. In the vast majority of liposuction patients, the natural elasticity of abdominal skin contracts smoothly, and there is no need to surgically remove skin. Tummy tuck usually involves liposuction to remove fat plus the surgical removal of a large section of skin from the lower abdomen, together with a surgical relocation of the belly button. A tummy tuck can result in an unsightly scar that extends across the entire lower abdomen, just above the pubic area in addition to an unnatural appearance of the belly button. The recovery after liposuction is much safer, quicker and easier than the recovery after a tummy tuck.
The majority of patients who have excessive abdominal fat find that they are very happy with the results of a simple abdominal liposuction. Several months after having had an abdominal liposuction, the vast majority of women are so happy with their results that they decline a subsequent tummy tuck.
The only patients for whom a tummy tuck is superior to abdominal liposuction are the relatively few women having extreme degrees of lower abdominal skin laxity, unusually extensive stretch marks, or severely stretched abdominal muscles (as a result of pregnancy). Tummy tuck surgically removes skin with severe stretch-marks (striae-distensae). Liposuction does not remove stretch marks. A tummy tuck can produce a flatter abdominal wall by tightening the abdominal muscles. Liposuction is appropriate for patients who have abdominal muscles that have not been excessively stretched out of shape by pregnancy. A tummy tuck can remove excessive amounts of loose abdominal skin. However, loose abdominal skin does not mean that a tummy tuck is necessary. After liposuction, abdominal skin often contracts to a surprising degree so that an excision is not necessary.
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