Procedure name:
“Tummy Tuck” - Abdominoplasty

Anticipated result of the procedure:
Abdominal wall surgery treats flabby, stretched-out abdominal muscles and skin to improve appearance and strength. Excessive fatty tissue and loose skin are removed from the middle and lower sections of the abdomen and the abdominal muscles may be tightened. This procedure is perfect for removing stubborn abdominal fat that will not respond to diet or exercise. It is commonly used by women whose abdominal muscles had endured multiple pregnancies and can no longer return to their prior, firm shape.

Procedure Description:
An incision is made across the lower abdomen, just above the pubic area. Excess skin and fat are removed from the abdominal wall, from the pubic area to the rib cage, around the umbilicus and the abdominal muscles are tightened. The incision is stitched (sutured) closed. Small flat tubes (drains) may be inserted and used for a few days to allow fluid to drain out of the incisions. A firm elastic garment is worn postoperatively.

Length:
Normally 2 to 4 hours

Anesthesia:
General

In/Outpatient:
Outpatient procedure

Temporary Side Effects:
For the first few days, your abdomen will probably be swollen and you will feel some pain and discomfort which can be controlled by medication. There will be numbness of the abdomen that will slowly resolve in a few months.

Recovery:
Some people return to work after two weeks, while others take three or four weeks to rest and recuperate. Surface stitches will be removed in about seven days. Expect it to take six months to a year before your scars flatten out and lighten in color. While they'll never disappear completely, abdominal scars will not show under most clothing, even under bathing suits.

Duration of Results:
In most cases, the results are long lasting, if you follow a balanced diet and exercise regularly.

Risks:
Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with antibiotics. You can minimize the risk of blood clots by moving around, as instructed by your physician, as soon after the surgery as possible. Smokers are advised to stop, as smoking may increase the risk of complications and delay healing.

• Liposuction

Top Duke specialists:
Detlev Erdmann, MD
Gregory Georgiade, MD
Michael Robert Zenn, MD

FAQS

Is there anything I can do to reduce scarring or bruising?
There are no proven ways to reduce scarring. Some patients feel that applying vitamin E or aloe vera to the scar may help. If you apply these creams do not rub the scar for about two weeks because you can damage the fragile new tissue. If you have tapes or stitches in place, do not use any cream or lotion unless instructed.

Can I have the operation again?
Almost all surgery can be repeated, but for most patients this is not needed. As time passes you may find that you need to modify or "update" something which was done several years ago. This is usually not a problem.