Chattanooga, Tennessee Abdominoplasty
The Plastic Surgery Group, P.C., in Chattanooga, Tennessee offers the latest plastic surgery procedures, including abdominoplasty. For more information on the body contouring procedures we offer, visit our plastic surgery procedures page or call our plastic surgery staff at (423) 756-7134 or (800) 634-3334. You can also
e-mail us your questions and we will be in touch with you shortly.
1. Will my stomach be flat after tummy tuck surgery?- how much skin and fat can be removed?
Abdominoplasty is a very popular body contouring
surgery. Those candidates for abdominoplasty have excess skin and fat
in the mid to lower abdomen. This deformity often arises particularly
in women after child bearing. Coupling excess skin and fat with stretched
abdominal muscles can lead to a full or paunchy abdomen where an hourglass
figure once existed. The abdominoplasty both tightens the muscles, and
can remove the extra skin and fat between the navel and the pubic hairline.
This serves to return the abdomen to a more youthful taut appearance.
2. Where will my tummy tuck incision be, and
when do my stitches come out?
The incision for a tummy-tuck trails along
the pubic hairline and extends toward the frontal pelvic bone. A second
incision is usually made around the navel so it can be freed and repositioned
appropriately. The abdominoplasty incision length varies with the amount of tissue
to be removed. Currently, no stitches need to be removed as these are
all placed beneath the skin and absorb in time. Plastic tube drains
are used to remove any fluid which may collect and are taken out in
a week to ten days.
3. How long does the tummy tuck surgery take?
The usual abdominoplasty requires about
two and a half to three hours to perform.
4. Is the tummy tuck surgery painful?
Abdominoplasty is a significant surgical
intervention. After surgery, your abdominal wall will be tender. Remember,
not only has a good bit of skin and fat been removed, but also your
abdominal muscles have been tightened. This being said, patients routinely
do well with appropriate oral pain medication, rest, and supportive
care. You'll be most comfortable in a "lazy-boy" position for the first
several days , and laxatives are recommended to avoid straining at bowel
movement.
5. Will my stomach be numb after abdominoplasty?
To perform an abdominoplasty, the surgeon
lifts all the skin and fat from your abdominal muscles from the pubis
to the rib line. In doing so, many of the small nerves which give sensation
to the abdominal wall are stretched or cut. Initially your abdomen will
be numb from your navel to the pubis. As you heal, this area will decrease
in size until, for most patients, there is very little or no numbness.
6. Do I need to wear a girdle or
binder following tummy tuck surgery?
An important part of your post operative
care is your garment. Initially this may be of the corset type, but
eventually a girdle will be recommended. These garments serve several
purposes. After surgery they provide support and lightly compress the
abdominal wall which aids in pain control and prevention of fluid collection.
Later they limit swelling and speed the progress toward your final result.
We suggest the use of a compression garment for about a month, but many
of our patients independently use their garments even after that point.
7. When can I resume my normal activities?
After tummy tuck surgery, many patients return to
normal exercise schedules in a month to six weeks. Sedentary activities
can certainly be resumed in a week to ten days. Our abdominoplasty patients are allowed
to shower in about 48 hours after surgery.
8. What if I gain weight or get
pregnant after the tummy tuck surgery?
If you gain weight after abdominoplasty,
it will be uniformly spread through your new contours. Ultimately,
childbearing should be completed before contemplating an abdominoplasty.
The stretch of the expanding uterus
during pregnancy would tend to precipitate a recurrence of the deformity
which was surgically corrected.
9. What are the risks of abdominoplasty?
Thousands of people undergo abdominoplasty
each year. The risks of this surgery are similar to the risks of most
surgical procedures. Bleeding, infection, and skin loss at the tightest
points of closure are most frequently mentioned. However in appropriate
candidates who are in good health and do not smoke, the risks of any
untoward results are minimized. Remember to listen carefully at the
time of your consultation, and return with any questions so that you
can do your part to ease your recovery.
10. Is the tummy tuck surgery performed as
an inpatient or outpatient under local or general anesthesia?
Most abdominoplasty is performed as an
outpatient. Anesthesia may vary, but at the PSG, we routinely perform
abdominoplasty under local anesthesia and sedation. This method provides
patient comfort, surgeon satisfaction, and the safety in knowing that
you don't have to "Go to Sleep" for this procedure. The sedative method
allows you to breathe on your own with the minute-to-minute monitoring
of an anesthetist.
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