Tummy Tuck
The procedure also involves the tightening of the muscle and facial of the abdominal wall. This procedure is often sought by patients with loose tissues that appears after pregnancy and major weight lost.
Tummy tuck vary in extent and are frequently subdivided into categories depending on the amount of excess skin and fats. This would be mini tuck, complete tummy tuck, extended abdominoplasty, circumferential abdominoplasty and combined liposuction with abdominoplasty which is also called Saldania technique. This procedure may take 1 to 5 hours to complete, usually patient are put under regional anesthesia that is combined with IV sedation. Initially there may be bruising and discomfort after surgery that may last only for several days to weeks.
Depending on the extent of the procedure, recovery procedure may take 10 to 14 days. Patients would be required to take a time off from work to rest and recuperate adequately. Heavy physical activity is best avoided during this time period. Activity is gradually progress as patient heals through time. Patients are required to wear supportive abdominal binder or compression garment to help minimize the swelling and facilitate skin re-draping or healing.
Possible risks of abdominoplasty include:
• bleeding
• Fluid accumulation
• Poor wound healing
• Skin loss, Numbness or other changes in skin sensation
• Anesthesia complications
• Skin discoloration and/or prolonged swelling
• Fatty tissue found deep in the skin might die (fat necrosis)
• Major wound separation
• Recurrent looseness of skin
• Pain, which may persist
• Hematoma
• Seroma
• Keloid
Any procedure be it surgical or not, has its inherent risks and complication. This is why, patients should be properly selected and thoroughly prepared prior to surgery be it a minor or major procedure. With this patient’s health is not compromise and results are maximize.
Good candidates understand the procedure and have realistic expectations. The repair and tightening of the abdominal muscles, along with the removal of the excess skin, may greatly improve body contour and appearance. Improved appearance may improve self-confidence and may change the way others interact with you. However, the surgery cannot bring back your youth or create the ideal figure. There is also no guarantee that other people will treat you differently after surgery.
Individuals planning to undergo abdominoplasty are prepared prior to scheduled surgery. Patients are advised to avoid the following for 2 to 3 weeks before surgery; smoking, alcoholic beverages, steroids, NSAIDs or pain medications like mefenamic acids and naproxen, herbal tea, herbal medications, Vitamin E, blood thinning medications like aspirin, heparin and coumadin, regulated drugs like valum, prohibited drugs like methamphetamines, diet pills and oral contraceptive pills. These medications and social activity may delay healing, prolong bleeding during surgery and may interact with the medications used during surgery. It is advised that patients discuss this further with their surgeon to minimize possible risks and complications.
The surgery is performed either under sedation, regional or general anesthesia depending on the extent of the procedure. This can be performed in an out-patient surgical facility that is accredited by local health department or patient may be admitted in a hospital for a few days. A full tummy tuck procedure requires a horizontally oriented incision, located at lower abdomen just above the pubic hair line; the incision may extent from hip to hip depending on the amount of excess abdominal skin that needs to be removed. Through this incision, a large area of the lower abdomen skin and fat is removed. The weakened abdominal wall muscles are repaired with non-absorbable plication sutures. This will tighten the abdominal wall and improve abdominal tone and contour.
Any cosmetic procedure, like tummy tuck surgery involves many choices. The first and most important is selecting a surgeon. Your surgeon should have at least completed 5 to 7 years of surgical training. He or she is trained and experienced in all plastic surgery procedure, including breast, body, face and reconstruction. Your surgeon should be able to operate in accredited medical facilities. And most importantly he or she, should be board certified in his or her surgical specialty.
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