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tummy tuck
Tummy tuck or abdominoplasty patients overall are a very satisfied
group. Many have had children and this operation is an opportunity
to plicate the abdominal wall and remove excess skin in a way that
diet and exercise can never achieve. Many wish to be able to wear
close fitting garments or a swimming costume without having a lower
abdominal roll. Often they may have had a caesarian section and
the abdominal wall has sagged over the scar causing discomfort.
An important feature of abdominoplasty is tightening the underlying
musculature which may be widely spread during previous pregnancy.
All skin between the umbilicus and pubic region is removed along
with stretch marks. After being dissatisfied with the umbilicoplasty
I had observed, I have evolved a technique that I believe leaves
a more natural looking umbilicus and avoids the “hole-in-the-ground”
look.
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AFTER |
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Tummy tuck surgery
example 1
Note the sculptured nature of the adjacent abdominal wall
in the patient shown below, who has had an abdominoplasty
with my modified umbilicoplasty and had breast implants placed
through the “tummy tuck” incision. |
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Tummy tuck surgery example 2
Abdominoplasty combined with epigastric and flank liposuction |
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The abdominal wall muscles are tightened during abdominoplasty.
Sometimes liposuction of nearby areas is also performed. A drain
is left in place for a few days and a nurse who visits at home empties
this. Most people stay for one night after surgery and can shower
the next day. All sutures dissolve. A local anesthetic wound catheter
is removed before discharge (about 2mm wide). A soft abdominal binder
is worn for the first week (or a compression garment for 3 weeks
if liposuction has been performed)
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