An abdominoplasty, or tummytuck, is often a slightly invasive cosmetic procedure and may:
The operation involves a long incision being made to excise the lower half of the abdominal skin and fat. There is an incision around the naval (tummy button, umbilicus) as it needs to be moved to a normal position after the lower abdominal skin and fat has been treated and removed. The underlying stretched abdominal muscles are surgically tightened with stitches. The skin is stitched together with dissolving sutures under the skin. Drains will then be placed and these remain for a period of usually one to two days. Please note that it should NOT be considered a weight loss procedure.
Mr Banwell recommends the surgery be performed under a general anaesthetic undertaken by a specialist anaesthetist for the best results.
There are both general and specific risks to this operation and Mr Banwell will talk to you in detail regarding these possible complications. General risks include bruising and swelling, pain, scarring, bleeding, wound infection, deep infection, delayed healing, problems with general anaesthetics, abnormal scarring and keloid scarring. Specific risks include asymmetry of scars and umbilicus (belly button), uneven skin contours, the build up of fat necrosis (dead fat), skin loss/necrosis at the umbilicus (belly button/naval), wound breakdown, severe infection (necrotizing fasciitis), intra-abdominal organ injury, fluid accumulation (seroma) under skin flaps, as well as experiencing a possible permanent numbness of lower abdominal skin and/ or lateral thighs and ‘dog-ears’. Please note that smoking and obesity (and BMI >30) significantly increase the risks of post-operative complications.
Subsequent alterations in body contour may occur as the result of ageing, weight loss, weight gain, pregnancy, gravity or other circumstances not related to abdominoplasty. Chronic pain may also rarely occur due to nerves becoming trapped in scar tissue.
It will be necessary for you to stay at least one night in hospital and be watched over by the doctors and nursing staff. You will have two drains fitted. The drains are usually removed when the drainage is minimal and you will have dressings over your abdomen for at least one week. You will need to possibly wear a compression support garment (abdominal binder) around your abdomen for six weeks. Further postoperative visits will be scheduled. Mr Banwell recommends post-operative massage to aid outcome.
Please contact Mr Banwell's office on 01342 330302 or email firstname.lastname@example.org for further information.
PRE ADMISSION TESTS
Shower after 1 day
SPORT & EXERCISE
6 weeks contact sport 8 weeks
TIME OFF WORK
Binder day and night one month, then night for further month