Tummy Tuck

Tummy Tuck Procedure $7700*

Abdominoplasty (tummy tuck) helps flatten the abdomen by removing excess fat and skin and tightening muscles. The best candidates for abdominoplasty are in good physical condition, with pockets of fat or loose skin that have not responded well to diet and exercise. Abdominoplasty can also be appropriate for slightly obese people whose skin has lost some of its elasticity, and for women with skin and muscles stretched from pregnancy. Anyone planning on losing a significant amount of weight and women planning on having (more) children, should wait before undergoing abdominoplasty. To be sure you are a candidate for a tummy tuck, please check your Body Mass Index (BMI) at this site:

https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

A BMI of 30 is preferred, but a measurement of up to 32 is sometimes acceptable.

THE ABDOMINOPLASTY PROCEDURE

Abdominoplasty takes approximately 3 to 4 hours to perform. You are placed under general anesthesia. Two incisions are usually made: one from hipbone to hipbone close to the pubic area, and another around the navel. Skin is separated from the abdominal muscles, which are then pulled together and stitched into place for a firmer abdomen and narrower waist. The skin flap is then stretched down over the newly tightened muscles, excess skin is removed, and the navel is reattached where it looks natural. The incisions are then closed, and sterile surgical dressings are applied over the sutured areas. Most patients have 1 to 2 drains under the skin for 1 to 2 weeks. They are annoying but don’t hurt much at all. They do not hurt to remove. The surgery, however, can hurt – especially the first 4-5 days. That is why most patients choose to have a new long-acting pain medication (Exparel) injected at the time of surgery. It does cost extra ($400), but it makes you much more comfortable.

RECOVERY AFTER ABDOMINOPLASTY

The first week you are in bed or a recliner chair (very helpful) and get up to eat and go to the bathroom, The second week, you are up and around the house, but not doing any work. By the third week, you may be able to go back to work. You can go back to the gym at about 4 weeks EXCEPT for no abdominal exercises for 6 weeks.  Abdominoplasty leaves a scar spanning the lower abdomen from hip to hip, although it is low enough to be concealed by a bikini. Scar treatment with Embrace ( www.embracescartherapy.com ) is recommended for 6-8 weeks. Maintaining your weight with a balanced diet and regular exercise provides long-lasting results. If you gain weight or get pregnant, you will ruin the result to some degree.

RISKS OF ABDOMINOPLASTY

In addition to the usual risks associated with surgery and anesthesia, risks associated with abdominoplasty include the following:

  • Unsightly scarring – This can happen, especially if you have a history of bad scars, however, most people will take the scar as long as their abdomen is flat.
  • Wound healing Issues – More common if you smoke. You MUST stop smoking 4 weeks prior to, and after, surgery. Really, just stop smoking for good.
  • Numbness in skin sensation – very common in the lower abdomen. May last 3-4 years
  • Seroma – A collection of fluid under the skin after the drain is removed. This is usually from too much activity (movement, riding in cars or busses). Rest!!
  • Need for revisional surgery
  • Deep Vein Thrombosis (DVT) – This is a blood clot in the leg which can spread to the lungs. It can be fatal. Make sure you answer our DVT questions honestly. These include such issues as prior stillbirths, prior clots, and birth control or hormone pill use. Also, get out of bed at home at least every other hour when you are awake.

*All pricing includes pre-op/post-op appointments, surgeons fee, and facility/anesthesia fees.

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