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TUMMY TUCK

TUMMY TUCK
(Abdominoplasty)

OBJECTIVE:

Abdominoplasty, known more commonly as a “tummy tuck,” is a surgical procedure to
remove excess skin & fat from the middle & lower abdomen & to tighten the muscles of the
abdominal wall.

CANDIDATES FOR ABDOMINOPLASTY:

Men or women who are :

1) in relatively good shape, but are bothered by a large fat deposit or loose abdominal skin
that won’t respond to diet or exercise.

2) women who, through multiple pregnancies, have stretched their abdominal muscles & skin
beyond the point where they can return to normal.

3) loss of skin elasticity in older patients

CONSULTATION & PREPARATION:

We will evaluate your health, determine the extent of fat deposits in your abdominal region,
& carefully assess your skin tone. Any plan to become pregnant or lose weight in the future,
should be discussed before the operation.

If, your fat deposits are limited to the area below the navel, you may require a partial
abdominoplasty, also know as a mini-tummy tuck, which can often be performed on an
outpatient basis. On the other hand, you may benefit more from partial or complete
abdominoplasty done in conjunction with liposuction to remove fat deposits from the hips, for
a better body contour.

There may be an improvement in the number of stretch marks, especially those located
below the navel, as the skin of the lower abdomen that contains the stretch marks will be
removed. (read FAQs)

RISKS & COMPLICATIONS:

Thousands of abdominoplasties are performed successfully each year. One can reduce the
risk of complications by closely following our instructions before and after the surgery,
especially with regard to when and how you should resume physical activity.

Some of the complications that can occur are : collection of liquid under the flap, blood clots,
and infection. Delayed healing and poor healing can result in visible scarring or skin loss and
a need for a second operation. Possibility of wide scars (keloids) in patients with a keloidal
tendency can occur. Every precaution is taken to minimize the possibility.

HOSPITAL STAY/OUT-PATIENT:

A minimum stay of 2 days (48 hours) is advised with a full abdominoplasty (especially if
combined with another procedure). A mini abdominoplasty can be performed on an
outpatient basis although an overnight stay is advised.

ANAESTHESIA:

General anesthesia is preferred, so you’ll sleep through the operation.

OPERATING TIME:

Complete abdominoplasty usually takes 4 – 5 hrs., depending on the extent of work required.
Partial abdominoplasty (mini tummy tuck) may take 2-3 hrs.

THE SURGERY:

In a complete abdominoplasty ( ‘tummy tuck’), an incision is made, from hip bone to hip
bone, just above the pubic area to remove excess skin and fat from the middle & lower
abdomen. The length of the scar depends on the amount of skin that needs to be removed
and usually the incision can be placed within the lines of the bathing suit. A second incision is
made to free the navel from surrounding tissue.

In Complete Abdominoplasty, skin is separated from the abdominal wall all the way up to the
ribs.The surgeon draws underlying muscle & tissue together & stitches them, thereby
narrowing the waistline and strengthening the abdominal wall. Abdominal skin is drawn down
& excess is removed. With complete abdominoplasty, a new opening is cut for the navel.
Both incisions are stitched closed.

In partial abdominoplasty (‘mini tummy tuck’), the incision is much shorter, the skin is
separated only between the incision line and the navel. This skin flap is stretched down, the
excess is removed. (read FAQs)

THE RECOVERY PERIOD:

For the first few days, you’re likely to feel some pain and discomfort which can be controlled
by medication. Swelling, tenderness, numbness of abdominal skin, bruising, and tiredness,
some, or all of these can last up to several weeks.

Small drains,used to help avoid the accumulation of fluids in the abdominal wall are removed
after a few days. Dressings are applied and will be changed every other day for the first 2
weeks.

Surface stitches will be removed in 5-7 days, and deeper sutures, will come out in 2-3 weeks.
Some people return to work after 2 weeks, while others take 3-4 weeks to rest and
recuperate. You may be required to wear a girdle for 20 to 30 days.

Exercise will help you heal better, reduce swelling, lower the chance of blood clots, and tone
muscles. Vigorous exercise, however, should be avoided until you can do it comfortably.

We will schedule frequent follow-up visits in the months after surgery, to check on the
healing. If you have any unusual symptoms between visits, or any questions about what you
can and can’t do, don’t hesitate to contact us.

THE NEW LOOK:

After surgery, you have a flatter, trimmer abdomen. with excellent results. In most cases,
the results are long lasting, if you follow a balanced diet and exercise regularly. The
abdomen should remain firm and flat for many years, unless you gain a lot of weight.

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