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Tummy Tuck

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Tummy Tuck

What is Tummy Tuck?

Tummy tuck or Abdominoplasty is a procedure designed to correct or turn back the changes which occur post pregnancy and childbirth.

 

Why Tummy Tuck?

The following changes occur during pregnancy and childbirth which need to be corrected. The changes that occur are:

1. Stretch Marks on the abdomen

2. Fat deposits mainly on the tummy and flanks, maybe the hips too

3. Loose muscle in anterior abdominal wall ( Rectus Divarication)

All the shanges can occur in various combinations but usually all three are present. This leads to a bulge in the abdomen which doesn’t go in and  cause a change in posture leading to back pain.

Apart from this, the clothes dont fit & the look of the body changes from an Hourglass to a pear shaped or apple shaped look.

All these changes along with the back pain can sometimes make the mother lose some of her self confidence and also hamper her regualr day to day activities and reduce the “Quality of Life”.

An abdominoplasty or tummy tuck helps reverse these changes and is a component of the “Mommy Makeover Package” as it is called.

 

What is a “Mummy Makeover”?

A mommy or mummy makeover consists essentially of a Tummy tuck with liposuction along with a Breast Lift or Reduction or augmentation in the crux of it.

Other procedures which can be done in a Mummy makeover are liposuction of the arms, a brazilian butt lift and vaginal renuvenation procedures.

 

Read more

Procedure

 

The procedure is performed under epidural anesthesia or under general anaesthesia.

Initially a Liposuction of the tummy and the sides is done along with the lower back and sometimes with the lower “Bra Folds” too

After this the Incision is made in the lower abdomen like a Caesarean Incision but longer and the skin is lifted. The excess stretch marked skin is pulled down and excised.

The belly button is released from the skin and reattatched to the anterior abdominal wall after a tightening of the same is done using sutures.

The skin is pulled down and sutured and the belly button is repositioned.

You will have drains inserted under the skin which may be in for about 3-4 days

You will be made to walk to same day though initially you might have to walk a little bent over because of the tightness after the skin removal.

You can get back to all your normal activities by about a week.

Exercises can be resumed in about 2-3 weeks depending on your comfort. Abdominal exercises are avoided for about 12 weeks.

Wearing the garment is a must and massages to help even out the fold and excess skin is advised for the first three months.

Since we pull the skin in towards the midline, initially you might see some bunching up of the skin in the midline at the suture line, which settles down with massages.

 

The most common indications for this are :

1. Post pregnancy and childbirth

2. After massive weight loss or a Bariatric procedure

Variations

1.Fleur-de-Lis Abdominoplasty  

Abdominoplasty after massive weight loss has a few variations because apart from lenghtwise excess skin there is excess width as well and hence a modifications called the “Fleur-de-Lis Abdominoplasty” 

 

2. LipoAbdominoplasty

This is the abdominoplasty as was described in the procedure above

 

3.Mini Tuck or Mini Tummy tuck

This is a procedure done when there isnt too much of excess skin or fat and the patient is relatively fit or has lost all the excess fat post childbirth. But they still seem to have a bulge because of the loose muscle or divarication of the recti.

Here a smaller incision is given and with the help of an endoscope repair of the muscle is done and a part of the excess skin is removed and sutured back.

 

 

Prepare for your Tummy Tuck

Do…

  • Make an initial consultation with your Surgeon. Discuss why you want the procedure done, Openly! We want to know why!
  • Measurements and planning of the plane incision is done.
  • Discuss any medications your taking with the surgeon.
  • Discuss a procedure date and plan for work and holidays. Remember you need healing time of two – three months.
  • Book your procedure date
  • Pay your deposit to book your date (IMPORTANT) because then we know your serious and we get booked out very fast!
  • Have your blood tests done and sent to your clinic for the surgeon to check over
  • The night before you will most probably be fasting so relax and follow your surgeons’ instructions
  • Drink plenty of water and keep hydrated before your fasting period
  • Get a good night’s sleep don’t be worried. You chose us to look after you!
  • Shower and make sure you get to the center with ample time, so the surgeon can prepare you for your marking and procedure.
  • Download print and fill the consent form (link) and bring it with you.

Don’t…

  • Drink alcohol at least 48 hours before
  • Take any blood thinning medications, such as Aspirin or Advil.
  • Be nervous you are in safe and experienced hands!
  • Arrive at the clinic/hospital on time
  • Listen to staff instructions
  • Stay relaxed
  • Settle into your consultation room and take before pictures for reference
  • Practice breathing – to relax this will prepare you for your pain management
  • The doctor will visit to do their initial assessments and marking
  • The admin staff will go over your consent form and help you make payments

What happens during the procedure

  • You will be taken into a clean and sterile OT environment with sterilized instruments.
  • The surgeon will discuss the target areas with you before taking you into the day care center.
  • He/She will explain any restrictions if there may be.
  • Surgical area will be marked with a surgical marker pen.
  • The surgeon and his team will check your detail whilst in the OT before the procedure.
  • The pain management team will provide you with pain relief according to the treatment plan and the procedure will start.
  • Your procedure will take place and finish within the allotted time.
  • You will be moved back to recovery and you will stay till you have eaten something and your settled.
  • The team will look after you till you are ready to leave in the evening or if you are in the hospital you will stay on
  • The surgeon will check up on you.
  • You will be given prescription medicines and instructions for your fast recovery.
  • Care of the drain will be advised and explained.
Do…
  • walk around and be active as soon as you can
  • drink lots of water and be hydrated
  • take a shower after 3 days of the procedure
  • WEAR your pressure garment/band  for up to 12 weeks this is imperative for swelling to go down and help with the reshaping of your body
  • come in for follow ups with your surgeon
  • apply the scar cream as advised

 

Don’t…
  • be idle
  • overdo anything and DO NOT sleep on your tummy
  • not wear your pressure garment.
  • smoke or drink alcohol
  • lift heavy weights

What happens next…

  • Although tummy tuck is a lifestyle procedure it is still a surgical procedure so along with rest and rehydration it’s imperative that you allow your body to heal in its own time
  • You can walk around but have to sleep on your back .
  • You will see results straight but final results are seen after 8-12 weeks but the surgery is only the beginning you need to look after it just like anything else.
  • Follow all after care procedures, you will be taught massages and how to wear your Pressure garment
  • After your complete healing period. We look forward to seeing you at your last check up, More body confident and happy! (We are happy to do a photoshoot for you to show off your new curves)

Q: Who can do a Tummy tuck?

A: It is usually reverved for people who have had kids and finished thier family and are not planning to have anymore kids. It is also done in some cases of Massive Weight Loss viz. post a Baratric surgery.

Q: Is there an age limit to do the Tummy tuck?

A: No there is no age limit as long as you are healthy and no major co morbid conditions which will stop you from going under anaesthesia, you should be able to undergo a Tummy tuck.

Q: What does a Tummy tuck Procedure entail?

A: In the tummy tuck also know as a LipoAbdominoplasty, liposuction of the abdomen and flanks is done first and then the excess stretch marked skin under the unbilicus is removed, the recuts muscle defect is repaired and the unbilicus repostioned. This shapes the midriff and removes the stretch marked skin and hence also called a “Stretch Mark Removal” procedure.

Q: Is there a Scar after a tummy tuck?

A: Yes, there is a scar after a tummy tuck as the excess skin is removed and sutured. But our team @ Aesthetics Plus ensures that the scars are minimal and placed in such a way that it is all hidden in the underwear lines.

Q: What is the recovery time after a tummy tuck?

A: Most patients are up and about the same day or the next after a tummy tuck. You can get be back to your normal regualr activites by a week. But strenuous activity is to be avoided for a few weeks. Complete healing takes about 3 months. Regualr exercises apart from abdominal exercises can be resumed in 2-3 weeks.

Q: What are the precautions after a Tummy tuck?

A: The most important is to wear the corset or pressure garment provided and not lie in bed but be active. Strenuous activity or abdominal exercises should be avoided for about 8-10 weeks.

Q: What is a Mini Tummy tuck or MiniTuck?

A: Sometimes there might be only a minimal skin excess and minimal fat but the loose muscle maybe significant. In such cases the rectus tightening is done along with minimal skin excision and the scar is like a CSection scar. This is called a MiniTuck

Call us or come talk to our Board Certified Plastic Surgeons to know what is the best option for you 

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