Tummy Tuck Boston - Abdominoplasty Wellesley, MA
Abdominoplasty, also known as a “Tummy Tuck“, is a wonderful procedure used to restore the abdomen to a flat and aesthetic unit of the body. The surgeon tightens the abdominal muscles and removes the excess skin and fat of the lower abdomen. The skin & fat are lifted from the pubis to the ribs and typically all of the tissue between the belly button and the pubis is removed. The remaining skin is stretched down to the pubis and the belly button is brought through a new opening in the skin flap. The abdominal wall muscles are realigned and tightened into the midline creating a flatter abdomen and waiste. Frequently, this procedure is combined with repair of midline hernias as well. Tummy tuck scars are hidden in the bikini or panty line but usually extend from one hip to the other.
The primary risks of abdominoplasty include:
- Loss of sensation of skin below the belly button.
- Fluid Collection: serous fluid: seroma/ blood collection: hematoma
- Scar visibility, thickening, asymmetry or widening
- Deep Vein Thrombosis & pulmonary embolus
Some patient’s are candidates for a “Mini” or “Partial” abdominoplasty in which the belly button is not removed from the surrounding tissue. The skin between the pubis and the belly button pulled down and tightened with only a small resection of skin.
Limitations of the Mini-Abdominplasty
- less removal of skin/ fat removal limited to the area below the umbilicus
- wrinkling, fullness above the umbilicus not addressed
- distortion of the umbilicus due to the stretch of the skin around it or
- need for new lower positioning of the umbilicus on the abdomen
After your surgery
After surgery the patient is placed into an abdominal binder. To many, professional surgical garment is more comfortable, and allows for easier dressing changes. The compression from a professional surgical garment us usually more uniform resulting in better control of edema. Excellent garments are made by “Design Veronique“.
Post operatively, you may not feel like you can not stand straight up. This will resolve in a few days. Despite this, it is important to start walking every day after surgery to reduce the risk of blood clotting in the legs.
Vigorous exercise, sit ups and leg lifts should be avoided until at least 4-6 weeks, and until drains are out.