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ANTIAGING BODY TREATMENTS

Tummy Tuck

 

Abdominoplasty or a 'tummy tuck' is where extra skin and stretch marks of the lower abdomen are removed and the muscles tightened. It is often done along with liposuction to address contour concerns of the hips and thighs as well.

The procedure does leave a lower abdominal and belly button scar.
The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise.

The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal.

 

Procedure

The tummy tuck is done under general anesthesia as an outpatient.

Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.

  1. A long incision from hipbone to hipbone is made just above the pubic area.
  2. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.
  3. The skin is separated from the abdominal wall all the way up to your ribs.
  4. This large skin flap is lifted to reveal the vertical muscles in the abdomen.
  5. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline.
  6. The skin flap is then stretched down and the extra skin is removed.
  7. A new hole is cut for the navel, which is then stitched in place.
  8. The incisions are stitched, and dressings applied. A temporary tube may be inserted to drain excess fluid from the surgical site.

 

After Care

A pain management pump for postoperative comfort to allow early walking the day of surgery to reduce postsurgical risk and speed recovery.

The abdomen will probably be swollen for a few days, and there is likely to be some pain and discomfort which can be controlled by medication.

Surface stitches are removed in five to seven days, and deeper sutures, with ends that protrude through the skin, will come out in two to three weeks.

The dressing on your incision may be replaced by a support garment.

Expect to be back to work in 2 to 4 weeks. More strenuous activity should be avoided for 4 to 6 weeks or more.

Fading and flattening of scars should occur in 3 months to 2 years. Diet and exercise to maintain results.

 

Complications

This is not a good procedure for smokers or the very overweight patient because of healing and recovery concerns.

Post operative complications such as infection and blood clots are rare but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.

Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.

 

Expected Results

After surgery, the patient has a flatter, trimmer abdomen. Scars are permanent, but will fade with time.

Abdominoplasty, whether partial or complete, produces excellent results for patients with weakened abdominal muscles or excess skin. In most cases, where a balanced diet and exercise program are followed, the results are long lasting.

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