What is Abdominoplasty?
Abdominoplasty or 'tummy tuck' is a surgical procedure to remove
excess fat and skin from the abdominal area and in some cases the
abdominal muscles are also tightened. The aim is to achieve a
tighter, flatter stomach.
This surgery can help those who have been left with folds of
abdominal skin following weight loss through diet and exercise or
following successful weight loss surgery. Abdominoplasty can also
help women who have stretched skin and muscles following pregnancy
(and who do not plan to have any more children).
Read
more on Cosmetic surgery at CircleBath.
What does this involve?
Abdominoplasty is carried out under a general anaesthetic and
usually requires a two night stay in hospital.
During the procedure, the surgeon will make incisions over your
abdomen and across the bikini line. An incision is also made around
your umbilicus (tummy button) so that it can be repositioned. If
necessary, stretched or torn abdominal muscles are pulled together
and stitched in place. Your skin is pulled down and any excess is
removed. A new hole is made to accommodate the umbilicus. Once
surgery is complete, all incisions are closed with
stitches.
Following the procedure you will be taken from the operating
theatre into the Recovery Suite where you will be looked after
until you are fully awake following the anaesthetic. After this,
you will return to your room, where nursing staff will check your
dressings and monitor your pulse and blood pressure at regular
intervals.
The anaesthetist is likely to prescribe painkillers to reduce
any potential discomfort and you should take these regularly for
the first few days. Pain can slow down your recovery, so it is
important to discuss any discomfort with the nursing staff.
You may have drainage tubes in your abdomen for a short period
of time after the procedure. These have bottles attached to them
and are in place to drain away any excess fluid. These are removed
before you are discharged home.
There may also be a drip in one of your arms which is to ensure
that you are kept well hydrated so that your recovery is as quick
as possible. The drip will be removed once you are able to drink a
satisfactory amount. Providing you are not feeling nauseous,
you may start to drink and eat as soon as you feel ready.
You will also have wound dressings and a supportive compression
garment in place around your abdomen.
Until the affects of the anaesthetic have passed, you will need
to rest. In the meantime you will be visited by your surgeon who
will assess your progress and answer any questions or concerns you
may have. You will also be visited by the Cosmetic Surgery
Specialist Nurse before you are discharged home who will give you
advice about caring for your wounds and dressings, the wearing of
your supportive compression garment and support stockings, and
discuss your post-operative activity.
Hospital contact details will be provided should you require any
advice once you have returned home, and a post-operative follow-up
appointment with your surgeon will be arranged.
Top
When will I recover?
After an Abdominoplasty you are likely to have some discomfort,
swelling, bruising, and pain in your abdomen. These are temporary
and should subside after the first few weeks.
You should follow your surgeon's advice regarding how long to
avoid driving but you certainly should not begin driving again
until you are confident that you can safely perform an emergency
stop without experiencing any discomfort.
Your surgeon will also advise you on how long you are required
to wear your supportive compression garment and whether it is to be
worn day and night.
You will receive a post-operative telephone call from the
Cosmetic Surgery Specialist Nurse one to two days after your
discharge home to ascertain your progress and well being. You will
also receive a follow up appointment at which your surgeon will
assess your progress and give advice on when you can resume your
normal activities.
It is very likely that they will suggest that you avoid any
strenuous exercise, heavy lifting, swimming and vacuuming for
around four to six weeks after surgery.
The length of time you will need to take off work will depend on
your type of employment but it is usually a minimum of two
weeks.
Top
What risks should I know about?
Abdominoplasty is a commonly performed and generally safe
procedure. However, all surgery carries an element of risk.
The possible complications of any surgery can include an
unexpected reaction to a general anaesthetic, excessive bleeding,
developing a blood clot (usually in a vein in the lower leg, known
as a DVT - deep vein thrombosis) and infection. Signs of infection
include uncontrolled pain, redness, swelling, oozing from wounds,
and fever.
After the procedure you will be left with visible scars.
Initially they will be red and slightly raised, but they should
gradually soften and fade over the following months. You may also
experience some numbness in the lower part of your abdomen - this
is usually temporary, but in some cases is permanent. It is also
possible that the final position of your umbilicus will not be
central and in some cases there is a small risk of complete loss of
the umbilicus though this is very rare.
Top
Circle care
Abdominoplasty is carried out at CircleBath, our state of the
art hospital, which provides you with the best facilities and
superb patient care. We have a dedicated team of Cosmetic
Surgeons and Nurses who will guide you through the process from
first consultation to after-care and will be available to answer
any questions or queries you may have.
Top