How Is a Tummy Tuck Performed?

How Is a Tummy Tuck Performed?
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The tummy tuck, called an abdominoplasty, is a common surgical procedure that reduces hanging skin on the midsection or waistline. Good candidates for the abdominoplasty are within 30 percent of their ideal body weight, have maintained their weight for at least 6 months, have acceptable skin elasticity and are emotionally prepared. A "tummy tuck" may sound like a simple procedure, but the abdominoplasty has several phases.

Preparing for Surgery

Preparation for an abdominoplasty ranges from minor to serious considerations. Arrange to have someone drive you to and from the operation. Refrain from using drugs that may induce bleeding, such as anti-inflammatory medicine. Smokers should expect to stop smoking before surgery. Fill post-operation prescriptions before the day of the surgery. Prepare any holistic or alternative health options before surgery; discuss options with your surgeon. In addition, you should request a copy of your surgeon's protocols; the protocol sheet contains step-by-step recommendations to patients.

Anesthesia

According to the American Society of Plastic Surgeons, anesthesia is the first procedure in an abdominoplasty. This surgery commonly uses general anesthetic or intravenous sedation. Your doctor will evaluate you and provide a recommendation for the type of anesthetic used during surgery.

Incisions

The abdominoplasty involves two incisions. The first cut requires a horizontal incision across the pubic hairline, below the naval. This incision's length stretches across the front surface of the body, and its shape resembles the letter "U" and not a straight line. After this cut is made, surface skin is pulled back and the surgeon removes excess tissue, fat and skin. Another incision is made at the navel, if necessary. The surgeon removes excess skin in the upper abdominal region, and then reshapes the navel. These two cuts comprise the main procedures of the tummy tuck.

Closing the Incisions

The incisions are closed using clips, tapes, skin adhesives and sutures. A skilled physician must complete the closure phase of the abdominoplasty in order to reduce scarring. A slight misalignment of the skin may result in increased scarring. Nevertheless, scarring will occur with this surgery.

Recovery

Recovery will depend on how quickly your body heals itself. Typical recovery is about 3 to 6 months. During this time, swelling reduces, bruising subsides and scarring somewhat fades. Your follow-up appointments are important to the healing process. Make sure to discuss any concerns you may have with your surgeon.

References

Article reviewed by Mia Paul Last updated on: Apr 26, 2011

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