Tummy Tuck

Enhancing your appearance with a tummy tuck
What to expect during your consultation
Preparing for surgery
Important facts about the safety and risks of abdominoplasty
Procedural Steps:
My recovery
Words to know
   

Enhancing your appearance with a tummy tuck

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  Pregnancy
  Aging
  Significant fluctuations in weight
  Heredity
  Prior surgery

Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles, thus creating an abdominal profile that is smoother and firmer.

What it won’t do:

A tummy tuck is not a substitute for weight loss or an appropriate exercise program.
Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies may be advised to postpone a tummy tuck.

Also, a tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised.

Is it right for me?

Tummy tuck surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Abdominoplasty is a good option for you if:

  You are physically healthy and at a stable weight
 

You have realistic expectations

  You are a non-smoker
 

You are bothered by the feeling that your tummy is too large

 
What to expect during your consultation

The success and safety of your tummy tuck procedure depends very much on your complete candidness during your consultation. Dr. Vartany will ask you a number of questions about your health, desires and lifestyle.

Be prepared to discuss:

 

Why you want the surgery, your expectations and desired outcome

 

Medical conditions, drug allergies and medical treatments

  Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
 

Previous surgeries

Dr. Vartany will also:
 

Evaluate your general health status and any pre-existing health conditions or risk factors

 

Take photographs for your medical record

  Discuss your options and recommend a course of treatment
 

Discuss likely outcomes of the tummy tuck and any risks or potential complications

 

Preparing for surgery

Prior to surgery, you may be asked to:

 

Get lab testing or a medical evaluation

 

Take certain medications or adjust your current medications

 

Stop smoking well in advance of surgery

 

Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Special instructions you receive will cover:

 

What to do on the day of surgery

 

The use of anesthesia during your tummy tuck

 

Post-operative care and follow-up

 

Important facts about the safety and risks of abdominoplasty

The decision to have tummy tuck surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Dr. Vartany will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

Possible risks of abdominoplasty include:

 

Unfavorable scarring

 

Bleeding (hematoma)

 

Infection

  Fluid accumulation
  Poor wound healing
  Skin loss
  Blood clots
  Numbness or other changes in skin sensation
  Anesthesia risks
  Skin discoloration and/or prolonged swelling
  Fatty tissue found deep in the skin might die (fat necrosis)
  Major wound separation
  Asymmetry
  Recurrent looseness of skin
  Pain, which may persist
  Deep vein thrombosis, cardiac and pulmonary complications
  Persistent swelling in the legs
  Nerve damage
  Possibility of revisional surgery
 

Suboptimal aesthetic result

Procedural Steps:

What happens during tummy tuck surgery?
Step 1 – Anesthesia

General anesthesia will be administered by a Board certified anesthesiologist.

Step 2 – The incision

A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and navel. The shape and length of the incision will be determined by the degree of correction necessary.

Through this incision, Dr. Vartany will repair weakened abdominal muscles and remove excess fat tissue and skin.

A second incision around the navel may be necessary to remove excess skin in the upper abdomen.
       
 
Tummy Tuck, Outline
Tummy Tuck, Pre-Interior Incision
 
       
  Tummy Tuck, Interior Incision Tummy Tuck, Exterior Incision  
       
  Tummy Tuck, Lower Incision Outline Tummy Tuck, Lower Incision  
       
Step 3 – Closing the incisions

Absorbable sutures close the skin incisions so suture removal will not be necessary after the procedure.

Step 4 – See the results

Your tummy tuck will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight.

The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete.

Within a week or two, you should be standing tall and confident about your new slimmer profile.

 

My recovery

         
 

Following your surgery, dressings or bandages will be applied to your incisions, and you will wear a compression garment to minimize swelling and to support your abdomen as it heals.

Two small, thin tubes will be temporarily placed under the skin to drain any excess blood or fluid that may collect.  These tubes will be removed in the office about one week after the surgery.

  Recovering from Abdominoplasty  
         

Words to know

 

Abdominoplasty: A surgical procedure to correct the apron of excess skin hanging over your abdomen.

 

Diastasis: Condition in which abdominal muscles have separated.

 

General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.

 

Hematoma: Blood pooling beneath the skin.

 

Intravenous sedation: Sedatives administered by injection into a vein to help you relax.

  Liposuction: Also called lipoplasty or suction lipectomy, this procedure vacuums out fat from beneath the skin’s surface to reduce fullness.
  Local anesthesia: A drug is injected directly to the site of an incision during an operation to relieve pain.
 

Sutures: Stitches used by surgeons to hold skin and tissue together.

 

Tummy tuck: A surgical procedure to correct the apron of excess skin hanging over your abdomen.

   

 

 
Excerpted from the ASPS/ASAPS Patient Education Brochures
 
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DR. VARTANY
Dr. Vartany grew up in Boston, Massachusttes. Hi attanded High School in Exeter New hampshire and complited his
 
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