Tummy Tuck

Who is a good candidate for Tummy Tuck?

Healthy patients with realistic expectations and stable weight that suffer from saggy or loose skin of the belly.

What are Tummy Tuck contraindications?

Severe or uncontrolled systemic diseases, connective tissue disease, malignancy, unrealistic expectations, local skin pathology and pregnancy.

Note: A contraindication is a condition or factor that serves as a reason to withhold a certain medical treatment due to the harm that it would cause the patient.

How is this procedure performed?

The procedure is commonly done under tumescence anesthesia with monitored sedation. Tumescence anesthesia consists of diluted Lidocaine with epinephrine in a crystalloid solution that is infiltrated into the operative area in calculated amounts based on patient’s body weight. Liposuction might be performed first by introducing small cannulas to remove the fatty tissue from different areas of the abdomen prior to excision of the excess skin (Lipoabdominoplasty). This is then followed by making an incision from one hip area to the other, removal of the excess skin, tightening the muscles of the abdomen, creating a new opening for the belly button. A drain or more maybe placed. The incisions are then closed in layers.

How long does the effect last?

Abdominoplasty provides durable long term results, however, significant weight gain, pregnancy and other factors might affect the results of the procedure.

What should I expect during recovery?

Since the area is numb after the procedure, we routinely do not use narcotics for pain control and pain is easily controlled on acetaminophen (Tylenol). Also, since general anesthesia and narcotics are usually avoided, nausea and vomiting are very rare after the procedure. A compression garment is usually worn postoperatively for 2-4 weeks or longer. Patients are usually discharged to the care of a responsible adult and recover at home. Light activity and early ambulation are encouraged after the surgery. It is normal for many patients to feel that they have to slightly bend over while walking for the first 1-2 weeks. Drains are usually removed within a week or two. Activities are advanced gradually based on your healing.

Where is the scar?

The scar is placed low to hide under the bikini line extending between the hip bones. Another small scar is placed around the belly button if a full tummy tuck is performed.